@文章{信息:doi/10.2196/33286，作者="Johnson, Amber E和Routh, Shuvodra和Taylor, Christy N和Leopold, megan和Beatty, Kathryn和McNamara, Dennis M和Davis, Esa M"，标题="开发和实施mHealth心力衰竭自我护理计划以减少再入院:随机对照试验"，期刊="JMIR Cardio"，年="2022"，月="Mar"，日="21"，卷="6"，数字="1"，页数="e33286"，关键词="mHealth;心力衰竭;自理;远程监控;远程医疗;心脏病;再次入院;自我管理;移动健康;背景:失代偿性心力衰竭(HF)患者在出院期间存在再入院和生活质量差的风险。 Lifestyle behavior modifications that promote the self-management of chronic cardiac diseases have been associated with an improved quality of life. However, whether a mobile health (mHealth) program can assist patients in the self-management of HF during the acute posthospital discharge period is unknown. Objective: We aimed to develop an mHealth program designed to enhance patients' self-management of HF by increasing knowledge, self-efficacy, and symptom detection. We hypothesized that patients hospitalized with HF would be willing to use a feasibly deployed mHealth program after their hospital discharge. Methods: We employed a patient-centered outcomes research methodology to design a stakeholder-informed mHealth program. Adult patients with HF admitted to a large academic hospital were enrolled and randomized to receive the mHealth intervention versus usual care. Our feasibility outcomes included ease of program deployment, use of the clinical escalation process, duration of participant recruitment, and participant attrition. Surveys assessing the demographics and clinical characteristics of HF were measured at baseline and at 30 and 90 days after discharge. Results: The study period was between July 1, 2019, and April 7, 2020. The mean cohort (N=31) age was 60.4 (range 22-85) years. Over half of the participants were men (n=18, 58{\%}) and 77{\%} (n=24) were White. There were no significant differences in baseline measures. We determined that an educational mHealth program tailored for patients with HF is feasibly deployed and acceptable by patients. Though not significant, we found notable trends including a higher mean quality of life at 30 days posthospitalization among program users and a longer duration before rehospitalization, which are suggestive of better HF prognosis. Conclusions: Our mHealth tool should be further assessed in a larger comparative effectiveness trial. Our pilot intervention offers promise as an innovative means to help HF patients lead healthy, independent lives. These preliminary data suggest that patient-centered mHealth tools can enable high-risk patients to play a role in the management of their HF after discharge. Trial Registration: ClinicalTrials.gov NCT03982017; https://clinicaltrials.gov/ct2/show/NCT03982017 ", issn="2561-1011", doi="10.2196/33286", url="https://cardio.www.mybigtv.com/2022/1/e33286", url="https://doi.org/10.2196/33286", url="http://www.ncbi.nlm.nih.gov/pubmed/35311679" }