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Home-Based Education and Learning Program for Atrial Fibrillation: Rationale and Design of the HELP-AF Study.
Jeroen M Hendriks1, Anthony G Brooks1, Debra Rowett2
1Centre for Heart Rhythm Disorders, University of Adelaide and Department of Cardiology, Royal Adelaide Hospital, Adelaide, Australia.
The Canadian Journal of Cardiology
|July 12, 2019
Summary
The Home-Based Education and Learning Program for Patients With Atrial Fibrillation (HELP-AF) study tests a home-based educational intervention to reduce hospital admissions and improve quality of life for atrial fibrillation patients.
Area of Science:
- Cardiology
- Public Health
- Health Services Research
Background:
- Atrial fibrillation (AF) is a growing global health concern with increasing prevalence.
- AF significantly burdens healthcare systems, primarily through hospitalizations.
- The impact of home-based interventions on AF outcomes requires further investigation.
Purpose of the Study:
- To evaluate the efficacy of a home-based structured patient-centered educational intervention for atrial fibrillation (AF).
- To assess the impact of the Home-Based Education and Learning Program for Patients With Atrial Fibrillation (HELP-AF) study on patient outcomes.
Main Methods:
- A prospective, multicenter randomized controlled trial involving 620 patients with symptomatic AF.
- Patients randomized to either the HELP-AF intervention (2 home visits by trained nurse/pharmacist) or usual care.
- Structured Educational Visiting (SEV) method utilized for the intervention group.
Main Results:
- Primary endpoints include total unplanned hospital admissions and quality of life.
- Secondary endpoints encompass AF symptom severity, time to admission, hospital days, and healthcare utilization.
- Clinical endpoints will be adjudicated by independent blinded assessors over a 24-month follow-up period.
Conclusions:
- The HELP-AF study will determine the effectiveness of a home-based educational program for AF management.
- This research aims to provide evidence for improved patient outcomes and reduced healthcare burden in AF populations.
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