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July 1, 2020Cochrane libraryOpen Access

mHealth education interventions in heart failure

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Why the study?

mHealth technology offers an innovative method to deliver vital self-care education to heart failure patients unable or unwilling to access traditional programmes, but its benefits and harms required systematic quantification.

Does mHealth-delivered education improve knowledge, self-care, quality of life, or reduce hospitalisations in adults with heart failure compared to usual care?

Population

Adults (≥ 18 years) with a diagnosis of HF (3 studies, 894 participants)

Comparison

mHealth-delivered education vs usual HF care

Design

Systematic review of randomised controlled trials

Key result

mHealth-delivered educational interventions for people with heart failure showed no evidence of a difference in heart failure knowledge compared to usual care (MD 0.10).

Authors

SASabine AllidaHDHuiyun DuXXXiaoyue Xu

Discussion

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Member takes

Overview

No benefit on heart failure knowledge; confirms null effect of mHealth education and leaves self-efficacy and hospitalizations uncertain.

Study Design

Type

Systematic Review (n=971)

Structured PICO

Does mHealth-delivered education improve knowledge, self-care, quality of life, or reduce hospitalisations in adults with heart failure compared to usual care?

P
Population
Adults (≥ 18 years) with a diagnosis of heart failure (3 studies, n=894 participants)
I
Intervention
mHealth-delivered education (internet and web-based education programmes for use on smartphones and tablets, SMS messages, and social media-delivered education programmes)
C
Comparator
Usual heart failure care
O
Outcome
Heart failure knowledge, self-efficacy, self-care, health-related quality of life, and heart failure-related hospitalisationspatient reported

Main Result

Effect estimate: MD 0.10 (95% CI -0.2 to 0.40)

p-value: p=0.51

Current evidence does not show a clear benefit of mHealth-delivered educational interventions on knowledge, self-care, quality of life, or hospitalizations in heart failure patients.

Limitations

  • Limitations in study design and execution
  • Heterogeneity
  • Wide confidence intervals
  • Fewer than 500 participants in the analysis
  • limitations in study design and execution
  • heterogeneity
  • wide confidence intervals
  • fewer than 500 participants in the analysis

Cite This Study

Allida et al. (2020) conducted a systematic review in Heart failure (n=971). mHealth-delivered education interventions vs. Usual care was evaluated on Heart failure knowledge (MD 0.10, 95% CI -0.2 to 0.40, p=0.51). mHealth-delivered educational interventions for people with heart failure showed no evidence of a difference in heart failure knowledge compared to usual care (MD 0.10).

synapsesocial.com/papers/6a077e36b2d9a7d543079a5chttps://doi.org/10.1002/14651858.cd011845.pub2
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