RNPilotWestern journal of nursing research2017

Feasibility Testing of the Alert for AFib Intervention.

Pamela J McCabe, Kristin Vickers Douglas, Debra L Barton and 3 others

PMID 27387372

WHAT IT FOUND

Older adults at risk for atrial fibrillation did daily pulse checks and accepted nurse-led education. 87% returned logs, and all but two completed at least 88% of entries.

This tested feasibility, not whether the program detects AF or prevents stroke.

Key findings

01The pilot recruited 80 participants within 6 months, ahead of the 12-month target.

02Intervention participants adhered well: 87% returned their pulse log, and all but two completed at least 88% of possible daily entries.

03Intervention participants rated the education helpful: 49% very helpful, 35% extremely helpful, and 87% reported daily pulse taking was easy and worthwhile.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was a feasibility pilot and was not powered to show whether the intervention improved knowledge, attitudes, beliefs, or clinical outcomes. It was done at one academic medical center in the Midwest, and participants were recruited from patients who had already agreed to have their records reviewed for research. The response rate to invitations was 15%, and the sample was 96% White and 54% held a 4-year college degree or graduate degree, so results may not apply to other older adults. The KABAFS was newly developed, had content validity testing, but had not been tested for construct validity when participants completed it. Control participants reported seeking information about AF from the Internet or their health care provider after enrollment, which could have affected their scores. The paper reports different analyzed counts for KABAFS outcomes: text says 37 intervention and 38 control had complete data, while the KABAFS comparison table says 38 intervention and 38 control.

Declared interests

The authors declared no potential conflicts of interest. The research was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number K23NR0114253.

The easy way to misread this

Do not read this pilot as proof that daily pulse checks detect AF early or prevent stroke. It tested feasibility, not treatment effects. The intervention bundled education, video, risk calculator, pulse instruction, logging, and follow-up, and the contribution of any single component cannot be separated.

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