A Heart Failure Smartphone Application That Nudges Patients/Physicians Toward Optimal Medical Therapy - Development and Usability Study.

Circulation reports Pub Date : 2023-11-29 eCollection Date: 2023-12-08 DOI:10.1253/circrep.CR-23-0088
Kosuke Hayashi, Kenta Hachiya, Keisuke Yonezu, Naoyuki Otani, Kenichi Furuya, Iori Miura, Takashi Tomoe, Takushi Sugiyama, Yasuaki Wada, Naohiko Takahashi, Naoto Uemura
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Abstract

Background: The low implementation rate of guideline-directed medical therapy for heart failure (HF) remains a problem worldwide. To address this issue, we hypothesized that a smartphone application (app) based on behavioral economics that nudges physicians and patients towards optimal medical therapy would be a scalable approach. Methods and Results: The app prototype was developed, and its usability was tested with 5 HF patients in the outpatient setting. Adherence to the app was outstanding, with a high usability rating from the patients. Conclusions: It appears feasible to further study our app in a larger cohort to evaluate its efficacy.

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可引导患者/医生采用最佳医疗疗法的心力衰竭智能手机应用程序--开发与可用性研究。
背景:心力衰竭(HF)指南指导下的药物治疗实施率低仍是全球面临的一个问题。为解决这一问题,我们假设一种基于行为经济学的智能手机应用程序(App)将是一种可推广的方法,它能引导医生和患者采用最佳的医疗疗法。方法与结果:我们开发了应用程序原型,并在门诊环境中对 5 名高血压患者进行了可用性测试。患者对该应用的依从性非常好,可用性评分很高。结论:在更大的群体中进一步研究我们的应用程序以评估其疗效似乎是可行的。
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