[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100631254":3},{"organization":4,"outcomesModule":7,"designInfo":37,"detailedDescription":45,"studyPopulation":36,"armGroups":46,"interventions":57,"overallOfficials":63,"centralContacts":68,"locations":74,"responsibleParty":124,"collaborators":127,"id":135,"slug":36,"hasResults":136,"nctId":137,"briefTitle":138,"officialTitle":139,"acronym":140,"eligibilityCriteria":141,"healthyVolunteers":136,"sex":142,"minAge":143,"maxAge":36,"enrollmentInfo":144,"targetDuration":36,"studyType":147,"phases":148,"briefSummary":150,"conditions":151,"keywords":153,"overallStatus":76,"whyStopped":36,"lastUpdateSubmitDate":161,"lastUpdatePostDateStruct":162,"startDateStruct":165,"completionDateStruct":167,"leadSponsor":169,"locationsCount":170},{"fullName":5,"class":6},"University College Copenhagen","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":36},[9],{"measure":10,"description":11,"timeFrame":12},"Anxiety symptoms measured by the Hospital Anxiety and Depression Scale (HADS-A)","Anxiety symptoms are assessed using the Hospital Anxiety and Depression Scale - Anxiety subscale (HADS-A). The subscale consists of 7 items assessing symptoms such as tension, worry, and panic, each scored from 0 to 3. The total score ranges from 0 to 21, with higher scores indicating greater levels of anxiety symptoms.","Baseline and 16 weeks",[14,17,20,23,27,30,33],{"measure":15,"description":16,"timeFrame":12},"Depressive symptoms measured by the Hospital Anxiety and Depression Scale (HADS-D)","Depressive symptoms are assessed using the Hospital Anxiety and Depression Scale - Depression subscale (HADS-D). The subscale consists of 7 items assessing mood, interest, and enjoyment, each scored from 0 to 3. The total score ranges from 0 to 21, with higher scores indicating greater levels of depressive symptoms.",{"measure":18,"description":19,"timeFrame":12},"Atrial fibrillation-specific quality of life measured by the Atrial Fibrillation Effect on QualiTy-of-life (AFEQT)","Quality of life is assessed using the Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) questionnaire. The questionnaire includes items assessing symptoms, daily activities, treatment concerns, and satisfaction over the past 4 weeks. Items are rated on a 7-point scale, and scores are transformed to a scale from 0 to 100, with higher scores indicating better quality of life.",{"measure":21,"description":22,"timeFrame":12},"Self-efficacy measured by the Self-Efficacy for Managing Chronic Disease scale (SES6G)","Self-efficacy is assessed using the Self-Efficacy for Managing Chronic Disease scale (SES6G), which includes 6 items assessing confidence in managing symptoms, emotional challenges, and daily activities related to chronic illness. Each item is scored on a scale from 1 to 10, and the total score is calculated as the mean of the items, with higher scores indicating greater self-efficacy.",{"measure":24,"description":25,"timeFrame":26},"Use of antidepressants and benzodiazepines based on redeemed prescriptions","Use of psychotropic medication is assessed using national prescription register data. This includes antidepressants (ATC code N06A) and benzodiazepines (ATC code N05B). The outcome is defined as the occurrence of at least one redeemed prescription during follow-up.Outcome assessments are conducted at 24 weeks and 1 year after completion of the 16-week intervention.","From randomization to 24 weeks and 1 year follow-up",{"measure":28,"description":29,"timeFrame":26},"Diagnoses of anxiety and depression based on hospital records","Diagnoses of anxiety and depression are assessed using national patient register data. Diagnoses include anxiety disorders (ICD-10 code F41\\*) and depressive disorders (ICD-10 codes F32-F33\\*). The outcome is defined as the occurrence of at least one diagnosis during follow-up. Outcome assessments are conducted at 24 weeks and 1 year after completion of the 16-week intervention.",{"measure":31,"description":32,"timeFrame":26},"Atrial fibrillation-related hospital contacts","Hospital contacts related to atrial fibrillation are assessed using national patient register data. Contacts are identified using ICD-10 code I48\\* and include inpatient admissions and outpatient visits. The outcome is defined as the occurrence of at least one AF-related hospital contact during follow-up. Outcome assessments are conducted at 24 weeks and 1 year after completion of the 16-week intervention.",{"measure":34,"description":35,"timeFrame":26},"Cardiac death and suicide","Mortality outcomes are assessed using national register data and include cardiac death and suicide during follow-up. The outcome is defined as the occurrence of death during the follow-up period. Outcome assessments are conducted at 24 weeks and 1 year after completion of the 16-week intervention.",null,{"allocation":38,"interventionModel":39,"interventionModelDescription":40,"primaryPurpose":41,"observationalModel":36,"timePerspective":36,"maskingInfo":42},"RANDOMIZED","PARALLEL","Two-arm parallel-group randomized controlled trial comparing a peer-mentor intervention plus usual care with usual care alone.","TREATMENT",{"masking":43,"maskingDescription":44,"whoMasked":36},"NONE","Due to the nature of the peer-mentor intervention, participants and mentors cannot be blinded to group allocation.","Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is associated with significant symptom burden, reduced quality of life, and high levels of psychological distress. Anxiety is particularly prevalent among patients with AF and may worsen symptom perception, increase health-related worry, and negatively affect engagement in self-management and healthcare. Individuals with low socioeconomic position often experience greater disease burden and face additional barriers to accessing supportive care, contributing to social inequalities in cardiovascular health.\n\nPeer support interventions have shown promising effects in other cardiac populations by providing emotional support, normalization of illness experiences, and practical guidance based on lived experience. Such interventions may enhance patients' confidence in managing their condition and navigating everyday life with chronic illness.\n\nThe EMPOWER-AF study aims to evaluate the effectiveness of a peer-mentor intervention designed to support vulnerable patients with AF. The intervention is grounded in social cognitive theory, particularly the concept of self-efficacy, and is intended to strengthen patients' ability to manage symptoms, cope with uncertainty, and improve mental well-being.\n\nThe study is conducted as a randomized controlled trial with two parallel groups. Participants are randomized to either a peer-mentor intervention in addition to usual care or usual care alone. The intervention lasts 16 weeks and involves one-to-one support between a trained peer mentor and a patient with AF. Peer mentors are individuals with lived experience of AF who have achieved stable everyday management of the condition and who are trained to provide emotional support and experiential guidance. Contacts between mentors and mentees may take place via telephone, face-to-face meetings, or digital communication depending on participant preferences.\n\nIn addition to the randomized trial, the study includes an embedded mixed-methods process evaluation to explore participants' and mentors' experiences, mechanisms of impact, and contextual factors influencing engagement with the intervention.\n\nThe study seeks to generate evidence on whether peer-based support can improve mental well-being among vulnerable patients with AF and contribute to more equitable and person-centered care for this patient group.",[47,53],{"label":48,"type":49,"description":50,"interventionNames":51},"Peer-Mentor Support + Usual Care","EXPERIMENTAL","Participants randomized to this arm receive a 16-week peer-mentor intervention in addition to usual care. Each participant is matched with a trained peer mentor with lived experience of atrial fibrillation who provides emotional support, normalization of illness experiences, and practical guidance. The intervention includes approximately eight contacts over 16 weeks delivered via telephone, face-to-face meetings, or digital communication depending on participant preferences. Participants continue to receive usual medical care throughout the study period.",[52],"Behavioral: Peer-Mentor Support",{"label":54,"type":55,"description":56,"interventionNames":36},"Usual care","NO_INTERVENTION","Participants randomized to this arm receive usual care according to local clinical practice for atrial fibrillation. No peer-mentor support is provided.",[58],{"type":59,"name":60,"description":61,"armGroupLabels":62,"otherNames":36},"BEHAVIORAL","Peer-Mentor Support","A 16-week peer-mentor program designed to support patients living with atrial fibrillation. Participants are matched with trained peer mentors who have lived experience with atrial fibrillation. Mentors provide emotional support, normalization of illness experiences, and practical non-clinical guidance for managing everyday life with the condition. Contacts between mentors and participants are planned approximately eight times during the intervention period and may take place via telephone, face-to-face meetings, or digital communication according to participant preferences. Mentors do not provide medical advice.",[48],[64],{"name":65,"affiliation":66,"role":67},"Signe S Risom, Senior Researcher","Herlev and Gentofte Hospital","PRINCIPAL_INVESTIGATOR",[69],{"name":70,"role":71,"phone":72,"phoneExt":36,"email":73},"Cecilie M L Mielow, MScNS","CONTACT","+4523474229","cecilie.mia.lykke.mielow.01@regionh.dk",[75,91,108],{"facility":66,"status":76,"city":77,"state":78,"zip":79,"country":80,"countryCode":81,"cosmosGeoPoint":82,"geoPoint":87,"contacts":88},"RECRUITING","Herlev","Capital Region","2730","Denmark","DK",{"type":83,"coordinates":84},"Point",[85,86],12.43998,55.72366,{"lat":86,"lon":85},[89,90],{"name":70,"role":71,"phone":72,"phoneExt":36,"email":73},{"name":70,"role":67,"phone":36,"phoneExt":36,"email":36},{"facility":92,"status":93,"city":94,"state":78,"zip":95,"country":80,"countryCode":81,"cosmosGeoPoint":96,"geoPoint":100,"contacts":101},"Nordsjealland Hospital","NOT_YET_RECRUITING","Hillerød","3400",{"type":83,"coordinates":97},[98,99],12.30081,55.92791,{"lat":99,"lon":98},[102,103,106],{"name":70,"role":71,"phone":72,"phoneExt":36,"email":73},{"name":104,"role":71,"phone":36,"phoneExt":36,"email":105},"Maria K Pedersern, PhD","maria.kjoeller.pedersen@regionh.dk",{"name":107,"role":67,"phone":36,"phoneExt":36,"email":36},"Maria K Pedersen, PhD",{"facility":109,"status":93,"city":110,"state":78,"zip":111,"country":80,"countryCode":81,"cosmosGeoPoint":112,"geoPoint":116,"contacts":117},"Amager and Hvidovre Hospital","Hvidovre","2650",{"type":83,"coordinates":113},[114,115],12.47708,55.64297,{"lat":115,"lon":114},[118,119,122],{"name":70,"role":71,"phone":72,"phoneExt":36,"email":73},{"name":120,"role":71,"phone":36,"phoneExt":36,"email":121},"Signe M Rosenstroem, PhD","stine.maria.rosenstroem@regionh.dk",{"name":123,"role":67,"phone":36,"phoneExt":36,"email":36},"Stine M Rosenstroem, PhD",{"type":67,"investigatorFullName":125,"investigatorTitle":126,"investigatorAffiliation":5,"oldNameTitle":36,"oldOrganization":36},"Cecilie Mia Lykke Mielow","Principal Investigator",[128,129,131,133],{"name":66,"class":6},{"name":130,"class":6},"Nordsjaellands Hospital",{"name":132,"class":6},"Hvidovre University Hospital",{"name":134,"class":6},"Amager Hospital","100631254",false,"NCT07498283","Peer-Mentor Support for Vulnerable Patients With Atrial Fibrillation","Explore and Improve Mental Well-being Among Vulnerable Patients With Atrial Fibrillation - A Randomized Controlled Trial of a Peer-Mentor Intervention","EMPOWER-AF","Inclusion Criteria:\n\n* Adults (≥18 years) with a confirmed diagnosis of atrial fibrillation\n* Low socioeconomic position, primarily defined as educational attainment of vocational education or below\n* Able to understand and speak Danish\n* Able to provide written informed consent\n* Able to complete study questionnaires\n\nExclusion Criteria:\n\n* Inability to provide informed consent","ALL","18 Years",{"count":145,"type":146},290,"ESTIMATED","INTERVENTIONAL",[149],"NA","The goal of this randomized clinical trial is to evaluate whether a peer-mentor intervention can improve mental well-being among vulnerable patients with atrial fibrillation (AF). Patients with AF often experience anxiety, uncertainty, and reduced quality of life. These challenges are particularly pronounced among individuals with low socioeconomic position, who may face additional barriers to accessing supportive care.\n\nThe main question the study aims to answer is:\n\nDoes a 16-week peer-mentor intervention reduce anxiety symptoms among patients with AF compared with usual care?\n\nResearchers will compare peer-mentor support plus usual care with usual care alone.\n\nParticipants will:\n\nComplete questionnaires about anxiety, depressive symptoms, quality of life, and self-efficacy at baseline and after 16 weeks.\n\nBe randomized either to receive peer-mentor support for 16 weeks or to receive usual care only.\n\nIf allocated to the intervention group, be matched with a trained peer mentor with lived experience of atrial fibrillation who provides emotional support and practical guidance through approximately eight contacts over the 16-week period.\n\nThe study will also include follow-up using national health registers and a mixed-methods process evaluation exploring participants' and mentors' experiences with the intervention.",[152],"Atrial Fibrillation",[154,155,156,157,158,159,160],"Peer mentor support","Mental well-being","Anxiety","Self-efficacy","Socioeconomic vulnerability","Atrial fibrillation","Cardiac patients","2026-06-03",{"date":163,"type":164},"2026-06-05","ACTUAL",{"date":166,"type":164},"2026-05-26",{"date":168,"type":146},"2028-11-01",{"name":5,"class":6},3]