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Self-care Management Intervention in Heart Failure (SMART-HF): A Multicenter Randomized Controlled Trial
Daniel Sahlin1, Babak Rezanezad2, Marie-Louise Edvinsson3
1Department of Emergency and Internal Medicine, Skåne University Hospital, Skåne, Sweden.
Journal of Cardiac Failure
|June 23, 2021
Summary
A home-based mobile device significantly improved self-care behaviors in heart failure (HF) patients. This intervention also led to a notable reduction in hospitalizations for HF patients, improving overall health outcomes.
Area of Science:
- Cardiology
- Digital Health
- Patient Self-Management
Background:
- Self-care behavior is crucial for preventing hospitalizations in heart failure (HF) patients.
- It encompasses activities aimed at improving health, well-being, and disease management.
- Effective self-care strategies are vital for managing chronic conditions like HF.
Purpose of the Study:
- To evaluate the impact of a home-based mobile device on self-care behavior in a heart failure population.
- To assess the device's effect on reducing hospitalizations among patients with heart failure.
- To determine the efficacy of technology-assisted interventions in chronic disease management.
Main Methods:
- A randomized controlled multicenter clinical trial (SMART-HF) was conducted.
- Patients were assigned to either standard care or an intervention group using a home-based mobile tool.
- The study followed 118 patients for 240 days, measuring self-care and HF-related hospital days.
Main Results:
- The intervention group showed a significant improvement in self-care behavior compared to the control group (p = 0.014).
- Patients using the mobile device experienced significantly fewer HF-related hospital days (2.2 days less, RR 0.48, p = .001).
- The device provided education, monitored symptoms, and adjusted diuretic dosages.
Conclusions:
- A home-based mobile device effectively enhances self-care behaviors in patients with heart failure.
- The intervention significantly reduces hospital admission days for heart failure patients.
- Mobile health technology offers a promising approach for managing heart failure and improving patient outcomes.
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