Engaging Patients to Help Achieve Increased Patient Choice and Engagement for AFib Stroke Prevention

Engaging Patients to Help Achieve Increased Patient Choice and Engagement for AFib Stroke Prevention

A multi-center, randomized controlled 2-arm trial comparing the effectiveness of an innovative shared decision-making pathway and usual care for Atrial Fibrillation Stroke Prevention

This study will test to see if a new type of decision-making process tool, called a Shared Decision Making Pathway, can make a difference in decreasing the risk of stroke due to a condition called Atrial Fibrillation (AFib.) This online tool is designed to help doctors and patients decide together on treatment options for AFib.

Inclusion Criteria:

• ≥ 18 y/o

• Non-valvular atrial fibrillation or atrial flutter (AFib)

• CHA2DS2-VASc stroke score of:

  • Men: 1 or more
  • Women: 2 or more

• Able to consent in English or Spanish (if resources allow) and follow study instructions

Exclusion Criteria:

• Moderate to severe mitral stenosis
• Mechanical valve replacement
• Absolute contraindication to anticoagulation (Based on clinician judgment)
• Indication for anticoagulation therapy for a condition other than atrial fibrillation
• Left atrial appendage exclusion (by surgery or device placement)
• At the clinical discretion of the investigator