Evaluation of Heart Failure Apps to Promote Self-Care: Systematic App Search

Wali, Sahr; Demers, Catherine; Shah, Hiba; Wali, Huda; Lim, Delphine; Naik, Nirav; Ghany, Ahmad; Vispute, Ayushi; Wali, Maya; Keshavjee, Karim

doi:10.2196/13173

Cited by 34 publications

(40 citation statements)

References 34 publications

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“…It is in line with the results of a recent systematic review that showed evidence that HF patients can improve their QoL by promoting their self-care behaviors [13]. Previous studies suggested that self-management interventions like education, support, and guidance can improve the QoL in HF patients with diverse delivery methods such as face-to-face interaction, telephonic conversation, accessing websites, mobile applications [27][28][29][30].…”

Section: Discussionsupporting

confidence: 73%

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Choi

Park

Min

et al. 2021

Preprint

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BackgroundThe purpose of this study was to investigate the variables that significantly affect heart failure patients’ quality of life, and particularly, to identify the impact of self-management behavior on the quality of life. MethodsThis retrospective study used heart failure patients’ data from cardiovascular outpatient clinics at two tertiary medical centers in Korea. We enrolled 119 patients who completed echocardiography and stress tests and responded to questionnaires on self-management behavior and quality of life. We collected more data on general and disease-related characteristics and anthropometric and serum blood test results through electronic medical record review. We analyzed data using the classification and regression tree to explore the influencing factors and their characteristics in patients with high and low quality of life. ResultsPatients’ mean age was 74.61 years, and women represented 52.1% of the sample. It showed that the cardiac systolic function (β = 0.26, p = .013) and self-management behavior (β = 0.20, p = .048) were two major influential factors on heart failure patients’ quality of life. Therefore, HF patients’ self-management behavior is a significant modifiable factor that can improve their quality of life.ConclusionsHealthcare providers should be aware of the importance of heart failure patients’ self-management and help promote their quality of life by enhancing their self-management behavior.

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Section: Discussionsupporting

confidence: 73%

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Choi

Park

Min

et al. 2021

Preprint

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“…Our participants' descriptions of an ideal future HF app is one that would detect and alert the user to symptoms and signs of a worsening condition. Although this capacity is lacking in current HF apps, this kind of app has the potential to promote better self-care for HF patients [40] and involves the HF patient's perspective. Furthermore, having HF patients use telemonitoring or a structured telephone support system from home has an impact on HF patients' quality of life [41], improves their HF symptoms and signs [41,42], and reduces mortality [42], readmissions, and hospitalization [43].…”

Section: Discussionmentioning

confidence: 99%

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Aamodt

Strömberg

Hellesø

et al. 2020

IJERPH

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Self-care monitoring at home can be a challenge for patients with heart failure (HF). Tools that leverage information and communication technology (ICT), comprise medical devices, or have written material may support their efforts at home. The aim of this study was to describe HF patients’ experiences and their prioritization of tools that support, or could support, self-care monitoring at home. A descriptive qualitative design employing semi-structured interviews was used with HF patients living at home and attending an HF outpatient clinic in Norway. We used a deductive analysis approach, using the concept of self-care monitoring with ICT tools, paper-based tools, medical devices, and tools to consult with healthcare professionals (HCPs) as the categorization matrix. Nineteen HF patients with a mean age of 64 years participated. ICT tools are used by individual participants to identify changes in their HF symptoms, but are not available by healthcare services. Paper-based tools, medical devices, and face-to-face consultation with healthcare professionals are traditional tools that are available and used by individual participants. HF patients use traditional and ICT tools to support recognizing, identifying, and responding to HF symptoms at home, suggesting that they could be used if they are available and supplemented by in-person consultation with HCPs.

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“…Smartphones and mobile health apps have the potential for bettering patient engagement and self-management. While there are a number of commercially available smartphone heart failure apps, few have been designed by clinicians or specifically designed to address heart failure self-management; only 41% had weight management features [7]. Even fewer have published their methodology and feasibility studies [8,9] in peer-reviewed journals.…”

Section: Introductionmentioning

confidence: 99%

Habits Heart App for Patient Engagement in Heart Failure Management: Pilot Feasibility Randomized Trial

Wei¹,

Ibrahim²,

Kumar³

et al. 2021

JMIR Mhealth Uhealth

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Background Due to the complexity and chronicity of heart failure, engaging yet simple patient self-management tools are needed. Objective This study aimed to assess the feasibility and patient engagement with a smartphone app designed for heart failure. Methods Patients with heart failure were randomized to intervention (smartphone with the Habits Heart App installed and Bluetooth-linked scale) or control (paper education material) groups. All intervention group patients were interviewed and monitored closely for app feasibility while receiving standard of care heart failure management by cardiologists. The Atlanta Heart Failure Knowledge Test, a quality of life survey (Kansas City Cardiomyopathy Questionnaire), and weight were assessed at baseline and final visits. Results Patients (N=28 patients; intervention: n=15; control: n=13) with heart failure (with reduced ejection fraction: 15/28, 54%; male: 20/28, 71%, female: 8/28, 29%; median age 63 years) were enrolled, and 82% of patients (N=23; intervention: 12/15, 80%; control: 11/13, 85%) completed both baseline and final visits (median follow up 60 days). In the intervention group, 2 out of the 12 patients who completed the study did not use the app after study onboarding due to illnesses and hospitalizations. Of the remaining 10 patients who used the app, 5 patients logged ≥1 interaction with the app per day on average, and 2 patients logged an interaction with the app every other day on average. The intervention group averaged 403 screen views (per patient) in 56 distinct sessions, 5-minute session durations, and 22 weight entries per patient. There was a direct correlation between duration of app use and improvement in heart failure knowledge (Atlanta Heart Failure Knowledge Test score; ρ=0.59, P=.04) and quality of life (Kansas City Cardiomyopathy Questionnaire score; ρ=0.63, P=.03). The correlation between app use and weight change was ρ=–0.40 (P=.19). Only 1 out of 11 patients in the control group retained education material by the follow-up visit. Conclusions The Habits Heart App with a Bluetooth-linked scale is a feasible way to engage patients in heart failure management, and barriers to app engagement were identified. A larger multicenter study may be warranted to evaluate the effectiveness of the app. Trial Registration ClinicalTrials.gov NCT03238729; http://clinicaltrials.gov/ct2/show/NCT03238729

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Evaluation of Heart Failure Apps to Promote Self-Care: Systematic App Search

Cited by 34 publications

References 34 publications

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

Tools to Support Self-Care Monitoring at Home: Perspectives of Patients with Heart Failure

Habits Heart App for Patient Engagement in Heart Failure Management: Pilot Feasibility Randomized Trial

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