Colleen Sedney1, Hawa O Abu2, Katherine Trymbulak2, Jordy Mehawej2, Ziyue Wang2, Molly E Waring3, Jane Saczynski4, David D McManus2. 1. Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester MA, United States. Electronic address: sedney_colleen@wheatoncollege.edu. 2. Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester MA, United States. 3. Department of Allied Health Sciences, University of Connecticut, Storrs CT, United States. 4. Department of Pharmacy and Health Systems Sciences, School of Pharmacy, Northeastern University, Boston MA, United States.
Abstract
BACKGROUND: Management of AF requires patient engagement in disease management which requires adequate knowledge about AF. OBJECTIVE: To identify the patient characteristics associated with low AF knowledge among older adults with AF. METHODS: The SAGE-AF cohort enrolled adults aged ≥65 diagnosed with AF in 2016-2018. Patient characteristics associated with low AF knowledge (<6/8 JAKQ items correct) were examined using multivariable adjusted logistic regression models. RESULTS: Participants (N = 950) were on average 74 years old (SD: 6.7), 50 % female, and 87 % non-Hispanic white. The average JAKQ score was 68.7 (SD: 17.1), and 78 % had low AF knowledge. Participants aged ≥ 75 (OR: 1.55, 95 % CI: 1.03, 2.33), without a college degree (OR: 0.46, 95 % CI: 0.32, 0.65), cognitively impaired (OR: 1.72, 95 % CI: 1.15, 2.58), with a history of anxiety (OR: 1.76, 95 % CI: 1.09, 2.83), myocardial infarction (OR: 1.82, 95 % CI: 1.08, 3.07), and heart failure (OR: 1.84, 95 % CI: 1.16, 2.91) were more likely to have low AF knowledge. PRACTICE IMPLICATIONS: Characteristics available in the electronic medical record may identify patients at risk for low AF knowledge. Formal assessment of AF knowledge may identify areas of weakness and allow for targeted education.
BACKGROUND: Management of AF requires patient engagement in disease management which requires adequate knowledge about AF. OBJECTIVE: To identify the patient characteristics associated with low AF knowledge among older adults with AF. METHODS: The SAGE-AF cohort enrolled adults aged ≥65 diagnosed with AF in 2016-2018. Patient characteristics associated with low AF knowledge (<6/8 JAKQ items correct) were examined using multivariable adjusted logistic regression models. RESULTS: Participants (N = 950) were on average 74 years old (SD: 6.7), 50 % female, and 87 % non-Hispanic white. The average JAKQ score was 68.7 (SD: 17.1), and 78 % had low AF knowledge. Participants aged ≥ 75 (OR: 1.55, 95 % CI: 1.03, 2.33), without a college degree (OR: 0.46, 95 % CI: 0.32, 0.65), cognitively impaired (OR: 1.72, 95 % CI: 1.15, 2.58), with a history of anxiety (OR: 1.76, 95 % CI: 1.09, 2.83), myocardial infarction (OR: 1.82, 95 % CI: 1.08, 3.07), and heart failure (OR: 1.84, 95 % CI: 1.16, 2.91) were more likely to have low AF knowledge. PRACTICE IMPLICATIONS: Characteristics available in the electronic medical record may identify patients at risk for low AF knowledge. Formal assessment of AF knowledge may identify areas of weakness and allow for targeted education.
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