Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients
DOI:
https://doi.org/10.46749/zkvnyw78Keywords:
Chronic Heart Failure; Mobile Health; Self-Care; Symptom Control; Quality of LifeAbstract
Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice
References
Allida, S., Du, H., Xu, X., Prichard, R., Chang, S., Hickman, L. D., Davidson, P. M., & Inglis, S. C. (2020). mHealth education interventions in heart failure. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011845.pub2
Schmaderer, M. S., Struwe, L., Loecker, C., Lier, L., Lundgren, S. W., Wichman, C., Pozehl, B., & Zimmerman, L. (2022). Mobile Health Self-management Interventions for Patients With Heart Failure: A Pilot Study. Journal of Cardiovascular Nursing, 37(5), E149–E159. https://doi.org/10.1097/JCN.0000000000000846
Giordan, L. B., Tong, H. L., Atherton, J. J., Ronto, R., Chau, J., Kaye, D., Shaw, T., Chow, C., & Laranjo, L. (2022). The Use of Mobile Apps for Heart Failure Self-management. JMIR Cardio, 6(1), e33839. https://doi.org/10.2196/33839
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. Journal of Medical Internet Research, 27, e55586. https://doi.org/10.2196/55586
Achury Saldaña, D. M., Andrade-Fonseca, D., Gallego-Ardila, A. D., ... & Sepúlveda, M. R. (2025). Effect of Mobile Health Interventions in the Heart Failure Patient During the Hospital-to-Home Transition Period. Computers, Informatics, Nursing. https://doi.org/10.1097/CIN.0000000000001290
Mohamad, N., Abdul Mulud, Z., Chan, C. M., Rashmizal Abdul Razak, H., & Esa, N. M. (2025). The impact of self-care behavior on quality of life among patients with heart failure in Malaysia. Jurnal Ners, 20(3), 241–247. https://doi.org/10.20473/jn.v20i3.67901
Allida, S., Du, H., Xu, X., Prichard, R., Chang, S., Hickman, L. D., Davidson, P. M., & Inglis, S. C. (2020). mHealth education interventions in heart failure. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011845.pub2
Giordan, L. B., Tong, H. L., Atherton, J. J., et al. (2022). The use of mobile apps for heart failure self-management: Systematic review. JMIR Cardio, 6(1), e33839. https://doi.org/10.2196/33839
Kitsiou, S., Gerber, B. S., Buchholz, S. W., et al. (2025). Patient-centered mHealth intervention to improve self-care in patients with chronic heart failure: Phase 1 RCT. Journal of Medical Internet Research, 27, e55586. https://doi.org/10.2196/55586
Schmaderer, M. S., Struwe, L., Loecker, C., et al. (2022). Mobile health self-management interventions for patients with heart failure: Pilot study. Journal of Cardiovascular Nursing, 37(5), E149–E159. https://doi.org/10.1097/JCN.0000000000000846
Journal of Medical Internet Research. (2024). Effectiveness of a smartphone app–based intervention (SMART-HF). https://doi.org/10.2196/52075
Allida, S., Du, H., Xu, X., Prichard, R., Chang, S., Hickman, L. D., & Inglis, S. C. (2020). mHealth education interventions in heart failure. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011845.pub2
Angermann, C. E., et al. (2020). Guideline-directed management in HF: Implications for digital health. European Heart Journal, 41(30), 2832–2843. https://doi.org/10.1093/eurheartj/ehz745
Giordan, L. B., Tong, H. L., Atherton, J. J., et al. (2022). The use of mobile apps for heart failure self-management. JMIR Cardio, 6(1), e33839. https://doi.org/10.2196/33839
Kitsiou, S., Gerber, B. S., Buchholz, S. W., et al. (2025). Patient-centered mHealth intervention to improve self-care in HF. Journal of Medical Internet Research, 27, e55586. https://doi.org/10.2196/55586
Mantzoukas, S., et al. (2023). Impact of eHealth on quality of life in chronic disease management. International Journal of Medical Informatics, 172, 104831. https://doi.org/10.1016/j.ijmedinf.2023.104831
Pekmezaris, R., et al. (2021). Telemonitoring and health-related quality of life in HF patients. Journal of Cardiac Failure, 27(6), 665–674. https://doi.org/10.1016/j.cardfail.2021.02.010
Rahimi, R., et al. (2021). Role of self-monitoring via digital platforms in chronic disease outcomes. International Journal of Environmental Research and Public Health, 18(3), 1034. https://doi.org/10.3390/ijerph18031034
Riegel, B., et al. (2021). Self-care in heart failure: A scientific statement. Circulation: Heart Failure, 14(1), e007777. https://doi.org/10.1161/CIRCHEARTFAILURE.120.007777
Yancy, C. W., et al. (2021). 2021 HF guidelines. Circulation, 143(5), e772–e837. https://doi.org/10.1161/CIR.000000000000092
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