[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100630811":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":83,"collaborators":85,"id":88,"slug":89,"hasResults":90,"nctId":91,"briefTitle":92,"officialTitle":92,"acronym":25,"eligibilityCriteria":93,"healthyVolunteers":90,"sex":94,"minAge":95,"maxAge":96,"enrollmentInfo":97,"targetDuration":25,"studyType":100,"phases":101,"briefSummary":103,"conditions":104,"keywords":25,"overallStatus":39,"whyStopped":25,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Jiangsu Taizhou People's Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention Group","EXPERIMENTAL","Participants in this arm will receive village-doctor led integrated care for atrial fibrillation and heart failure. Village doctors will receive standardized training based on the AF ABC pathway and heart failure GDMT principles. Patients will receive structured self-management education focused on medication adherence, symptom monitoring, lifestyle modification, and recognition of warning signs.",[13],"Other: Village-Doctor Led Integrated Care",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group","ACTIVE_COMPARATOR","Participants in this arm will receive usual chronic disease management according to the National Basic Public Health Service requirements.",[19],"Other: Usual Care",[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Village-Doctor Led Integrated Care","1. Village doctors will conduct monthly follow-up, including clinical assessment, vital-sign monitoring, medication review, risk screening, health education, and referral when needed.\n2. For patients with clinical deterioration or treatment difficulties, village doctors may use a remote care platform to obtain specialist consultation and individualized recommendations.\n3. Village doctors will receive standardized training based on the AF ABC pathway and heart failure GDMT principles.\n4. Patients will receive structured education on medication adherence, symptom monitoring, lifestyle modification, and recognition of warning signs.",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Usual Care","Usual care includes routine follow-up, general health education, medication registration, and standard referral procedures provided by local primary care providers. Participants will not receive the structured village-doctor led integrated care program.",[15],[31],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Ming Chu","CONTACT","13814010410","chuming@njmu.edu.cn",[37,56,68],{"facility":38,"status":39,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Village Clinics in Dongtai City, Jiangsu Province","RECRUITING","Yancheng","Dongtai","224200","China","CN",{"type":46,"coordinates":47},"Point",[48,49],120.1573,33.3575,{"lat":49,"lon":48},[52],{"name":53,"role":33,"phone":54,"phoneExt":25,"email":55},"Cheng Wu","18012515515","wucheng1413@163.com",{"facility":57,"status":39,"city":58,"state":59,"zip":60,"country":43,"countryCode":44,"cosmosGeoPoint":61,"geoPoint":65,"contacts":66},"Village Clinics in Jiangdu District, Jiangsu Province","Yangzhou","Jiangdu","225267",{"type":46,"coordinates":62},[63,64],119.43583,32.39722,{"lat":64,"lon":63},[67],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},{"facility":69,"status":39,"city":70,"state":71,"zip":72,"country":43,"countryCode":44,"cosmosGeoPoint":73,"geoPoint":77,"contacts":78},"Village Clinics in Suining County, Jiangsu Province","Xuzhou","Suining","221200",{"type":46,"coordinates":74},[75,76],117.28386,34.20442,{"lat":76,"lon":75},[79],{"name":80,"role":33,"phone":81,"phoneExt":25,"email":82},"Wensu Chen","15050848274","Chen.wensu@163.com",{"type":84,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR",[86],{"name":87,"class":6},"The First Affiliated Hospital with Nanjing Medical University","100630811","novel-model-of-integrated-care-of-older-patients-with-atrial-fibrillation-and-heart-failure-in-rural-china-miracle-afhf-100630811",false,"NCT07492524","Novel Model of Integrated Care of Older Patients With Atrial Fibrillation and Heart Failure in Rural China (MIRACLE-AFHF)","1\\. The village clinics need to be willing and able to provide integrated care to their patients with atrial fibrillation; 2. The village doctors from one village clinic serves all AF patients from 3-5 nearby villages; 3. The village doctors are trained to have a fundamental understanding of telemedicine; 4. Patients are eligible for participation if 1)they aged 65-80 years. 2) Electrocardiogram (ECG) confirmation of AF or possession of a diagnostic certificate for AF issued by a specialist. 3) A documented history of HF or a diagnosis of HF based on echocardiography and\u002For NT-proBNP screening, defined by the presence of typical HF symptoms and\u002For signs, together with one of the following: reduced left ventricular ejection fraction (HFrEF; LVEF \\\u003C 40%), mildly reduced left ventricular ejection fraction (HFmrEF; LVEF 40-49%), or preserved left ventricular ejection fraction with elevated NT-proBNP and structural heart disease changes (HFpEF; LVEF ≥ 50%, meeting at least one of the following criteria: LAV 40 ml\u002Fm², E\u002Fe' ≥ 15, or TRV \\> 2.8 m\u002Fs). 4) Management by a village clinic near the participant's place of residence. 5) Ability to understand the study procedures and provide written informed consent.\n\nExclusion Criteria:\n\n1. Expected life expectancy of less than 12 months.\n2. Severe renal insufficiency (Ccr \\\u003C 30ml\u002Fmin) or ongoing dialysis treatment.\n3. Cardiac insufficiency secondary to correctable causes, including hyperthyroid heart disease, anemic heart disease, or uncorrected congenital heart disease.\n4. Indications for pacemaker implantation without having undergone implantation.\n5. Chronic obstructive pulmonary disease (COPD) complicated by type II respiratory failure.\n6. Special populations, including patients with mental illnesses.","ALL","65 Years","80 Years",{"count":98,"type":99},942,"ESTIMATED","INTERVENTIONAL",[102],"NA","This cluster randomization study aims to compare village-doctor led integrated care versus usual care to improve heart failure risk management, guideline-directed medical therapy, self-management adherence, and clinical outcomes for older patients with atrial fibrillation and heart failure in rural China.",[105,106],"Atrial Fibrillation","Heart Failure","2026-07-25",{"date":109,"type":110},"2026-07-28","ACTUAL",{"date":112,"type":99},"2026-08-01",{"date":114,"type":99},"2029-12-30",{"name":5,"class":6},3]