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Perspectives of patients, caregivers, and healthcare providers on how the Heart@Home mobile application improves self-management in heart failure care: A qualitative study

Internet Interv. 2025 Nov 15;42:100890. doi: 10.1016/j.invent.2025.100890. eCollection 2025 Dec.

ABSTRACT

OBJECTIVES: This study aims to investigate the perspectives of patients, caregivers, and healthcare providers on how the Heart@Home application improves self-management following a two-week period of usage and how to improve the application for further utilization.

METHODS: This qualitative study used a case study approach. We conducted semi-structured in-depth interviews with patients, caregivers, and healthcare providers and evaluated patients’ quality of life before and after using the application. Purposeful sampling was employed, and thematic analysis was performed for qualitative data analysis.

RESULT: Nine patients, seven caregivers, and two healthcare providers were included in the analysis. The potential benefits for health behavior modification were noted through several mechanisms, including increasing self-awareness of patient’s current health status, guide for managing symptoms related to health status changes, and providing emotional assessment, reassurance and a sense of being cared for. In addition, more function in application is needed to increase engagement with application usage. Although the pre-post pilot analysis shows no statistically significant changes in participants’ quality of life, as measured by the EQ-5D questionnaire, promising trends were observed in the domains of self-management and daily activity.

CONCLUSION: The Heart@Home mobile application shows promise in promoting self-management and behavior modification among heart failure patients. Future development should focus on improving technical stability, incorporating personalized feedback, and enabling direct messaging with healthcare providers to enhance the application’s effectiveness in managing heart failure.

PMID:41334531 | PMC:PMC12666718 | DOI:10.1016/j.invent.2025.100890

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