ArticleBMJ open2021
Determinants of acceptance of patients with heart failure and their informal caregivers regarding an interactive decision-making system: a qualitative study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Digital Solutions in HF Education: What Can Patients and Clinicians Gain?Current heart failure reports · 2026Review
- The present and future of cardiological telemonitoring in Europe: a statement from seven European countries.Herzschrittmachertherapie & Elektrophysiologie · 2025Review
- Examining the clinical role and educational preparation of heart failure nurses across Europe. A survey of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP) of the ESC.European journal of heart failure · 2025Article
- Review
- Heart Failure Nurses within the Primary Care Setting.Cardiac failure review · 2024Review
- Challenges in heart failure care in four European countries: a comparative study.European journal of public health · 2023Review
- Digital Transformation in Healthcare: Technology Acceptance and Its Applications.International journal of environmental research and public health · 2023Article
- Virtual healthcare solutions in heart failure: a literature review.Frontiers in cardiovascular medicine · 2023Review
- Alignment of Doctors' Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients' Experiences: A Nominal Group Technique Consultation.Patient preference and adherence · 2023Article
- 'Acute Heart Failure': Should We Abandon the Term Altogether?Current heart failure reports · 2022Review
- The changing role of patients, and nursing and medical professionals as a result of digitalization of health and heart failure care.Journal of nursing management · 2022Article
- Parent Intention to Enroll in an Online Intervention to Enhance Health Behavior Change among Youth Treated with Psychotropic Medication Who Are Overweight or Obese: An Elicitation Study.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
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Authors and funding
17 authors.
Funding
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Abstract
objectiveHeart failure is a growing challenge to healthcare systems worldwide. Technological solutions have the potential to improve the health of patients and help to reduce costs. Acceptability is a prerequisite for the use and a successful implementation of new disruptive technologies. This qualitative study aimed to explore determinants that influence the acceptance of patients and their informal caregivers regarding a patient-oriented digital decision-making solution-a
designWe applied a semistructured design using an interview guide that was based on a theoretical framework influenced by established acceptance theories. The interviews were analysed using a content analysis.
settingA multicentred study in four European countries.
participantsWe interviewed 49 patients and 33 of their informal caregivers. Most of the patients were male (76%) and aged between 60 and 69 years (43%). Informal caregivers were mostly female (85%). The majority of patients (55%) suffered from heart failure with mild symptoms.
resultsFour main categories emerged from the data:
conclusionPatients and informal caregivers see clear benefits of digitalisation in healthcare. They perceive that an interactive decision-making system for patients could empower and enable effective self-care. Our results provide important insights for development processes of patient-centred decision-making systems by identifying facilitators and barriers for acceptance. Further research is needed, especially regarding the influence and mitigation of patients and informal caregivers' perceived risks.
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