Why the study?
Failure to identify atrial fibrillation increases the risk of disability and death, making early screening and prevention critical, but knowledge, attitude, and practice among high-risk individuals needed investigation.
In a population at high risk for atrial fibrillation, higher knowledge scores independently predict better adherence to AF prevention and screening practices, highlighting the need for targeted health education regarding stroke risk and age-related incidence.
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Knowledge was associated with better AF screening practice; hypothesis-generating for education interventions in high-risk adults.
Objectives Atrial fibrillation (AF) is a common clinical arrhythmia. Failure to identify AF leaves patients at a considerably higher risk of disability and death, making its early screening and prevention extremely important. This study aimed to investigate knowledge, attitude, and practice (KAP) towards AF prevention and screening among the high‐risk population. Methods Individuals at a high risk of AF were required to fill out questionnaires between August 2022 and October 2022. Results A total of 863 participants aged 66.54 ± 11.00 years were enrolled. The median scores of knowledge, attitude, and practice were 9 (81.8% of maximum), 37 (64.9% of maximum), and 21.56 (86.2% of maximum), respectively. Only knowledge (OR = 1.159, 95% confidence interval (CI): 1.045–1.286, p = 0.005) was independently associated with better practice, while attitude (OR = 0.861, 95% CI: 0.817–0.908, p < 0.001), reported poor sleep quality (OR = 0.529, 95% CI: 0.259–1.0788, p = 0.010), fair (OR = 0.234, 95% CI: 0.111–0.491, p < 0.001) or fluctuating (OR = 0.321, 95% CI: 0.103–0.996, p = 0.049) emotional state, and acquiring the questionnaire through social media (OR = 0.419, 95% CI: 0.268–0.653, p < 0.001) were independently associated with worse practice. Conclusions Participats from high‐risk AF population in this study demonstrated acceptable practice towards AF screening, mostly moderated by knowledge and attitude. Some gaps in knowledge could be improved by targeted health education, especially important in vulnerable subpopulations.
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Yi et al. (2025) studied this question.
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