Online health information seeking, low atrial fibrillation–related quality of life, and high perceived efficacy in patient-physician interactions in older adults with atrial fibrillation

• DOI: 10.1016/j.cvdhj.2022.03.001
• Publication Date: 2022-03-11T01:50:39Z
• Authors: Jordy Mehawej; Ajay Mishra; Jane S. Saczynski; Molly E. Waring; Darleen Lessard; Hawa O. Abu; Vincent La; Mayra Tisminetzky; Khanh-Van Tran; Essa Hariri; Andreas Filippaios; Tenes Paul; Apurv Soni; Weijia Wang; Eric Y. Ding; Benita A. Bamgbade; Joanne Mathew; Catarina Kiefe; Robert J. Goldberg; David D. McManus
• Keywords: Patient-physician interactions; Quality of life; 150; 610; 16. Peace & justice; Atrial fibrillation; 3. Good health; 03 medical and health sciences; Online health information seeking; 0302 clinical medicine; Older adults; Original Article

BackgroundLittle is known about online health information–seeking behavior among older adults with atrial fibrillation (AF) and its association self-reported outcomes.ObjectiveTo examine patient characteristics associated information seeking the between low AF-related quality of life high perceived efficacy in patient-physician interaction.MethodsWe used data from SAGE-AF (Systematic Assessment Geriatric Elements AF) study, which includes participants aged ≥65 years AF a CHA2DS2-VASc risk score ≥2. To assess seeking, who reported using Internet were asked at baseline if they to search for advice or their past 4 weeks (not all vs least once). Atrial Fibrillation Effect on Quality Life Perceived Efficacy Patient-Physician Interactions questionnaires (QOL) patient-reported confidence physicians. Logistic regression models demographic clinical factors associations QOL (AFEQT <80) interactions (PEPPI ≥45).ResultsA total 874 (mean age 74.5 years, 51% male, 91% non-Hispanic White) studied. Approximately 60% sought online. Participants 74 those anticoagulation less likely, while college degree more seek after adjusting potential confounders. online, compared did not, significantly likely have QOL, but self-report interaction (aOR = 1.56, 95% CI: 1.15–2.13; aOR 0.68, 0.49–0.93, respectively).ConclusionClinicians should consider barriers encourage shared decision-making, provide patients list resources addition disease education plans help manage health. Little outcomes. interaction. We ≥45). A respectively). Clinicians