2023
A Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision‐Making Pathway
Wang P, Lu Y, Mahaffey K, Lin A, Morin D, Sears S, Chung M, Russo A, Lin B, Piccini J, Hills M, Berube C, Pundi K, Baykaner T, Garay G, Lhamo K, Rice E, Pourshams I, Shah R, Newswanger P, DeSutter K, Nunes J, Albert M, Schulman K, Heidenreich P, Bunch T, Sanders L, Turakhia M, Verghese A, Stafford R. A Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision‐Making Pathway. Journal Of The American Heart Association 2023, 12: e028562. PMID: 36342828, PMCID: PMC9973612, DOI: 10.1161/jaha.122.028562.Peer-Reviewed Original ResearchConceptsDecision Conflict ScaleDecision Regret ScaleDecisional conflictUsual careRegret ScaleConflict ScaleMedian scorePatient-centered designHealth communication principlesPatient decisional conflictComparative effectiveness trialAtrial fibrillationDigital decision aidDecision-making pathwaysClinically meaningful reductionsPatient-clinicianEffectiveness trialDecision aidRandomized clinical trialsSecondary outcomesSecondary end pointsCareStudy populationMeaningful reductionsParticipantsDesign and development of a digital shared decision-making tool for stroke prevention in atrial fibrillation
Nunes J, Baykaner T, Pundi K, DeSutter K, Hills M, Mahaffey K, Sears S, Morin D, Lin B, Wang P, Stafford R. Design and development of a digital shared decision-making tool for stroke prevention in atrial fibrillation. JAMIA Open 2023, 6: ooad003. PMID: 36751465, PMCID: PMC9893868, DOI: 10.1093/jamiaopen/ooad003.Peer-Reviewed Original ResearchAtrial fibrillationStroke preventionSDM toolsAmerican Heart AssociationCommon cardiac arrhythmiaMultisite clinical trialAppropriate anticoagulationIschemic strokeAF patientsHeart AssociationTreatment acceptanceClinical trialsContent identificationTreatment outcomesClinician experienceHealth literacyCardiac arrhythmiasClinicians toolsPatientsPatient feedbackPatient advocatesDecision regretUser engagementPatient toolsInformation delivery
2022
The ENHANCE-AF clinical trial to evaluate an atrial fibrillation shared decision-making pathway: Rationale and study design
Baykaner T, Pundi K, Lin B, Lu Y, DeSutter K, Lhamo K, Garay G, Nunes JC, Morin DP, Sears SF, Chung MK, Paasche-Orlow MK, Sanders LM, Bunch TJ, Hills MT, Mahaffey KW, Stafford RS, Wang PJ. The ENHANCE-AF clinical trial to evaluate an atrial fibrillation shared decision-making pathway: Rationale and study design. American Heart Journal 2022, 247: 68-75. PMID: 35092723, DOI: 10.1016/j.ahj.2022.01.013.Peer-Reviewed Original ResearchConceptsAtrial fibrillationClinical trialsTransient ischemic attackDecisional Conflict ScaleWishes of patientsDecision aidAF careAnticoagulation adherenceAnticoagulation useIndex visitIschemic attackMajor bleedingAnticoagulation therapyUsual careSecondary outcomesPrimary outcomePatient satisfactionStroke reductionClinician satisfactionHealth literacyClinicians toolsTreatment planNew decision aidDecision-making experiencesPatients