Key result
Pharmacist-led mobile apps linked to better medication adherence and HRQoL in HF with no early readmissions.
Why the study?
Evidence regarding the use of mobile apps by pharmacists to achieve positive clinical outcomes in heart failure is limited.
Does a pharmacist-led mobile apps-based intervention mix improve medication adherence, HRQoL, and readmission rates in heart failure patients?
Observational (n=10)
Does a pharmacist-led mobile apps-based intervention mix improve medication adherence, HRQoL, and readmission rates in heart failure patients?
A pharmacist-led mobile app intervention significantly improved medication adherence and quality of life in a small cohort of heart failure patients.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for pharmacist-led app interventions in heart failure; requires randomized trials before practice change.
Objectives The impact of clinical pharmacists on inpatient heart failure (HF) care has been proven in many studies. Evidence regarding the use of mobile apps by pharmacists to achieve positive clinical outcomes in HF is limited. The purpose of this study is to examine the impact of a pharmacist-led HF patient focus group using mobile apps-based intervention mix. Methods In this pre–post-exploratory study, using an intervention mix of hospital discharge counselling, MyTherapy app, WhatsApp and occasional phone calls to improve clinical outcomes in HF. Patient medication adherence, health-related quality of life (HRQoL) and 30-day all-cause hospital readmission rate were assessed. The Wilcoxon Signed-Rank Test was used to find statistical significance of improvements in medication adherence and HRQoL using SPSS software version 26. Key findings The intervention mix of initial hospital-discharge counselling, MyTherapy app, follow-up with the WhatsApp group and occasional phone calls established an effective communication with patients. All 10 patients had improvements in their clinical outcomes. Significant improvements in medication adherence and HRQoL were found (Z-value −2.810 and Z-value −2.805, respectively; 95% confidence interval). No patients were readmitted in 30 days or within 3 months of study. Conclusions A pharmacist-led HF patient focus group using mobile apps-based intervention mix was found to be effective in improving clinical outcomes in HF patients. Further research should be performed on long-term effects of our approach.
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Hani et al. (2020) conducted an observational in Heart failure (n=10). Pharmacist-led mobile apps-based intervention mix (MyTherapy app, WhatsApp, phone calls) vs. Pre-intervention baseline was evaluated on Medication adherence, health-related quality of life (HRQoL), and 30-day all-cause hospital readmission rate (Z-value -2.810 (adherence), -2.805 (HRQoL)). A pharmacist-led mobile apps-based intervention mix significantly improved medication adherence and HRQoL in heart failure patients, with zero hospital readmissions within 3 months.
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