Effects of a Health Belief Model-Based Community Educational Program to Increase the Awareness of Atrial Fibrillation Among Older Adults: a Randomized Controlled Trial

NCT06582823 | Active Not Recruiting

• 1 other identifier: UW 23-344
• Study Type: interventional
• Target: 390
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to evaluate the effects of a theory-based community educational program among older adults in the community on atrial fibrillation (AF) knowledge. It will also learn about their competency to detect irregular pulses and compliance to regular pulse check. The main questions it aims to answer are: Do older adults in the community who received the Health Belief Model-based educational program have higher AF awareness? Researchers will compare the educational program with the control, who receive an information leaflet about AF to see the effect on improving AF awareness. Participants will: Receive a 5-week Health Belief Model-based educational program or receive an information leaflet about AF. Be reassessed immediately post-intervention and 3 month afterwards. Keep a logbook on their compliance to the advice of regular pulse palpation to detect AF pulse .

Conditions

Atrial Fibrillation (AF)

Outcome Measures

Primary Outcomes (1)

• Atrial Fibrillation Knowledge Scale

  Atrial Fibrillation Knowledge Scale (AFKS-C, Chinese version) is a validated tool that includes 11 items concerning AF knowledge in general (3 items), symptom recognition (3 items), and treatment (5 items). Respondents can choose 1 of 3 options as an answer to each item. Marks will be given for correct answers and no deduction for incorrect answers, and higher marks indicate a higher AF knowledge level. The content validity index of the AFKS-C was 0.94, and the Kuder-Richardson formula 20 value was 0.60, indicating acceptable psychometric properties. Li, P. W. C., Yu, D. S. F., Yan, B. P., Hendriks, J. M., Wong, C. W. Y., \& Chan, B. S. (2021). Psychometric Validation of the Chinese Version of the Atrial Fibrillation Knowledge Scale in Chinese Patients With Atrial Fibrillation. The Journal of cardiovascular nursing, 38(1), 92-100. https://doi.org/10.1097/JCN.0000000000000881

  From enrollment to the end of study at 3 months

Secondary Outcomes (4)

• Competency in differentiating regular and irregular pulses

  From enrollment to the end of study at 3 months

• Compliance to performing self-screening of pulses

  From enrollment to the end of treatment at 3 months

• Patient Health Questionanire-4 (PHQ-4)

  From enrollment to the end of treatment at 3 months

• EuroQol Five Dimensions Five Levels (EQ-5D-5L)

  From enrollment to the end of treatment at 3 months

Study Arms (2)

Intervention

EXPERIMENTAL

The intervention integrate behavioral modeling to promote knowledge and skill retention and uptake. The content of the education sessions is consistent with the clinical management guidelines published by the E

Other: Health belief model-based community educational program

Control

ACTIVE COMPARATOR

The control group

Other: Control

Interventions

Health belief model-based community educational program OTHER

The 5-week intervention includes two weekly 60-minute face-to-face sessions for 8-10 participants, two weekly telephone follow-ups, and a booster session. Week 1: Focuses on increasing knowledge about atrial fibrillation (AF), its risks, complications, and treatment benefits. The principal investigator (PI) provides education using interactive methods and colored visuals. Week 2: Emphasizes skill building for pulse palpation to detect irregular pulses. Participants learn through demonstrations and practice using a simulated arm. Weeks 3-4:Telephone follow-ups monitor adherence to pulse checking and address barriers. Support and advice are provided by the PI. Week 5: A booster session reinforces knowledge and skills with scenario-based practice and use of a simulated arm.

Intervention

Control OTHER

The control group will receive an information leaflet presenting information about AF, health risks and complications associated with AF, common methods to screen for AF, and follow-up actions if positive screening results are suspected.

Control

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• adults aged 65 or older
• without a confirmed diagnosis of AF

You may not qualify if:

• cannot read Chinese
• with cognitive impairment (Abbreviated Mental Test ≤ 6)
• physical limitations in performing pulse palpation

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

School of Nursing, LKS Faculty of Medicine, The University of Hong Kong

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, Cardiac; Heart Diseases; Cardiovascular Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ryan Kin Ho HUI

  School of Nursing, LKS Faculty of Medicine, The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Nursing Student

Study Record Dates

• First Submitted: August 30, 2024
• First Posted: September 3, 2024
• Study Start: August 12, 2023
• Primary Completion: November 29, 2024
• Study Completion: December 1, 2024
• Last Updated: September 3, 2024

Record last verified: 2024-08

Locations

HK (1)