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Improving outpatient care for heart failure through digital innovation : a feasibility study

Improving outpatient care for heart failure through digital innovation : a feasibility study

Title: Improving outpatient care for heart failure through digital innovation : a feasibility study
Author: Arnar, Davíð Ottó
Oddsson, Saemundur
Gunnarsdóttir, Þrúður
Guðlaugsdóttir, Guðbjörg Jóna
Gudmundsson, Elias Freyr   orcid.org/0000-0002-7661-4872
Ketilsdóttir, Auður
Halldórsdóttir, Hulda
Hrafnkelsdóttir, Þórdís Jóna   orcid.org/0000-0002-4398-2898
Hallsson, Hallur
Amundadottir, Maria L.
... 1 more authors Show all authors
Date: 2022-11-30
Language: English
Scope: 1504359
Department: Faculty of Medicine
Cardio-Vascular Center
Series: Pilot and Feasibility Studies; 8(1)
ISSN: 2055-5784
DOI: 10.1186/s40814-022-01206-w
Subject: Hjartalæknisfræði; Hjúkrun langveikra fullorðinna; Clinical outcome; Digital solution; Feasibility study; Heart failure; Lifestyle-change; Remote monitoring; Self-care; Medicine (miscellaneous)
URI: https://hdl.handle.net/20.500.11815/3921

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Arnar , D O , Oddsson , S , Gunnarsdóttir , Þ , Guðlaugsdóttir , G J , Gudmundsson , E F , Ketilsdóttir , A , Halldórsdóttir , H , Hrafnkelsdóttir , Þ J , Hallsson , H , Amundadottir , M L & Thorgeirsson , T 2022 , ' Improving outpatient care for heart failure through digital innovation : a feasibility study ' , Pilot and Feasibility Studies , vol. 8 , no. 1 , 242 , pp. 242 . https://doi.org/10.1186/s40814-022-01206-w


Background: Heart failure (HF) affects over 26 million people worldwide. Multidisciplinary management strategies that include symptom monitoring and patient self-care support reduce HF hospitalization and mortality rates. Ideally, HF follow-up and self-care support includes lifestyle-change recommendations and remote monitoring of weight and HF symptoms. Providing these via a digital solution may be ideal for improving HF disease outcomes and reducing the burden on providers and healthcare systems. This study’s main objective was to assess the feasibility of a digital solution including remote monitoring, lifestyle-change, and self-care support for HF outpatients in Iceland. Methods: Twenty HF patients (mean age 57.5 years, 80% males) participated in an 8-week study. They were provided with a digital solution (SK-141), including lifestyle-change and disease self-care support, a remote symptom monitoring system, and a secure messaging platform between healthcare providers and patients. This feasibility study aimed to assess patient acceptability of this new intervention, retention rate, and to evaluate trends in clinical outcomes. To assess the acceptability of SK-141, participants completed a questionnaire about their experience after the 8-week study. Participants performed daily assigned activities (missions), including self-reporting symptoms. Clinical outcomes were assessed with the Hospital Anxiety and Depression Scale and the Kansas City Cardiomyopathy Questionnaire at the study's beginning and end with an online survey. Results: Of the 24 patients invited, 20 were elected to participate. The retention rate of participants throughout the 8-week period was high (80%). At the end of the 8 weeks, thirteen participants completed a questionnaire about their experience and acceptability of the SK-141. They rated their experience positively including on questions whether they would recommend the solution to others (6.8 on a scale of 1–7), whether the solution had improved their life and well-being (5.7 on a scale of 1–7), and whether it was user friendly (5.5 on a scale of 1–7). Many of the clinical parameters studied exhibited a promising trend towards improvement over the 8-week period. Conclusion: The digital solution, SK-141, was very acceptable to patients and also showed promising clinical results in this small feasibility study. These results encourage us to conduct a longer, more extensive, adequately powered, randomized-controlled study to assess whether this digital solution can improve the quality of life and clinical outcomes among HF patients.


Funding Information: Supported in part by a grant from the Helga Jonsdottir and Sigurlidi Kristjansson memorial fund to DOA. Publisher Copyright: © 2022, The Author(s).

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