TY -的盟,凯文•S AU -易卜拉欣Nasrien E AU -库马尔,Ashok盟——耶拿,Sidhant盟——咀嚼,Veronica盟——Depa米甲非盟- Mayanil,帕迪盟——Kvedar,约瑟夫·C AU - Gaggin汉娜K PY - 2021 DA - 2021/1/20 TI -习惯心心力衰竭病人参与管理应用程序:试点可行性随机试验乔- JMIR Mhealth Uhealth SP - e19465六世- 9 - 1 KW -心脏衰竭KW -智能手机应用程序KW -心脏衰竭管理AB -背景:由于心力衰竭的复杂性和长期性，需要有吸引力但简单的患者自我管理工具。目的:本研究旨在评估为心力衰竭设计的智能手机应用程序的可行性和患者参与度。方法:将心力衰竭患者随机分为干预组(安装了Habits heart App的智能手机和蓝牙联网秤)和对照组(纸质教材)。所有干预组患者在接受心脏病专家标准护理心力衰竭管理的同时接受访谈并密切监测应用程序的可行性。亚特兰大心力衰竭知识测试、生活质量调查(堪萨斯城心肌病问卷)和体重在基线和最后一次就诊时进行评估。结果:患者(N=28例;干预:n = 15;对照组:n=13)心力衰竭(射血分数降低:15/28,54%;男性:20/28,71%，女性:8/28,29%; median age 63 years) were enrolled, and 82% of patients (N=23; intervention: 12/15, 80%; control: 11/13, 85%) completed both baseline and final visits (median follow up 60 days). In the intervention group, 2 out of the 12 patients who completed the study did not use the app after study onboarding due to illnesses and hospitalizations. Of the remaining 10 patients who used the app, 5 patients logged ≥1 interaction with the app per day on average, and 2 patients logged an interaction with the app every other day on average. The intervention group averaged 403 screen views (per patient) in 56 distinct sessions, 5-minute session durations, and 22 weight entries per patient. There was a direct correlation between duration of app use and improvement in heart failure knowledge (Atlanta Heart Failure Knowledge Test score; ρ=0.59, P=.04) and quality of life (Kansas City Cardiomyopathy Questionnaire score; ρ=0.63, P=.03). The correlation between app use and weight change was ρ=–0.40 (P=.19). Only 1 out of 11 patients in the control group retained education material by the follow-up visit. Conclusions: The Habits Heart App with a Bluetooth-linked scale is a feasible way to engage patients in heart failure management, and barriers to app engagement were identified. A larger multicenter study may be warranted to evaluate the effectiveness of the app. Trial Registration: ClinicalTrials.gov NCT03238729; http://clinicaltrials.gov/ct2/show/NCT03238729 SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2021/1/e19465/ UR - https://doi.org/10.2196/19465 UR - http://www.ncbi.nlm.nih.gov/pubmed/33470941 DO - 10.2196/19465 ID - info:doi/10.2196/19465 ER -