{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:52:10Z","timestamp":1788479530244,"version":"build-2803163510"},"reference-count":59,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"am","delay-in-days":221,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart Lung and Blood Institute","doi-asserted-by":"publisher","award":["R33HL144669"],"award-info":[{"award-number":["R33HL144669"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Heart Journal"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.ahj.2025.06.009","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T02:28:51Z","timestamp":1750386531000},"page":"115-128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"special_numbering":"C","title":["A mobile relational agent to enhance atrial fibrillation self-care: Primary and secondary outcomes of a randomized controlled trial"],"prefix":"10.1016","volume":"290","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-3604","authenticated-orcid":false,"given":"Jared W.","family":"Magnani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Lalama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleab Z.","family":"Abebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Ferry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce L.","family":"Rollman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Q.","family":"Lancet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Everlyne","family":"Kimani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stef\u00e1n","family":"\u00d3lafsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Bickmore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K.","family":"Paasche-Orlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.ahj.2025.06.009_bib0001","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1002\/clc.23983","article-title":"Contemporary prevalence estimates of undiagnosed and diagnosed atrial fibrillation in the United States","volume":"46","author":"Turakhia","year":"2023","journal-title":"Clin Cardiol"},{"issue":"10","key":"10.1016\/j.ahj.2025.06.009_bib0002","first-page":"1332","article-title":"Risk of hospital admissions in patients with atrial fibrillation: a systematic review and meta-analysis","volume":"35","author":"Meyre","year":"2019","journal-title":"Can J Cardiol"},{"issue":"13","key":"10.1016\/j.ahj.2025.06.009_bib0003","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1161\/CIRCULATIONAHA.116.022388","article-title":"National Trends in atrial fibrillation hospitalization, readmission, and mortality for Medicare beneficiaries, 1999-2013","volume":"135","author":"Freeman","year":"2017","journal-title":"Circulation"},{"key":"10.1016\/j.ahj.2025.06.009_bib0004","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.ahj.2016.08.003","article-title":"Patient factors associated with quality of life in atrial fibrillation","volume":"182","author":"Randolph","year":"2016","journal-title":"Am Heart J"},{"issue":"11","key":"10.1016\/j.ahj.2025.06.009_bib0005","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1038\/s41569-021-00561-0","article-title":"Social determinants of atrial fibrillation","volume":"18","author":"Essien","year":"2021","journal-title":"Nat Rev Cardiol"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0006","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1001\/jamacardio.2022.4091","article-title":"Transforming atrial fibrillation research to integrate social determinants of health: a National Heart, Lung, and Blood Institute workshop report","volume":"8","author":"Benjamin","year":"2023","journal-title":"JAMA Cardiol"},{"issue":"9","key":"10.1016\/j.ahj.2025.06.009_bib0007","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.117.006997","article-title":"Self-Care for the prevention and management of cardiovascular disease and stroke: a scientific statement for healthcare professionals from the American Heart Association","volume":"6","author":"Riegel","year":"2017","journal-title":"J Am Heart Assoc"},{"issue":"9813","key":"10.1016\/j.ahj.2025.06.009_bib0008","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/S0140-6736(11)61294-4","article-title":"Self-monitoring of oral anticoagulation: systematic review and meta-analysis of individual patient data","volume":"379","author":"Heneghan","year":"2012","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0009","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1186\/s12913-017-2142-2","article-title":"PORTALS: design of an innovative approach to anticoagulation management through eHealth","volume":"17","author":"Talboom-Kamp","year":"2017","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.ahj.2025.06.009_bib0010","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/10810730.2010.499991","article-title":"Usability of conversational agents by patients with inadequate health literacy: evidence from two clinical trials","volume":"15 Suppl 2","author":"Bickmore","year":"2010","journal-title":"J Health Commun"},{"key":"10.1016\/j.ahj.2025.06.009_bib0011","doi-asserted-by":"crossref","DOI":"10.2196\/50701","article-title":"Diagnostic accuracy of single-lead electrocardiograms using the Kardia Mobile App and the Apple Watch 4: validation study","volume":"7","author":"Klier","year":"2023","journal-title":"JMIR Cardio"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0012","doi-asserted-by":"crossref","DOI":"10.2196\/17162","article-title":"The Atrial fibrillation health literacy information technology trial: pilot trial of a mobile health app for atrial fibrillation","volume":"4","author":"Guhl","year":"2020","journal-title":"JMIR Cardio"},{"key":"10.1016\/j.ahj.2025.06.009_bib0013","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.ahj.2022.05.023","article-title":"Design and rationale of the mobile health intervention for rural atrial fibrillation","volume":"252","author":"Magnani","year":"2022","journal-title":"Am Heart J"},{"key":"10.1016\/j.ahj.2025.06.009_bib0014","doi-asserted-by":"crossref","DOI":"10.1016\/j.cct.2022.107015","article-title":"Design, rationale, and baseline characteristics of a randomized controlled trial evaluating a mobile relational agent to enhance atrial fibrillation self-care","volume":"124","author":"Althouse","year":"2023","journal-title":"Contemp Clin Trials"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0015","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.2196\/jmir.5239","article-title":"Improving access to online health information with conversational agents: a randomized controlled experiment","volume":"18","author":"Bickmore","year":"2016","journal-title":"J Med Internet Res"},{"issue":"10","key":"10.1016\/j.ahj.2025.06.009_bib0016","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1038\/gim.2014.198","article-title":"Acceptability and feasibility of a virtual counselor (VICKY) to collect family health histories","volume":"17","author":"Wang","year":"2015","journal-title":"Genet Med"},{"key":"10.1016\/j.ahj.2025.06.009_bib0017","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/10810730.2013.825673","article-title":"Limited health literacy and decline in executive function in older adults","volume":"18 Suppl 1","author":"Sequeira","year":"2013","journal-title":"J Health Commun"},{"issue":"10","key":"10.1016\/j.ahj.2025.06.009_bib0018","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1111\/jgs.12449","article-title":"A randomized controlled trial of an automated exercise coach for older adults","volume":"61","author":"Bickmore","year":"2013","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0019","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.pec.2013.05.011","article-title":"Automated interventions for multiple health behaviors using conversational agents","volume":"92","author":"Bickmore","year":"2013","journal-title":"Patient Educ Couns"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0020","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1378\/chest.09-1584","article-title":"Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation","volume":"137","author":"Lip","year":"2010","journal-title":"Chest"},{"issue":"9","key":"10.1016\/j.ahj.2025.06.009_bib0021","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1001\/archneur.1994.00540210088017","article-title":"Discrimination between stages of Alzheimer's disease with subsets of mini-mental State examination items: an analysis of consortium to establish a registry for Alzheimer's Disease data","volume":"51","author":"Fillenbaum","year":"1994","journal-title":"Arch Neurol"},{"issue":"13","key":"10.1016\/j.ahj.2025.06.009_bib0022","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1161\/CIRCULATIONAHA.121.057014","article-title":"Screening for atrial fibrillation in older adults at primary care visits: VITAL-AF randomized controlled trial","volume":"145","author":"Lubitz","year":"2022","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.ahj.2025.06.009_bib0023","doi-asserted-by":"crossref","first-page":"543","DOI":"10.5603\/CJ.a2019.0001","article-title":"Kardia Mobile applicability in clinical practice: a comparison of Kardia Mobile and standard 12-lead electrocardiogram records in 100 consecutive patients of a tertiary cardiovascular care center","volume":"28","author":"Koltowski","year":"2021","journal-title":"Cardiol J"},{"key":"10.1016\/j.ahj.2025.06.009_bib0024","unstructured":"Atrial Fibrillation. American Heart Association health topics. https:\/\/www.heart.org\/en\/health-topics\/atrial-fibrillation. accessed 6 May, 2025."},{"issue":"4","key":"10.1016\/j.ahj.2025.06.009_bib0025","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1002\/jac5.1771","article-title":"Research and scholarly methods: measuring medication adherence","volume":"6","author":"Shah","year":"2023","journal-title":"Journal of the American College of Clinical Pharmacy"},{"key":"10.1016\/j.ahj.2025.06.009_bib0026","doi-asserted-by":"crossref","first-page":"3119","DOI":"10.2147\/PPA.S382885","article-title":"Validating a self-reported medication nonadherence measure in the context of multiple chronic diseases and routes of medication administration among patients with type 2 diabetes","volume":"16","author":"Voils","year":"2022","journal-title":"Patient Prefer Adherence"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0027","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1161\/CIRCEP.110.958033","article-title":"Development and validation of the Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) questionnaire in patients with atrial fibrillation","volume":"4","author":"Spertus","year":"2011","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.ahj.2025.06.009_bib0028","article-title":"PROMIS: dynamic tools to measure health outcomes from the patient perspective","year":"2025","journal-title":"Department of Health and Human Services"},{"issue":"23","key":"10.1016\/j.ahj.2025.06.009_bib0029","first-page":"e199","article-title":"2014 AHA\/ACC\/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society","volume":"130","author":"January","year":"2014","journal-title":"Circulation"},{"issue":"6","key":"10.1016\/j.ahj.2025.06.009_bib0030","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1370\/afm.405","article-title":"Quick assessment of literacy in primary care: the newest vital sign","volume":"3","author":"Weiss","year":"2005","journal-title":"Ann Fam Med"},{"issue":"12","key":"10.1016\/j.ahj.2025.06.009_bib0031","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1097\/MLR.0b013e318269e121","article-title":"Initial validation of a self-report measure of the extent of and reasons for medication nonadherence","volume":"50","author":"Voils","year":"2012","journal-title":"Med Care"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0032","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/0733464816642582","article-title":"A new tool for assessing mobile device proficiency in older adults: the mobile device proficiency questionnaire","volume":"37","author":"Roque","year":"2018","journal-title":"J Appl Gerontol"},{"key":"10.1016\/j.ahj.2025.06.009_bib0033","unstructured":"Common terminology criteria for adverse events (CTCAE) version 5.0. U.S. Department of Health and Human Services. https:\/\/ctep.cancer.gov\/protocoldevelopment\/electronic_applications\/docs\/CTCAE_v5_Quick_Reference_5x7.pdf. Accessed 5 May, 2025."},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0034","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1001\/jamapsychiatry.2017.3379","article-title":"Effectiveness of online collaborative care for treating mood and anxiety disorders in primary care: a randomized clinical trial","volume":"75","author":"Rollman","year":"2018","journal-title":"JAMA psychiatry"},{"issue":"4","key":"10.1016\/j.ahj.2025.06.009_bib0035","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-034778","article-title":"Adherence to oral anticoagulants among patients with atrial fibrillation: a systematic review and meta-analysis of observational studies","volume":"10","author":"Salmasi","year":"2020","journal-title":"BMJ Open"},{"issue":"3","key":"10.1016\/j.ahj.2025.06.009_bib0036","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.119.005969","article-title":"Real-world adherence and persistence to direct oral anticoagulants in patients with atrial fibrillation: a systematic review and meta-analysis","volume":"13","author":"Ozaki","year":"2020","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0037","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.115.003074","article-title":"Effect of adherence to oral anticoagulants on risk of stroke and major bleeding among patients with atrial fibrillation","volume":"5","author":"Yao","year":"2016","journal-title":"J Am Heart Assoc"},{"issue":"18","key":"10.1016\/j.ahj.2025.06.009_bib0038","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.124.035639","article-title":"Association between oral anticoagulant adherence and serious clinical outcomes in patients with atrial fibrillation: a long-term retrospective cohort study","volume":"13","author":"Safari","year":"2024","journal-title":"Journal of the American Heart Association"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0039","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/CIR.0000000000001193","article-title":"2023 ACC\/AHA\/ACCP\/HRS Guideline for the Diagnosis and Management of atrial fibrillation: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"149","author":"Joglar","year":"2024","journal-title":"Circulation"},{"issue":"36","key":"10.1016\/j.ahj.2025.06.009_bib0040","doi-asserted-by":"crossref","first-page":"3314","DOI":"10.1093\/eurheartj\/ehae176","volume":"45","author":"Van Gelder","year":"2024","journal-title":"Eur Heart J"},{"issue":"8","key":"10.1016\/j.ahj.2025.06.009_bib0041","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1161\/CIR.0000000000001303","article-title":"2025 Heart Disease and Stroke statistics: a report of US and global data from the American Heart Association","volume":"151","author":"Martin","year":"2025","journal-title":"Circulation"},{"issue":"11","key":"10.1016\/j.ahj.2025.06.009_bib0042","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1001\/jamainternmed.2020.4143","article-title":"Effects of counseling by peer Human advisors vs computers to increase walking in underserved populations: the COMPASS randomized clinical trial","volume":"180","author":"King","year":"2020","journal-title":"JAMA Intern Med"},{"issue":"5","key":"10.1016\/j.ahj.2025.06.009_bib0043","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.pec.2021.02.034","article-title":"Utility of a virtual counselor (VICKY) to collect family health histories among vulnerable patient populations: a randomized controlled trial","volume":"104","author":"Wang","year":"2021","journal-title":"Patient Educ Couns"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0044","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1007\/s11606-021-06945-9","article-title":"Computerized relational agent to deliver alcohol brief intervention and referral to treatment in primary care: a randomized clinical trial","volume":"37","author":"Rubin","year":"2022","journal-title":"J Gen Intern Med"},{"issue":"5","key":"10.1016\/j.ahj.2025.06.009_bib0045","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1097\/FJC.0000000000001546","article-title":"Exploring the promise and challenges of artificial intelligence in biomedical research and clinical practice","volume":"83","author":"Altara","year":"2024","journal-title":"J Cardiovasc Pharmacol"},{"issue":"2","key":"10.1016\/j.ahj.2025.06.009_bib0046","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/03007995.2023.2295411","article-title":"The use of large language models in medicine: proceeding with caution","volume":"40","author":"Deng","year":"2024","journal-title":"Curr Med Res Opin"},{"issue":"5","key":"10.1016\/j.ahj.2025.06.009_bib0047","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1093\/eurheartj\/ehad766","article-title":"ChatGPT hallucinating: can it get any more humanlike?","volume":"45","author":"Siontis","year":"2024","journal-title":"Eur Heart J"},{"key":"10.1016\/j.ahj.2025.06.009_bib0048","article-title":"Educational and behavioural interventions for anticoagulant therapy in patients with atrial fibrillation","volume":"4","author":"Clarkesmith","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"10.1016\/j.ahj.2025.06.009_bib0049","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.recesp.2012.11.003","article-title":"Self-management of vitamin K antagonists is more cost-effective than dabigatran for stroke prevention in non-valvular atrial fibrillation in Spain","volume":"66","author":"Souto","year":"2013","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"issue":"4","key":"10.1016\/j.ahj.2025.06.009_bib0050","doi-asserted-by":"crossref","first-page":"33","DOI":"10.7812\/TPP\/14-246","article-title":"An education program for patient self-management of Warfarin","volume":"19","author":"Jenner","year":"2015","journal-title":"The Permanente Journal"},{"issue":"8","key":"10.1016\/j.ahj.2025.06.009_bib0051","first-page":"e292","article-title":"Patient self-management of warfarin therapy: pragmatic feasibility study in Canadian primary care","volume":"57","author":"Grunau","year":"2011","journal-title":"Can Fam Physician"},{"issue":"1","key":"10.1016\/j.ahj.2025.06.009_bib0052","doi-asserted-by":"crossref","first-page":"52","DOI":"10.15420\/ecr.2017:2:2","article-title":"Health literacy and Atrial fibrillation: relevance and future directions for patient-centred care","volume":"12","author":"Aronis","year":"2017","journal-title":"Eur Cardiol"},{"key":"10.1016\/j.ahj.2025.06.009_bib0053","unstructured":"Healthy People 2030. U.S. Department of Health and Human Services. https:\/\/health.gov\/healthypeople. Accessed 14 August, 2024."},{"key":"10.1016\/j.ahj.2025.06.009_bib0054","doi-asserted-by":"crossref","DOI":"10.2196\/66436","article-title":"Augmenting engagement in decentralized clinical trials for atrial fibrillation: development and implementation of a programmatic architecture","volume":"9","author":"Omole","year":"2025","journal-title":"JMIR Cardio"},{"issue":"19","key":"10.1016\/j.ahj.2025.06.009_bib0055","doi-asserted-by":"crossref","first-page":"e163","DOI":"10.1016\/j.jacc.2021.08.054","article-title":"Racial and ethnic representation in atrial fibrillation trials: CABANA and beyond","volume":"78","author":"Tertulien","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.ahj.2025.06.009_bib0056","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajpc.2021.100250","article-title":"Improving the enrollment of women and racially\/ethnically diverse populations in cardiovascular clinical trials: an ASPC practice statement","volume":"8","author":"Michos","year":"2021","journal-title":"Am J Prev Cardiol"},{"issue":"9","key":"10.1016\/j.ahj.2025.06.009_bib0057","doi-asserted-by":"crossref","DOI":"10.2196\/20283","article-title":"Rates of attrition and dropout in app-based interventions for chronic disease: systematic review and meta-analysis","volume":"22","author":"Meyerowitz-Katz","year":"2020","journal-title":"J Med Internet Res"},{"issue":"19","key":"10.1016\/j.ahj.2025.06.009_bib0058","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.122.027099","article-title":"Comparison of pharmacy refill data with chemical adherence testing in assessing medication nonadherence in a safety net hospital setting","volume":"11","author":"Osula","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.ahj.2025.06.009_bib0059","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.ahj.2020.12.010","article-title":"Kesselheim AS. Non-warfarin oral anticoagulant copayments and adherence in atrial fibrillation: a population-based cohort study","volume":"233","author":"Rome","year":"2021","journal-title":"Am Heart J"}],"container-title":["American Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S000287032500198X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S000287032500198X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:05:35Z","timestamp":1778943935000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S000287032500198X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":59,"alternative-id":["S000287032500198X"],"URL":"https:\/\/doi.org\/10.1016\/j.ahj.2025.06.009","relation":{},"ISSN":["0002-8703"],"issn-type":[{"value":"0002-8703","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A mobile relational agent to enhance atrial fibrillation self-care: Primary and secondary outcomes of a randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"American Heart Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ahj.2025.06.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}