The Implementation and Acceptability of a Mobile Application for Screening for Atrial Fibrillation at Home

Telemed J E Health. 2021 Nov;27(11):1305-1310. doi: 10.1089/tmj.2020.0427. Epub 2021 Feb 22.


Introduction: Although patients are able to easily record electrocardiograms using consumer devices, these are typically not shared with their clinicians. This article discusses the development and acceptability of a mobile application (app) that integrates with the electronic health record to facilitate screening for atrial fibrillation (AF). Methods: After app development and implementation, we compared workflows with and without the mobile app. Seven older adults used it during a prospective twice-daily 2-week home-based AF screening protocol and completed an acceptability survey with Likert scale responses. Results: Compliance with the screening protocol was 82%. Acceptability and usability was favorable. Patients reported confidence in the connection between the app and their medical record. Discussion: The availability of apps to capture data and facilitate a connection with health systems is critical. The app developed is a feasible solution for older patients with AF to self-monitor and report results to their health provider.

Keywords: atrial fibrillation; electronic health record integration; implementation; m-health; screening; telehealth; telemedicine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Atrial Fibrillation* / diagnosis
  • Humans
  • Mobile Applications*
  • Prospective Studies
  • Research