The Implementation of Digital Technology to Support Self-Care among Heart Failure Patients: A Literature Review
DOI:
https://doi.org/10.37287/ijghr.v8i2.930Keywords:
digital health, education, heart failure, self-careAbstract
Heart failure has high morbidity and mortality rates, with a prevalence ranging from 1–2% in the adult population, increasing to more than 10% in people over 70 years of age. Self-care abilities are very low. Technologies such as mHealth, telemonitoring, and SMS can support the education and monitoring of heart failure patients. Objective to evaluate the impact of digital self-care education interventions on improving the behavior and quality of life of heart failure patients. A systematic literature review was conducted using the PRISMA 2020 guidelines, searching databases including PubMed, ScienceDirect, Wiley Online Library, and Clinical Key for Nursing from 2020 to 2025. 10 articles meeting the criteria were identified and analyzed using the JBI tool and 10 article in review. Digital interventions such as mHealth applications, Bluetooth, and educational SMS messages can improve self-care maintenance, symptom recognition, adherence, and quality of life in patients (p < 0.05–0.001). Like medication reminders, symptom alarms can improve and strengthen self-care. However, changes in patient behavior have not fully affected key indicators, such as NT-proBNP, for short-term hospitalization. Digital self-care can improve self-care behaviors among nurses in educating heart failure patients and has the potential to increase independence and quality of life. Long-term research is needed to examine the effect on symptom severity in heart failure patients.
References
Bahrodi, P.S., Safa, A., Ajorpaz, N.M., & Avanji, FSI (2024). Heart failure patients' experiences of self-care neglect: a content analysis. BMC Cardiovascular Disorders , 24 (1).
Butler, J., Petrie, M.C., Bains, M., Bawtinheimer, T., Code, J., Levitch, T., Malvolti, E. Monteleone, P., Stevens, P., Vafeiadou, J., & Lam, C.S.P. (2023). Challenges and opportunities for increasing patient involvement in heart failure self-care programs and self-care in the post–hospital discharge period. In Research Involvement and Engagement (Vol. 9, Issue 1). BioMed Central Ltd.
Frye, S. K. and Bell, A. (2022). Heart smart: a virtual self-management intervention for homebound people with heart failure: a pilot study. Home Health Care Management &Amp; Practice, 35(1), 13-20.
Giordan, L.B., Ronto, R., Chau, J.Y., Chow, C.K., & Laranjo, L. (2022). Use of mobile apps in heart failure self-management: qualitative study exploring the patient and primary care clinician perspective. JMIR Cardio, 6(1), e33992.
Hearn, J., Wali, S., Birungi, P., Cafazzo, J.A., Ssinabulya, I., Akiteng, A.R., Ross, H.J., Seto, E., & Schwartz, J.I. (2022). A digital self-care intervention for Ugandan patients with heart failure and their clinicians: User-centred design and usability study. Digital Health , 8 .
Isti'anah, I., Said, FM, Nambiar, N., Kusmiran, E., Hernawati, E., & Ramadhan, MD (2023). Self-care behavior among patients with heart failure in Hasan Sadikin General Hospital Bandung, Indonesia. Malaysian Journal of Nursing, 15(02), 100-105.
Kitsiou, S., Gerber, B.S., Buchholz, S.W., Kansal, M.M., Sun, J., & Pressler, S.J. (2025). Patient-Centered mHealth Intervention to Improve Self-Care in Patients With Chronic Heart Failure: Phase 1 Randomized Controlled Trial. Journal of Medical Internet Research , 27 .
Yu, D.S., Li, P.W., Li, X., Smith, R., Yue, S.C., & Yan, B.P. (2022). Effectiveness and cost-effectiveness of an empowerment-based self-care education program on health outcomes among patients with heart failure. JAMA Network Open, 5(4), e225982.
Yokota, T., Fukushima, A., Tsuchihashi‐Makaya, M., Abe, T., Takada, S., Furihata, T., … & Tsutsui, H. (2023). The appcare-hf randomized clinical trial: a feasibility study of a novel self-care support mobile app for individuals with chronic heart failure. European Heart Journal - Digital Health, 4(4), 325-336.
Zisis, G., Huynh, Q., Yang, Y., Neil, C., Carrington, M.J., Ball, J., Maguire, G., & Marwick, T.H. (2020). Rationale and design of a risk-guided strategy for reducing readmissions for acute decompensated heart failure: the Risk-HF study. ESC Heart Failure , 7 (5), 3151–3160.
Davoudi, M., Najafi Ghezeljeh, T., & Vakilian Aghouee, F. (2020).
Effect of a Smartphone-Based App on the Quality of Life of Patients With Heart Failure: Randomized Controlled Trial. JMIR Nursing, 3 (1), e20747.
Dorsch, M.P., Farris, K.B., Rowell, B., Hummel, S.L., & Koelling, T.M. (2021).
The Effects of the ManageHF4Life Mobile App on Patients With Chronic Heart Failure: Randomized Controlled Trial. JMIR mHealth and uHealth, 9 (12), e26185.
Yokota, T., Fukushima, A., Tsuchihashi-Makaya, M., Abe, T., Takada, S., Furihata, T., & Tsutsui, H. (2023). The AppCare-HF randomized clinical trial: A feasibility study of a novel self-care support mobile app for individuals with chronic heart failure. European Heart Journal – Digital Health, 4 (4), 325–336.
Choi, E.-Y., Park, J.-S., Min, D., Ahn, S., & Ahn, J.-A. (2023). Heart Failure-Smart Life: A randomized controlled trial of a mobile app for self-management in patients with heart failure. BMC Cardiovascular Disorders, 23 , Article 7.
Yoon, M., Lee, S., Choi, JY, Jung, M.H., Youn, JC, Shim, CY, Choi, JO, Kim, EJ, Kim, H., Yoo, BS, Son, YJ, & Choi, DJ (2024). Effectiveness of a Smartphone App–Based Intervention With Bluetooth-Connected Monitoring Devices and a Feedback System in Heart Failure (SMART-HF Trial): Randomized Controlled Trial. Journal of Medical Internet Research, 26 , e52075.
Rohde, L. E., Clausell, N., Biolo, A., Santos, R., & Camuzzi, A. (2023/2024). Multifaceted strategy based on automated text messaging after a recent heart failure admission: The MESSAGE-HF randomized clinical trial. JAMA Cardiology.
FarzanehRad, A., Hosseini, S.H., & Paryad, E. (2024). Randomized comparison of tailored text messaging versus pillbox organizers on medication adherence of heart failure patients. BMC Cardiovascular Disorders.
Schönhofen, I.S., Becker, M., & Souza, E. (2023). Use of electronic messages in the follow-up of patients with heart failure: Randomized pilot study. Journal of Telemedicine and Telecare.
Bressman, E., Cohen, D., & Hernandez, A. (2024). Automated text message–based program to improve heart failure self-care: Randomized clinical trial. Journal of General Internal Medicine.
Son, Y.J., Park, M.H., & Kim, S. (2023). The effects of a 24-week interactive text message–based mobile intervention to enhance self-care behaviors in patients with heart failure. JMIR Cardio.
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