Evidence map›Paper›PMID 33470941›Full record

Trial reportJMIR mHealth and uHealth2021

Habits Heart App for Patient Engagement in Heart Failure Management: Pilot Feasibility Randomized Trial.

Kevin S Wei, Nasrien E Ibrahim, Ashok A Kumar, Sidhant Jena, Veronica Chew, Michal Depa, Namrata Mayanil, Joseph C Kvedar, Hanna K Gaggin

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03238729 (Proof-of-Concept Study of a Smartphone Application Created to Improve Management of Ambulatory Patients With Heart Failure), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03238729 nacompletednot on this map

Proof-of-Concept Study of a Smartphone Application Created to Improve Management of Ambulatory Patients With Heart Failure: the Heart Failure Heart Habits Application

TypeinterventionalSponsorJana CareRan2017 to 2018Enrolled28ConditionsHeart FailureArmsHeart Failure Education and Management App, Heart Failure Literature
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kevin S WeiCardiology Division, Massachusetts General Hospital, Boston, MA, United States.ORCID 0000-0001-6784-8418
Nasrien E IbrahimCardiology Division, Massachusetts General Hospital, Boston, MA, United States.ORCID 0000-0003-3376-5336
Ashok A KumarJana Care, Boston, MA, United States.ORCID 0000-0002-9345-2481
Sidhant JenaJana Care, Boston, MA, United States.ORCID 0000-0002-1132-6925
Veronica ChewJana Care, Boston, MA, United States.ORCID 0000-0001-9735-6182
Michal DepaJana Care, Boston, MA, United States.ORCID 0000-0002-5504-2123
Namrata MayanilJana Care, Boston, MA, United States.ORCID 0000-0002-0008-4000
Joseph C KvedarHarvard Medical School, Boston, MA, United States.ORCID 0000-0002-7517-2291
Hanna K GagginCardiology Division, Massachusetts General Hospital, Boston, MA, United States.ORCID 0000-0001-8068-6134
Harvard University · USUniversity of California, Irvine · US

Funding

Rapid Fluorescence-Based Determination of Antibiotic SusceptibilityU54EB015408 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI PARRISH, JOHN A, SCHACHTER, STEVEN · 2012 to 2022
$49.2M
NIBIB NIH HHS U54 EB015408
6 · The paper itself

Abstract

backgroundDue to the complexity and chronicity of heart failure, engaging yet simple patient self-management tools are needed.

objectiveThis study aimed to assess the feasibility and patient engagement with a smartphone app designed for heart failure.

methodsPatients with heart failure were randomized to intervention (smartphone with the Habits Heart App installed and Bluetooth-linked scale) or control (paper education material) groups. All intervention group patients were interviewed and monitored closely for app feasibility while receiving standard of care heart failure management by cardiologists. The Atlanta Heart Failure Knowledge Test, a quality of life survey (Kansas City Cardiomyopathy Questionnaire), and weight were assessed at baseline and final visits.

resultsPatients (N=28 patients; intervention: n=15; control: n=13) with heart failure (with reduced ejection fraction: 15/28, 54%; male: 20/28, 71%, female: 8/28, 29%; median age 63 years) were enrolled, and 82% of patients (N=23; intervention: 12/15, 80%; control: 11/13, 85%) completed both baseline and final visits (median follow up 60 days). In the intervention group, 2 out of the 12 patients who completed the study did not use the app after study onboarding due to illnesses and hospitalizations. Of the remaining 10 patients who used the app, 5 patients logged ≥1 interaction with the app per day on average, and 2 patients logged an interaction with the app every other day on average. The intervention group averaged 403 screen views (per patient) in 56 distinct sessions, 5-minute session durations, and 22 weight entries per patient. There was a direct correlation between duration of app use and improvement in heart failure knowledge (Atlanta Heart Failure Knowledge Test score; ρ=0.59, P=.04) and quality of life (Kansas City Cardiomyopathy Questionnaire score; ρ=0.63, P=.03). The correlation between app use and weight change was ρ=-0.40 (P=.19). Only 1 out of 11 patients in the control group retained education material by the follow-up visit.

conclusionsThe Habits Heart App with a Bluetooth-linked scale is a feasible way to engage patients in heart failure management, and barriers to app engagement were identified. A larger multicenter study may be warranted to evaluate the effectiveness of the app.

trial registrationClinicalTrials.gov NCT03238729; http://clinicaltrials.gov/ct2/show/NCT03238729.

Indexed as

Mobile ApplicationsPatient ParticipationFeasibility StudiesFemaleHabitsHeart FailureHumansMaleMiddle AgedPilot ProjectsQuality of LifeStroke Volumeheart failureheart failure managementsmartphone application

Identifiers

PMID33470941
PMCPMC7857947
OpenAlexW3122345770

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.