The HeartMan mobile personal health system did not significantly improve health-related quality of life (p=0.50) or self-care maintenance (p=0.48) compared to standard care in patients with congestive heart failure.
RCT (n=56)
Open-label
1:2 ratio
Yes
Does the HeartMan mobile personal health system improve health-related quality of life, self-management, and mental health in ambulatory congestive heart failure patients?
The HeartMan mobile personal health system may improve mental health and self-care behavior in stable CHF patients, though it did not significantly improve HRQoL or exercise capacity compared to control.
Absolute Event Rate: -1% vs 1.7%
p-value: p=0.50
This study tested the effectiveness of HeartMan-a mobile personal health system offering decisional support for management of congestive heart failure (CHF)-on health-related quality of life (HRQoL), self-management, exercise capacity, illness perception, mental and sexual health. A randomized controlled proof-of-concept trial (1:2 ratio of control:intervention) was set up with ambulatory CHF patients in stable condition in Belgium and Italy. Data were collected by means of a 6-min walking test and a number of standardized questionnaire instruments. A total of 56 (34 intervention and 22 control group) participants completed the study (77% male; mean age 63 years, sd 10.5). All depression and anxiety dimensions decreased in the intervention group (p < 0.001), while the need for sexual counselling decreased in the control group (p < 0.05). Although the group differences were not significant, self-care increased (p < 0.05), and sexual problems decreased (p < 0.05) in the intervention group only. No significant intervention effects were observed for HRQoL, self-care confidence, illness perception and exercise capacity. Overall, results of this proof-of-concept trial suggest that the HeartMan personal health system significantly improved mental and sexual health and self-care behaviour in CHF patients. These observations were in contrast to the lack of intervention effects on HRQoL, illness perception and exercise capacity.
Clays et al. (Thu,) conducted a rct in Congestive heart failure (CHF) (n=56). HeartMan mobile personal health system vs. Standard care was evaluated on Change in health-related quality of life (MLHFQ total score) (p=0.50). The HeartMan mobile personal health system did not significantly improve health-related quality of life (p=0.50) or self-care maintenance (p=0.48) compared to standard care in patients with congestive heart failure.