Improving outpatient care for heart failure through digital innovation: a feasibility study
BACKGROUND: Heart failure (HF) affects over 26 million people worldwide. Multidisciplinary management strategies that include symptom monitoring and patient self-care support reduce HF hospitalization and mortality rates. Ideally, HF follow-up and self-care support includes lifestyle-change recommen...
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BioMed Central
2022
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709356/ https://doi.org/10.1186/s40814-022-01206-w |
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Research Arnar, David O. Oddsson, Saemundur J. Gunnarsdottir, Thrudur Gudlaugsdottir, Gudbjorg Jona Gudmundsson, Elias Freyr Ketilsdóttir, Audur Halldorsdottir, Hulda Hrafnkelsdottir, Thordis Jona Hallsson, Hallur Amundadottir, Maria L. Thorgeirsson, Tryggvi Improving outpatient care for heart failure through digital innovation: a feasibility study |
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Research |
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BACKGROUND: Heart failure (HF) affects over 26 million people worldwide. Multidisciplinary management strategies that include symptom monitoring and patient self-care support reduce HF hospitalization and mortality rates. Ideally, HF follow-up and self-care support includes lifestyle-change recommendations and remote monitoring of weight and HF symptoms. Providing these via a digital solution may be ideal for improving HF disease outcomes and reducing the burden on providers and healthcare systems. This study’s main objective was to assess the feasibility of a digital solution including remote monitoring, lifestyle-change, and self-care support for HF outpatients in Iceland. METHODS: Twenty HF patients (mean age 57.5 years, 80% males) participated in an 8-week study. They were provided with a digital solution (SK-141), including lifestyle-change and disease self-care support, a remote symptom monitoring system, and a secure messaging platform between healthcare providers and patients. This feasibility study aimed to assess patient acceptability of this new intervention, retention rate, and to evaluate trends in clinical outcomes. To assess the acceptability of SK-141, participants completed a questionnaire about their experience after the 8-week study. Participants performed daily assigned activities (missions), including self-reporting symptoms. Clinical outcomes were assessed with the Hospital Anxiety and Depression Scale and the Kansas City Cardiomyopathy Questionnaire at the study's beginning and end with an online survey. RESULTS: Of the 24 patients invited, 20 were elected to participate. The retention rate of participants throughout the 8-week period was high (80%). At the end of the 8 weeks, thirteen participants completed a questionnaire about their experience and acceptability of the SK-141. They rated their experience positively including on questions whether they would recommend the solution to others (6.8 on a scale of 1–7), whether the solution had improved their life and well-being (5.7 on a scale ... |
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Text |
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Arnar, David O. Oddsson, Saemundur J. Gunnarsdottir, Thrudur Gudlaugsdottir, Gudbjorg Jona Gudmundsson, Elias Freyr Ketilsdóttir, Audur Halldorsdottir, Hulda Hrafnkelsdottir, Thordis Jona Hallsson, Hallur Amundadottir, Maria L. Thorgeirsson, Tryggvi |
author_facet |
Arnar, David O. Oddsson, Saemundur J. Gunnarsdottir, Thrudur Gudlaugsdottir, Gudbjorg Jona Gudmundsson, Elias Freyr Ketilsdóttir, Audur Halldorsdottir, Hulda Hrafnkelsdottir, Thordis Jona Hallsson, Hallur Amundadottir, Maria L. Thorgeirsson, Tryggvi |
author_sort |
Arnar, David O. |
title |
Improving outpatient care for heart failure through digital innovation: a feasibility study |
title_short |
Improving outpatient care for heart failure through digital innovation: a feasibility study |
title_full |
Improving outpatient care for heart failure through digital innovation: a feasibility study |
title_fullStr |
Improving outpatient care for heart failure through digital innovation: a feasibility study |
title_full_unstemmed |
Improving outpatient care for heart failure through digital innovation: a feasibility study |
title_sort |
improving outpatient care for heart failure through digital innovation: a feasibility study |
publisher |
BioMed Central |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709356/ https://doi.org/10.1186/s40814-022-01206-w |
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Iceland |
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Iceland |
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Pilot Feasibility Stud |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709356/ http://dx.doi.org/10.1186/s40814-022-01206-w |
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© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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https://doi.org/10.1186/s40814-022-01206-w |
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Pilot and Feasibility Studies |
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8 |
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ftpubmed:oai:pubmedcentral.nih.gov:9709356 2023-05-15T16:52:07+02:00 Improving outpatient care for heart failure through digital innovation: a feasibility study Arnar, David O. Oddsson, Saemundur J. Gunnarsdottir, Thrudur Gudlaugsdottir, Gudbjorg Jona Gudmundsson, Elias Freyr Ketilsdóttir, Audur Halldorsdottir, Hulda Hrafnkelsdottir, Thordis Jona Hallsson, Hallur Amundadottir, Maria L. Thorgeirsson, Tryggvi 2022-11-30 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709356/ https://doi.org/10.1186/s40814-022-01206-w en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709356/ http://dx.doi.org/10.1186/s40814-022-01206-w © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY Pilot Feasibility Stud Research Text 2022 ftpubmed https://doi.org/10.1186/s40814-022-01206-w 2022-12-04T02:12:39Z BACKGROUND: Heart failure (HF) affects over 26 million people worldwide. Multidisciplinary management strategies that include symptom monitoring and patient self-care support reduce HF hospitalization and mortality rates. Ideally, HF follow-up and self-care support includes lifestyle-change recommendations and remote monitoring of weight and HF symptoms. Providing these via a digital solution may be ideal for improving HF disease outcomes and reducing the burden on providers and healthcare systems. This study’s main objective was to assess the feasibility of a digital solution including remote monitoring, lifestyle-change, and self-care support for HF outpatients in Iceland. METHODS: Twenty HF patients (mean age 57.5 years, 80% males) participated in an 8-week study. They were provided with a digital solution (SK-141), including lifestyle-change and disease self-care support, a remote symptom monitoring system, and a secure messaging platform between healthcare providers and patients. This feasibility study aimed to assess patient acceptability of this new intervention, retention rate, and to evaluate trends in clinical outcomes. To assess the acceptability of SK-141, participants completed a questionnaire about their experience after the 8-week study. Participants performed daily assigned activities (missions), including self-reporting symptoms. Clinical outcomes were assessed with the Hospital Anxiety and Depression Scale and the Kansas City Cardiomyopathy Questionnaire at the study's beginning and end with an online survey. RESULTS: Of the 24 patients invited, 20 were elected to participate. The retention rate of participants throughout the 8-week period was high (80%). At the end of the 8 weeks, thirteen participants completed a questionnaire about their experience and acceptability of the SK-141. They rated their experience positively including on questions whether they would recommend the solution to others (6.8 on a scale of 1–7), whether the solution had improved their life and well-being (5.7 on a scale ... Text Iceland PubMed Central (PMC) Pilot and Feasibility Studies 8 1 |