ArticleBMC medical informatics and decision making2014
The SMART personalised self-management system for congestive heart failure: results of a realist evaluation.
Article in BMC medical informatics and decision making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Pooled it
- Randomised pilot study comparing a coach to SMARTPhone reminders to aid the management of heart failure (HF) patients: humans or machines.BMJ open quality · 2024Trial
- Construction of a home-based social support service content framework for Chinese patients with chronic heart failure based on Maslow's hierarchy of needs.Frontiers in medicine · 2026Article
- Developing Requirements for a Digital Self-Care Intervention for Adults With Heart Failure: Qualitative Workshop Study.Journal of medical Internet research · 2025Article
- Update of the Situation-specific Theory for health management in heart failure: Delphi study.Revista latino-americana de enfermagem · 2025Article
- Patient Portals as Facilitators of Engagement in Patients With Diabetes and Chronic Heart Disease: Scoping Review of Usage and Usability.Journal of medical Internet research · 2023Article
- Patients' Experiences Using a Mobile Health App for Self-Care of Heart Failure in a Real-World Setting: Qualitative Analysis.JMIR formative research · 2023Article
- Measures of Engagement With mHealth Interventions in Patients With Heart Failure: Scoping Review.JMIR mHealth and uHealth · 2022Article
- Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review.JMIR cardio · 2022Review
- mHealth Apps for Self-Management of Cardiovascular Diseases: A Scoping Review.Healthcare (Basel, Switzerland) · 2022Article
- Toward the Value Sensitive Design of eHealth Technologies to Support Self-management of Cardiovascular Diseases: Content Analysis.JMIR cardio · 2021Article
- Lived Experiences and Technological Literacy of Heart Failure Patients and Clinicians at a Cardiac Care Centre in Uganda.Annals of global health · 2020Article
- Supporting Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Metaethnography Review of Frameworks, Models, and Theories Used in Research and Development.Journal of medical Internet research · 2020Review
- Heart in art: cardiovascular diseases in novels, films, and paintings.Philosophy, ethics, and humanities in medicine : PEHM · 2020Article
- Mobile health and cardiac rehabilitation in older adults.Clinical cardiology · 2020Review
- User-Centered Adaptation of an Existing Heart Failure Telemonitoring Program to Ensure Sustainability and Scalability: Qualitative Study.JMIR cardio · 2018Article
- Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review.JMIR cardio · 2018Review
- Evaluating the implementation of a national clinical programme for diabetes to standardise and improve services: a realist evaluation protocol.Implementation science : IS · 2016Article
- A Personalized Self-Management Rehabilitation System with an Intelligent Shoe for Stroke Survivors: A Realist Evaluation.JMIR rehabilitation and assistive technologies · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTechnology has the potential to provide support for self-management to people with congestive heart failure (CHF). This paper describes the results of a realist evaluation of the SMART Personalised Self-Management System (PSMS) for CHF.
methodsThe PSMS was used, at home, by seven people with CHF. Data describing system usage and usability as well as questionnaire and interview data were evaluated in terms of the context, mechanism and outcome hypotheses (CMOs) integral to realist evaluation.
resultsThe CHF PSMS improved heart failure related knowledge in those with low levels of knowledge at baseline, through providing information and quizzes. Furthermore, participants perceived the self-regulatory aspects of the CHF PSMS as being useful in encouraging daily walking. The CMOs were revised to describe the context of use, and how this influences both the mechanisms and the outcomes.
conclusionsParticipants with CHF engaged with the PSMS despite some technological problems. Some positive effects on knowledge were observed as well as the potential to assist with changing physical activity behaviour. Knowledge of CHF and physical activity behaviour change are important self-management targets for CHF, and this study provides evidence to direct the further development of a technology to support these targets.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.