Bo Wei, Yiqin Xu, Ye Du, Jie Zhou, Fangfang Zhong, Chenglong Wu, Yiping Lou
Feasibility of Using Magnetic Resonance Spectroscopy Test Biomarkers to Diagnose Alzheimer's Disease: Systematic Evaluation and Meta-Analysis
Actas espanolas de psiquiatria
mobile health mhealth apps dramatically changing patients providers manage monitor chronic health conditions especially area selfmonitoring african americans higher mortality rates heart failure racial groups united states therefore selfmanagement heart failure may improve health outcomes african american patients aim present study determine feasibility using mhealth app explore outcomes quality life including selfcare maintenance management confidence among african american patients managing condition discharge diagnosis heart failure prior development app conducted qualitative interviews 7 african american patients diagnosed heart failure 3 african american patients diagnosed cardiovascular disease 6 health care providers cardiologists nurse practitioners geriatrician worked heart failure patients addition asked 6 hospital chaplains provide positive spiritual messages patients since spirituality important coping method many african americans formative data used creating prototype app named healthy heart specifically healthy heart app incorporated following evidencebased features promote selfmanagement oneway messages journaling ie weight symptoms graphical display data customized feedback ie clinical decision support based daily weekly weight educational messages heart failure selfmanagement derived teaching materials provided patients diagnosed heart failure included information diet sleep stress medication adherence information condensed simplified appropriate text messages meet health literacy standards messages derived interviews conducted formative stage app development including interviews african american chaplains usability testing conducted series meetings nurses social workers computer engineers pilot onegroup pretestposttest design employed participants using mhealth app 4 weeks descriptive statistics computed demographic variables overall subscales health related quality life scale 14 hqol14 subscales selfcare heart failure index schfi version 6 using frequencies categorical measures means standard deviations continuous measures baseline postintervention comparisons computed using fisher exact test overall health paired tests hqol14 schfi questionnaire subscales total 12 african american participants 7 men 5 women aged 5169 years diagnosed heart failure recruited study significant increase quality life p15 clinically relevant changes selfcare maintenance management confidence observed mhealth app assist selfmanagement heart failure feasible patients low literacy low health literacy limited smartphone experience based clinically relevant changes observed feasibility study healthy heart app research explore effectiveness vulnerable population