Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial.

Gagné, Myriam; Legault, Claudie; Boulet, Louis-Philippe; Charbonneau, Lyne; Lemyre, Maryse; Giguere, Anik M C; Poirier, Paul · Patient Educ Couns · 2019

rct · Level II

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Abstract

To assess whether adding a video on atrial fibrillation (AF) to a face-to-face educational session improves quality of life (QoL), knowledge, and health resource utilization (HRU) among AF patients. In this parallel clinical trial, adults with AF received a face-to-face educational session on AF and were randomly allocated to watch an educational video or not. Self-reported questionnaires measured QoL (primary outcome; score 0-100), AF knowledge (score 0-25), and HRU. Data were collected before and after interventions. Within- and between-group changes were estimated by mixed models. Sixty participants (age: 56 ± 13 years; men: n = 41) were allocated to watch the video after education (n = 30) or to receive education only (n = 30). Within groups over time, QoL and knowledge significantly improved. Knowledge increased by 2.3 units (95% confidence interval: 0.5-4.1) more in participants who watched the video than in others (P = 0.014). Changes in QoL and HRU were not different between groups. Complementing education with a video on AF did not result in additional positive impacts on QoL and HRU among AF adults but led to greater improvements in AF knowledge. The video on AF could be used as part of educational sessions to increase AF knowledge in AF patients.

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