{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:51:04Z","timestamp":1792461064327,"version":"4.5.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Arrhythmia and Electrophysiology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Patients with atrial fibrillation (AF) are often ill-equipped for shared decision-making. This study investigated the effects of a patient empowerment care model on patient-reported health outcomes and treatment decision-making in patients with AF.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>This randomized controlled trial prospectively randomized patients with AF to receive standard care (n=194) or a 13-week nurse-led multicomponent behavioral activation intervention (n=198). The intervention consisted of risk profile assessments, empowered shared decision-making regarding the use of oral anticoagulants (OACs), empowered AF self-management, and increased access to professional advice. The primary outcome was health-related quality of life measured after the completion of the intervention (T1), while the secondary outcomes were patient-physician decision concordance regarding OAC use, actual OAC use, AF knowledge, medication adherence, anxiety, and depression.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              The intervention group showed significantly greater improvements in health-related quality of life (\u03b2, \u22126.702 [95% CI, \u22129.556 to \u22123.847];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), AF knowledge (\u03b2, \u22121.989 [95% CI, \u22122.342 to \u22121.635];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), and medication adherence (\u03b2, 0.340 [95% CI, 0.148\u20130.532];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) at immediate post-intervention compared with the control group, and the improvements were sustained at 6 months for all outcomes. A higher proportion of patients in the intervention group were prescribed an OAC compared with the control group at 6 months (odds ratio, 5.870 [95% CI, 1.957\u201312.331];\n              <jats:italic>P<\/jats:italic>\n              =0.012). No significant between-group differences were detected for patient-physician decision concordance regarding OAC use, anxiety, or depression at both time points.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>The nurse-led multicomponent behavioral activation intervention improved patient-reported outcomes and increased OAC prescription among patients with AF.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circep.124.013236","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T10:00:27Z","timestamp":1734602427000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Nurse-Led Multicomponent Behavioral Activation Intervention for Patients With Atrial Fibrillation: A Randomized Controlled Trial"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6309-5906","authenticated-orcid":true,"given":"Polly W.C.","family":"Li","sequence":"first","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine, The University of Hong Kong (P.W.C.L., D.S.F.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris S.F.","family":"Yu","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine, The University of Hong Kong (P.W.C.L., D.S.F.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0430-5752","authenticated-orcid":true,"given":"Bryan P.","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong (B.P.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011427"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jcph.2204"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.023163"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvae007"},{"key":"e_1_3_3_6_2","unstructured":"World Health Organization. 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