Background

Currently, no uniform, well-validated and comprehensive lifestyle behaviour self-assessment instrument exists for patients with cardiovascular disease.

Purpose

To evaluate the usability of a novel mobile application (LifeStyleScore) based on validated instruments for the assessment of cardiovascular risk behaviours. Secondly, the application’s acceptance by healthcare professionals (HCPs) and its association with improved patient activation and lifestyle behaviour was evaluated.

Methods

In this single-centre, non-randomised observational pilot study, patients with coronary artery disease or atrial fibrillation entering cardiac rehabilitation (CR) completed the LifeStyleScore application, the Patient Activation Measure (PAM-13®), and the System Usability Scale (SUS) during the CR intake and after CR completion. A focus group interview was performed with the HCPs involved.

Results

We analysed 20 participants, 3 of whom were women, with a mean age of 61.9 ± 6.7 years. The LifeStyleScore application was rated with a SUS score above average (> 68) before (69.6 ± 13.4) and after CR (68.6 ± 15.1). All HCPs (n = 8) found the application usable. Patient activation did not increase significantly after CR compared with baseline (62.0 ± 8.6 versus 59.2 ± 9.5, respectively, p = 0.28) and only physical activity levels improved significantly (2.4 ± 0.7 (standardised score) at baseline, 2.8 ± 0.4 after CR, p = 0.04).

Conclusion

The LifeStyleScore application was found to be usable for patients receiving CR. Its use did not result in increased patient activation, and of the lifestyle behaviours only physical activity levels improved. Further research is needed to evaluate how such applications can be optimally incorporated in CR programmes.

中文翻译：

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心脏病患者生活方式行为自我评估应用程序的评价

背景

目前，还没有针对心血管疾病患者的统一、经过充分验证和全面的生活方式行为自我评估工具。

目的

评估基于经过验证的心血管风险行为评估工具的新型移动应用程序 (LifeStyleScore) 的可用性。其次，评估了医疗保健专业人员 (HCP) 对该应用程序的接受程度及其与改善患者活动和生活方式行为的关系。

方法

在这项单中心、非随机观察性试点研究中，患有冠状动脉疾病或心房颤动进入心脏康复 (CR) 阶段的患者完成了 LifeStyleScore 应用程序、患者激活测量 (PAM-13®) 和系统可用性量表 (SUS) ) 在 CR 摄入期间和 CR 完成后。对相关 HCP 进行了焦点小组访谈。

结果

我们分析了 20 名参与者，其中 3 名是女性，平均年龄为 61.9 ± 6.7 岁。LifeStyleScore 应用程序在 CR 之前 (69.6 ± 13.4) 和 CR 之后 (68.6 ± 15.1) 的 SUS 分数高于平均水平 (> 68)。所有 HCP ( n  = 8) 都发现该应用程序可用。与基线相比，CR 后患者的活动能力并未显着增加（分别为 62.0 ± 8.6 与 59.2 ± 9.5，p  = 0.28），只有体力活动水平显着改善（基线时为 2.4 ± 0.7（标准化评分），CR 后为 2.8 ± 0.4，p  = 0.04）。

结论

LifeStyleScore 应用程序被发现可用于接受 CR 的患者。它的使用并没有导致患者活性的增加，而在生活方式行为中，只有体力活动水平得到改善。需要进一步研究来评估如何将此类应用程序最佳地纳入 CR 计划中。