Implementing a Remote Self-Screening Program for Atrial Fibrillation

Overview

This study evaluates how feasible it is to use digital health technology for self-screening of atrial fibrillation (AF) in older adults living in the community, specifically those aged 75 and older.

Study Design

The research involved a process evaluation of the Mass AF clinical trial, using interviews to gather insights from participants and healthcare providers.

Participants

The study included community-dwelling individuals aged 75 and older, with a balanced representation of genders and a focus on both urban and rural settings in Australia.

Intervention

Participants received handheld ECG devices and were trained to record their heart rhythms daily for at least six months. A remote team monitored their results and communicated with their general practitioners (GPs) about any findings.

Key Findings

High Completion Rate: 98.5% of participants completed the program.
Participant Satisfaction: 96% reported being satisfied with the screening process.
Trust in Monitoring: Participants trusted the remote monitoring system, which provided necessary follow-up.
Empowerment: Participants felt empowered to manage their health through self-screening.
GP Engagement: GPs recognized the potential to use this program for at-risk patients, enhancing patient care.

Conclusions

The remote self-screening program was successful, supported by various strengths and opportunities identified through SWOT analysis. GPs can play a crucial role in introducing this program to patients at risk of AF.

Clinical Trial Registration

Trial Registration Number: ACTRN12621000184875

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