Gawalko, Monika ORCID: 0000-0003-4619-9062, Hermans, Astrid Nl, van Der Velden, Rachel Mj, Betz, Konstanze, Verhaert, Dominique Vm, Hillmann, Henrike Ak, Scherr, Daniel, Meier, Julia, Sultan, Arian, Steven, Daniel, Terentieva, Elena, Pisters, Ron, Hemels, Martin, Voorhout, Leonard, Lodzinski, Piotr, Krzowski, Bartosz ORCID: 0000-0001-9987-870X, Gupta, Dhiraj, Kozhuharov, Nikola ORCID: 0000-0003-2086-3690, Pison, Laurent, Gruwez, Henri, Desteghe, Lien, Heidbuchel, Hein, Evens, Stijn, Svennberg, Emma, de Potter, Tom, Vernooy, Kevin ORCID: 0000-0002-8818-5964, Pluymaekers, Nikki Aha, Manninger, Martin ORCID: 0000-0002-0545-4373, Duncker, David, Sohaib, Afzal, Linz, Dominik and Hendriks, Jeroen M. . Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management: data from the TeleCheck-AF project. Eur. J. Cardiovasc. Nurs.. OXFORD: OXFORD UNIV PRESS. ISSN 1873-1953

Full text not available from this repository.

Abstract

Aims The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF). Methods and results Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (>= 3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (>= 100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had >= 100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028). Conclusion In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Gawalko, MonikaUNSPECIFIEDorcid.org/0000-0003-4619-9062UNSPECIFIED
Hermans, Astrid NlUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Der Velden, Rachel MjUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Betz, KonstanzeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Verhaert, Dominique VmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hillmann, Henrike AkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scherr, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meier, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sultan, ArianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steven, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Terentieva, ElenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pisters, RonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hemels, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Voorhout, LeonardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lodzinski, PiotrUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krzowski, BartoszUNSPECIFIEDorcid.org/0000-0001-9987-870XUNSPECIFIED
Gupta, DhirajUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kozhuharov, NikolaUNSPECIFIEDorcid.org/0000-0003-2086-3690UNSPECIFIED
Pison, LaurentUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gruwez, HenriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Desteghe, LienUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heidbuchel, HeinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Evens, StijnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Svennberg, EmmaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Potter, TomUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vernooy, KevinUNSPECIFIEDorcid.org/0000-0002-8818-5964UNSPECIFIED
Pluymaekers, Nikki AhaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Manninger, MartinUNSPECIFIEDorcid.org/0000-0002-0545-4373UNSPECIFIED
Duncker, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sohaib, AfzalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linz, DominikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hendriks, Jeroen M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-697328
DOI: 10.1093/eurjcn/zvac061
Journal or Publication Title: Eur. J. Cardiovasc. Nurs.
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1873-1953
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Cardiac & Cardiovascular Systems; NursingMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69732

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item