Program planning in education and light exercise training for atrial fibrillation patients: A feasibility study

Abstract

Background: Contemporary management of patients with atrial fibrillation (AF) indicates the need for educational and self-care programs to address lifestyle factors. Aims: This study examined the clinical need and interest in programming for risk factor modification in AF patients residing in a mostly rural area. Methods: Participants with AF (n = 86) were recruited during university-based cardiac electrophysiology appointments and asked to complete a 10-min survey battery assessing a range of risk factors spanning physical activity, knowledge, ability, interest, and engagement, as well as psychologic function. Results: AF risk factor reports indicated broad potential need for AF programming with an average CHADS-VASC of 3.8, with approximately 67% reporting low physical activity, and 38% significant anxiety. Related to self-care topics, education on physical activity was the highest-rated program, but weight-loss programming was rated as the most likely to attend. Distance to the clinic was the most often cited barrier, 50% of sample. Conclusions: AF patients demonstrated a need and view educational programming in the realm of physical activity and weight-loss as desirable. Increased research is needed to determine format and duration of treatment deemed efficacious and able to overcome specific barriers such as distance to care.

Keywords

• atrial fibrillation
• patient education
• physical activity
• psychological distress
• self-care