Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial. Issue 8 (August 2019)

• Record Type: Journal Article
• Authors: Gagné, Myriam; Legault, Claudie; Boulet, Louis-Philippe; Charbonneau, Lyne; Lemyre, Maryse; Giguere, Anik M.C.; Poirier, Paul
• Is Part Of: Patient education and counseling. Volume 102:Issue 8(2019)
• Page Start: 1490
• Page End: 1498
• Publication Date: 2019-08
• Subjects: AF atrial fibrillation -- AFEQT Atrial Fibrillation Effect on QualiTy-of-life Questionnaire -- CI confidence interval -- HRU health resource utilization -- SD standard deviation -- QoL quality of life; Atrial fibrillation -- Patient education as topic -- Multimedia -- Quality of life; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2019.03.015
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Adults with AF were randomized to an education + video or education-only group. Baseline quality of life improved in both groups at 1-month post-interventions. Improvements in quality of life were not different between groups. Baseline knowledge of AF increased in both groups immediately after interventions. Compared to education only, education + video led to higher increase in knowledge. Abstract: Objective: To assess whether adding a video on atrial fibrillation (AF) to a face-to-face educational session improves quality of life (QoL), knowledge, and health resource utilization (HRU) among AF patients. Methods: In this parallel clinical trial, adults with AF received a face-to-face educational session on AF and were randomly allocated to watch an educational video or not. Self-reported questionnaires measured QoL (primary outcome; score 0–100), AF knowledge (score 0–25), and HRU. Data were collected before and after interventions. Within- and between-group changes were estimated by mixed models. Results: Sixty participants (age: 56 ± 13 years; men: n = 41) were allocated to watch the video after education (n = 30) or to receive education only (n = 30). Within groups over time, QoL and knowledge significantly improved. Knowledge increased by 2.3 units (95% confidence interval: 0.5–4.1) more in participants who watched the video than in others (P = 0.014). Changes in QoL and HRU were not different between groups. Conclusion: Complementing education with a video on AF did not result in additional positive impacts on QoL and HRU among AF adults but led to greater improvements in AF knowledge. Practice Implications: The video on AF could be used as part of educational sessions to increase AF knowledge in AF patients.