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A Mobile Health Intervention to Improve Self-Care in Patients With Heart Failure: Pilot Randomized Control Trial
Ponrathi Athilingam1, Bradlee Jenkins1, Marcia Johansson1
1College of Nursing, University of South Florida, Tampa, FL, United States.
JMIR Cardio
|November 24, 2019
Summary
This pilot study explored the HeartMapp mobile application for heart failure (HF) self-care. Results showed promising trends in improving self-care management and HF knowledge among users.
Area of Science:
- Digital Health
- Cardiovascular Medicine
- Health Informatics
Background:
- Heart failure (HF) affects millions globally, necessitating complex patient self-care.
- Despite medical advances, HF patients often experience reduced quality of life and frequent symptoms.
- Mobile apps offer a platform to enhance patient-provider communication and self-care adherence.
Purpose of the Study:
- To assess the feasibility of the HeartMapp mobile application in a pilot study.
- To evaluate HeartMapp's potential to improve self-care behaviors and quality of life in HF patients.
- To determine effect sizes for future larger-scale heart failure studies.
Main Methods:
- A pilot feasibility randomized controlled trial was conducted.
- Participants were enrolled before hospital discharge and followed for 30 days.
- The intervention group used the HeartMapp mobile app, while the control group received standard HF education.
Main Results:
- 72% of participants completed the study; the average age was 53.
- The HeartMapp group showed significant improvements in self-care management (P=.01) and HF knowledge (P=.04).
- Trends indicated improved self-care confidence and depression, though quality of life declined in both groups.
Conclusions:
- The pilot study demonstrated promising trends for HeartMapp in improving HF self-care.
- Further research is warranted to explore HeartMapp's efficacy in enhancing HF patient outcomes.
- Mobile health interventions show potential for supporting chronic disease management.
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