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Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.

Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.

期刊: JMIR human factors 日期: 2026-07-29 PMID: 42526904 DOI: 10.2196/84309 浏览: 20
作者: Indriany FE, Siregar KN, Siswanto BB, Purwowiyoto BS, Soerarso R, Sutedja I, Setiawan B, Wijaya HR, Wong RCC, Di Somma S
FE, I., KN, S., BB, S., BS, P., R, S., I, S., B, S., HR, W., RCC, W., & S, D.S. (2026). Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.. JMIR human factors. https://doi.org/10.2196/84309
FE I, KN S, BB S, BS P, R S, I S, et al. Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.. JMIR human factors. 2026; doi: 10.2196/84309
FE I, KN S, BB S, et al. Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.[J]. JMIR human factors. 2026. DOI: 10.2196/84309.
@article{fe2026,
  author = {Indriany FE and Siregar KN and Siswanto BB and Purwowiyoto BS and Soerarso R and Sutedja I and Setiawan B and Wijaya HR and Wong RCC and Di Somma S},
  title = {Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.},
  journal = {JMIR human factors},
  year = {2026},
  doi = {10.2196/84309},
  note = {PMID: 42526904},
}
TY  - JOUR
AU  - Indriany FE
AU  - Siregar KN
AU  - Siswanto BB
AU  - Purwowiyoto BS
AU  - Soerarso R
AU  - Sutedja I
AU  - Setiawan B
AU  - Wijaya HR
AU  - Wong RCC
AU  - Di Somma S
TI  - Feasibility of a Mobile-Based Home Monitoring System for Patients With Heart Failure: Mixed Methods Pilot Study.
T2  - JMIR human factors
PY  - 2026
DO  - 10.2196/84309
AN  - PMID:42526904
ER  - 

摘要

BACKGROUND: The risk of rehospitalization in patients with heart failure (HF) has initiated various efforts to prevent and simultaneously improve quality of life. Self-monitoring at home is one option, and technology is increasingly being used for this purpose. OBJECTIVE: This pilot study aimed to evaluate the feasibility and preliminary effects of a digital home monitoring intervention on patient-reported outcomes and 30-day readmissions among patients with HF in Indonesia. METHODS: A mixed methods pilot study was conducted, combining qualitative system development and quantitative evaluation. Patients were assigned to an intervention group (digital monitoring) or control group (standard care). Readmission rates were compared using chi-square tests and odds ratios. Changes in Kansas City Cardiomyopathy Questionnaire scores were analyzed using linear mixed-effects models. RESULTS: A total of 60 patients were included (n=30, 50% in the intervention group; n=30, 50% in the control group). Readmission occurred in 20% (6/30) of patients in the intervention group and 43.3% (13/30) of patients in the control group (odds ratio 0.33, 95% CI 0.10-1.09; P=.10). Linear mixed-effects analysis showed greater improvement in Kansas City Cardiomyopathy Questionnaire overall summary score in the intervention group (P=.02). Improvements were observed in the physical limitation, symptom frequency, symptom burden, quality of life, and social limitation domains. During follow-up, 3.3% (1/30) of the patients in the intervention group died of non-HF-related causes, and 10% (3/30) of the patients in the control group died due to HF. CONCLUSIONS: This pilot study suggests that digital home monitoring is feasible and associated with improvements in patient-reported outcomes, with a potential signal toward reduced readmission. Larger studies are needed to confirm effectiveness.

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