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A Systematic Review of mHealth-Based Heart Failure Interventions
Open accessAbstract
BACKGROUND: The popularity of mobile phones and similar mobile devices makes it an ideal medium for delivering interventions. This is especially true with heart failure (HF) interventions, in which mHealth-based HF interventions are rapidly replacing their telephone-based predecessors. PURPOSE: This systematic review examined the impact of mHealth-based HF management interventions on HF outcomes. The specific aims of the systematic review are to (1) describe current mHealth-based HF interventions and (2) discuss the impact of these interventions on HF outcomes. METHODS: PubMed, CINAHL Plus, EMBASE, PsycINFO, and Scopus were systematically searched for randomized controlled trials or quasi-experimental studies that tested mHealth interventions in people with HF using the terms Heart Failure, Mobile Health, mHealth, Telemedicine, Text Messaging, Texting, Short Message Service, Mobile Applications, and Mobile Apps. CONCLUSIONS: Ten articles, representing 9 studies, were included in this review. The majority of the studies utilized mobile health technology as part of an HF monitoring system, which typically included a blood pressure-measuring device, weighing scale, and an electrocardiogram recorder. The impact of the mHealth interventions on all-cause mortality, cardiovascular mortality, HF-related hospitalizations, length of stay, New York Heart Association functional class, left ventricular ejection fraction, quality of life, and self-care were inconsistent at best. IMPLICATIONS: Further research is needed to conclusively determine the impact of mHealth interventions on HF outcomes. The limitations of the current studies (eg, inadequate sample size, quasi-experimental design, use of older mobile phone models, etc) should be taken into account when designing future studies.
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Having user-centered design, such as involving target users in the design phase of digital health, could be a facilitator (i.e., co-design).
“Having user-centered design, such as involving target users in the design phase of digital health could be a facilitator (i.e., co-design).”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [31]
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Lunde, P., Nilsson, B. B., Bergland, A., Kværner, K. J., & Bye, A. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9751 · Cited by 214
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“Although we found only 20% (1/5) of the studies on telehealth for chronic management of heart failure as a substitute for in-person care, previous reviews report mixed results for the impact of other supplemental types of telehealth on heart failure outcomes [41-43].”
Metadata
- Authors
- Cajita, M. I., Gleason, K. T., & Han, H.-R.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Journal of Cardiovascular Nursing
- Published
- 2016-05
- Volume
- 31
- Issue
- 3
- Pages
- E10-E22
- ISSN
- 0889-4655 (ISSN-L)
- PMC
- PMC4828274
- OpenAlex
- W2324532436
- Cited by
- 138
- References
- 30
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 10 · 2022: 22 · 2021: 19 · 2020: 21 · 2019: 13 · 2018: 16 · 2017: 12 · 2016: 5
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (T32NR012704, F31NR015943)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- mobile health, heart failure, mobile health intervention, telemedicine, text messaging, mobile application, remote patient monitoring, heart failure outcomes, hospitalization, mortality, self-care, quality of life
- MeSH terms
- Heart Failure, Humans, Telemedicine, Text Messaging, Mobile Applications
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