Other Titles
Effectiveness of a Health Management App on Self-Care, Disease Knowledge, and Quality of Life in Patients with Chronic Heart Failure [Title Slide]
Abstract
Background: Advances in medical care have extended the life expectancy of patients with chronic heart failure (CHF); however, their health-related quality of life (HRQoL) remains low. A user-friendly, home-based self-health management app has the potential to significantly improve patients’ self-care behaviors, disease knowledge, and overall quality of life.
Objective: To assess the demographic characteristics, readiness to change behaviors (C-URICA), self-care behaviors, disease knowledge, and quality of life among patients with CHF. It also evaluated the impact of a health management app intervention on these factors.
Results:Analysis of primary study variables revealed an inverse relationship between self-care behavior scores and actual self-care practices, with lower scores indicating better self-care. The experimental group demonstrated significantly improved self-care behaviors compared to the control group (P = .008). Additionally, the intervention group showed markedly better quality of life scores than the control group (P = .046), with lower scores correlating with better perceived quality of life (P = .000). Readiness to change behaviors (C-URICA) analysis indicated significant improvements in self-care behaviors during early motivational stages. Patients in the early motivation and preparation stages also showed notable increases in disease knowledge, with minimal variation in quality of life.
Nursing Application: Health education plays a pivotal role in enhancing the self-care behaviors, disease knowledge, and HRQoL of CHF patients. Traditional paper-based health education often falls short of meeting patient needs. With the widespread use of smartphones, patients can now easily upload daily metrics such as weight, blood pressure, and pulse to a platform integrated with a case management system, enabling case managers to monitor patients’ home-based self-care activities. The app’s educational materials are accessible for repeated review at home, allowing patients or primary caregivers to gain knowledge at their convenience. The health management app’s simplicity and accessibility facilitate communication between healthcare providers and patients, improving the patient's knowledge, medication adherence, and compliance. Case managers also benefit by reducing health education time, enhancing patient awareness, and extending care to more CHF patients.
Notes
References:
1.Durante, A., De Maria, M., Boyne, J., Jaarsma, T., Juarez-Vela, R., Strömberg, A., & Vellone, E. (2021). Development and psychometric testing of the European Heart Failure Self-Care behaviour scale caregiver version (EHFScB-C). Patient Education and Counseling, 104(8), 2106-2111.
2.Foster, M. (2018). A mobile application for patients with heart failure: theory-and evidence-based design and testing. CIN: Computers, Informatics, Nursing, 36(11), 540-549.
3.Johansson, I., Joseph, P., Balasubramanian, K., McMurray, J. J., Lund, L. H., Ezekowitz, J. A., ... & G-CHF Investigators. (2021). Health-related Quality of Life and mortality in heart failure: the global congestive heart failure study of 23 000 patients from 40 countries. Circulation, 143(22), 2129-2142.
4.Meddar, J. M., Ponnapalli, A., Azhar, R., Turchioe, M. R., Duran, A. T., & Creber, R. M. (2022). A structured review of commercially available cardiac rehabilitation mHealth applications using the mobile application rating scale. Journal of cardiopulmonary rehabilitation and prevention, 42(3), 141-147.
Sigma Membership
Lambda Beta at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Interprofessional, Interdisciplinary, Long-term Care, Public and Community Health, Chronic Heart Failure, Quality of Life, Self-care
Recommended Citation
Lai, Wen-Chen; Liao, I-Chen; and Huang, Jin-Long, "Effectiveness of a Health Management App on Quality of Life in Patients With Chronic Heart Failure" (2025). International Nursing Research Congress (INRC). 184.
https://www.sigmarepository.org/inrc/2025/presentations_2025/184
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Effectiveness of a Health Management App on Quality of Life in Patients With Chronic Heart Failure
Seattle, Washington, USA
Background: Advances in medical care have extended the life expectancy of patients with chronic heart failure (CHF); however, their health-related quality of life (HRQoL) remains low. A user-friendly, home-based self-health management app has the potential to significantly improve patients’ self-care behaviors, disease knowledge, and overall quality of life.
Objective: To assess the demographic characteristics, readiness to change behaviors (C-URICA), self-care behaviors, disease knowledge, and quality of life among patients with CHF. It also evaluated the impact of a health management app intervention on these factors.
Results:Analysis of primary study variables revealed an inverse relationship between self-care behavior scores and actual self-care practices, with lower scores indicating better self-care. The experimental group demonstrated significantly improved self-care behaviors compared to the control group (P = .008). Additionally, the intervention group showed markedly better quality of life scores than the control group (P = .046), with lower scores correlating with better perceived quality of life (P = .000). Readiness to change behaviors (C-URICA) analysis indicated significant improvements in self-care behaviors during early motivational stages. Patients in the early motivation and preparation stages also showed notable increases in disease knowledge, with minimal variation in quality of life.
Nursing Application: Health education plays a pivotal role in enhancing the self-care behaviors, disease knowledge, and HRQoL of CHF patients. Traditional paper-based health education often falls short of meeting patient needs. With the widespread use of smartphones, patients can now easily upload daily metrics such as weight, blood pressure, and pulse to a platform integrated with a case management system, enabling case managers to monitor patients’ home-based self-care activities. The app’s educational materials are accessible for repeated review at home, allowing patients or primary caregivers to gain knowledge at their convenience. The health management app’s simplicity and accessibility facilitate communication between healthcare providers and patients, improving the patient's knowledge, medication adherence, and compliance. Case managers also benefit by reducing health education time, enhancing patient awareness, and extending care to more CHF patients.
Description
Health education plays a pivotal role in enhancing the self-care behaviors, disease knowledge, and HRQoL of CHF patients. The health management app’s simplicity and accessibility facilitate communication between healthcare providers and patients, improving the patient's knowledge, medication adherence, and compliance. Case managers also benefit by reducing health education time, enhancing patient awareness, and extending care to more CHF patients.