Heart failure Heart failure with left ventricular ejection fraction below 50 percent Acute heart failure after hospital discharge Heart Failure Medication Adherence Self Care Patient Education Telemedicine Mobile Health Disease Management Heart Failure Management
Conditions
Interventions
Participants will receive a six-month electronic health monitoring program beginning before hospital discharge. The program includes individualized health education, medication reminders, follow-up ap
Experimental Behavioral
Electronic Health Monitoring Program for Patients with Heart Failure
Sponsors
Self-funded
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years or older. 2. Diagnosed with heart failure with left ventricular ejection fraction below 50 percent confirmed by echocardiography. 3. Hospitalized for acute heart failure and discharged in stable condition. 4. Receiving guideline-directed medical therapy for heart failure. 5. Own and are able to use a smartphone and the electronic health monitoring application. 6. Able to communicate and complete study questionnaires. 7. Provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Severe cognitive impairment, psychiatric disorders, impaired consciousness, or other conditions that prevent reliable communication or completion of study procedures. 2. Severe hearing or visual impairment that prevents use of the electronic health monitoring application. 3. Terminal illness or other severe comorbidities with an expected life expectancy of less than six months. 4. End-stage renal disease requiring dialysis or other serious medical conditions that would interfere with study participation or follow-up. 5. Inability or unwillingness to use a smartphone or the electronic health monitoring application. 6. Refusal or inability to provide written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medication adherence Baseline and 6 months after enrollment 8-item Morisky Medication Adherence Scale (MMAS-8) | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart failure knowledge Baseline and 6 months after enrollment Heart failure knowledge questionnaire,Self-care behaviors Baseline and 6 months after enrollment Self-care behavior questionnaire,Unplanned hospital readmission During the 6-month follow-up Number of unplanned hospital readmissions obtained from medical records,Emergency department visits During the 6-month follow-up Number of emergency department visits obtained from medical records,Major adverse cardiovascular events During the 6-month follow-up Incidence of major adverse cardiovascular events documented in medical records | — |
Countries
Vietnam
Contacts
Public ContactMay Phan
Hanoi Heart Hospital
Outcome results
None listed