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Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial

AIMS: To evaluate a family-focused intervention for patients with atrial fibrillation (AF) in addition to conventional care and to establish its effect on health-related quality of life (HRQoL), anxiety, depression, AF symptoms, and family support. BACKGROUND: AF is a widespread heart disease affect...

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Autores principales: Rosenstrøm, Stine, Risom, Signe Stelling, Kallemose, Thomas, Dixen, Ulrik, Hove, Jens Dahlgaard, Brødsgaard, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019651/
https://www.ncbi.nlm.nih.gov/pubmed/36928447
http://dx.doi.org/10.1371/journal.pone.0282639
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author Rosenstrøm, Stine
Risom, Signe Stelling
Kallemose, Thomas
Dixen, Ulrik
Hove, Jens Dahlgaard
Brødsgaard, Anne
author_facet Rosenstrøm, Stine
Risom, Signe Stelling
Kallemose, Thomas
Dixen, Ulrik
Hove, Jens Dahlgaard
Brødsgaard, Anne
author_sort Rosenstrøm, Stine
collection PubMed
description AIMS: To evaluate a family-focused intervention for patients with atrial fibrillation (AF) in addition to conventional care and to establish its effect on health-related quality of life (HRQoL), anxiety, depression, AF symptoms, and family support. BACKGROUND: AF is a widespread heart disease affecting the well-being of patients and their family members physically and psychologically. Supporting patients and their family members could potentially facilitate regaining family strength and improve HRQoL. METHODS: Patients with newly diagnosed AF were randomised to standard care or additional family-focused intervention with change in global score of the Atrial Fibrillation Quality of Life Questionnaire (AFEQT) as primary outcome after six months’ follow-up. Secondary outcomes included the Hospital Anxiety and Depression Score, the European Heart Rhythm Association score, the Ice Expressive Family Functioning Questionnaire, and the Ice Family-Perceived Support Questionnaire (ICE-FPSQ). RESULTS: Sixty-eight patients received standard care (n = 35) or family focused intervention (n = 33). The median change at the six-month follow-up on the global AFEQT score was 4.17 (-1.46–9.17) in the control group and 5.83 (-2.5–30) in the intervention group, yielding a median difference of -1.67 (p = 0.500). Change in ICE-FPSQ showed significant positive scores in favour of intervention (p < 0.001); other secondary outcome changes were non-significant. CONCLUSION: The family-focused intervention had a small positive but non-significant effect on HRQoL compared to standard care. To address the impact of AF on the patients and family members seems to improve anxiety and depression scores and perceived family support.
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spelling pubmed-100196512023-03-17 Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial Rosenstrøm, Stine Risom, Signe Stelling Kallemose, Thomas Dixen, Ulrik Hove, Jens Dahlgaard Brødsgaard, Anne PLoS One Research Article AIMS: To evaluate a family-focused intervention for patients with atrial fibrillation (AF) in addition to conventional care and to establish its effect on health-related quality of life (HRQoL), anxiety, depression, AF symptoms, and family support. BACKGROUND: AF is a widespread heart disease affecting the well-being of patients and their family members physically and psychologically. Supporting patients and their family members could potentially facilitate regaining family strength and improve HRQoL. METHODS: Patients with newly diagnosed AF were randomised to standard care or additional family-focused intervention with change in global score of the Atrial Fibrillation Quality of Life Questionnaire (AFEQT) as primary outcome after six months’ follow-up. Secondary outcomes included the Hospital Anxiety and Depression Score, the European Heart Rhythm Association score, the Ice Expressive Family Functioning Questionnaire, and the Ice Family-Perceived Support Questionnaire (ICE-FPSQ). RESULTS: Sixty-eight patients received standard care (n = 35) or family focused intervention (n = 33). The median change at the six-month follow-up on the global AFEQT score was 4.17 (-1.46–9.17) in the control group and 5.83 (-2.5–30) in the intervention group, yielding a median difference of -1.67 (p = 0.500). Change in ICE-FPSQ showed significant positive scores in favour of intervention (p < 0.001); other secondary outcome changes were non-significant. CONCLUSION: The family-focused intervention had a small positive but non-significant effect on HRQoL compared to standard care. To address the impact of AF on the patients and family members seems to improve anxiety and depression scores and perceived family support. Public Library of Science 2023-03-16 /pmc/articles/PMC10019651/ /pubmed/36928447 http://dx.doi.org/10.1371/journal.pone.0282639 Text en © 2023 Rosenstrøm et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Rosenstrøm, Stine
Risom, Signe Stelling
Kallemose, Thomas
Dixen, Ulrik
Hove, Jens Dahlgaard
Brødsgaard, Anne
Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title_full Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title_fullStr Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title_full_unstemmed Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title_short Clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–A randomised clinical trial
title_sort clinical outcomes of a short-term family-focused intervention for patients with atrial fibrillation–a randomised clinical trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019651/
https://www.ncbi.nlm.nih.gov/pubmed/36928447
http://dx.doi.org/10.1371/journal.pone.0282639
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