McCabe Pamela J, Douglas Kristin Vickers, Barton Debra L, Austin Christine, Delgado Adriana, DeVon Holli A
1 Mayo Clinic, Rochester, MN, USA.
2 Mayo Clinic College of Medicine, Rochester, MN, USA.
West J Nurs Res. 2017 Feb;39(2):252-272. doi: 10.1177/0193945916656609. Epub 2016 Jul 11.
Improving early detection and treatment of atrial fibrillation (AF) is critical because untreated AF is a major contributor to stroke and heart failure. We sought to generate knowledge about the feasibility of conducting a randomized controlled trial to test the effect of the Alert for AFib intervention on knowledge, attitudes, and beliefs about treatment-seeking for signs and symptoms of AF. Adults ≥65 years old (96% White) at risk for developing AF were randomized to receive the Alert for AFib intervention ( n = 40) or an attention control session ( n = 40). Feasibility goals for recruitment, participant retention, adherence, perceived satisfaction and burden, and intervention fidelity were met. From baseline to study completion, knowledge ( p = .005) and attitudes ( p < .001) about treatment-seeking improved more in the intervention group compared with the control group. Results support testing the effectiveness of the Alert for AFib intervention in a large trial.
改善心房颤动（AF）的早期检测和治疗至关重要，因为未经治疗的AF是导致中风和心力衰竭的主要因素。我们试图获取关于开展一项随机对照试验的可行性的知识，以测试房颤警报干预对有关AF体征和症状寻求治疗的知识、态度和信念的影响。将有发生AF风险的≥65岁成年人（96%为白人）随机分为接受房颤警报干预组（n = 40）或注意力控制组（n = 40）。在招募、参与者保留率、依从性、感知满意度和负担以及干预保真度方面均达到了可行性目标。从基线到研究完成，与对照组相比，干预组在寻求治疗的知识（p = .005）和态度（p < .001）方面改善更大。结果支持在大型试验中测试房颤警报干预的有效性。
