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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
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Health Literacy Interventions and Outcomes in Patients WithAtrial Fibrillation: A Systematic Review and
Timothy J H Lathlean1, Don Kieu2, Kyle B Franke2
1School of Medicine, College of Health, Adelaide University, Adelaide, South Australia, Australia; South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; The Commonwealth Science and Industrial Research Organisation (CSIRO), Precision Health, Adelaide, Australia.
JACC. Advances
|March 26, 2026
Summary
Health literacy interventions significantly improve atrial fibrillation (AF) patient knowledge and treatment adherence. Digital interventions show promise, leading to reduced hospitalizations and mortality in AF patients.
Area of Science:
- Cardiology
- Health Services Research
- Digital Health
Background:
- Health literacy interventions can enhance patient outcomes in atrial fibrillation (AF).
- Understanding the impact of these interventions on patient knowledge, actions, and clinical results is crucial.
Purpose of the Study:
- To conduct a meta-analysis on health literacy interventions for patients with atrial fibrillation (AF).
- To evaluate the effects of these interventions on patient knowledge, patient action, and clinical outcomes.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE, EMBASE, Web of Science, etc.) up to August 30, 2024.
- Inclusion of 53 studies from 3,889 identified records.
- Analysis of intervention delivery modes, shifting towards digital formats.
Main Results:
- Significant positive effects on knowledge (Hedges' g = 0.95) and patient action, particularly treatment adherence (Hedges' g = 0.61).
- Interventions associated with reduced emergency department visits (OR: 0.69), hospitalizations (OR: 0.56), and mortality (OR: 0.64).
- Observed a shift towards digital delivery of interventions, with sustained knowledge improvements uncertain beyond 12 months.
Conclusions:
- Health literacy interventions are increasingly digital and improve AF patient knowledge and treatment adherence.
- These interventions are linked to better clinical outcomes, including reduced hospitalizations and mortality.
- The evolving digital landscape offers new avenues for improving AF patient care and outcomes.
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