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INFORM - AF : An mHealth intervention to promote self-care for individuals with atrial fibrillation

Dr Caleb Ferguson, Institution: Western Sydney University

2018 Postdoctoral Fellowship

Years funded: 2019-2021


Atrial fibrillation (AF) is the most common heart rhythm disorder. Patients with AF are at a 3-5 fold increased risk of developing a stroke. Stroke prevention medications (anticoagulation) help reduce the risk of stroke in patients with AF, but adherence to these medications is poor. Improving patients knowledge about AF and their medications may help to improve adherence, self-care, quality of life and the overall quality use of these medications.

This fellowship will support the design, development, implementation and evaluation of a new model of care to improve self-care of AF in the Greater Western Sydney area. This approach will combine group education sessions, case based learning scenarios, and an app based (mHealth) intervention with an aim to improve adherence to anticoagulation.

Self-management programmes that teach patients and empower them to take responsibility for their own management of anticoagulation warrant investigation.
A recent UK study highlighted that patient self-testing and self-management programmes that augment education and telehealth approaches present a safe, sustainable and acceptable model of care for individuals with routine anticoagulation monitoring and management needs. It is important to expand these anticoagulation self-management programmes to atrial fibrillation self-care.
There is need to translate such interventions into to the Western Sydney context to meet the needs of its culturally and linguistically-diverse population.

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