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Acceptance, drivers and barriers of digital discharge management interventions among patients with cardiovascular

Finley Sam Mellis1,2, Alexander Bäuerle1,2, Simone Peters1

  • 1Clinic for Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, LVR-University Hospital Essen, Germany.

VASA. Zeitschrift Fur Gefasskrankheiten
|February 27, 2026
PubMed

Insights

Digital discharge management interventions (DDMI) show high acceptance among cardiovascular disease patients. Key factors influencing adoption include performance and effort expectancy, social influence, and male gender. Tailoring interventions is crucial for success.

Area of Science:

  • Cardiology
  • Health Informatics
  • Digital Health

Background:

  • Cardiovascular diseases (CVD) are a leading global cause of mortality.
  • High rates of unplanned rehospitalisation persist post-discharge for CVD patients.
  • Digital interventions offer a potential solution to enhance chronic CVD management.

Purpose of the Study:

  • To evaluate the acceptance of digital discharge management interventions (DDMI) in CVD patients.
  • To identify factors influencing DDMI acceptance post-inpatient treatment.
  • To explore the role of technology acceptance models in digital health interventions.

Main Methods:

  • A cross-sectional survey was conducted with 259 CVD patients after inpatient care.
  • Data collected included sociodemographic, medical, mental health, and e-Health factors.
  • A modified Unified Theory of Acceptance of Use of Technology (UTAUT) model assessed DDMI acceptance.

Main Results:

  • Overall acceptance of DDMI was high (M = 3.99, SD = 0.92).
  • The UTAUT model explained 62.7% of the variance in acceptance.
  • Significant predictors included male gender, effort expectancy, performance expectancy, and social influence.

Conclusions:

  • DDMI demonstrate high acceptance among CVD patients post-hospitalization.
  • Effort expectancy, performance expectancy, and social influence are key drivers for DDMI adoption.
  • Future DDMI development should address identified barriers and tailor interventions to patient needs.

Keywords:
UTAUTdigital healthdigitalisationtelemedicine

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