Features and usability assessment of a patient-centered mobile application (HeartMapp) for self-management of heart failure

Athilingam, Ponrathi; Labrador, Miguel A.; Remo, Elizabeth Frances J.; Mack, Laureen; Juan, Alyanna Bianca San; Elliott, Amanda

doi:10.1016/j.apnr.2016.07.001

Cited by 72 publications

(76 citation statements)

References 47 publications

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“…In recent years, many HF studies have used mobile phones in disease management, because mobile phones are an attractive means of communication with increasingly powerful technical capabilities for providing health interventions, as well as easy access to the Internet or efficient transfer of health information [14,15]. A previous study has reported that about 96% of HF patients own mobile phones and 32% rely to some extent on a smartphone for online access and gaining health information, and report moderate self-confidence in using mobile phone applications [16]. A recent integrative review of 11 studies demonstrated that mobile health (mHealth) technology via mobile phone, such as tracking apps, offered a sense of one's own control over chronic health conditions [14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Son

Lee

2020

IJERPH

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Mobile phone-based interventions are increasingly used to prevent adverse health outcomes in heart failure patients. However, the effects of mobile phone-based interventions on the health outcomes of heart failure patients remain unclear. Our review aims to synthesize the randomized controlled trials (RCT) of mobile phone-based interventions for heart failure patients and identify the intervention features that are most effective. Electronic searches of RCTs published from January 2000 to July 2019 were conducted. Primary outcomes included all-cause mortality, readmission, emergency department visits, length of hospital stays, and quality of life. Secondary outcomes were self-care behaviors, including medication adherence and other clinical outcomes. A total of eight studies with varying methodological quality met the inclusion criteria and were analyzed. Voice call intervention was more frequently used compared with telemonitoring and short message services. Our meta-analysis showed that voice call interventions had significant effects on the length of hospital stays. However, no significant effects on all-cause mortality, readmission, emergency department visits, or quality of life were found. Compared to other mobile phone-based interventions, voice calls were more effective in reducing the length of hospital stay. Future studies are needed to identify which features of mobile phone-based intervention most effectively improve health outcomes.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Son

Lee

2020

IJERPH

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“…10 Mobile health (mHealth) applications proved useful to provide assistance in self-management, 11 symptom monitoring, 12 and home-based cardiac rehabilitation. 10 Mobile health (mHealth) applications proved useful to provide assistance in self-management, 11 symptom monitoring, 12 and home-based cardiac rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“…A promising possibility for TM of HF patients are commercially available mobile devices such as smartphones and smartwatches that are increasingly widespread in the general population. 10 Mobile health (mHealth) applications proved useful to provide assistance in self-management, 11 symptom monitoring, 12 and home-based cardiac rehabilitation. 13 In addition, smart devices have the potential to generate new patient-reported outcome measures (PROMs) in HF patients.…”

Section: Introductionmentioning

confidence: 99%

Designing meaningful outcome parameters using mobile technology: a new mobile application for telemonitoring of patients with heart failure

et al. 2019

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Aims Health data captured by commercially available smart devices may represent meaningful patient‐reported outcome measures (PROMs) in heart failure (HF) patients. The purpose of this study was to test this hypothesis by evaluating the feasibility of a new telemonitoring concept for patients following initial HF hospitalization. Methods and results We designed a cardio patient monitoring platform (CPMP) that comprised mobile iOS‐based applications for patients' smartphone/smartwatch and the equivalent application on a physicians' tablet. It allowed for safe and continuous data transmission of self‐measured physiological parameters, activity data, and patient‐reported symptoms. In a prospective feasibility trial with 692 patient days from 10 patients hospitalized for newly diagnosed HF with reduced ejection fraction (mean left ventricular ejection fraction (LVEF) 26.5 ± 9.8%), we examined the CPMP during the first 2 months following discharge (69 ± 15 observation days per patient). The mean daily step count recorded by the mobile devices emerged as a promising new PROM. Its 14 day average increased over the study period (3612 ± 3311 steps/day at study inclusion and 7069 ± 5006 steps/day at end of study; P < 0.0001). It is unique for continuously reflecting real‐life activity and correlated significantly with traditional surrogate parameters of cardiac performance including LVEF ( r = 0.44; 95% CI 0.07–0.71; P = 0.0232), 6 min walk test ( r = 0.67; 95% CI 0.38–0.84; P = 0.0002), and scores in health‐related quality of life questionnaires. Conclusions We provide the first patient monitoring platform for HF patients that relies on commercially available iOS/watchOS‐based devices. Our study suggests it is ready for implementation as a tool for recording meaningful PROMs in future HF trials and telemonitoring.

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“…With regard to the query of their laboratory report (code 2-1), plasma drug concentration (code 2-2), and their own health records (code 2-3), these needs are consistent with those of patients with other diseases [ 22 , 32 ]. Currently, most patients only know about their report when they come to the clinic and are told by the health professionals through an electronic health record query.…”

Section: Discussionmentioning

confidence: 88%

“…In 2016, a mobile app for heart failure patients was developed, which included functions for self-assessment of heart failure symptoms, exercise recommendations, vital signs records, and statistical data. The graphics helped physicians make decisions and the research findings showed good results for patients to self-manage the disease, improve compliance with medications, and implementation of diet and exercise [ 22 ]. Online and smartphone-based apps for cardiac rehabilitation programs can augment secondary prevention strategies compared with standard cardiac rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Developing a Heart Transplantation Self-Management Support Mobile Health App in Taiwan: Qualitative Study

Chen

Wei

Chen

et al. 2020

JMIR Mhealth Uhealth

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Background Heart transplantation (HTx) is the most effective treatment for end-stage heart failure patients. After transplantation, patients face physiological, psychological, social, and other health care problems. Mobile health (mHealth) apps can change the delivery of conventional health care to ubiquitous care and improve health care quality. However, a dearth of mHealth apps exists for patients with HTx worldwide, including in Taiwan. Objective The aim of this study was to investigate the information needed and to develop a preliminary framework for an mHealth app for post-HTx patients. Methods A qualitative approach with individual in-depth interviews was conducted at a heart center in the regional hospital of northern Taiwan from June to November 2017. Patients that had undergone HTx and their health professionals were recruited for purposeful sampling. A semistructured interview guideline was used for individual interviews and transcribed. Thematic analysis was used for data analysis. Results A total of 21 subjects, including 17 patients and 4 health professionals, were recruited for the study. The following five major themes were identified: reminding, querying, experience sharing, diet, and expert consulting. Minor themes included a desire to use the app with artificial intelligence and integration with professional management. Conclusions An intelligent mHealth app that addresses the five main themes and integrates the processes of using a mobile app could facilitate HTx self-management for Taiwanese patients.

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Features and usability assessment of a patient-centered mobile application (HeartMapp) for self-management of heart failure

Cited by 72 publications

References 47 publications

Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Designing meaningful outcome parameters using mobile technology: a new mobile application for telemonitoring of patients with heart failure

Developing a Heart Transplantation Self-Management Support Mobile Health App in Taiwan: Qualitative Study

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