Jiraporncharoen Wichuda, Buawangpong Nida, Angkurawaranon Chaisiri, Jolly Kate, Neil Thomas G, Phrommintikul Arintaya, Krittayaphong Rungroj, Nathishuwan Surakit, Lip Gregory Yh, Lane Deirdre, Mathers Jonathan
Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Chiang Mai University Faculty of Medicine, Chiang Mai, Thailand.
BMJ Open. 2025 Mar 13;15(3):e096490. doi: 10.1136/bmjopen-2024-096490.
We aimed to understand the (1) perspectives of patients with atrial fibrilation (AF) regarding their experience and implementation of The SAMe-TTR score-guided approach in anticoagulant-nave Thai patients with atrial fibrillation (TREATS-AF) educational intervention for warfarin therapy control, including views on cultural transferability to the Thai context, and (2) healthcare professionals' (HCPs) experience of implementing the intervention.
Qualitative research study.
Three university hospitals and four tertiary care hospitals in Thailand.
13 newly diagnosed patients with AF and 13 HCPs delivering the TREATS-AF intervention, an intensive structured educational programme.
Semistructured interviews. Patient participants were interviewed at two time points: 4 weeks and 6 months after intervention delivery. HCPs were interviewed when they had at least 6 months experience of intervention delivery. A thematic analysis of content was informed by the framework analytical approach.
13 patients and 13 HCPs were interviewed; most were female (73.3% of patients and all HCPs). Mean age was 70 (68-76) and 40 (38-42.5) years for patients and HCPs, respectively. There were four categories related to the experience of the TREATS-AF intervention: (1) key experiences of the educational sessions, (2) core perceptions of the educational materials provided, (3) suggestions for improving the educational materials and session, and (4) behavioural change and self-management influenced by the TREATS-AF intervention.
The TREATS-AF intervention assisted interviewees who were newly diagnosed with AF in preparing themselves with the necessary knowledge and skills to manage their condition. They stated that it increased their confidence in self-management.For implementation, regionalised Thai-related food and beverages, patients' literacy and family support should be considered, and infrastructure support for widespread use in healthcare settings would be required.
TCTR20180711003.
我们旨在了解（1）心房颤动（AF）患者对于其在未使用过抗凝剂的泰国心房颤动患者中实施《SAME-TTR评分指导方法》（TREATS-AF）教育干预以控制华法林治疗的体验，包括对文化可转移性至泰国背景的看法，以及（2）医疗保健专业人员（HCPs）实施该干预的经验。
定性研究。
泰国的三家大学医院和四家三级护理医院。
13名新诊断的AF患者和13名提供TREATS-AF干预（一项强化结构化教育计划）的HCPs。
半结构化访谈。患者参与者在干预实施后的两个时间点接受访谈：4周和6个月。HCPs在他们有至少6个月干预实施经验时接受访谈。内容的主题分析采用框架分析方法。
对13名患者和13名HCPs进行了访谈；大多数为女性（患者的73.3%和所有HCPs）。患者和HCPs的平均年龄分别为70（68 - 76）岁和40（38 - 42.5）岁。与TREATS-AF干预体验相关的有四类：（1）教育课程的关键体验，（2）对所提供教育材料的核心认知，（3）改进教育材料和课程的建议，以及（4）受TREATS-AF干预影响的行为改变和自我管理。
TREATS-AF干预帮助新诊断为AF的受访者掌握管理病情所需的知识和技能。他们表示这增强了他们自我管理的信心。对于实施，应考虑与泰国相关的区域化食品和饮料、患者的识字能力以及家庭支持，并且需要在医疗环境中广泛使用的基础设施支持。
TCTR20180711003。
