Shared Decision Making to Address Racial Disparities in Oral Anticoagulation in NVAF

Shared Decision Making to Address Racial Disparities in Oral Anticoagulation Use in Patients With Non-valvular Atrial Fibrillation

The study is a pilot analysis using a decision on the risk and benefits of oral anticoagulation for stroke reduction for patients with non-valvular atrial fibrillation. This study is a feasibility and acceptability analysis but will also measure preliminary effectiveness measures.

The investigator hypothesizes that a patient decision support tool will increase decision quality and secondarily increase the use of oral anticoagulation in Black patients with non-valvular atrial fibrillation.

Inclusion Criteria:

• Black and White adults greater than or equal to 18 years of age
• Clinical diagnosis of NVAF
• CHA2DS2-VASc score greater than or equal to 2
• New patient visit for initiation of oral anticoagulation at primary care and cardiology clinics

Exclusion Criteria:

• Unable to speak English
• Unable to provide informed consent