Self-management in heart failure using mHealth: A content validation

Fernández-Gutiérrez, Martina; Bas-Sarmiento, Pilar; Paz, Antonio Jesús Marín; Castro-Yuste, Cristina; Sánchez-Sánchez, Eduardo; Encuentra, Eulàlia Hernández; Vinolo-Gil, María Jesús; Carmona-Barrientos, Ines

doi:10.1016/j.ijmedinf.2023.104986

Cited by 8 publications

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“…One review identified that existing health apps for patients with multimorbidity are of acceptable quality; however, the authors concluded that the apps have limited potential in promoting behaviour change [ 26 ]. Moreover, to our knowledge only one app has been designed and validated to improve health literacy and self-management among patients with multimorbidity and HF [ 56 ]. Due to factors such as disease burden, polypharmacy, and complex treatment regimens, individuals with multimorbidity will often need personalized and multi-faceted self-management support [ 12 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives on the use of mobile apps to support heart failure management: A qualitative descriptive study

et al. 2023

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Background Adherence to diet and medical therapies are key to improving heart failure (HF) outcomes; however, nonadherence is common. While mobile apps may be a promising way to support patients with adherence via education and monitoring, HF patient perspectives regarding the use of apps for HF management in unknown. This data is critical for these tools to be successfully developed, implemented, and adopted to optimize adherence and improve HF outcomes. Objective To determine patients’ needs, motivations, and challenges on the use of mobile apps to support HF management. Methods A qualitative descriptive study using focus groups (n = 4,60 minutes) was conducted among HF patients from outpatient HF clinics in Toronto, Canada. The Diffusion of Innovation theory informed a ten-question interview guide. Interview transcripts were independently coded by two researchers and analyzed using content analysis. Results Nineteen HF patients (65 ± 10 yrs, 12 men) identified a total of four key themes related to the use of mobile apps. The theme ‘Factors impacting technology use by patients’ identified motivations and challenges to app use, including access to credible information, easy and accessible user-interface. Three themes described patients’ needs on the use of mobile apps to support HF management: 1) ‘Providing patient support through access to information and self-monitoring’, apps could provide education on HF-related content (e.g., diet, medication, symptoms); 2) ‘Facilitating connection and communication’, through information sharing with healthcare providers and connecting with other patients; 3) ‘Patient preferences’, app features such as reminders for medication, and visuals to show changes in HF symptoms were favoured. Conclusions HF patients perceive several benefits and challenges to app use for HF self-management. Capitalizing on the benefits and addressing the challenges during the app development process may maximize adoption of such tools in this patient population.

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Section: Discussionmentioning

confidence: 99%

Patient perspectives on the use of mobile apps to support heart failure management: A qualitative descriptive study

et al. 2023

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“…A mock-up of the app was made to create a first draft of the interface and its navigation, whose content was validated by experts (professionals and patients). 55 …”

Section: Discussionmentioning

confidence: 99%

Needs of patients with multi-morbidity and heart failure for the development of a mHealth to improve their self-management: A qualitative analysis

et al. 2023

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Objective To provide practical information regarding needs, preferences of content and format of an app to assist the self-management in patients with multi-morbidity and heart failure (HF). Methods The three-phase study was conducted in Spain. Six integrative reviews, a qualitative methodology based on Van Manen's hermeneutic phenomenology through semi-structured interviews and user stories were used. Data collection continued until data saturation was reached. All data were transcribed verbatim and analysed using a framework approach. Thematic analysis technique following the methods of Braun and Clarke was used for emerging themes. Results Integrative reviews conducted included practical recommendations to include in the content and format of the App and helped create the interview guide. Interviews revealed 15 subthemes that captured the meaning of narratives offering contextual insights into the development of the App. The main effective mechanisms of multicomponent interventions for patients with HF must contain (a) components that increase the patient's understanding of HF, (b) self-care, (c) self-efficacy and participation of the family/informal caregiver, (4) psychosocial well-being and (5) professional support and use of technology. User stories revealed that patients prioritized improvements in direct contact with health services in case of emergency (90%), nutritional information (70%), type of exercises in order to improve their physical condition (75%) and information about food and drug interaction (60%). The importance of motivation messages (60%) was highlighted by transversal way. Conclusions The three-phase process integrating theoretical basis, evidence from integrative reviews and research findings from target users has been considered a guide for future app development.

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Real-time safety and worker self-assessment: Sensor-based mobile system for critical unsafe behaviors

Zhu,

Hwang

2025

Automation in Construction

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Self-management in heart failure using mHealth: A content validation

Cited by 8 publications

References 46 publications

Patient perspectives on the use of mobile apps to support heart failure management: A qualitative descriptive study

Patient perspectives on the use of mobile apps to support heart failure management: A qualitative descriptive study

Needs of patients with multi-morbidity and heart failure for the development of a mHealth to improve their self-management: A qualitative analysis

Real-time safety and worker self-assessment: Sensor-based mobile system for critical unsafe behaviors

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