Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Aug 23, 2024
Date Accepted: Feb 14, 2025
The Effectiveness of Digital Animation-based Multistage Education for Patients with Atrial Fibrillation Catheter Ablation: A Randomized Clinical Trial
ABSTRACT
Background:
Digital education for outpatient atrial fibrillation (AF) patients has gradually increased. However, research on digital education for patients undergoing atrial fibrillation catheter ablation (AFCA) is limited.
Objective:
We aimed to develop a novel digital animation-based multistage education system and evaluate its therapeutic benefits for patients with AFCA.
Methods:
In the digital animation intervention group, the AF-QoL-18 score increased from 38.02 ± 6.52 to 47.77 ± 5.74, the MARS-5 score increased from 17.04 ± 3.03 to 20.13 ± 2.12, the SAS score decreased from 52.82 ± 8.08 to 45.39 ± 6.13, and the SDS score decreased from 54.12 ± 6.13) to 45.47 ± 5.94) three months post-discharge from the hospital. In the conventional treatment group, the AF-QoL-18 score increased from 36.97 ± 7.00 to 45.31 ± 5.71, the MARS-5 score increased from 17.14 ± 3.01 to 18.47 ± 2.79, the SAS score decreased from 51.83 ± 7.74 to 47.31 ± 5.87, and the SDS score decreased from 52.78 ± 5.21 to 45.37 ± 6.18. The mean difference in AF-QoL-18 score change between the two groups was 1.41 (95% confidence interval [CI]: 2.42 to 0.40, P = 0.006) at three months. The mean difference in MARS-5 score change was 1.76 (95% CI: 2.42 to 1.10, P < 0.001). The mean difference in SAS score was −2.91 (95% CI: −3.88 to −1.95, P < 0.001). Additionally, the mean difference in SDS score was −1.23 (95% CI: −0.02 to −2.44, P = 0.047).
Results:
At 3 months, in the digital animation intervention group, the AF-Qol-18 score increased from 38.02 (SD 6.52) to 47.77 (SD 5.74), the MARS-5 score increased from 17.04 (SD 3.03) to 20.13 (SD 2.12), the SAS score decreased from 52.82 (SD 8.08) to 45.39 (SD 6.13), and the SDS score decreased from 54.12 (SD 6.13) to 45.47 (SD 5.94). In the usual care group, the AF-Qol-18 score increased from 36.97 (SD 7.00) to 45.31 (SD 5.71), the MARS-5 score increased from 17.14 (SD 3.01) to 18.47 (SD 2.79), the SAS score decreased from 51.83 (SD 7.74) to 47.31 (SD 5.87), and the SDS score decreased from 52.78 (SD 5.21) to 45.37 (SD 6.18). The mean difference in AF-Qol-18 score change between the two groups at 3 months was 1.41 (95% CI 2.42 to 0.40, P=.006). The mean difference in MARS-5 score change was 1.76 (95% CI 2.42 to 1.10, P<.001). The mean difference in SAS score was -2.91 (95% CI -3.88 to -1.95, P<.001). Additionally, the mean difference in SDS score was -1.23 (95% CI -0.02 to -2.44, P =.047).
Conclusions:
Our study introduces a novel digital animation educational approach that provides multidimensional, easily understandable, and multistage education for patients with AF undergoing catheter ablation. This educational model effectively improves postoperative anxiety, depression, medication adherence, and QoL in patients at three months post-discharge. Clinical Trial: This trial was registered in the Chinese Clinical Trial Registry (ChiCTR2400081673).
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