A nurse-led digital preventive cardiology workflow achieved 100% data completion and was associated with high patient satisfaction (93.5%) and self-reported healthier diet (83%) at 1 month.
Observational (n=150)
Does a nurse-led digital workflow with gamified risk scoring improve data capture, workflow efficiency, and patient satisfaction in a preventive cardiology clinic?
A nurse-led digital platform with gamified risk scoring in preventive cardiology improves data capture, workflow efficiency, and patient-reported behavioral changes.
Abstract Background and purpose Preventive cardiology clinics often struggle with fragmented data, manual capture of risk factors and limited patient engagement, hindering consistent multidomain prevention; we evaluated a nurse-led digital workflow (STELA- systematic technology for enhanced longevity and atherosclerosis prevention) integrating multidomain risk assessment, functional fitness testing and gamified visualisation (AGEL Gamification Index, AGI) in a real-world preventive cardiology clinic. Methods A specialised prevention nurse coordinated patient onboarding, functional movement screening and use of the STELA digital platform, which collates questionnaires, clinical findings and laboratory results, prevents report finalisation when data are missing and computes AGI score, which combines 25 modifiable parameters grouped as biochemical/cardiovascular markers, physical fitness and activity, and lifestyle and health behaviours complete list in Figure 1. Each parameter is normalised to a 0–10 score and displayed to patients as an individual spider chart, making strengths and deficits intuitive Figure 2A and finally only one comprehensive nimber for gamification reason in funnel chart Figure 2B. The 25 scores are averaged into a single 0–100 AGI shown in a colour-coded funnel with five strata (0–20, 20–40, 40–60, 60–80, 80–100%) to support rapid risk communication and follow-up tracking. Implementation was evaluated in two phases: technical/workflow validation in the first 50 patients and a patient-experience survey in a subsequent 100-patient cohort (47 responses, 47%). Results Technical validation showed 100% completion of required parameters per patient, 3-second system response time and 100% API interoperability. Administrative workload was estimated to decrease by 60–70%, while physicians agreed with system-generated plans in 100% of cases. Among 47 patients, 93.5% rated the workflow as smooth, 86.9% reported waiting ≤20 minutes and 100% considered communication clear. Net Promoter Scores were +96 for the nurse-led pathway and +98 for physicians. At 1-month follow-up, self-reported behavioural changes included healthier diet in 83%, increased physical activity in 71% and stronger commitment to prevention in 79%. Conclusion A nurse-led, digitally integrated preventive cardiology workflow using multidomain AGI scoring achieved complete data capture and efficient processes, and was associated with high patient satisfaction and favourable self-reported behavioural change.Figure 1.For image description, please refer to the figure legend and surrounding text. Figure 2.For image description, please refer to the figure legend and surrounding text.
Szotkowska et al. (Mon,) conducted a observational in Preventive cardiology (n=150). Nurse-led digital workflow (STELA) with multidomain gamified risk scoring (AGI) was evaluated on Technical validation (completion rate) and patient experience/satisfaction. A nurse-led digital preventive cardiology workflow achieved 100% data completion and was associated with high patient satisfaction (93.5%) and self-reported healthier diet (83%) at 1 month.