Human Centred Design Considerations for Multidisciplinary Chronic Heart Failure Disease Management Technology

Chronic Heart Failure (CHF) is a multi-faceted syndrome associated with high mortality and morbidity, as well as high health care costs from both patient and healthcare system perspectives. Optimal CHF disease management involves a high degree of information management and processing, for patients and providers, as well as timely and appropriate information sharing between them. Nurses have long been important conductors of information between patients and the healthcare system, and can provide a valuable perspective on the design of interactive information technology (IIT) to support multidisciplinary sharing of health information. The complimentary perspectives of holistic nursing and human-centred engineering design are discussed in evaluating multidisciplinary information needs and information management needs regarding CHF disease management of home-based CHF patients in Iceland, the author's home country.

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Integrating home-based tele-monitoring in disease management (DM) program for community-dwelling patients with chronic heart failure (CHF)

International Journal of Integrated Care ◽

10.5334/ijic.704 ◽

2011 ◽

Vol 11 (6) ◽

Author(s):

G. Kaufman ◽

D. Goldman ◽

O. Kalter ◽

D. Freimark ◽

H. Silver ◽

...

Keyword(s):

Heart Failure ◽

Chronic Heart Failure ◽

Disease Management ◽

Community Dwelling ◽

Home Based ◽

Tele Monitoring

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Faculty Opinions recommendation of Association of heart rate and outcomes in a broad spectrum of patients with chronic heart failure: results from the CHARM (Candesartan in Heart Failure: Assessment of Reduction in Mortality and morbidity) program.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717951152.793456454 ◽

2012 ◽

Author(s):

Marrick Kukin ◽

Edgar Argulian

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Chronic Heart Failure ◽

Broad Spectrum ◽

Mortality And Morbidity ◽

Failure Assessment ◽

Spectrum Of Patients

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Faculty Opinions recommendation of Impact of Body Mass Index on the Accuracy of N-Terminal Pro-Brain Natriuretic Peptide and Brain Natriuretic Peptide for Predicting Outcomes in Patients With Chronic Heart Failure and Reduced Ejection Fraction: Insights From the PARADIGM-HF Study (Prospective Comparison of ARNI With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure Trial).

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.727049499.793525934 ◽

2016 ◽

Author(s):

Lars H Lund

Keyword(s):

Heart Failure ◽

Body Mass Index ◽

Chronic Heart Failure ◽

Ejection Fraction ◽

Brain Natriuretic Peptide ◽

Natriuretic Peptide ◽

Mortality And Morbidity ◽

Reduced Ejection Fraction ◽

Heart Failure Trial ◽

Prospective Comparison

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Acceptability, Feasibility and Preliminary Evaluation of a Novel, Personalised, Home-Based Physical Activity Intervention for Chronic Heart Failure (Active-at-Home-HF): a Pilot Study

Sports Medicine - Open ◽

10.1186/s40798-019-0216-x ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 2

Author(s):

Nduka C. Okwose ◽

Leah Avery ◽

Nicola O’Brien ◽

Sophie Cassidy ◽

Sarah J. Charman ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Heart Failure ◽

Pilot Study ◽

Chronic Heart Failure ◽

Physical Activity Intervention ◽

Step Count ◽

Home Based ◽

At Home

Abstract Purpose Less than 10% of heart failure patients in the UK participate in cardiac rehabilitation programmes. The present pilot study evaluated feasibility, acceptability and physiological effects of a novel, personalised, home-based physical activity intervention in chronic heart failure. Methods Twenty patients (68 ± 7 years old, 20% females) with stable chronic heart failure due to reduced left ventricular ejection fraction (31 ± 8 %) participated in a single-group, pilot study assessing the feasibility and acceptability of a 12-week personalised home-based physical activity intervention aiming to increase daily number of steps by 2000 from baseline (Active-at-Home-HF). Patients completed cardiopulmonary exercise testing with non-invasive gas exchange and haemodynamic measurements and quality of life questionnaire pre- and post-intervention. Patients were supported weekly via telephone and average weekly step count data collected using pedometers. Results Forty-three patients were screened and 20 recruited into the study. Seventeen patients (85%) completed the intervention, and 15 (75%) achieved the target step count. Average step count per day increased significantly from baseline to 3 weeks by 2546 (5108 ± 3064 to 7654 ± 3849, P = 0.03, n = 17) and was maintained until week 12 (9022 ± 3942). Following completion of the intervention, no adverse events were recorded and quality of life improved by 4 points (26 ± 18 vs. 22 ± 19). Peak exercise stroke volume increased by 19% (127 ± 34 vs. 151 ± 34 m/beat, P = 0.05), while cardiac index increased by 12% (6.8 ± 1.5 vs. 7.6 ± 2.0 L/min/m2, P = 0.19). Workload and oxygen consumption at anaerobic threshold also increased by 16% (49 ± 16 vs. 59 ± 14 watts, P = 0.01) and 10% (11.5 ± 2.9 vs. 12.8 ± 2.2 ml/kg/min, P = 0.39). Conclusion The Active-at-Home-HF intervention is feasible, acceptable and effective for increasing physical activity in CHF. It may lead to improvements in quality of life, exercise tolerance and haemodynamic function. Trial Registration www.clinicaltrials.gov NCT0367727. Retrospectively registered on 17 September 2018.

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