mHealth education interventions in heart failure

Heart failure (HF) is a chronic disease with significant impact on quality of life and presents many challenges to those diagnosed with the condition, due to a seemingly complex daily regimen of self-care which includes medications, monitoring of weight and symptoms, identification of signs of deter...

Full description

Saved in:
Bibliographic Details
Published in:Cochrane database of systematic reviews 2020-07, Vol.7 (7), p.CD011845
Main Authors: Allida, Sabine, Du, Huiyun, Xu, Xiaoyue, Prichard, Roslyn, Chang, Sungwon, Hickman, Louise D, Davidson, Patricia M, Inglis, Sally C
Format: Article
Language:English
Subjects:
Aged
F. Heart Failure
Female
Health Education - methods
Health Knowledge, Attitudes, Practice
Heart & circulation
Heart Failure - therapy
Hospitalization
Humans
Male
Middle Aged
Quality of Life
Randomized Controlled Trials as Topic
Self Care
Self Efficacy
Telemedicine - methods
Uncertainty
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Heart failure (HF) is a chronic disease with significant impact on quality of life and presents many challenges to those diagnosed with the condition, due to a seemingly complex daily regimen of self-care which includes medications, monitoring of weight and symptoms, identification of signs of deterioration and follow-up and interaction with multiple healthcare services. Education is vital for understanding the importance of this regimen, and adhering to it. Traditionally, education has been provided to people with heart failure in a face-to-face manner, either in a community or a hospital setting, using paper-based materials or video/DVD presentations. In an age of rapidly-evolving technology and uptake of smartphones and tablet devices, mHealth-based technology (defined by the World Health Organization as mobile and wireless technologies to achieve health objectives) is an innovative way to provide health education which has the benefit of being able to reach people who are unable or unwilling to access traditional heart failure education programmes and services. To systematically review and quantify the potential benefits and harms of mHealth-delivered education for people with heart failure. We performed an extensive search of bibliographic databases and registries (CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO, IEEE Xplore, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform (ICTRP) Search Portal), using terms to identify HF, education and mHealth. We searched all databases from their inception to October 2019 and imposed no restriction on language of publication. We included studies if they were conducted as a randomised controlled trial (RCT), involving adults (≥ 18 years) with a diagnosis of HF. We included trials comparing mHealth-delivered education such as internet and web-based education programmes for use on smartphones and tablets (including apps) and other mobile devices, SMS messages and social media-delivered education programmes, versus usual HF care. Two review authors independently selected studies, assessed risks of bias, and extracted data from all included studies. We calculated the mean difference (MD) or standardised mean difference (SMD) for continuous data and the odds ratio (OR) for dichotomous data with a 95% confidence interval (CI). We assessed heterogeneity using the I statistic and assessed the quality of evidence using GRADE criteria. We include five RCTs (971 participants) of mHealth-delivered educatio
ISSN:1469-493X
1469-493X
DOI:10.1002/14651858.CD011845.pub2