Related Experiment Video
Updated: Jan 3, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
12.2K
HerzMobil, an Integrated and Collaborative Telemonitoring-Based Disease Management Program for Patients With Heart
Elske Ammenwerth1, Robert Modre-Osprian2, Bettina Fetz3
1Institute of Medical Informatics, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
JMIR Cardio
|November 24, 2019
Summary
The HerzMobil Tirol telemonitoring program significantly improved heart failure patients' health status and self-care behaviors. This innovative disease management program demonstrates high patient satisfaction and feasibility for clinical practice.
Area of Science:
- Cardiology
- Digital Health
- Health Services Research
Background:
- Heart failure is a significant health concern leading to frequent hospitalizations.
- HerzMobil Tirol is a multidisciplinary postdischarge disease management program designed to enhance quality of life, reduce hospital readmissions, mortality, and healthcare costs for heart failure patients.
- The program utilizes a telemonitoring system integrated with a specialized network of heart failure nurses, physicians, and hospitals.
Purpose of the Study:
- To evaluate the feasibility of the HerzMobil Tirol program.
- To analyze changes in patients' health status, self-care behavior, and satisfaction.
- To provide recommendations for implementing telemonitoring-based interdisciplinary heart failure disease management programs in clinical practice.
Main Methods:
- A prospective, pilot, single-arm study involving 35 elderly patients.
- Assessment of health status using the Kansas City Cardiomyopathy Questionnaire (KCCQ).
- Evaluation of self-care behavior using the European Heart Failure Self-Care Behavior Scale (EHFScB-9) and user satisfaction via the Delone and McLean System Success Model.
Main Results:
- Out of 43 initial participants, 35 completed the 3-month program.
- Health status (KCCQ) improved from 46.2 to 69.8.
- Self-care behavior (EHFScB-9) was 13.2, and patient satisfaction exceeded 86% across all dimensions.
Conclusions:
- Positive evaluation results led to the official introduction of HerzMobil Tirol in Tyrol in July 2017.
- HerzMobil Tirol is recognized as Austria's first regularly financed telehealth care program.
- Key recommendations for program rollout include a defined intervention schedule, robust network structures with clear processes, a network coordinator, and specialized heart failure nurses.
Related Concept Videos
01:30Heart Failure VII: Nursing Interventions
379
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
379
01:30Heart Failure V: Medical Management
184
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
184
01:30Heart Failure IV: Classification and Diagnostic Evaluation
264
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
264
01:29Cardiomyopathy VI: Nursing Management
271
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
271
01:23Holter Monitor: 24-Hour Monitoring
1.7K
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
1.7K
01:30Cardiomyopathy II: Dilated Cardiomyopathy
412
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
412