Evidence map›Paper›PMID 35416784›Full record

ArticleJMIR research protocols2022

Coordinating Health Care With Artificial Intelligence-Supported Technology for Patients With Atrial Fibrillation: Protocol for a Randomized Controlled Trial.

Liliana Laranjo, Tim Shaw, Ritu Trivedi, Stuart Thomas, Emma Charlston, Harry Klimis, Aravinda Thiagalingam, Saurabh Kumar, Timothy C Tan, Tu N Nguyen and 2 more

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Clinical service organisation for adults with atrial fibrillation.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Liliana LaranjoWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-1020-3402
Tim ShawWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-0783-1918
Ritu TrivediWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-5128-3202
Stuart ThomasWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-6266-3905
Emma CharlstonWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-9221-0990
Harry KlimisWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-3635-421X
Aravinda ThiagalingamWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7763-7806
Saurabh KumarWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-5643-5076
Timothy C TanBlacktown Mount Druitt Hospital, Sydney, Australia.ORCID https://orcid.org/0000-0003-4449-1457
Tu N NguyenWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-8836-8920
Simone MarschnerWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-5484-9144
Clara ChowWestmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-4693-0038
The University of Sydney · AUBlacktown & Mount Druitt Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is an increasingly common chronic health condition for which integrated care that is multidisciplinary and patient-centric is recommended yet challenging to implement.

objectiveThe aim of Coordinating Health Care With Artificial Intelligence-Supported Technology in AF is to evaluate the feasibility and potential efficacy of a digital intervention (AF-Support) comprising preprogrammed automated telephone calls (artificial intelligence conversational technology), SMS text messages, and emails, as well as an educational website, to support patients with AF in self-managing their condition and coordinate primary and secondary care follow-up.

methodsCoordinating Health Care With Artificial Intelligence-Supported Technology in AF is a 6-month randomized controlled trial of adult patients with AF (n=385), who will be allocated in a ratio of 4:1 to AF-Support or usual care, with postintervention semistructured interviews. The primary outcome is AF-related quality of life, and the secondary outcomes include cardiovascular risk factors, outcomes, and health care use. The 4:1 allocation design enables a detailed examination of the feasibility, uptake, and process of the implementation of AF-Support. Participants with new or ongoing AF will be recruited from hospitals and specialist-led clinics in Sydney, New South Wales, Australia. AF-Support has been co-designed with clinicians, researchers, information technologists, and patients. Automated telephone calls will occur 7 times, with the first call triggered to commence 24 to 48 hours after enrollment. Calls follow a standard flow but are customized to vary depending on patients' responses. Calls assess AF symptoms, and participants' responses will trigger different system responses based on prespecified protocols, including the identification of red flags requiring escalation. Randomization will be performed electronically, and allocation concealment will be ensured. Because of the nature of this trial, only outcome assessors and data analysts will be blinded. For the primary outcome, groups will be compared using an analysis of covariance adjusted for corresponding baseline values. Randomized trial data analysis will be performed according to the intention-to-treat principle, and qualitative data will be thematically analyzed.

resultsEthics approval was granted by the Western Sydney Local Health District Human Ethics Research Committee, and recruitment started in December 2020. As of December 2021, a total of 103 patients had been recruited.

conclusionsThis study will address the gap in knowledge with respect to the role of postdischarge digital care models for supporting patients with AF.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12621000174886; https://www.australianclinicaltrials.gov.au/anzctr/trial/ACTRN12621000174886. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/34470.

Indexed as

artificial intelligenceatrial fibrillationconversational agentinteractive voice responsemobile phone

Identifiers

PMID35416784
PMCPMC9047758
OpenAlexW4210363412

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.