Future Patient - Telerehabilitation of Atrial Fibrillation Patients

Aage and Johanne Louis-Hansens Foundation, Laboratory of Welfare Technology, Department of Health Science and Technology, AAU, Viborg Regional Hospital, Skive Healthcare Center, Viborg Healthcare Center, Department of Psychology, Aarhus University, Department of Architecture, Design and Media Technology, Aalborg University, Department of Photonics Engineering, Technical University of Denmark

The idea behind this Future Patient pilot study is to explore and evaluate the feasibility of individualized telerehabilitation technologies and programs for patients with atrial fibrillation (AF).

Objective: To explore the feasibility of individualized telerehabilitation technologies and a program for patients with AF. Outcome measures: To evaluate two concepts for telerehabilitation programs and technologies for patients with AF in order to see how these concepts can increase self-management for patients in their rehabilitation process. The following outcome measures are in focus: Primary outcomes: Usability of technologies seen from patients' and healthcare professionals' perspectives Test and evaluation of the contents of telerehabilitation programs Secondary outcomes: Measurements of clinical data Patients' and relatives' expectations for and experience with participation in the telerehabilitation program Healthcare professionals' experience with workflows and collaboration between each other in the telerehabilitation program

Device: Telerehabilitation Blood pressure (iHealth Neo), weight (iHealth Lina), step counters(Fitbit Inspire & Charge 3), sleep sensor (Emfit QS), tablet (iPad Air 2), and ECG recorder (AliveCor KardiaMobile).

Device: Telerehabilitation + rehabilitation at health care center Telerehabilitation: Blood pressure (iHealth Neo), weight (iHealth Lina), step counters(Fitbit Inspire & Charge 3), sleep sensor (Emfit QS), tablet (iPad Air 2), and ECG recorder (AliveCor KardiaMobile). Rehabilitation at health care center: The rehabilitation will consist of four closed group sessions focusing on patient education. The groups will consist of both patients and relatives. The program at the health care center will not include any psychological tests or data control. Duration is 4 x 2 hours sessions over a period of 1 month.

Blood pressure (iHealth Neo), weight (iHealth Lina), step counters(Fitbit Inspire & Charge 3), sleep sensor (Emfit QS), tablet (iPad Air 2), and ECG recorder (AliveCor KardiaMobile).

Interviews with patients regarding the use of technology, themes on rehabilitation for AF patients on web portal, and education at healthcare center

Interviews on patients' and relatives' expectations for and experience with participation in the telerehabilitation program

Interviews with patients and relatives regarding their experiences with participation in the tele rehabilitation program

Inclusion Criteria: Patients diagnosed with AF Adults ≥ 18 years; no upper age limit Patients living in Skive and Viborg Municipality Living at home and capable of caring for him/herself Basic computer skills or a relative with basic computer skills Exclusion Criteria: Pregnancy Lack of ability to cooperate Patient does not speak, read and understand Danish

Dinesen B, Dam Gade J, Skov Schacksen C, Spindler H, Eie Albertsen A, Dittmann L, Jochumsen M, Svenstrup Moller D. The Danish Future Patient Telerehabilitation Program for Patients With Atrial Fibrillation: Design and Pilot Study in Collaboration With Patients and Their Spouses. JMIR Cardio. 2021 Jul 19;5(2):e27321. doi: 10.2196/27321.