Engaging Patients to Help Achieve Increased Patient Choice and Engagement for AFib Stroke Prevention (ENHANCE-AF)

Stanford University

Status

Completed

Conditions

Arrhythmia

Atrial Flutter

Atrial Fibrillation

Cardiac

Stroke

Heart Failure

Treatments

Behavioral: SDMT

Behavioral: Usual Care

Study type

Interventional

Funder types

Other

Identifiers

NCT04096781

50864

Details and patient eligibility

About

A multi-center, randomized controlled 2-arm trial comparing the effectiveness of an innovative shared decision-making pathway and usual care for Atrial Fibrillation Stroke Prevention

Full description

This study will test to see if a new type of decision-making process tool, called a Shared Decision Making Pathway, can make a difference in decreasing the risk of stroke due to a condition called Atrial Fibrillation (AFib.) This online tool is designed to help doctors and patients decide together on treatment options for AFib.

Enrollment

1,001 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

≥ 18 y/o
Non-valvular atrial fibrillation or atrial flutter (AFib)
CHA2DS2-VASc stroke score of:
- Men: 1 or more
- Women: 2 or more
Able to consent in English or Spanish (if resources allow) and follow study instructions

Exclusion criteria

Moderate to severe mitral stenosis
Mechanical valve replacement
Absolute contraindication to anticoagulation (Based on clinician judgment)
Indication for anticoagulation therapy for a condition other than atrial fibrillation
Left atrial appendage exclusion (by surgery or device placement)
At the clinical discretion of the investigator