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Participant experiences and engagement with the enhanced heart failure care program: a qualitative study
Hannah Fraser Wetzler1,2, Andrew Boyle1,2,3, Breanne Hobden1,2,4
1School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Health Psychology and Behavioral Medicine
|April 9, 2026
Summary
The Enhanced HF Care program supports heart failure (HF) patients post-discharge. While beneficial for mental and physical health reflection, variable engagement due to competing priorities highlights the need for tailored digital health interventions.
Area of Science:
- Digital Health
- Cardiology
- Mental Health
Background:
- Mental health disorders frequently co-occur with heart failure (HF).
- Digital health interventions offer remote monitoring and support for HF patients.
- The Enhanced HF Care program aims to assist patients post-discharge.
Purpose of the Study:
- To explore patient experiences with the Enhanced HF Care program.
- To assess engagement levels and gather feedback on the digital intervention.
- To identify facilitators and barriers to program uptake.
Main Methods:
- Qualitative in-trial sub-study design.
- Semi-structured telephone interviews conducted one- and/or six-months post-discharge.
- Qualitative descriptive approach and content analysis of interview transcripts.
Main Results:
- Eighteen participants (3 female, 15 male; age 39-87) provided feedback.
- Participants valued self-reflection on mental and physical health.
- Variable engagement was noted, influenced by post-discharge overwhelm and competing priorities.
Conclusions:
- The Enhanced HF Care program is acceptable and positively impacts patients.
- Challenges in program uptake include information overload and time constraints.
- Tailoring digital health interventions to individual patient needs is crucial for success.
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