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Published on: April 19, 2019
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mHealth education interventions in heart failure
Sabine Allida1, Huiyun Du2, Xiaoyue Xu1
1IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, Australia.
The Cochrane Database of Systematic Reviews
|July 3, 2020
Summary
Mobile health (mHealth) education for heart failure (HF) shows no significant improvement in patient knowledge or self-care. While not increasing hospitalizations, evidence for benefits in quality of life remains uncertain, suggesting further research is needed.
Area of Science:
- Digital Health
- Cardiology
- Health Education
Background:
- Heart failure (HF) is a chronic condition requiring complex self-care management.
- Traditional HF education methods face limitations in accessibility.
- Mobile health (mHealth) offers an innovative approach to deliver HF education.
Purpose of the Study:
- To systematically review and quantify the benefits and harms of mHealth-delivered education for individuals with HF.
- To assess the impact of mHealth interventions on HF knowledge, self-efficacy, self-care, and quality of life.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) comparing mHealth education to usual HF care.
- Searched multiple databases (e.g., MEDLINE, Embase, CENTRAL) up to October 2019.
- Extracted data on HF knowledge, self-efficacy, self-care, quality of life, and hospitalizations.
Main Results:
- Five RCTs (971 participants) were included; studies originated from Australia, China, Iran, Sweden, and The Netherlands.
- mHealth education showed no significant difference in HF knowledge (low-quality evidence).
- Evidence for effects on self-efficacy, self-care, and health-related quality of life was uncertain (very low-quality evidence).
- mHealth interventions may result in little to no difference in HF-related hospitalizations (low-quality evidence).
- No adverse events were reported.
Conclusions:
- mHealth-delivered education for HF demonstrates no clear benefits in patient knowledge or self-care.
- Current evidence suggests uncertainty regarding improvements in self-efficacy and quality of life.
- mHealth interventions appear to have a neutral effect on HF-related hospitalizations.
- Ongoing research is expected to provide further insights into the efficacy of mHealth for HF management.
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