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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Nurse-Led Home-Based Mobile Health Cardiac Rehabilitation Program for Patients With Chronic Heart Failure: A

Fu-Lan Chang¹, Tsun-Jui Liu, Yu-Tsung Cheng

¹Author Affiliations: Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan (Ms Chang); Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan (Drs Liu and Cheng); School of Nursing, China Medical University, Taichung, Taiwan (Drs Lo, Lin, and Lu); and Department of Nursing, China Medical University Hospital, Taichung, Taiwan (Drs Lo, Lin, and Lu).

ANS. Advances in Nursing Science

|July 6, 2026

Summary

A nurse-led mobile health (mHealth) intervention improved physical activity and heart function in chronic heart failure patients. This approach, integrating wearable tech and coaching, shows promise for home-based chronic disease management.

Keywords:

Riegel’s middle-range theory of self-care of chronic illness cardiac rehabilitation chronic heart failure mobile health nurse-led care

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Area of Science:

Cardiology
Nursing Science
Digital Health

Background:

Chronic heart failure (CHF) management requires continuous patient engagement.
Self-care theories provide frameworks for effective chronic illness interventions.
Mobile health (mHealth) offers potential for remote patient monitoring and support.

Purpose of the Study:

To evaluate a nurse-led mHealth intervention for patients with chronic heart failure.
To assess the intervention's impact on physical activity and cardiopulmonary function.
To explore the application of Riegel's self-care theory in an mHealth context.

Main Methods:

A 12-week randomized controlled trial was conducted.
Participants received either the mHealth intervention or usual care.
The intervention combined wearable activity tracking with weekly nurse-led behavioral coaching.

Main Results:

The mHealth group showed significant improvements in daily step count.
Improvements were observed in 6-minute walk distance and metabolic equivalents.
Left ventricular ejection fraction was significantly enhanced in the intervention group.

Conclusions:

Theory-informed, nurse-delivered mHealth strategies are effective for CHF patients.
The intervention successfully enhanced physical activity and cardiopulmonary function.
Advanced practice nurses play a vital role in home-based chronic disease management using mHealth.