Heart Failure. Heart failure
Conditions
Interventions
Intervention 1: In the "intervention group", participants will receive an educational intervention based on clinical guidelines via a mobile application. The app includes features such as nutrition gu
participants will receive standard medical care and will retain access to prior medical interventions.
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 60 years Confirmed diagnosis of heart failure (based on cardiologist evaluation and echocardiographic assessment) A documented history of heart failure for a minimum duration of six months Access to a smartphone (Android operating system) Familiarity with using a smartphone Having at least basic literacy (reading and writing skills) Heart failure classes I to III based on the New York Heart Association (NYHA) functional classification
Exclusion criteria
Exclusion criteria: Patients with a history of psychological disorders such as depression or schizophrenia Having implanted cardiac electronic devices (e.g., Pacemaker or Implantable Cardioverter Defibrillator [ICD])
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment Adherence: Treatment adherence encompasses patient compliance, the ability to follow medical recommendations, flexibility, responsibility, cooperation, participation, and persistence. In this study, an educational application will be used to enhance treatment adherence among patients with heart failure. Adherence will be measured using the Heart Failure Treatment Adherence Questionnaire developed by Ghayasi et al. This instrument includes two main dimensions: medication adherence (5 items) and lifestyle modification adherence (19 items). Timepoint: A pretest-posttest design will be used. Measurements will be conducted before the intervention and at one and two months after the intervention in both groups. Method of measurement: Self-Efficacy:Self-efficacy will be assessed using the Cardiac Self-Efficacy Scale (CSES), which will be provided to the patients. This instrument consists of 16 items and is based on a 5-point Likert scale, with total scores ranging from 0 to 64.;Self-Efficacy: Self-efficacy is a fundamental concept in positive clinical psychology, referring to an individual’s belief in their capability to effectively perform actions required to achieve meaningful goals. It is not a unitary construct and varies across different domains. In this study, self-efficacy will be assessed using the Cardiac Self-Efficacy Scale (CSES), which will be provided to the patients. The CSES consists of 16 items measured on a 5-point Likert scale. Timepoint: A pretest-posttest design will be used. Measurements will be conducted before the intervention and at one and two months after the intervention in both groups. Method of measurement: Treatment Adherence:Treatment adherence will be measured using the Heart Failure Treatment Adherence Questionnaire developed by Ghayasi et al. This questionnaire includes two main domains: medication adherence (5 items) and lifestyle modification adherence (19 items). The total score ranges from 24 to 120. Scores exceeding 70% of t | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfaction has evolved to encompass patients’ perceptions of their involvement in consultations and the emotional expression of healthcare providers. It is also influenced by tangible factors, reliability, responsiveness, assurance, and empathy in inpatient services. In this study, the level of satisfaction among patients with heart failure regarding the use of the educational application will be measured using the Post-Study Mobile App Usability Questionnaire – Interactive Apps version. Timepoint: The Post-Study Mobile App Usability Questionnaire – Interactive Apps will be completed by patients in the intervention group only, at one and two months following the intervention. Method of measurement: Patient satisfaction has evolved to include patients’ perceptions of their involvement in consultations and the emotional expressiveness of healthcare providers. It is also influenced by factors such as tangibility, reliability, responsiveness, assurance, and empathy in inpatient care. In this study, the satisfaction of patients with heart failure regarding the use of the educational application will be measured using the Post-Study Mobile App Usability Questionnaire – Interactive Apps (PMAUQ-Interactive Apps). The interactive version of this instrument contains 21 items, rated on a 7-point Likert scale, and assesses various domains including user satisfaction, efficiency, ease of learning, engagement and participation, enjoyment of use, interactive feedback, and overall user experience. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAli Fakheri
Tehran University of Medical Sciences
Outcome results
None listed