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The SMART personalised self-management system for congestive heart failure: results of a realist evaluation.
- Source :
-
BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2014 Nov 25; Vol. 14, pp. 109. Date of Electronic Publication: 2014 Nov 25. - Publication Year :
- 2014
-
Abstract
- Background: Technology has the potential to provide support for self-management to people with congestive heart failure (CHF). This paper describes the results of a realist evaluation of the SMART Personalised Self-Management System (PSMS) for CHF.<br />Methods: The PSMS was used, at home, by seven people with CHF. Data describing system usage and usability as well as questionnaire and interview data were evaluated in terms of the context, mechanism and outcome hypotheses (CMOs) integral to realist evaluation.<br />Results: The CHF PSMS improved heart failure related knowledge in those with low levels of knowledge at baseline, through providing information and quizzes. Furthermore, participants perceived the self-regulatory aspects of the CHF PSMS as being useful in encouraging daily walking. The CMOs were revised to describe the context of use, and how this influences both the mechanisms and the outcomes.<br />Conclusions: Participants with CHF engaged with the PSMS despite some technological problems. Some positive effects on knowledge were observed as well as the potential to assist with changing physical activity behaviour. Knowledge of CHF and physical activity behaviour change are important self-management targets for CHF, and this study provides evidence to direct the further development of a technology to support these targets.
- Subjects :
- Humans
Interviews as Topic
Microcomputers
Mobile Applications
Monitoring, Ambulatory instrumentation
Patient-Centered Care organization & administration
Program Development methods
Program Evaluation
Qualitative Research
Health Knowledge, Attitudes, Practice
Heart Failure therapy
Monitoring, Ambulatory methods
Patient-Centered Care methods
Self Care methods
Subjects
Details
- Language :
- English
- ISSN :
- 1472-6947
- Volume :
- 14
- Database :
- MEDLINE
- Journal :
- BMC medical informatics and decision making
- Publication Type :
- Academic Journal
- Accession number :
- 25421307
- Full Text :
- https://doi.org/10.1186/s12911-014-0109-3