The use of platform for remote monitoring on the base of mobile app for improving self-care in patients with chronic heart failure

Aim. To determine a possibility for improving the capability of patients with chronic heart failure (CHF) for self-care and self-control using a remote monitoring platform on a basis of mobile application. Materials and methods. The study included 142 patients with CHF of different etiology. During the stay in hospital, patients attended structured classes on different aspects of self-control and self-care in CHF. The group of active management consisted of 47 patients who subsequently used a version of mobile application. The control group consisted of 95 patients with CHF. The remote monitoring platform was based on a translated to Russian version of the European Heart Failure Self-Care Behavior Scale (EHFScBS₉), which included 9 items addressing different issues of selfcontrol. Responses were presented as a scale ranging from “completely agree” (1) to “completely disagree (5). The total score was calculated by adding scores for each item. The lower the score the better was the capability of CHF patients for self-care. The follow-up duration was 6 months. Results. On admission, the mean EHFScBS₉ score decreased to 15±2. 3 in the mobile application group whereas in the control group, the mean score was 23. 95±3. 02, which indicated a significantly better capability for self-care in the mobile application group (p<0. 001). Conclusions. Using the developed by us remote monitoring platform mounted on a mobile application on the basis of EHFScBS₉ increased the patients’ compliance with recommendations and their capability for self-care and also allowed to optimize monitoring of disease symptoms.