PMID- 25654615
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20181202
IS  - 1556-3669 (Electronic)
IS  - 1530-5627 (Linking)
VI  - 21
IP  - 4
DP  - 2015 Apr
TI  - A web application for self-monitoring improves symptoms in chronic systolic heart 
      failure.
PG  - 267-70
LID - 10.1089/tmj.2014.0095 [doi]
AB  - OBJECTIVE: The objective of this study was to determine if a Web application that 
      promoted mindfulness of the progress of the chronic disease through 
      self-monitoring improved quality of life in heart failure. MATERIALS AND METHODS: 
      This was a prospective single-center single-group study. Participants were 
      instructed how to use the Web application and to perform self-monitoring daily 
      for 12 weeks. A comprehensive physical exam, assessment of New York Heart 
      Association (NYHA) class, the Minnesota Living with Heart Failure Questionnaire 
      (MLHFQ), and an evaluation of self-management were performed in person at 
      baseline and at 12 weeks. RESULTS: Participants consisted of older (mean, 59 
      years), predominantly female (63%) adults with NYHA class II or III symptoms. 
      NYHA classification (preintervention versus postintervention, 2.5+/-0.13 versus 
      2.0+/-0.13; p=0.0032) and MLHFQ score (55.7+/-4.6 versus 42.6+/-5.1, respectively; 
      p=0.0078) improved over 12 weeks of self-monitoring. A trend toward improvement 
      was also demonstrated in weight (preintervention versus postintervention, 209+/-9.6 
      pounds versus 207+/-9.4 pounds; by paired t test, p=0.389), number of times 
      exercised per week (1.29+/-0.5 versus 2.5+/-0.6, respectively; p=0.3), and walk 
      distance (572+/-147 yards versus 845+/-187 yards, respectively; p=0.119). Jugular 
      venous distention (preintervention versus postintervention, 8.1+/-0.6 cm versus 
      6.7+/-0.3 cm; p=0.083) and peripheral edema (29.2% versus 16.7%, respectively; 
      p=0.375) decreased after 12 weeks of self-monitoring via the Web application. 
      CONCLUSIONS: A Web application for self-monitoring heart failure over 12 weeks 
      improved both NYHA classification and MLHFQ score. The trend in improved physical 
      activity and physical exam support these outcomes. The number of patients 
      reporting a sodium-restricted diet increased over the 12 weeks, which may have 
      led to the positive findings.
FAU - Dorsch, Michael P
AU  - Dorsch MP
AD  - 1 Department of Pharmacy Services, College of Pharmacy, University of Michigan 
      Hospitals and Health Centers , Ann Arbor, Michigan.
FAU - Farris, Karen B
AU  - Farris KB
FAU - Bleske, Barry E
AU  - Bleske BE
FAU - Koelling, Todd M
AU  - Koelling TM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20150205
PL  - United States
TA  - Telemed J E Health
JT  - Telemedicine journal and e-health : the official journal of the American 
      Telemedicine Association
JID - 100959949
SB  - IM
MH  - Aged
MH  - Chronic Disease
MH  - Cohort Studies
MH  - Exercise/*physiology
MH  - Female
MH  - Heart Failure, Systolic/epidemiology/*physiopathology
MH  - Humans
MH  - Internet/*statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Prospective Studies
MH  - Self Care/instrumentation/*methods
MH  - Statistics, Nonparametric
MH  - Time Factors
OTO - NOTNLM
OT  - congestive heart failure
OT  - health informatics
OT  - self-monitoring
EDAT- 2015/02/06 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/02/06 06:00
PHST- 2015/02/06 06:00 [entrez]
PHST- 2015/02/06 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1089/tmj.2014.0095 [doi]
PST - ppublish
SO  - Telemed J E Health. 2015 Apr;21(4):267-70. doi: 10.1089/tmj.2014.0095. Epub 2015 
      Feb 5.