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Evaluation of Heart Failure Apps to Promote Self-Care: Systematic App Search
Sahr Wali1,2, Catherine Demers3,4, Hiba Shah3
1Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada.
Insights
Mobile health apps for heart failure (HF) self-care are not suitable for older adults. Development needs to prioritize user needs and capabilities for better usability in this population.
Area of Science:
- Gerontology
- Digital Health
- Cardiology
Background:
- Heart failure (HF) affects millions globally, posing a significant economic burden.
- Mobile health (mHealth) apps aim to support HF patient self-care at home.
- Suitability of current mHealth apps for older adults with HF remains unclear.
Purpose of the Study:
- To identify available HF self-care mobile applications.
- To evaluate these apps against criteria for optimal HF self-care in older adults.
Main Methods:
- Systematic search of HF self-care apps on Google Play and the App Store.
- Evaluation of 74 identified apps based on 25 key functions for older adult HF self-care.
Main Results:
- Only 21 apps were specific to HF and self-care.
- No app contained all 25 essential features; only 41% included weight management.
- HF Storylines scored highest with 72% functionality.
Conclusions:
- Current HF mHealth apps are inadequate for older adults.
- App development must incorporate user needs and capabilities from the design phase.
- Improved usability is crucial for effective mHealth support in this demographic.
Background:
Heart failure (HF) is a chronic disease that affects over 1% of Canadians and at least 26 million people worldwide. With the continued rise in disease prevalence and an aging population, HF-related costs are expected to create a significant economic burden. Many mobile health (mHealth) apps have been developed to help support patients' self-care in the home setting, but it is unclear if they are suited to the needs or capabilities of older adults.
Objective:
This study aimed to identify HF apps and evaluate whether they met the criteria for optimal HF self-care.
Methods:
We conducted a systematic search of all apps available exclusively for HF self-care across Google Play and the App Store. We then evaluated the apps according to a list of 25 major functions pivotal to promoting HF self-care for older adults.
Results:
A total of 74 apps for HF self-care were identified, but only 21 apps were listed as being both HF and self-care specific. None of the apps had all 25 of the listed features for an adequate HF self-care app, and only 41% (31/74) apps had the key weight management feature present. HF Storylines received the highest functionality score (18/25, 72%).
Conclusions:
Our findings suggest that currently available apps are not adequate for use by older adults with HF. This highlights the need for mHealth apps to refine their development process so that user needs and capabilities are identified during the design stage to ensure the usability of the app.
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