Evidence map›Paper›PMID 36538348›Full record

ArticleJMIR formative research2022

Preferences of Older Adult Veterans With Heart Failure for Engaging With Mobile Health Technology to Support Self-care: Qualitative Interview Study Among Patients With Heart Failure and Content Analysis.

Marva Foster, Wei Xiong, Lisa Quintiliani, Christine W Hartmann, Stephan Gaehde

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 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

5 authors at 3 institutions in 1 country.

Marva Foster *VA Boston Healthcare System, Center for Healthcare Organization and Implementation Research, Boston, MA, United States.ORCID https://orcid.org/0000-0002-2265-0413
Wei Xiong *Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0002-7214-4404
Lisa QuintilianiDepartment of General Internal Medicine, School of Medicine, Boston University, Boston, MA, United States.ORCID https://orcid.org/0000-0002-3328-6768
Christine W HartmannVA Bedford Healthcare System, Center for Healthcare Organization and Implementation Research, Bedford, MA, United States.ORCID https://orcid.org/0000-0003-0983-0601
Stephan GaehdeVA Boston Healthcare System, Department of Medicine, Section of Emergency Services, Boston, MA, United States.ORCID https://orcid.org/0000-0002-8536-4465
Boston University · USUniversity of Massachusetts Lowell · USUniversity of Southern California · US

Funding

HSRD VA IK6 HX003398
6 · The paper itself

Abstract

backgroundHeart failure (HF) affects approximately 6.5 million adults in the United States, disproportionately afflicting older adults. Mobile health (mHealth) has emerged as a promising tool to empower older adults in HF self-care. However, little is known about the use of this approach among older adult veterans.

objectiveThe goal of this study was to explore which features of an app were prioritized for older adult veterans with HF.

methodsBetween January and July 2021, we conducted semistructured interviews with patients with heart failure aged 65 years and older at a single facility in an integrated health care system (the Veterans Health Administration). We performed content analysis and derived themes based on the middle-range theory of chronic illness, generating findings both deductively and inductively. The qualitative questions captured data on the 3 key themes of the theory: self-care maintenance, self-care monitoring, and self-care management. Qualitative responses were analyzed using a qualitative data management platform, and descriptive statistics were used to analyze demographic data.

resultsAmong patients interviewed (n=9), most agreed that a smartphone app for supporting HF self-care was desirable. In addition to 3 a priori themes, we identified 7 subthemes: education on daily HF care, how often to get education on HF, support of medication adherence, dietary restriction support, goal setting for exercises, stress reduction strategies, and prompts of when to call a provider. In addition, we identified 3 inductive themes related to veteran preferences for app components: simplicity, ability to share data with caregivers, and positive framing of HF language.

conclusionsWe identified educational and tracking app features that can guide the development of HF self-care for an older adult veteran population. Future research needs to be done to extend these findings and assess the feasibility of and test an app with these features.

Indexed as

elderlyelderly health careelderly self-careheart failuremhealth interventionmHealth technologymobile healthmobile health technologyolder adultsperceptionsqualitative researchself-careveteran health

Identifiers

PMID36538348
PMCPMC9812271
OpenAlexW4312067284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.