CClinicalTrials.gg
Status unknownNCT01928121Updated Aug 26, 2013

Effectiveness of an Interdisciplinary, Nurse-coordinated Atrial Fibrillation Expert Program for Primary Care Patients

An interventional study of Care provided by AF expert program in Atrial Fibrillation, sponsored by Universitaire Ziekenhuizen KU Leuven. Status unknown at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-26.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Not applicable, Interventional, and Health services research

The sponsor has not verified this record recently (last verified Aug 2013), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the effectiveness of a newly developed interdisciplinary nurse-coordinated AF expert program for primary care patients. Therefore a prospective, pragmatic clustered randomized controlled trial will be performed in general practices.

02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • nurse
  • expert program
  • primary care
  • implementation
  • interdisciplinary
  • effectiveness
  • disease management system
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's planned enrollment of 450 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Universitaire Ziekenhuizen KU Leuven is the lead sponsor of 928 studies on the registry; 261 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Every newly diagnosed AF patient.
  • Every AF patient who is not seen by a cardiologist or electrophysiologist in the past 2 years before inclusion.
  • AF must be confirmed on electrocardiogram.
  • Capable of providing written informed consent.
  • Dutch speaking and verbally testable, without cognitive impairment.

Exclusion criteria

Exclusion Criteria:

  • AF patients who once received an arrhythmologic consult about AF prior to the start of the study.
  • AF patients who have a systematic follow-up at a cardiologist prior to the start of the study.
  • Terminally ill AF patients
  • Participation in another clinical trial
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
450 participants (estimated)

Study arms

  • Experimental
    AF expert program

    Care provided by the interdisciplinary, nurse-coordinated AF expert program

    Other: Care provided by AF expert program

  • No intervention
    Usual care

Interventions

  • OtherCare provided by AF expert program
06

What researchers measure

Primary outcomes

  1. cardiovascular events

    Combined endpoint of cardiovascular hospitalizations, cardiovascular deaths and unplanned cardiovascular visits. * Cardiac death: Cardiac arrhythmic, Cardiac non-arrhythmic, Vascular non cardiac * Cardiovascular hospitalization: Arrhythmic events (AF, syncope, sustained ventricular tachycardia, cardiac arrest), Heart Failure, Acute myocardial infarction, Stroke, Systemic embolism, Major bleeding, Life-threatening effects of drugs * Unplanned cardiovascular visits

    Time frame: after 1 year

Secondary outcomes

  1. Guideline adherence

    * Does the medical record report a formal CHA2DS2-VASc score, HAS-BLED bleeding risk score and EHRA score? * Does the medical record report an appropriate prescription of antithrombotic treatment. * Does the medical record report an appropriate application of rate and rhythm (not if asymptomatic, if contraindicated and not in patients with permanent AF) * Does the medical record report an appropriate upstream therapy? (For example in heart failure patients, is the heart failure treated)

    Time frame: after 1 year

  2. Hospitalization days and clinic visits

    * Number of outpatient (internal or neurological) clinic visits per year * Number of emergency room visits per year due to AF * Number of hospitalization days due to AF * Number of hospitalization days for cardiovascular reasons * Number of hospitalization days on intensive care due to AF

    Time frame: after 1 year

  3. Perceived health

    Perceived health will be measured by the EuroQol Five Dimensional Questionnaire (EQ-5D-3L)

    Time frame: After 1 year

  4. AF related symptoms and symptom burden

    AF related symptoms and symptom burden will be measured by the Leuven Arrhythmia Questionnaire (LARQ)

    Time frame: After 1 year

  5. Patient satisfaction

    Patient satisfaction about information provided, about therapy and about follow-up, will be measured with a 10-point visual analog scale (VAS).

    Time frame: After year

  6. Patient knowledge

    The Atrial Fibrillation Knowledge Scale (AF knowledge scale) will be used.

    Time frame: After 1 year

  7. Patient adherence with medication

    This will be assessed by self-report using the Dutch version of the 8-item Morisky Medication Adherence Scale (MMAS-8 scale).

    Time frame: After 1 year

  8. Time to establishment of a management plan by electrophysiologist or cardiologist

    This outcome will be searched for by reviewing medical records of, or by interviewing, all participating patients at 1, 3, 6 months and 1 year.

    Time frame: After 1 year

07

Study locations

1 site
  • UZ Leuven
    Leuven, Vlaams Brabant 3000, Belgium
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01928121
Lead sponsor
Universitaire Ziekenhuizen KU Leuven
Responsible party
Prof Heidbuchel (Prof. Hein Heidbuchel, MD, PHD, Universitaire Ziekenhuizen KU Leuven) — Principal investigator
First posted
Aug 23, 2013
Start date
Sep 2013
Primary completion
Aug 2016 (estimated)
Completion
Aug 2016 (estimated)
Last update
Aug 26, 2013

Study contacts

Dana Berti
Contact
dana.berti@uzleuven.be
0032-479-845016
Hein Heidbuchel
Contact
hein.heidbuchel@uzleuven.be
0032-16-344248

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.

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