Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial

Myriam Gagné; Claudie Legault; Louis-Philippe Boulet; Lyne Charbonneau; Maryse Lemyre; Anik M C Giguere; Paul Poirier

doi:10.1016/j.pec.2019.03.015

Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial

Patient Educ Couns. 2019 Aug;102(8):1490-1498. doi: 10.1016/j.pec.2019.03.015. Epub 2019 Mar 31.

Authors

Myriam Gagné¹, Claudie Legault¹, Louis-Philippe Boulet², Lyne Charbonneau³, Maryse Lemyre³, Anik M C Giguere⁴, Paul Poirier⁵

Affiliations

¹ Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Laval University, Quebec City, Canada; Quebec Heart and Lung Institute-Laval University, Quebec City, Canada.
² Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Laval University, Quebec City, Canada; Quebec Heart and Lung Institute-Laval University, Quebec City, Canada; Faculty of Medicine, Laval University, Quebec City, QC, Canada.
³ Quebec Heart and Lung Institute-Laval University, Quebec City, Canada.
⁴ Faculty of Medicine, Laval University, Quebec City, QC, Canada; CHU de Quebec-Laval University Research Center, Population Health and Optimal Health Practices Research Unit, Quebec City, QC, Canada; Quebec Centre of Excellence on Aging, CHU de Québec-Laval University, Quebec City, QC, Canada.
⁵ Knowledge Translation, Education, and Prevention Chair in Respiratory and Cardiovascular Health, Laval University, Quebec City, Canada; Quebec Heart and Lung Institute-Laval University, Quebec City, Canada; Faculty of Pharmacy, Laval University, Quebec City, QC, Canada. Electronic address: Paul.Poirier@criucpq.ulaval.ca.

PMID: 30956021
DOI: 10.1016/j.pec.2019.03.015

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.

Keywords: Atrial fibrillation; Multimedia; Patient education as topic; Quality of life.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Atrial Fibrillation / prevention & control*
Female
Health Knowledge, Attitudes, Practice*
Humans
Male
Middle Aged
Patient Education as Topic*
Quality of Life*
Self Report
Surveys and Questionnaires
Video Recording*