Stuti Dang1,2,3, Chandana Karanam1,2, Orlando Gómez-Marín4. 1. 1 Bruce W. Carter Department of Veterans Affairs Medical Center , Miami, Florida. 2. 2 Geriatric Research Education and Clinical Centers (GRECC) , Miami Veterans Affairs Healthcare System, Miami, Florida. 3. 3 Division of Geriatrics and Palliative Care, Department of Medicine, University of Miami Miller School of Medicine , Miami, Florida. 4. 4 Division of Biostatistics, Departments of Public Health Sciences, Medicine, and Pediatrics, University of Miami Miller School of Medicine , Miami, Florida.
Abstract
BACKGROUND: Chronic heart failure (HF) causes significant morbidity, mortality, and cost. Managing HF requires considerable self-management skills and self-efficacy. Little information exists about feasibility and potential impact of a mobile monitoring intervention to improve self-efficacy and quality of life (QoL) among minority patients with HF. MATERIALS AND METHODS: We developed a mobile phone-assisted case management program and tested its impact on outcomes in minority patients with HF in a 2:1 randomized controlled trial. We evaluated self-care efficacy, knowledge, behavior, and QoL at baseline and 3 months. RESULTS:We enrolled 61 participants: intervention 42, usual care 19; mean age ±SD: 55 ± 10 years; 64% male; 75% white Hispanic, 25% African American; and 56% high school education or less. Comparison of the two groups with respect to changes from baseline to 3 months showed significant differences for Self-Efficacy for Managing Chronic Disease (2.09 ± 2.32, p-value = 0.005); health distress scale (-1.1 ± 1.5, p-value = 0.017); and QoL (Role Physical, 23.6 ± 44.5, p-value = 0.042, and General Health, 11.1 ± 14.2, p-value = 0.012). CONCLUSIONS: A mobile phone-based disease management program may help improve self-care efficacy and QoL in a minority population and offers a modality to help reduce ethnic disparity.
RCT Entities:
BACKGROUND:Chronic heart failure (HF) causes significant morbidity, mortality, and cost. Managing HF requires considerable self-management skills and self-efficacy. Little information exists about feasibility and potential impact of a mobile monitoring intervention to improve self-efficacy and quality of life (QoL) among minority patients with HF. MATERIALS AND METHODS: We developed a mobile phone-assisted case management program and tested its impact on outcomes in minority patients with HF in a 2:1 randomized controlled trial. We evaluated self-care efficacy, knowledge, behavior, and QoL at baseline and 3 months. RESULTS: We enrolled 61 participants: intervention 42, usual care 19; mean age ± SD: 55 ± 10 years; 64% male; 75% white Hispanic, 25% African American; and 56% high school education or less. Comparison of the two groups with respect to changes from baseline to 3 months showed significant differences for Self-Efficacy for Managing Chronic Disease (2.09 ± 2.32, p-value = 0.005); health distress scale (-1.1 ± 1.5, p-value = 0.017); and QoL (Role Physical, 23.6 ± 44.5, p-value = 0.042, and General Health, 11.1 ± 14.2, p-value = 0.012). CONCLUSIONS: A mobile phone-based disease management program may help improve self-care efficacy and QoL in a minority population and offers a modality to help reduce ethnic disparity.
Entities:
Keywords:
heart failure; mobile phones; quality of life; self-efficacy
Authors: Renee Pekmezaris; Christian N Nouryan; Rebecca Schwartz; Stacy Castillo; Amgad N Makaryus; Deborah Ahern; Meredith B Akerman; Martin L Lesser; Lorinda Bauer; Lawrence Murray; Kathleen Pecinka; Roman Zeltser; Meng Zhang; Paola DiMarzio Journal: Telemed J E Health Date: 2018-11-10 Impact factor: 3.536
Authors: Kelly J Thomas Craig; Nicole Fusco; Kristina Lindsley; Jane L Snowdon; Van C Willis; Yull E Arriaga; Irene Dankwa-Mullan Journal: Cardiovasc Digit Health J Date: 2020-11-06