ArticleJMIR formative research2020
A Mobile Health Intervention System for Women With Coronary Heart Disease: Usability Study.
Article in JMIR formative research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Digital Health Solutions for Cardiovascular Disease Prevention: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Effectiveness of eHealth Interventions on Moderate-to-Vigorous Intensity Physical Activity Among Patients in Cardiac Rehabilitation: Systematic Review and Meta-analysis.Journal of medical Internet research · 2023Pooled it
- Assessing the Acceptability and Effectiveness of Mobile-Based Physical Activity Interventions for Midlife Women During Menopause: Systematic Review of the Literature.JMIR mHealth and uHealth · 2022Pooled it
- Behaviour change techniques in cardiovascular disease smartphone apps to improve physical activity and sedentary behaviour: Systematic review and meta-regression.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review.BMC cardiovascular disorders · 2021Pooled it
- Pooled it
- Testing the Effect of a Smartphone App on Hospital Admissions and Sedentary Behavior in Cardiac Rehabilitation Participants: ToDo-CR Randomized Controlled Trial.JMIR mHealth and uHealth · 2023Trial
- Remotely Delivered Nutrition Interventions with or Without Physical Activity Interventions in Adults with Cardiovascular Diseases: A Systematic Review of Randomized Controlled Trials.Healthcare (Basel, Switzerland) · 2026Review
- Just-in-Time Adaptive Interventions to Reduce Sedentary Behavior and Promote Physical Activity in Patients With Chronic Disease: Scoping Review.JMIR mHealth and uHealth · 2026Article
- Feasibility and Acceptability of a Novel Algorithm for Physicians to Prescribe Personalized Exercise Prescriptions to Patients with Cardiovascular Disease Risk Factors: Study Protocol for an Exploratory Randomized Controlled Crossover Trial.Healthcare (Basel, Switzerland) · 2026Article
- Identification of knowledge, behavior and health application needs for cardiovascular disease prevention in young women: An interview and focus group discussion study in Makassar city.Journal of education and health promotion · 2026Article
- Patient-Reported Experiences With Long-Term Lifestyle Self-Monitoring in Heart Disease: Mixed Methods Study.JMIR formative research · 2025Article
- Assessing Daily Antihypertensive Medication Compliance Among Black Adults Using Smartphone-Based Ecological Momentary Assessment: A Feasibility Study.Computers, informatics, nursing : CIN · 2025Article
- Technology-bAsed cardiac rehabilitation therapy (TaCT) for women: Intervention implementability, usability, engagement and acceptability in a middle-income setting.Journal of education and health promotion · 2025Article
- Chinese Version of the mHealth App Usability Questionnaire: Cross-Cultural Adaptation and Validation.Frontiers in psychology · 2022Article
- A precision medicine approach to sex-based differences in ideal cardiovascular health.Scientific reports · 2021Article
- Feasibility and validity of Ecological Momentary Assessment in patients with acute coronary syndrome.BMC cardiovascular disorders · 2020Article
- Knowledge, Health Education, and Mobile Health Strategies on Cardiovascular Disease Awareness in Women: A Narrative Review.Journal of mid-life healthReview
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronary heart disease (CHD) is the leading cause of death and disability among American women. The prevalence of CHD is expected to increase by more than 40% by 2035. In 2015, the estimated cost of caring for patients with CHD was US $182 billion in the United States; hospitalizations accounted for more than half of the costs. Compared with men, women with CHD or those who have undergone coronary revascularization have up to 30% more rehospitalizations within 30 days and up to 1 year. Center-based cardiac rehabilitation is the gold standard of care after an acute coronary event, but few women attend these valuable programs. Effective home-based interventions for improving cardiovascular health among women with CHD are vital for addressing this gap in care.
objectiveThe ubiquity of mobile phones has made mobile health (mHealth) behavioral interventions a viable option to improve healthy behaviors of both women and men with CHD. First, this study aimed to examine the usability of a prototypic mHealth intervention designed specifically for women with CHD (herein referred to as HerBeat). Second, we examined the influence of HerBeat on selected health behaviors (self-efficacy for diet, exercise, and managing chronic illness) and psychological (perceived stress and depressive symptoms) characteristics of the participants.
methodsUsing a single-group, pretest, posttest design, 10 women participated in the 12-week usability study. Participants were provided a smartphone and a smartwatch on which the HerBeat app was installed. Using a web portal dashboard, a health coach monitored participants' ecological momentary assessment data, their behavioral data, and their heart rate and step count. Participants then completed a 12-week follow-up assessment.
resultsAll 10 women (age: mean 64.4 years, SD 6.3 years) completed the study. The usability and acceptability of HerBeat were good, with a mean system usability score of 83.60 (SD 16.3). The participants demonstrated statistically significant improvements in waist circumference (P=.048), weight (P=.02), and BMI (P=.01). Furthermore, depressive symptoms, measured with the Patient Health Questionnaire-9, significantly improved from baseline (P=.04).
conclusionsThe mHealth prototype was feasible and usable for women with CHD. Participants provided data that were useful for further development of HerBeat. The mHealth intervention is expected to help women with CHD self-manage their health behaviors. A randomized controlled trial is needed to further verify the findings.
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