PMID- 38165027
OWN - NLM
STAT- Publisher
LR  - 20240102
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
DP  - 2024 Jan 2
TI  - The long-term effect of an m-health tool on self-care in patients with heart 
      failure: a pre-post interventional study with a mixed-method analysis.
LID - zvad107 [pii]
LID - 10.1093/eurjcn/zvad107 [doi]
AB  - AIMS: The aims of this study were (i) to evaluate the effects of using an 
      m-health tool on self-care behaviour at 3 and 12 months and (ii) to explore the 
      experiences and perceptions of heart failure (HF) patients about the m-health 
      tool. METHODS AND RESULTS: In this pre-post interventional study with a 
      mixed-method analysis, 71 patients diagnosed with HF [49% female, mean age 76.7 
      years, New York Heart Association (NYHA) II 31%, NYHA III 69%] were enrolled and 
      had the m-health tool installed in their home for 1 year. The tool consisted of a 
      pre-programmed tablet including a weighing scale and interactive education about 
      HF self-care. At baseline, and at 3 and 12 months, self-care was assessed using 
      the European Heart Failure Self-care Behaviour (EHFScB-9) Scale, an eight-item 
      self-administered questionnaire assessing the experiences of the m-health tool. 
      The mean EHFScB-9 at baseline was 63.8 +/- 2.8 and it improved to 67.6 +/- 7.6 after 
      3 months (P < 0.05). After 1 year, the score had decreased to 63.2 +/- 7.1 (P = 
      0.68). Most patients rated the tool as 'good', both at 3 months (92%) and after 
      12 months (93%). Some found the system to be unnecessary to some degree, and this 
      number increased between 3 and 12 months (P < 0.001). Most patients felt that 
      m-health increased their feelings of security, and 85% responded that the system 
      increased their family members' sense of security. CONCLUSION: The m-health tool 
      significantly improved patients' self-care behaviour after 3 months, but this 
      effect did not persist after 1 year. For achieving long-term effects and 
      outcomes, additional and regularly updated self-care support may be needed. 
      REGISTRATION: ClinicalTrials.gov: NCT04955600.
CI  - (c) The Author(s) 2024. Published by Oxford University Press on behalf of the 
      European Society of Cardiology.
FAU - Liljeroos, Maria
AU  - Liljeroos M
AUID- ORCID: 0000-0002-7957-8600
AD  - Department of Health, Medicine and Caring Sciences, Linkoping University, Campus 
      US, Building 511, SE-58183, Linkoping, Sweden.
AD  - Centre for Clinical Research Sormland, Uppsala University, SE-631 88 Eskilstuna, 
      Sweden.
FAU - Arkkukangas, Marina
AU  - Arkkukangas M
AUID- ORCID: 0000-0001-7418-6088
AD  - Centre for Clinical Research Sormland, Uppsala University, SE-631 88 Eskilstuna, 
      Sweden.
AD  - School of Health and Welfare, Department of Medicine and Sport Sciences, Dalarna 
      University, Falun 791 88, Sweden.
AD  - School of Health, Care and Social Welfare, Department of Physiotherapy, 
      Malardalen University, Vasteras 721 23, Sweden.
FAU - Stromberg, Anna
AU  - Stromberg A
AUID- ORCID: 0000-0002-4259-3671
AD  - Department of Health, Medicine and Caring Sciences, Linkoping University, Campus 
      US, Building 511, SE-58183, Linkoping, Sweden.
AD  - Department of Cardiology, Linkoping University, Linkoping, Sweden.
LA  - eng
SI  - ClinicalTrials.gov/NCT04955600
GR  - Centre for Clinical Research in Sormland/
PT  - Journal Article
DEP - 20240102
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
OTO - NOTNLM
OT  - Family member
OT  - Heart failure
OT  - Homecare
OT  - Implementation
COIS- Conflict of interest: none declared.
EDAT- 2024/01/02 11:44
MHDA- 2024/01/02 11:44
CRDT- 2024/01/02 08:00
PHST- 2023/06/20 00:00 [received]
PHST- 2023/10/24 00:00 [revised]
PHST- 2023/10/24 00:00 [accepted]
PHST- 2024/01/02 11:44 [medline]
PHST- 2024/01/02 11:44 [pubmed]
PHST- 2024/01/02 08:00 [entrez]
AID - 7504880 [pii]
AID - 10.1093/eurjcn/zvad107 [doi]
PST - aheadofprint
SO  - Eur J Cardiovasc Nurs. 2024 Jan 2:zvad107. doi: 10.1093/eurjcn/zvad107.