Home-Based Education and Learning Program for Atrial Fibrillation: Rationale and Design of the HELP-AF Study

Jeroen M. Hendriks, Anthony G. Brooks, D. Rowett, John R. Moss, Celine Gallagher, K. Nyfort-Hansen, Shalini Simmons, Melissa E. Middeldorp, Tina Jones, Gijo Thomas, Dennis H. Lau, Prashanthan Sanders

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Background: Atrial fibrillation (AF) is a growing global epidemic, with its prevalence expected to significantly rise over coming decades. AF poses a substantial burden on health care systems, largely due to hospitalizations. Home-based clinical characterization has demonstrated improved outcomes in cardiac populations, but its impact on AF remains poorly defined. To test this hypothesis in AF, we developed the Home-Based Education and Learning Program for Patients With Atrial Fibrillation (HELP-AF) study. Methods: The HELP-AF study is a prospective multicentre randomized controlled trial that will recruit 620 patients presenting to hospital emergency departments (EDs) with symptomatic AF (ANZCTR Registration: ACTRN12611000607976). Patients will be randomized to either the HELP-AF intervention or usual care. The intervention consists of 2 home visits by a nurse or pharmacist trained in the structured educational visiting (SEV) method. Patients in the control group will receive usual discharge follow-up care. Results: The primary endpoints are total unplanned hospital admissions and quality of life. Secondary endpoints include AF symptom severity and burden score; time to first hospital admission; total unplanned days in hospital; total AF-related hospital admissions (including atrial flutter); total cardiac and noncardiac hospital admissions; total AF- or atrial flutter-related; cardiac- and noncardiac-related ED presentations; and all-cause mortality. An economic evaluation will also be performed. Clinical endpoints will be adjudicated by independent blinded assessors. Follow-up will be at 24 months. Conclusions: This study will assess the efficacy of a home-based structured patient-centred educational intervention in patients with AF.

Original languageEnglish
Pages (from-to)846-854
Number of pages9
JournalCanadian Journal of Cardiology
Volume35
Issue number7
DOIs
Publication statusPublished - Jul 2019
Externally publishedYes

Keywords

  • Atrial Fibrillation:
  • Home-Based Education
  • cardiac arrhythmia

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