Key result
ABC pathway adherence in rural AF is ~6%, linked to self-management and social support.
Why the study?
The ABC pathway is effective for integrated AF management, but adherence among rural Chinese patients with AF is extremely low, warranting exploration of underlying factors and mechanisms.
Cross-Sectional (n=940)
Adherence to the ABC pathway among rural Chinese patients with AF is extremely low (5.7%), highlighting the need for interventions targeting self-management ability and social support.
Answers are grounded in this paper and cite their sources.
Very low ABC adherence in rural Chinese AF patients may warrant interventions on self-management and support; cross-sectional data leaves open causality.
Background: The atrial fibrillation better care (ABC) pathway is an effective strategy for the integrated management of atrial fibrillation (AF). However, the adherence rate of ABC pathway in rural Chinese patients with AF is extremely low. Aim: To explore the factors and mechanisms of adherence to the ABC pathway based on the integrated theory of health behavior change (ITHBC) among rural patients with AF. Methods: In this cross-sectional study, we recruited 940 patients with AF from rural areas in China from July 2022 to September 2023. Patients completed a questionnaire covering AF-related demographic and clinical characteristics, AF knowledge, AF health beliefs, AF self-management ability, and social support. Adherence to ABC pathway was assessed based on AF-demographic and clinical characteristics. Path analysis was used to explore the relationship between variables. Results: Adherence to ABC pathway among rural patients with AF was extremely low (5.7%). AF self-management ability ( β = 0.449; P < 0.001) and social support ( β = 0.429; P < 0.001) directly and positively affected adherence to ABC pathway. Additionally, AF knowledge ( β = 0.211; P < 0.001), AF health beliefs ( β = 0.350; P < 0.001) and social support ( β = 0.085; P < 0.001) can also indirectly and positively affect adherence to ABC pathway through AF self-management ability. AF knowledge ( β = 0.121; P < 0.001) can indirectly affect adherence to the ABC pathway through a series of mediations via AF health beliefs and AF self-management ability. Conclusion: AF knowledge, AF health beliefs, and social support are important intervention components that should be closely integrated with AF self-management ability.
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Huang et al. (2026) conducted a cross-sectional in Atrial fibrillation (n=940). AF self-management ability and social support was evaluated on Adherence to ABC pathway (β 0.449, p=<0.001). Adherence to the ABC pathway among rural Chinese patients with atrial fibrillation was 5.7%, and was directly affected by AF self-management ability and social support.
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