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dc.contributor.authorMehawej, Jordy
dc.contributor.authorMishra, Ajay
dc.contributor.authorSaczynski, Jane S
dc.contributor.authorWaring, Molly E
dc.contributor.authorLessard, Darleen
dc.contributor.authorAbu, Hawa O
dc.contributor.authorLa, Vincent
dc.contributor.authorTisminetzky, Mayra
dc.contributor.authorTran, Khanh-Van
dc.contributor.authorHariri, Essa
dc.contributor.authorFilippaios, Andreas
dc.contributor.authorPaul, Tenes
dc.contributor.authorSoni, Apurv
dc.contributor.authorWang, Weijia
dc.contributor.authorDing, Eric Y
dc.contributor.authorBamgbade, Benita A
dc.contributor.authorMathew, Joanne
dc.contributor.authorKiefe, Catarina
dc.contributor.authorGoldberg, Robert J
dc.contributor.authorMcManus, David D
dc.date.accessioned2022-11-23T15:49:33Z
dc.date.available2022-11-23T15:49:33Z
dc.date.issued2022-03-11
dc.identifier.citationMehawej J, Mishra A, Saczynski JS, Waring ME, Lessard D, Abu HO, La V, Tisminetzky M, Tran KV, Hariri E, Filippaios A, Paul T, Soni A, Wang W, Ding EY, Bamgbade BA, Mathew J, Kiefe C, Goldberg RJ, McManus DD. 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. Cardiovasc Digit Health J. 2022 Mar 11;3(3):118-125. doi: 10.1016/j.cvdhj.2022.03.001. PMID: 35720678; PMCID: PMC9204795.en_US
dc.identifier.eissn2666-6936
dc.identifier.doi10.1016/j.cvdhj.2022.03.001en_US
dc.identifier.pmid35720678
dc.identifier.urihttp://hdl.handle.net/20.500.14038/51302
dc.description.abstractBackground: Little is known about online health information-seeking behavior among older adults with atrial fibrillation (AF) and its association with self-reported outcomes. Objective: To examine patient characteristics associated with online health information seeking and the association between information seeking and low AF-related quality of life and high perceived efficacy in patient-physician interaction. Methods: We used data from the SAGE-AF (Systematic Assessment of Geriatric Elements in AF) study, which includes older participants aged ≥65 years with AF and a CHA2DS2-VASc risk score ≥2. To assess online health information seeking, participants who reported using the Internet were asked at baseline if they used the Internet to search for advice or information about their health in the past 4 weeks (not at all vs at least once). Atrial Fibrillation Effect on Quality of Life and Perceived Efficacy in Patient-Physician Interactions questionnaires were used to examine AF-related quality of life (QOL) and patient-reported confidence in physicians. Logistic regression models were used to examine demographic and clinical factors associated with online health information seeking and associations between information seeking and low AF-related QOL (AFEQT <80) and high perceived efficacy for patient-physician interactions (PEPPI ≥45). Results: A total of 874 online participants (mean age 74.5 years, 51% male, 91% non-Hispanic White) were studied. Approximately 60% of participants sought health information online. Participants aged 74 years or older and those on anticoagulation were less likely, while those with a college degree were more likely, to seek online health information after adjusting for potential confounders. Participants who sought health information online, compared to those who did not, were significantly more likely to have a low AF-related QOL, but less likely to self-report confidence in patient-physician interaction (aOR = 1.56, 95% CI: 1.15-2.13; aOR = 0.68, 95% CI: 0.49-0.93, respectively). Conclusion: Clinicians should consider barriers to patient-physician interaction in older adults who seek health information online, encourage shared decision-making, and provide patients with a list of online resources for AF in addition to disease education plans to help patients manage their health.en_US
dc.language.isoenen_US
dc.relation.ispartofCardiovascular Digital Health Journalen_US
dc.relation.urlhttps://doi.org/10.1016/j.cvdhj.2022.03.001en_US
dc.rights© 2022 Heart Rhythm Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).en_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectAtrial fibrillationen_US
dc.subjectOlder adultsen_US
dc.subjectOnline health information seekingen_US
dc.subjectPatient-physician interactionsen_US
dc.subjectQuality of lifeen_US
dc.titleOnline health information seeking, low atrial fibrillation-related quality of life, and high perceived efficacy in patient-physician interactions in older adults with atrial fibrillationen_US
dc.typeJournal Articleen_US
dc.source.journaltitleCardiovascular digital health journal
dc.source.volume3
dc.source.issue3
dc.source.beginpage118
dc.source.endpage125
dc.source.countryUnited States
dc.identifier.journalCardiovascular digital health journal
refterms.dateFOA2022-11-23T15:49:34Z
dc.contributor.departmentMedicineen_US
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US
dc.contributor.departmentT.H. Chan School of Medicineen_US
dc.contributor.departmentMorningside Graduate School of Biomedical Sciences


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© 2022 Heart Rhythm Society. This is an open access article under the CC BY license
(http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as © 2022 Heart Rhythm Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).