Nurse-Led mHealth: Redefining Self-Care in Heart Failure Through a Mind–Body Lens

Dear Editor, Heart failure (HF) poses an ongoing clinical and psychological burden, affecting both physiological regulation and emotional well-being. Self-care behaviours – such as symptom monitoring, medication adherence, and dietary regulation – remain crucial for maintaining mind–body balance in HF management. However, adherence to these behaviours is often inconsistent due to emotional distress, cognitive challenges, and lack of continuous behavioural reinforcement.1,2 Nurse-led mobile health (mHealth) interventions represent a transformative opportunity to integrate behavioural motivation, emotional support, and symptom regulation within a digital framework. Evidence indicates that mHealth, when guided by nurses, enhances patient engagement, promotes psychological reassurance, and strengthens self-regulation – an essential mind–body principle.3–5 This systematic review and meta-analysis synthesized evidence on the effectiveness of nurse-led HF self-care education interventions, incorporating digital (mHealth) and structured module-based educational approaches, in improving self-care behaviour, clinical outcomes, and quality of life among patients with HF.6 The synthesized evidence from the reviewed studies suggests that nurse-guided digital interventions contribute to better behavioural adherence, improved symptom awareness, and greater emotional self-efficacy among patients with HF, in line with outcomes reported in earlier research.2–4 From a mind–body perspective, nurse-led mHealth offers continuous behavioural prompts, reduces uncertainty, and enhances perceived control. Many HF patients experience anxiety, fear of symptom escalation, and decision-making uncertainty; digital reinforcement from nurses provides emotional grounding and improves coping ability.7,8 Module-based education delivered via mHealth further supports cognitive retention, reduces distress due to misunderstanding, and promotes self-efficacy. Despite these benefits, several barriers restrict implementation, including digital literacy gaps, lack of standardized protocols, and insufficient training in integrating behavioural strategies with technology.9,10 Addressing these gaps requires designing mHealth solutions that embrace the interplay of physiological, cognitive, and emotional components – a central principle of mind–body medicine. In conclusion, nurse-led mHealth interventions embody a holistic approach that aligns with whole-person care by reinforcing behavioural awareness, emotional resilience, and physiological stability. Broader implementation of such interventions can modernize HF care and offer a more integrated, mind–body-aligned model for chronic disease management.11 Author contributions Nipin kalal designed the study and wrote the first draft of the manuscript with Suresh K Sharma. Ashok Kumar Bishnoi, and Surender Deora helped in literature search and revised the draft. All authors have given final approval for the current version to be published. Ethical statement The ethical statement is not applicable for this article. Declaration of patient consent Patient consent is not applicable for this article. Data availability statement Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.