Abstract
In the last decade, the uptake of information and communication technologies and the advent of mobile internet resulted in improved connectivity and penetrated different fields of application. In particular, the adoption of the mobile devices is expected to reform the provision and delivery of healthcare, overcoming geographical, temporal, and other organizational limitations. mHealth solutions are able to provide meaningful clinical information allowing effective and efficient management of chronic diseases, such as heart failure. A variety of data can be collected, such as lifestyle, sensor/biosensor, and health-related information. The analysis of these data empowers patients and the involved ecosystem actors, improves the healthcare delivery, and facilitates the transformation of existing health services. The aim of this study is to provide an overview of (i) the current practice in the management of heart failure, (ii) the available mHealth solutions, either in the form of the commercial applications, research projects, or related studies, and (iii) the several challenges related to the patient and healthcare professionals’ acceptance, the payer and provider perspective, and the regulatory constraints.
References
Authors/Task Force Members, JJV MM, Adamopoulos S, Anker SD, Auricchio A, Bohm M et al (2012) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the heart failure association (HFA) of the ESC. Eur Heart J 33(14):1787–1847
Bacigalupo R, Cudd P, Littlewood C, Bissell P, Hawley MS, Buckley Woods H (2013) Interventions employing mobile technology for overweight and obesity: an early systematic review of randomized controlled trials. Obes Rev 14(4):279–291
Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M et al (2008) Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet 372(9642):940–949
Blecker S, Paul M, Taksler G, Ogedegbe G, Katz S (2013) Heart failure–associated hospitalizations in the United States. J Am Coll Cardiol 61(12):1259–1267
Bozkurt B, Mann DL (2003) Shortness of breath. Circulation 108(2):e11–e13
Burkhart PV, Sabaté E (2003) Adherence to long-term therapies: evidence for action. J Nurs Scholarsh 35(3):207
Cajita MI, Gleason KT, Han H-R (2016) A systematic review of mHealth-based heart failure interventions. J Cardiovasc Nurs 31(3):E10–E22
Center for Devices and Radiologic Health. Mobile medical applications: guidance for industry and Food and Drug Administration staff, United States Department of Health and Human Services Food and Drug Administration [Internet] (2015) [Cited 2017 Jul 10]. Available from https://www.fda.gov/downloads/MedicalDevices/.../UCM263366.pdf
Chaudhry SI, Phillips CO, Stewart SS, Riegel BJ, Mattera JA, Jerant AF et al (2007a) Telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail 13(1):56–62
Chaudhry SI, Wang Y, Concato J, Gill TM, Krumholz HM (2007b) Patterns of weight change preceding hospitalization for heart failure. Circulation 116(14):1549–1554
Clarke RN (2014) Expanding mobile wireless capacity: the challenges presented by technology and economics. Telecommun Policy 38(8):693–708
Darweesh SKL, Koudstaal PJ, Stricker BH, Hofman A, Ikram MA (2016) Trends in the incidence of Parkinson disease in the general population: the Rotterdam study. Am J Epidemiol 183(11):1018–1026
Dendale P, De Keulenaer G, Troisfontaines P, Weytjens C, Mullens W, Elegeert I et al (2012) Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail 14(3):333–340
Dicianno BE, Parmanto B, Fairman AD, Crytzer TM, DX Y, Pramana G et al (2015) Perspectives on the evolution of mobile (mHealth) technologies and application to rehabilitation. Phys Ther 95(3):397–405
Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJV, Ponikowski P, Poole-Wilson PA et al (2008) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 10(10):933–989
Durstine JL, Gordon B, Wang Z, Luo X (2013) Chronic disease and the link to physical activity. J Sport Health Sci 2(1):3–11
Eapen ZJ, Turakhia MP, McConnell MV, Graham G, Dunn P, Tiner C et al (2016) Defining a mobile health roadmap for cardiovascular health and disease. J Am Heart Assoc 5(7):e003119
Ewald B, Ewald D, Thakkinstian A, Attia J (2008) Meta-analysis of B type natriuretic peptide and N-terminal pro B natriuretic peptide in the diagnosis of clinical heart failure and population screening for left ventricular systolic dysfunction. Intern Med J 38(2):101–113
Feldman DE, Xiao Y, Bernatsky S, Haggerty J, Leffondré K, Tousignant P et al (2009 Dec) Consultation with cardiologists for persons with new-onset chronic heart failure: a population-based study. Can J Cardiol 25(12):690–694
Fiordelli M, Diviani N, Schulz PJ (2013) Mapping mHealth research: a decade of evolution. J Med Internet Res 15(5):e95
Fitzgerald AA, Powers JD, Ho PM, Maddox TM, Peterson PN, Allen LA et al (2011) Impact of medication nonadherence on hospitalizations and mortality in heart failure. J Card Fail 17(8):664–669
Fiutowski M, Waszyrowski T, Krzemińska-Pakula M, Kasprzak JD (2008) Pulmonary edema prognostic score predicts in-hospital mortality risk in patients with acute cardiogenic pulmonary edema. Heart Lung 37(1):46–53
Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P et al (2013) The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Med 10(1):e1001362
Global mobile trends [Internet]. [Cited 2017 Jul 6]. Available from https://www.gsmaintelligence.com/research/?file=357f1541c77358e61787fac35259dc92&download
Heart Failure Health Storylines on the App Store [Internet]. App Store. [cited 2017 Jul 9] Available from https://itunes.apple.com/us/app/heart-failure-health-storylines/id1062725794?mt=8
HEARTCYCLE [Internet]. Available from http://www.heartcycle.eu/
HEARTEN: A co-operative mHealth environment targeting adherence and management of patients suffering from Heart Failure [Internet]. Available from http://www.hearten.eu/
HeartMan_Personal Decision Support System For Heart Failure Management [Internet]. [Cited 2017 Jul 10] Available from http://cordis.europa.eu/project/rcn/199014_en.html
Horwich TB, Patel J, MacLellan WR, Fonarow GC (2003) Cardiac troponin I is associated with impaired hemodynamics, progressive left ventricular dysfunction, and increased mortality rates in advanced heart failure. Circulation 108(7):833–838
IMS Institute for Healthcare Informatics. [Internet]. [Cited 2017 Jul 9]. Available from http://www.imshealth.com/
Karhula T, Vuorinen A-L, Rääpysjärvi K, Pakanen M, Itkonen P, Tepponen M et al (2015) Telemonitoring and mobile phone-based health coaching among Finnish diabetic and heart disease patients: randomized controlled trial. J Med Internet Res 17(6):e153
Kitsiou S, Paré G, Jaana M (2013) Systematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases: a critical assessment of their methodological quality. J Med Internet Res 15(7):e150
Kitsiou S, Paré G, Jaana M (2015) Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic reviews. J Med Internet Res 17(3):e63
Krishna S, Boren SA (2008) Diabetes self-management care via cell phone: a systematic review. J Diabetes Sci Technol 2(3):509–517
Krum H, Jelinek MV, Stewart S, Sindone A, Atherton JJ, National Heart Foundation of Australia et al (2011) Update to National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand guidelines for the prevention, detection and management of chronic heart failure in Australia, 2006. Med J Aust 194(8):405–409
Ledwidge MT, O’Hanlon R, Lalor L, Travers B, Edwards N, Kelly D et al (2013) Can individualized weight monitoring using the HeartPhone algorithm improve sensitivity for clinical deterioration of heart failure? Eur J Heart Fail 15(4):447–455
Leijdekkers P, Gay V. A (2008) Self-test to detect a heart attack using a mobile phone and wearable Sensors. Available from http://ieeexplore.ieee.org/xpl/login.jsp?tp=&arnumber=4561963&url=http%3A%2F%2Fieeexplore.ieee.org%2Fxpls%2Fabs_all.jsp%3Farnumber%3D4561963
Liu XL, Chen S, Wang Y. Effects of health qigong exercises on relieving symptoms of Parkinson’s disease [Internet]. Evidence-Based Complementary and Alternative Medicine. 2016 [cited 2017 Jul 6]. Available from https://www.hindawi.com/journals/ecam/2016/5935782/
Long-term weight loss and changes in blood pressure: results of the trials of hypertension prevention, phase II (PDF download available) [Internet]. [Cited 2017 Jul 6] Available from https://www.researchgate.net/publication/12144466_Long-term_weight_loss_and_changes_in_blood_pressure_results_of_the_Trials_of_Hypertension_Prevention_phase_II
Look AHEAD Research Group, Wing RR (2010) Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med 170(17):1566–1575
Louis AA, Turner T, Gretton M, Baksh A, Cleland JGF (2003) A systematic review of telemonitoring for the management of heart failure. Eur J Heart Fail 5(5):583–590
Maisel A, Mueller C, Adams K, Anker SD, Aspromonte N, Cleland JGF et al (2008) State of the art: using natriuretic peptide levels in clinical practice. Eur J Heart Fail 10(9):824–839
Maric B, Kaan A, Ignaszewski A, Lear SA (2009) A systematic review of telemonitoring technologies in heart failure. Eur J Heart Fail 11(5):506–517
Martínez A, Everss E, Rojo-Alvarez JL, Figal DP, García-Alberola A (2006) A systematic review of the literature on home monitoring for patients with heart failure. J Telemed Telecare 12(5):234–241
Martínez-Pérez B, de la Torre-Díez I, López-Coronado M (2013a) Mobile Health Applications for the Most Prevalent Conditions by the World Health Organization: review and analysis. J Med Internet Res [Internet]. [Cited 2017 Jul 6];15(6) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713954/
Martínez-Pérez B, de la Torre-Díez I, López-Coronado M, Herreros-González J (2013b) Mobile apps in cardiology: review. JMIR Mhealth Uhealth 1(2):e15
Masterson Creber RM, Maurer MS, Reading M, Hiraldo G, Hickey KT, Iribarren S (2016) Review and analysis of existing mobile phone apps to support heart failure symptom monitoring and self-care management using the Mobile Application Rating Scale (MARS). JMIR Mhealth Uhealth [Internet]. [Cited 2017 Jul 9];4(2) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925936/
Matthew-Maich N, Harris L, Ploeg J, Markle-Reid M, Valaitis R, Ibrahim S et al (2016) Designing, implementing, and evaluating mobile health technologies for managing chronic conditions in older adults: a scoping review. JMIR Mhealth Uhealth 4(2):e29
McKelvie RS, Moe GW, Ezekowitz JA, Heckman GA, Costigan J, Ducharme A et al (2013) The 2012 Canadian cardiovascular society heart failure management guidelines update: focus on acute and chronic heart failure. Can J Cardiol 29(2):168–181
Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW (2016) Impact of the HITECH act on physicians’ adoption of electronic health records. J Am Med Inform Assoc 23(2):375–379
mHealth Ecosystems and Social Networks in Healthcare | Athina A. Lazakidou | Springer [Internet]. [Cited 2017 Jul 6]. Available from http://www.springer.com/gp/book/9783319233406
mHealth New horizons for health through mobile technologies [Internet]. [Cited 2017 Jul 6]. Available from http://www.who.int/goe/publications/goe_mhealth_web.pdf
National Clinical Guideline Centre (UK) (2010) Chronic heart failure: National clinical guideline for diagnosis and management in primary and secondary care: partial update [Internet]. Royal College of Physicians (UK), London. [cited 2015 Sep 4]. (National Institute for Health and Clinical Excellence: Guidance). Available from http://www.ncbi.nlm.nih.gov/books/NBK65340/
Nolan RP, Payne AY, Ross H, White M, D’Antono B, Chan S, et al (2014) An internet-based counseling intervention with email reminders that promotes self-care in adults with chronic heart failure: Randomized controlled trial protocol. JMIR Res Protoc [Internet]. 2014 Jan 30 [cited 2015 Oct 16];3(1) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936276/
Pastor-Pérez FJ, Manzano-Fernández S, Goya-Esteban R, Pascual-Figal DA, Barquero-Pérez O, Rojo-Álvarez JL et al (2010) Comparison of detection of arrhythmias in patients with chronic heart failure secondary to non-ischemic versus ischemic cardiomyopathy by 1 versus 7-day Holter monitoring. Am J Cardiol 106(5):677–681
Patel S, Hughes R, Huggins N, Standaert D, Growdon J, Dy J et al (2008) Using wearable sensors to predict the severity of symptoms and motor complications in late stage Parkinson’s disease. Conf Proc IEEE Eng Med Biol Soc 2008:3686–3689
Patel S, Lorincz K, Hughes R, Huggins N, Growdon J, Standaert D et al (2009) Monitoring motor fluctuations in patients with Parkinson’s disease using wearable sensors. IEEE Trans Inf Technol Biomed 13(6):864–873
Patel S, Chen B-R, Buckley T, Rednic R, McClure D, Tarsy D et al (2010) Home monitoring of patients with Parkinson’s disease via wearable technology and a web-based application. Conf Proc IEEE Eng Med Biol Soc 2010:4411–4414
Paulus WJ, van Ballegoij JJM (2010) Treatment of heart failure with normal ejection fraction: an inconvenient truth. J Am Coll Cardiol 55(6):526–537
Pew: 64 percent of US adults own a smartphone now | MobiHealthNews [Internet]. [Cited 2017 Jul 6]. Available from http://www.mobihealthnews.com/42077/pew-64-percent-of-us-adults-own-a-smartphone-now
Philips-MOTIVA [Internet]. Available from http://www.healthcare.philips.com/main/products/telehealth/products/motiva.wpd
Piotrowicz E, Jasionowska A, Banaszak-Bednarczyk M, Gwilkowska J, Piotrowicz R (2012) ECG telemonitoring during home-based cardiac rehabilitation in heart failure patients. J Telemed Telecare 18(4):193–197
Ponikowski P, Anker SD, AlHabib KF, Cowie MR, Force TL, Hu S et al (2014) Heart failure: preventing disease and death worldwide. ESC Heart Failure 1(1):4–25
REgioNs of Europe WorkINg toGether for HEALTH – Sito Arsenàl.IT [Internet]. Available from http://www.renewinghealth.eu/
Riley WT, Rivera DE, Atienza AA, Nilsen W, Allison SM, Mermelstein R (2011) Health behavior models in the age of mobile interventions: are our theories up to the task? Transl Behav Med 1(1):53–71
Roger VL (2010 Apr) The heart failure epidemic. Int J Environ Res Public Health 7(4):1807–1830
Saffari M, Ghanizadeh G, Koenig HG (2014 Dec) Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis. Prim Care Diabetes 8(4):275–285
Scherr D, Zweiker R, Kollmann A, Kastner P, Schreier G, Fruhwald FM (2006) Mobile phone-based surveillance of cardiac patients at home. J Telemed Telecare 12(5):255–261
Scherr D, Kastner P, Kollmann A, Hallas A, Auer J, Krappinger H, et al (2009) Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res [Internet]. [Cited 2015 Oct 12];11(3) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762855/
Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ (2012a) Perceptions and experiences of heart failure patients and clinicians on the use of mobile phone-based telemonitoring. J Med Internet Res 14(1):e25
Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ (2012b) Mobile phone-based telemonitoring for heart failure management: a randomized controlled trial. J Med Internet Res [Internet]. [Cited 2015 Oct 13];14(1) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3374537/
Sharma B, McSharry D, Malhotra A (2011) Sleep disordered breathing in patients with heart failure: pathophysiology and management. Curr Treat Options Cardiovasc Med 13(6):506–516
Stephens J, Allen J (2013) Mobile phone interventions to increase physical activity and reduce weight. J Cardiovasc Nurs 28(4):320–329
Stoyanov SR, Hides L, Kavanagh DJ, Zelenko O, Tjondronegoro D, Mani M (2015) Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR Mhealth Uhealth [Internet]. [Cited 2017 Jul 9];3(1) Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376132/
Tannenbaum C, Johnell K (2014) Managing therapeutic competition in patients with heart failure, lower urinary tract symptoms and incontinence. Drugs Aging 31(2):93–101
Taylor-Clarke K, Henry-Okafor Q, Murphy C, Keyes M, Rothman R, Churchwell A et al (2012) Assessment of commonly available educational materials in heart failure clinics. J Cardiovasc Nurs 27(6):485–494
United4Health [Internet]. Available from http://united4health.eu/
van der Wal MHL, Jaarsma T, van Veldhuisen DJ (2005) Non-compliance in patients with heart failure; how can we manage it? Eur J Heart Fail 7(1):5–17
Viswanathan M, Golin CE, Jones CD, Ashok M, Blalock SJ, Wines RCM et al (2012) Interventions to improve adherence to self-administered medications for chronic diseases in the United States: a systematic review. Ann Intern Med 157(11):785–795
Whitehead L, Seaton P (2016) The effectiveness of self-management mobile phone and tablet apps in long-term condition management: a systematic review. J Med Internet Res 18(5):e97
WHO | Accountability Commission for health of women and children [Internet]. WHO. [Cited 2017 Jul 6]. Available from http://www.who.int/topics/millennium_development_goals/accountability_commission/en/
WHO-Adherence to Long-Term Therapies [Internet]. [Cited 2017 Jul 6]. Available from http://www.who.int/chp/knowledge/publications/adherence_introduction.pdf
World Health Organization . The Global Burden of Disease: 2004 Update. [Internet]. [cited 2017 Jul 6]. Available from http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf
Writing Committee Members, Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE et al (2013) ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Circulation 128(16):e240–e327
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH et al (2013) ACCF/AHA guideline for the Management of Heart Failure A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Coll Cardiol 62(16):e147–e239
Yap J, Yun H, Jeong D-U, Noh (2012) The deployment of novel techniques for mobile ECG monitoring. Int J Smart Home [Internet]. 2012;6. Available from http://www.sersc.org/journals/IJSH/vol6_no4_2012/1.pdf
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This work is supported by the HEARTEN project that has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No 643694.
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Tripoliti, E.E., Karanasiou, G.S., Kalatzis, F.G., Naka, K.K., Fotiadis, D.I. (2017). The Evolution of mHealth Solutions for Heart Failure Management. In: Islam, M. (eds) Heart Failure: From Research to Clinical Practice. Advances in Experimental Medicine and Biology(), vol 1067. Springer, Cham. https://doi.org/10.1007/5584_2017_99
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