TY - JOUR

T1 - Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management

T2 - data from the TeleCheck-AF project

AU - Gawalko, Monika

AU - Hermans, Astrid Nl

AU - van Der Velden, Rachel Mj

AU - Betz, Konstanze

AU - Verhaert, Dominique Vm

AU - Hillmann, Henrike Ak

AU - Scherr, Daniel

AU - Meier, Julia

AU - Sultan, Arian

AU - Steven, Daniel

AU - Terentieva, Elena

AU - Pisters, Ron

AU - Hemels, Martin

AU - Voorhout, Leonard

AU - Lodzinski, Piotr

AU - Krzowski, Bartosz

AU - Gupta, Dhiraj

AU - Kozhuharov, Nikola

AU - Pison, Laurent

AU - Gruwez, Henri

AU - Desteghe, Lien

AU - Heidbuchel, Hein

AU - Evens, Stijn

AU - Svennberg, Emma

AU - de Potter, Tom

AU - Vernooy, Kevin

AU - Pluymaekers, Nikki Aha

AU - Manninger, Martin

AU - Duncker, David

AU - Sohaib, Afzal

AU - Linz, Dominik

AU - Hendriks, Jeroen M.

AU - TeleCheck-AF investigators

PY - 2023

Y1 - 2023

N2 - Aims The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF). Methods and results Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (>= 3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (>= 100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had >= 100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028). Conclusion In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.

AB - Aims The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF). Methods and results Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (>= 3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (>= 100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had >= 100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028). Conclusion In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.

KW - Atrial fibrillation

KW - Mobile health

KW - Photoplethysmography

KW - Risk factors

KW - Thromboembolic risk

U2 - 10.1093/eurjcn/zvac061

DO - 10.1093/eurjcn/zvac061

M3 - Journal article

C2 - 35932189

VL - 22

SP - 412

EP - 424

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 4

ER -