Key result
Higher health literacy linked to ~6.2-fold higher odds of high post-ablation patient engagement.
Why the study?
Patient engagement in health care is crucial for successful catheter ablation for atrial fibrillation, but knowledge about engagement profiles in this context is limited.
Cross-Sectional (n=513)
Yes
Patient engagement following catheter ablation for atrial fibrillation varies widely, and targeted strategies to improve health literacy and foster trusting patient-physician relationships may be necessary to promote higher engagement.
Answers are grounded in this paper and cite their sources.
Health literacy, trust, and facilitation were associated with high engagement post-AF ablation; leaves open whether targeting them improves outcomes.
Background Patient engagement in health care, as a multifaceted construct, is crucial for the success of catheter ablation (CA) for atrial fibrillation (AF). However, there is a paucity of knowledge regarding patient engagement in the context of CA. Therefore, this study aimed to explore the latent profiles of patient engagement in health care among patients undergoing CA for AF and examine associated factors from individual and interpersonal perspectives. Methods A cross-sectional study was conducted. A total of 513 patients were recruited from three tertiary hospitals in Shanghai. Patient engagement in health care was assessed using the Patient Engagement in Health Care Questionnaire, and its dimensions were used as profile indicators in the latent profile analysis (LPA) to identify distinct patient engagement profiles. Health literacy, trust in physician, perceived physician facilitation, and perceived social support were assessed using validated Chinese versions of the All Aspects of Health Literacy Scale, Wake Forest Physician Trust Scale, Facilitation of Patient Involvement Scale, and Perceived Social Support Scale, respectively. Univariate analyses and multinomial logistic regression were performed to examine these individual and interpersonal factors associated with patient engagement profile membership. Results Three patient engagement profiles were identified: low engagement profile (12.3%), medium engagement profile (48.7%), and high engagement profile (39.0%). Compared to patients in the low engagement profile, those with higher health literacy, trust in physician and perceived physician facilitation were more likely to belong to the medium or high engagement profile. Perceived social support was not significantly associated with profile membership. Conclusions In the CA context, patient engagement in health care is heterogeneous and can be categorized into distinct latent profiles. Health literacy, trust in physician and perceived physician facilitation were associated with profile membership. Health care professionals should develop targeted interventions based on the characteristics of different profiles to promote patient engagement in health care. Clinical trial number Not applicable.
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Xiao et al. (2026) conducted a cross-sectional in Non-valvular atrial fibrillation undergoing catheter ablation (n=513). Health literacy, trust in physician, and perceived physician facilitation vs. Lower levels of these factors was evaluated on Membership in the high patient engagement profile (Profile 3) vs low engagement profile (Profile 1) associated with health literacy (OR 6.213, 95% CI 1.746-22.101, p=0.005). Higher health literacy, trust in physician, and perceived physician facilitation significantly increased the likelihood of belonging to a high patient engagement profile (e.g., health literacy OR 6.213) following catheter ablation for atrial fibrillation.
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