Abstract 9223: Self-Reported Efficacy in Patient-Physician Interaction in Relation to Anxiety, Patient Activation, and Self-Rated Health Among Smartwatch Users: The Pulsewatch Study

• Published in: Circulation (New York, N.Y.) N.Y.), 2022-11, Vol.146 (Suppl_1), p.A9223-A9223
• Main Authors: Mehawej, Jordy, Tran, Khanh-van T, Filippaios, Andreas, Paul, Tenes, Dai, Qiying, Ding, Eric, Wilson, Sakeina, Naeem, Syed, Saczynski, Jane, Lessard, Darleen, Hariri, Essa, Mensah Otabil, Edith, Noorishirazi, Kamran, Beniek, Carly, Soni, Apurv, McManus, David D
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.146.suppl_1.9223

IntroductionEarly detection of AF is critical for stroke prevention. Several commercially available smartwatches are FDA cleared for AF detection; however, little is known about how use of a smartwatch impacts patient-physician relationships or patient anxiety, patient activation, and patient health-related quality of life. HypothesisLow self-reported efficacy in patient-physician interaction is associated with worse patient activation, increased anxiety, and lower self-rated quality of life. MethodsData were used from the Pulsewatch study, a two-phased randomized controlled trial, which enrolled adults (>50 years of age) with no contraindication to anticoagulation. The Perceived Efficacy in Patient-Physician Interactions (PEPPI) was used to assess patient confidence in physician interaction at baseline. Generalized Anxiety Disorder-7 Scale, Consumer Health Activation Index, and Short-Form Health Survey were utilized to examine anxiety, patient activation, and physical and mental health status, at baseline, 14, and 44 days, respectively. We used a mixed-effects repeated measures linear regression models to assess changes in anxiety, patient activation, and physical and mental health status in relation to self-reported efficacy in physician interaction, adjusting for confounding variables, over the study period. ResultsA total of 93 participants (average age 64.1 ± 8.9 years; 43.0% female; 88.2% non-Hispanic white) were included in this analysis. 60% (n=56) of participants reported high perceived efficacy in patient-physician interaction. In the fully adjusted models, high perceived efficacy, vs low, was associated with an increased patient activation and mental health status (β 12.0, p-value