Key result
Telemonitoring with immediate feedback improves NOAC adherence to ~99% versus telemonitoring alone in AF.
Why the study?
To evaluate the effect of telemonitoring on adherence to non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation.
Does telemonitoring with or without feedback improve adherence to NOACs in patients with atrial fibrillation?
Population
48 AF patients on once or twice daily NOAC
Comparison
Daily telemonitoring vs telemonitoring with telephone feedback vs observation without daily transmissions
Design
Randomized, single-blind, crossover, controlled trial
Follow-up
Three phases of 3 months each
Authors
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Direct feedback may enhance NOAC adherence beyond telemonitoring alone; leaves open whether this improves outcomes or justifies routine costs.
RCT (n=48)
Single-blind
Randomized crossover
Does telemonitoring with or without feedback improve adherence to NOACs in patients with atrial fibrillation?
Absolute Event Rate: 99% vs 97.4%
p-value: p=<0.001
Telemonitoring with immediate feedback significantly improves NOAC adherence in patients with atrial fibrillation compared to telemonitoring alone or observation.
Desteghe et al. (2017) conducted an RCT in Atrial fibrillation (n=48). Telemonitoring with immediate telephone feedback vs. Telemonitoring alone was evaluated on Taking adherence (p=<0.001). Telemonitoring with immediate telephone feedback significantly improved taking adherence to NOACs compared to telemonitoring alone (99.0% vs 97.4%, P<0.001) in patients with atrial fibrillation.
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