Aims The aims of this study were (i) to evaluate the effects of using an m-health tool on self-care behaviour at 3 and 12 months and (ii) to explore the experiences and perceptions of heart failure (HF) patients about the m-health tool. Methods and results In this pre–post interventional study with a mixed-method analysis, 71 patients diagnosed with HF [49% female, mean age 76.7 years, New York Heart Association (NYHA) II 31%, NYHA III 69%] were enrolled and had the m-health tool installed in their home for 1 year. The tool consisted of a pre-programmed tablet including a weighing scale and interactive education about HF self-care. At baseline, and at 3 and 12 months, self-care was assessed using the European Heart Failure Self-care Behaviour (EHFScB-9) Scale, an eight-item self-administered questionnaire assessing the experiences of the m-health tool. The mean EHFScB-9 at baseline was 63.8 ± 2.8 and it improved to 67.6 ± 7.6 after 3 months (P < 0.05). After 1 year, the score had decreased to 63.2 ± 7.1 (P = 0.68). Most patients rated the tool as ‘good’, both at 3 months (92%) and after 12 months (93%). Some found the system to be unnecessary to some degree, and this number increased between 3 and 12 months (P < 0.001). Most patients felt that m-health increased their feelings of security, and 85% responded that the system increased their family members’ sense of security. Conclusion The m-health tool significantly improved patients’ self-care behaviour after 3 months, but this effect did not persist after 1 year. For achieving long-term effects and outcomes, additional and regularly updated self-care support may be needed. Registration ClinicalTrials.gov: NCT04955600

中文翻译：

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移动健康工具对心力衰竭患者自我护理的长期影响：一项混合方法分析的干预前后研究

目的 本研究的目的是 (i) 评估使用移动健康工具对 3 个月和 12 个月时自我护理行为的影响，以及 (ii) 探讨心力衰竭 (HF) 患者对移动健康工具的体验和看法。移动健康工具。方法和结果 在这项采用混合方法分析的干预前后研究中，纳入了 71 名诊断为 HF 的患者 [49% 为女性，平均年龄 76.7 岁，纽约心脏协会 (NYHA) II 31%，NYHA III 69%]并在家中安装了移动健康工具一年。该工具由一个预编程的平板电脑组成，包括一个体重秤和有关心力衰竭自我护理的互动教育。在基线以及 3 个月和 12 个月时，使用欧洲心力衰竭自我护理行为 (EHFScB-9) 量表对自我护理进行评估，该量表是一项评估移动健康工具体验的八项自填问卷。基线时的平均 EHFScB-9 为 63.8 ± 2.8，3 个月后改善至 67.6 ± 7.6（P < 0.05）。1 年后，分数下降至 63.2 ± 7.1 (P = 0.68)。大多数患者在 3 个月时 (92%) 和 12 个月后 (93%) 都将该工具评为“良好”。有些人认为该系统在某种程度上是不必要的，并且这个数字在 3 至 12 个月之间增加（P < 0.001）。大多数患者认为移动医疗增加了他们的安全感，85% 的患者表示该系统增加了家人的安全感。结论 移动健康工具在 3 个月后显着改善了患者的自我护理行为，但这种效果在 1 年后并未持续。为了实现长期效果和结果，可能需要额外且定期更新的自我护理支持。注册 ClinicalTrials.gov：NCT04955600