Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population

Stuti Dang, Chandana Karanam, Orlando W Gomez-Marin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Chronic heart failure (HF) causes significant morbidity, mortality, and cost. Managing HF requires considerable self-management skills and self-efficacy. Little information exists about feasibility and potential impact of a mobile monitoring intervention to improve self-efficacy and quality of life (QoL) among minority patients with HF. Materials and Methods: We developed a mobile phone-assisted case management program and tested its impact on outcomes in minority patients with HF in a 2:1 randomized controlled trial. We evaluated self-care efficacy, knowledge, behavior, and QoL at baseline and 3 months. Results: We enrolled 61 participants: Intervention 42, usual care 19; mean age ± SD: 55 ± 10 years; 64% male; 75% white Hispanic, 25% African American; and 56% high school education or less. Comparison of the two groups with respect to changes from baseline to 3 months showed significant differences for Self-Efficacy for Managing Chronic Disease (2.09 ± 2.32, p-value = 0.005); health distress scale (-1.1 ± 1.5, p-value = 0.017); and QoL (Role Physical, 23.6 ± 44.5, p-value = 0.042, and General Health, 11.1 ± 14.2, p-value = 0.012). Conclusions: A mobile phone-based disease management program may help improve self-care efficacy and QoL in a minority population and offers a modality to help reduce ethnic disparity.

Original languageEnglish (US)
Pages (from-to)473-484
Number of pages12
JournalTelemedicine and e-Health
Volume23
Issue number6
DOIs
StatePublished - Jun 1 2017

Fingerprint

County Hospitals
Cell Phones
Self Efficacy
Self Care
Heart Failure
Quality of Life
Population
Health
Case Management
Disease Management
Hispanic Americans
African Americans
Chronic Disease
Randomized Controlled Trials
Morbidity
Education
Costs and Cost Analysis
Mortality

Keywords

  • heart failure
  • mobile phones
  • quality of life
  • self-efficacy

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Cite this

Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population. / Dang, Stuti; Karanam, Chandana; Gomez-Marin, Orlando W.

In: Telemedicine and e-Health, Vol. 23, No. 6, 01.06.2017, p. 473-484.

Research output: Contribution to journalArticle

Dang, Stuti ; Karanam, Chandana ; Gomez-Marin, Orlando W. / Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population. In: Telemedicine and e-Health. 2017 ; Vol. 23, No. 6. pp. 473-484.
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