Patient-centred home-based management of heart failure: Findings from a randomised clinical trial evaluating a tablet computer for self-care, quality of life and effects on knowledge
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OBJECTIVES: To evaluate whether a new home intervention system (HIS, OPTILOGG(®)) consisting of a specialised software, a tablet computer (tablet) wirelessly connected to a weight scale may improve self-care behaviour, health-related quality of life (HRQoL), knowledge about heart failure (HF) and reduce hospital days due to HF. DESIGN: 82 patients (32% females) with mean age: 75 ± 8 years hospitalised with HF were randomised at discharge to an intervention group (IG) equipped with the HIS or to a control group (CG) receiving standard HF information only. The tablet contained information about HF and lifestyle advice according to current guidelines. It also showed present dose of diuretic, changes in patient-measured weight and HRQoL over time. RESULTS: After 3 months the IG displayed a dramatic improvement in self-care with p < 0.05 (median IG: 17 [IQR: 13, 22] and CG: 21 [IQR: 17, 25]). The disease-specific HRQoL was measured by Kansas City Cardiomyopathy Questionnaire. The IG had significantly higher score (median IG: 65.1 [IQR: 38.5, 83.3] vs. CG: 52.1 [IQR: 41.1, 64.1] p < 0.05) and an improved physical limitation (median IG: 54.2 [IQR: 37.7, 83.3] vs. CG: 45.8 [IQR: 25.0, 54.2] p < 0.05) There was no difference in knowledge. IG showed fewer HF-related days in the hospital, with 1.3 HF-related hospital days/patient versus 3.5 in CG (risk ratio: 0.38; 95% confidence interval: 0.31-0.46; p < 0.05). CONCLUSION: HF patients with a HIS tablet computer and scale improved in self-care and HRQoL. Days in hospital due to HF were reduced. A medical device that is easy to use can be a valuable tool for improving self-care and outcome in patients with HF.
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Hägglund et al. found a reduction in HF-related hospital days (RR = 0.38; 95% CI, 0.31-0.46; P < 0.05) in patients with heart failure using a tablet-based intervention.
“In Sweden, Hägglund et al. [29] tested a tablet-based intervention in patients with heart failure (HF) and found improved self-care and health-related quality of life (HRQoL) and a reduction in HF-related hospital days (risk ratio, RR = 0.38; 95% CI, 0.31–0.46; P < 0.05).”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [29]
Hägglund et al. found improved self-care and health-related quality of life in patients with heart failure using a tablet-based intervention.
“In Sweden, Hägglund et al. [29] tested a tablet-based intervention in patients with heart failure (HF) and found improved self-care and health-related quality of life (HRQoL) and a reduction in HF-related hospital days (risk ratio, RR = 0.38; 95% CI, 0.31–0.46; P < 0.05).”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [29]
Four trials failed to provide a full description of participants and losses to follow-up during their trials.
“Four trials failed to provide a full description of participants and losses to follow-up during their trials [24, 28, 29, 31].”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [29]
Five trials did not present details of randomization.
“Considering the method of randomization, 5 trials did not present details of randomization [25, 27, 29, 30, 33].”
From Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review (2018) · cites this paper as [29]
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- Authors
- Hägglund, E., Lyngå, P., Frie, F., Ullman, B., Persson, H., Melin, M., & Hagerman, I.
- Affiliations
- Karolinska University Hospital (SE)
- Karolinska Institutet (SE)
- Danderyds sjukhus (SE)
- Corresponding author
- Hägglund, Ewa
- Venue
- Scandinavian Cardiovascular Journal
- Publisher
- Informa UK Limited
- Published
- 2015-06-04
- Volume
- 49
- Issue
- 4
- Pages
- 193-199
- ISSN
- 1401-7431 (ISSN-L)
- 1651-2006
- OpenAlex
- W1634741264
- Cited by
- 120
- References
- 28
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 16 · 2023: 12 · 2022: 12 · 2021: 23 · 2020: 14 · 2019: 8 · 2018: 11 · 2017: 7 · 2016: 1 · 2015: 2
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Scandinavian Cardiovascular Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- heart failure, home care, patient-centered care, tablet computers, self-care behavior, health-related quality of life, Kansas City Cardiomyopathy Questionnaire, hospital readmission, patient knowledge, older adults
- MeSH terms
- Aged, Aged, 80 and over, Body Weight, Female, Heart Failure, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Compliance, Patient Education as Topic, Patient Readmission, Prospective Studies, Quality of Life, Surveys and Questionnaires, Risk Factors, Self Care, Sweden, Therapy, Computer-Assisted, Time Factors, Odds Ratio, Treatment Outcome, Home Care Services, Hospital-Based, Patient-Centered Care, Computers, Handheld
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