An Analysis of Telehealth in the Outpatient Management of Atrial Fibrillation During the COVID-19 Pandemic

Shatla, Islam; El‐Zein, Rayan; Ubaid, Aamer; ElBallat, Ahmed; Sammour, Yasser; Kennedy, Kevin F.; Barta, Kayla; Brand-Moody, Tara; Cordle, Faith; Williams, LeAndrea; Giocondo, Michael J; Gupta, Sanjaya; Ramza, Brian; Steinhaus, Daniel A.; Yousuf, Omair; Spertus, John A.; Wimmer, Alan P.

doi:10.1016/j.amjcard.2023.01.028

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…The use of wearable medical devices that transfer data electronically, such as electrocardiogram and blood pressure monitors, may increase self-efficacy through their use but will also require systems to support best practice and integration of data into patient medical records [ 32 , 33 ]. Further development of user-friendly virtual technologies, as well as training and orientation to the technology and clinical workflows, is needed to implement virtual care models and promote patient and clinician adoption [ 27 ] and, in turn, increase HTSE.…”

Section: Discussionmentioning

confidence: 99%

“…Although virtual AF care systems have advanced efficiencies for patients in terms of access, convenience, cost savings, and encounter time to discuss risk factor modification [3,27] greater efficiencies are needed as virtual AF management telehealth systems and services continue to evolve and expand as a complementary format to in-person care. Providing additional virtual care options for patients such as email, text messaging, and a patient portal is not a simple task and would require access to high-speed internet, training for both patients and providers, and optimizing office workflow through reassigning tasks [28][29][30][31].…”

Section: Predictors Of Telehealth Satisfactionmentioning

confidence: 99%

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Telehealth Satisfaction in Patients Receiving Virtual Atrial Fibrillation Care: Quantitative Exploratory Study

Rush,

Burton,

Seaton

et al. 2023

JMIR Hum Factors

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Background Telehealth can optimize access to specialty care for patients with atrial fibrillation (AF). Virtual AF care, however, may not fit with the complex needs of patients with AF. Objective This study aims to explore the correlation among attitudes toward health care technologies, self-efficacy, and telehealth satisfaction as part of the future planning of virtual AF clinic care. Methods Patients with AF older than 18 years from an urban-based, highly specialized AF clinic who had an upcoming telehealth visit were invited to participate in a web-based survey. The survey asked about demographic characteristics; use of technology; general, computer, and health care technology self-efficacy (HTSE) and health care technology attitudes, using a validated 30-item tool; and telehealth satisfaction questionnaire using a validated 14-item questionnaire. Data were analyzed with descriptive statistics, correlational analyses, and linear regression modeling. Results Participants (n=195 of 579 invited, for a 34% response rate) were primarily older, male, and White, had postsecondary schooling or more, and had high self-reported overall and mental health ratings. A variety of technologies were used in their daily lives and for health care, with the majority of technologies comprising desktop and laptop computers, smartphones, and tablets. Self-efficacy and telehealth satisfaction questionnaire scores were high overall, with male participants having higher general self-efficacy, computer self-efficacy, HTSE, and technology attitude scores. After controlling for age and sex, only HTSE was significantly related to individuals’ attitudes toward health care technology. Both general self-efficacy and attitude toward health care technology were positively related to telehealth satisfaction. Conclusions Consistent with a previous study, only HTSE significantly influenced attitudes toward health care technology. This finding confirms that, in this regard, self-efficacy is not a general perception but is domain specific. Considering participants’ predominant use of the telephone for virtual care, it follows that general self-efficacy and attitude toward health care technology were significant contributors to telehealth satisfaction. Given our patients’ frequent use of technology and high computer self-efficacy and HTSE scores, the use of video for telehealth appointments could be supported.

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Section: Discussionmentioning

confidence: 99%

Section: Predictors Of Telehealth Satisfactionmentioning

confidence: 99%

Telehealth Satisfaction in Patients Receiving Virtual Atrial Fibrillation Care: Quantitative Exploratory Study

Rush,

Burton,

Seaton

et al. 2023

JMIR Hum Factors

View full text Add to dashboard Cite

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Impact of COVID-19 on Arrhythmia Care Delivery

Lopez,

Mark,

Losiniecki

et al. 2023

Curr Treat Options Cardio Med

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The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

Svennberg,

Caiani,

Bruining

et al. 2023

Europace

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Aims Over the past 25 years there has been a substantial development in the field of digital electrophysiology (EP) and in parallel a substantial increase in publications on digital cardiology. In this celebratory paper, we provide an overview of the digital field by highlighting publications from the field focusing on the EP Europace journal. Results In this journey across the past quarter of a century we follow the development of digital tools commonly used in the clinic spanning from the initiation of digital clinics through the early days of telemonitoring, to wearables, mobile applications, and the use of fully virtual clinics. We then provide a chronicle of the field of artificial intelligence, a regulatory perspective, and at the end of our journey provide a future outlook for digital EP. Conclusion Over the past 25 years Europace has published a substantial number of papers on digital EP, with a marked expansion in digital publications in recent years.

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An Analysis of Telehealth in the Outpatient Management of Atrial Fibrillation During the COVID-19 Pandemic

Cited by 3 publications

References 16 publications

Telehealth Satisfaction in Patients Receiving Virtual Atrial Fibrillation Care: Quantitative Exploratory Study

Telehealth Satisfaction in Patients Receiving Virtual Atrial Fibrillation Care: Quantitative Exploratory Study

Impact of COVID-19 on Arrhythmia Care Delivery

The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

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