Assessing a Virtual Education Intervention for Patients With Atrial Fibrillation: A Qualitative Study of Patient Perceptions

J Cardiovasc Nurs. 2024 Jan-Feb;39(1):E1-E11. doi: 10.1097/JCN.0000000000000984. Epub 2023 Apr 22.

Abstract

Background: Authors of studies of patients with atrial fibrillation (AF) have identified several knowledge gaps and misconceptions regarding the condition and its management. The COVID-19 pandemic heightened isolation of patients and underscored the need for education and knowledge building in order for patients to effectively manage AF during times of increased health risk.

Objective: The aim of this study was to assess, using a qualitative approach, the experiences and perceived benefits of patients with AF regarding an 8-session virtual education intervention (AF-at-Home) during the early months of the COVID-19 pandemic.

Methods: A qualitative study with 3 focus groups using a semistructured focus group guide was conducted and recorded online with the same trained moderator.

Results: We identified 7 primary themes emerging from patients' experiences: (1) building knowledge beyond information available in clinic visits, (2) managing anxiety, (3) generating self-efficacy, (4) providing social comparison, (5) perceived benefits of both experiential and informational content, (6) facilitating self-management behaviors, and (7) facilitating communication with providers.

Conclusions: The analysis of the focus groups shows the benefits of a virtual education program in building knowledge, skills, and self-efficacy as well as reducing anxiety and normalizing one's experience by attending a program alongside other patients with AF.

MeSH terms

  • Atrial Fibrillation* / therapy
  • COVID-19*
  • Focus Groups
  • Humans
  • Pandemics
  • Qualitative Research