School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada.
Department of Medicine, University of British Columbia, Vancouver, BC V1V 1V7, Canada.
Int J Environ Res Public Health. 2023 Sep 21;20(18):6792. doi: 10.3390/ijerph20186792.
The purpose of this study was to design, usability test, and explore the feasibility of a web-based educational platform/intervention for patients with atrial fibrillation (AF) as part of their virtual AF care.
Participants were patients attending a specialized AF clinic. The multiple mixed-methods design included website design, think-aloud usability test, 1-month unstructured pre-testing analysis using Google Analytics, follow-up interviews, and a non-randomized one-group feasibility test using pre/post online surveys and Google Analytics.
Usability testing participants ( = 2) guided adjustments for improving navigation. Pre-testing participants' ( = 9) website activity averaged four sessions (SD = 2.6) at 10 (SD 8) minutes per session during a 1-month study period. In the feasibility test, 30 patients referred to AF specialty clinic care completed the baseline survey, and 20 of these completed the 6-month follow-up survey. A total of 19 patients accessed the website over the 6 months, and all 30 participants were sent email prompts containing information from the website. Health-related quality of life, treatment satisfaction, household activity, and AF knowledge scores were higher at follow-up than baseline. There was an overall downward trend in self-reported healthcare utilization at follow-up.
Access to a credible education website for patients with AF has great potential to complement virtual and hybrid models of care.
本研究旨在设计、可用性测试并探索一种基于网络的教育平台/干预措施，用于房颤（AF）患者的虚拟 AF 护理，作为其虚拟护理的一部分。
参与者为专门的 AF 诊所的患者。这种混合方法包括网站设计、出声思维可用性测试、使用 Google Analytics 进行为期 1 个月的非结构化预测试分析、随访访谈以及使用预/后在线调查和 Google Analytics 进行的非随机单组可行性测试。
可用性测试参与者（n=2）指导了导航改进的调整。预测试参与者（n=9）在 1 个月的研究期间，平均每个会话 10 分钟（SD=8）进行四次会话。在可行性测试中，30 名被转诊到 AF 专科诊所的患者完成了基线调查，其中 20 名完成了 6 个月的随访调查。共有 19 名患者在 6 个月内访问了该网站，所有 30 名参与者都收到了包含网站信息的电子邮件提示。与基线相比，随访时的健康相关生活质量、治疗满意度、家庭活动和 AF 知识评分更高。随访时自我报告的医疗保健利用率呈总体下降趋势。
为 AF 患者提供可信赖的教育网站，具有极大的潜力来补充虚拟和混合护理模式。
