%0 Journal Article
%T An mHealth intervention to improve nurses¡¯ atrial fibrillation and anticoagulation knowledge and practice: the EVICOAG study
%A Beata V Bajorek
%A Caleb Ferguson
%A Jane Phillips
%A Lawrence Lam
%A Louise D Hickman
%A Phillip J Newton
%A Sally C Inglis
%J European Journal of Cardiovascular Nursing
%@ 1873-1953
%D 2019
%R 10.1177/1474515118793051
%X There is a need to improve cardiovascular nurses¡¯ knowledge and practices related to stroke prevention, atrial fibrillation and anticoagulation therapy. The aim of this study was to evaluate the efficacy of EVICOAG ¨C a novel mHealth, smartphone-based, spaced-learning intervention on nurses¡¯ knowledge of atrial fibrillation and anticoagulation. Nurses employed in four clinical specialties (neuroscience, stroke, rehabilitation, cardiology) across three hospitals were invited to participate. In this quasi-experimental study, 12 case-based atrial fibrillation and anticoagulation learning scenarios (hosted by an mHealth platform) were delivered to participants¡¯ smartphones over a 6-week period (July¨CDecember 2016) using a spaced timing algorithm. Electronic surveys to assess awareness and knowledge were administered pre (T1) and post (T2) intervention. From 74 participants recruited to T1, 40 completed T2. There was a 54% mean improvement in knowledge levels post-intervention. The largest improvement was achieved in domains related to medication interaction and stroke and bleeding risk assessment. Post-intervention, those who completed T2 were significantly more likely to use CHA2DS2-VASc (2.5% vs. 37.5%) and HAS-BLED (2.5% vs. 35%) tools to assess stroke and bleeding risk, respectively (P<0.01). The EVICOAG intervention improved nurses¡¯ knowledge of atrial fibrillation and anticoagulation, and influenced their uptake and use of stroke and bleeding risk assessment tools in clinical practice. Future research should focus on whether a similar intervention might improve patient-centred outcomes such as patients¡¯ knowledge of their condition and therapies, medication adherence, time in the therapeutic range and quality of life
%K Atrial fibrillation
%K anticoagulation
%K thromboprophylaxis
%K stroke
%K knowledge
%K nursing practice
%K mHealth
%U https://journals.sagepub.com/doi/full/10.1177/1474515118793051