Key result
Heart failure mHealth tools require usability and personalization to drive sustained self-management.
Why the study?
To synthesise qualitative evidence on chronic heart failure patients' experiences using mHealth tools for self-management and identify factors influencing acceptance and adherence to inform patient-centred solutions.
Systematic Review
Qualitative evidence from CHF patients underscores that mHealth tools must prioritize patient-centered design, usability, personalization, and continuous support to achieve sustained engagement.
Clinicians should integrate patient-centered mHealth tools into CHF self-management; extends qualitative synthesis to guide targeted development and evaluation.
OBJECTIVE: To systematically synthesise qualitative evidence on the experiences of chronic heart failure (CHF) patients using mobile health (mHealth) tools for self-management and to identify factors influencing their acceptance and adherence, thereby informing the development of more patient-centred solutions. DESIGN: Qualitative meta-synthesis. METHODS: A comprehensive search was conducted using terms related to mHealth, heart failure, self-management and qualitative research. Study quality was appraised using the Joanna Briggs Institute criteria for qualitative studies, and data were synthesised using thematic synthesis. The search covered the period from database inception to July 2025. DATA SOURCES: The following eight electronic databases were searched: PubMed, Ovid, CINAHL, Web of Science, PsycINFO, China National Knowledge Infrastructure, Wangfang and VIP RESULTS: A total of 18 studies were included, yielding two integrated themes: factors influencing the use of mHealth tools and recommendations for their development. CONCLUSIONS: Experiences of patients with CHF using mHealth underscore the need for a patient-centred paradigm in mHealth design. Codesigning tools based on patients' real-world needs and preferences is crucial to promote sustained engagement and effective self-management. Healthcare professionals and developers should prioritise usability, personalisation and continuous support to enhance acceptance. PROSPERO REGISTRATION NUMBER: CRD420-25638367.
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Xing et al. (2026) conducted a systematic review in Chronic heart failure. Mobile health (mHealth) tools was evaluated on Factors influencing the use of mHealth tools and recommendations for their development (qualitative themes). Patients with chronic heart failure require patient-centered mobile health tools that prioritize usability, personalization, and continuous support to promote sustained engagement and effective self-management.
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