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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Evaluation of a Virtual Home Health Heart Failure Program: Mixed Methods Study
Nilufeur McKay1, Rosemary Saunders1, Helene Metcalfe1
1School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Australia, 61 863046116.
JMIR Cardio
|July 23, 2025
Summary
Virtual Home Health Heart Failure Programs significantly improve patient quality of life and reduce psychological distress. These remote monitoring services enhance patient capability, comfort, and calm, demonstrating a promising approach to heart failure management.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
- Digital Health
Background:
- Heart failure (HF) is a widespread condition with significant patient and healthcare burdens.
- Current treatments leave gaps in continuous, personalized supportive care.
- Virtual healthcare services offer a promising solution for chronic disease management.
Purpose of the Study:
- To evaluate clinical and behavioral outcomes in a Virtual Home Health Heart Failure Program (VHHHFP).
- To explore patient and healthcare practitioner (HCP) experiences within the VHHHFP.
- To assess the impact of remote monitoring on heart failure management.
Main Methods:
- A mixed-methods study involving patients (N=49) and HCPs (n=6).
- Quantitative data collected via KCCQ-12, PHQ-4, PAM-13, and PREMs.
- Qualitative data from patient (n=9) and HCP interviews analyzed thematically.
Main Results:
- Significant improvements in KCCQ-12 scores (quality of life, physical limitations, symptom frequency, social limitation) (P<.001).
- Reduced psychological distress and anxiety (P<.02).
- Low hospitalization rate (10.2%) within 30 days; patient interviews revealed enhanced capability, comfort, and calm.
Conclusions:
- Remote patient monitoring integrated with interdisciplinary support improves clinical outcomes for heart failure patients.
- The VHHHFP demonstrates success in enhancing patient capability, comfort, and calm.
- This study supports the growth of technology-enabled chronic disease management.
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