Clinical trial NCT05890274: Atrial Fibrillation (AF) and Electrocardiogram (EKG) Interpretation Project ECHO
Official title: Improving Outpatient Comprehensive Atrial Fibrillation Care Across Central North Carolina Through Direct Primary Care and Patient Engagement
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Atrial Fibrillation
Keywords: Atrial Fibrillation
Lead sponsor: University of North Carolina, Chapel Hill
Sponsor class: OTHER
Collaborators: name: Duke University
name: Wake Forest University
name: Bristol-Myers Squibb
First posted: 2023-06-06
Enrollment: 120
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The goal of this study is to determine the effectiveness of a direct-to-provider virtual education program ("AF and EKG Interpretation Project ECHO") for primary care providers who manage patients with atrial fibrillation (AF). The main questions this study aims to answer are:

1. Will participants have improvement in knowledge and confidence in managing patients with atrial fibrillation after program completion?
2. Will quality and performance metrics improve at the patient level for program participants?

Participants will be asked to:

* Participate in 12 hours of virtual education sessions over twelve weeks via Zoom.
* Complete a knowledge and confidence assessment online before the program starts and after its completion.


Eligibility criteria: Inclusion Criteria:

* Primary care provider (Physician, Nurse Practitioner, Physician Assistant) with primary practice in the state of North Carolina
* Care for adult population

Exclusion Criteria:

* None

Primary outcomes:
measure: Change in Number of Patients Prescribed Appropriate Anticoagulation
timeFrame: 1-year prior to intervention session 1 and 1-year post intervention session 12
Secondary outcomes:
measure: Change Score on Provider Knowledge Assessment
timeFrame: Baseline and 12 weeks post intervention session 12
measure: Change in Provider Confidence Level
timeFrame: Baseline and 12 weeks post intervention session 12
measure: Change in Number of Patients Prescribed Appropriate Antiplatelet Therapy
timeFrame: 1-year prior to intervention session 1 and 1-year post intervention session 12
measure: Change in Number of Patients with Blood Pressure at Goal
timeFrame: 1-year prior to intervention session 1 and 1-year post intervention session 12
measure: Change in Number of Patients with Heart Rate at Target
timeFrame: 1-year prior to intervention session 1 and 1-year post intervention session 12
measure: Change in Number of Emergency Department Visits or Hospitalizations for AF or Stroke
timeFrame: 1-year prior to intervention session 1 and 1-year post intervention session 12
Other outcomes:
Locations:
city: Chapel Hill
country: United States
facility: University of North Carolina, Chapel Hill
state: North Carolina
city: Durham
country: United States
facility: Duke University
state: North Carolina
city: Winston-Salem
country: United States
facility: Wake Forest University
state: North Carolina
Study officials:
affiliation: University of North Carolina, Chapel Hill
name: Anil Gehi, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: January CT, Wann LS, Calkins H, Chen LY, Cigarroa JE, Cleveland JC Jr, Ellinor PT, Ezekowitz MD, Field ME, Furie KL, Heidenreich PA, Murray KT, Shea JB, Tracy CM, Yancy CW. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons. Circulation. 2019 Jul 9;140(2):e125-e151. doi: 10.1161/CIR.0000000000000665. Epub 2019 Jan 28. No abstract available.
citation: Carey RM, Wright JT Jr, Taler SJ, Whelton PK. Guideline-Driven Management of Hypertension: An Evidence-Based Update. Circ Res. 2021 Apr 2;128(7):827-846. doi: 10.1161/CIRCRESAHA.121.318083. Epub 2021 Apr 1.
citation: January CT, Wann LS, Alpert JS, Calkins H, Cigarroa JE, Cleveland JC Jr, Conti JB, Ellinor PT, Ezekowitz MD, Field ME, Murray KT, Sacco RL, Stevenson WG, Tchou PJ, Tracy CM, Yancy CW; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2014 Dec 2;64(21):e1-76. doi: 10.1016/j.jacc.2014.03.022. Epub 2014 Mar 28. No abstract available.