Questionnaires Designed to Assess Knowledge of Atrial Fibrillation: A Systematic Review

Wilson Tam1, Brigitte Woo, Toon Wei Lim

  • 1Wilson Tam, PhD Assistant Professor, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Brigitte Woo, MClinRes PhD Candidate, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore. Toon Wei Lim, PhD Senior Consultant, Cardiac Department; Director, Coronary Care Unit, National University Heart Centre; and Assistant Professor, Department of Medicine, Yong Loo Lin School of Medicine, National University Hospital, Singapore.

Insights

Seven validated questionnaires exist to assess patient knowledge of atrial fibrillation (AF), a condition linked to stroke. Understanding AF is crucial for treatment adherence and reducing complications.

Area of Science:

  • Cardiology
  • Medical Education
  • Health Literacy

Background:

  • Atrial fibrillation (AF) significantly increases mortality and morbidity risks.
  • Many AF patients at risk of stroke do not receive oral anticoagulation therapy.
  • Limited patient knowledge of AF may contribute to poor medication adherence.

Purpose of the Study:

  • To systematically review and identify all validated instruments for assessing atrial fibrillation knowledge.

Main Methods:

  • A systematic review of CINAHL, EMBASE, MEDLINE, and PsycINFO databases was performed.
  • Two reviewers conducted study selection and data extraction.
  • Results were presented through narrative synthesis.

Main Results:

  • Out of 407 retrieved records, 15 studies were included in the review.
  • Seven distinct questionnaires validated for assessing AF knowledge were identified.
  • These questionnaires varied in length (8–58 items) and underwent content validation, with some also assessed for other reliabilities.

Conclusions:

  • Seven validated questionnaires are available to measure patient knowledge of atrial fibrillation.
  • These instruments typically cover general AF information, symptoms, treatments, and potential complications.
Abstract

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