Heart failure is a chronic disease that requires careful monitoring and therapeutic education. Smartphones have made their appearance in patients lives and allow close contact with them. The possibility of using a digital application dedicated to patients with heart failure concerning the symptoms to be monitored, treatments, diet, appointments, physical activity could improve the monitoring and the prognosis of patients following their hospitalization.
The aim of this study is to demonstrate that the use of a special application dedicated to the monitoring of heart failures disease has a favorable impact on the occurrence of readmissions and, ultimately, cardiovascular mortality. The aim of this study is also to demonstrate that the use of this "MonCœur" application improves symptoms, quality of life, treatment compliance, diet compliance, and physical activity in patient with heart failure disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
125
The support with the digital application is including a 10-minutes training about the use of the digital application at the beginning of the study. Patient will have to register information about their Heart failure disease (weight, shortness of breath, fatigue, mood, cardiologist appointments, blood results, ...). During each routine consultation, patients will be encouraged to use the digital app, and the obstacles encountered will be explored and resolved. In addition, participants will receive an email containing relevant information and, every three months, an email reminder of the use of the application.
CHU Amiens - Picardie - Site Sud
Amiens, France
Hospices Civils de Lyon
Bron, France
CHU Henri Mondor
Créteil, France
Evaluation of the use of "MonCoeur" application on the impact of patient health self-care
Comparison between the 2 study arms of the score of the European Heart Failure Self-care Behaviour Scale, consisting of 9 items each evaluated on a 5-point Likert scale, and allowing the calculation of a standardized global score from 0 to 100: the highest score indicating better "self-care".
Time frame: 3, 6 and 12 months
Evaluation of the use of "MonCoeur" application on hospitalisation rate
Comparison between the 2 study arms on the number of days without hospitalisation
Time frame: 3, 6 and 12 months
Evaluation of the use of "MonCoeur" application on cardiovascular parameters
Comparison between the 2 study arms of Brain Natriuretic Peptid (nanograms / liter)
Time frame: 3, 6 and 12 months
Evaluation of the use of "MonCoeur" application on patient compliance
Comparison between the 2 study arms on percentage of appointments scheduled versus appointments honored. Comparison between the 2 study arms of the score of the treatment observance scale Ameli.
Time frame: 3, 6 and 12 months
Evaluation of the use of "MonCoeur" application on patient quality of life: Minnesota Living with Heart Failure Questionnaire
Comparison between the 2 study arms of the score of the Minnesota Living with Heart Failure Questionnaire. It provides a total score (range 0-105, from best to worst), as well as scores for two dimensions, physical (8 items, range 0-40) and emotional (5 items, range 0-25). The other eight items (of the total of 21) are only considered for the calculation of the total score.
Time frame: 3, 6 and 12 months
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CHU de Grenoble
Grenoble, France
Hôpital Bicêtre
Le Kremlin-Bicêtre, France
CHRU de Lille
Lille, France
Groupe Hospitalier Sud Ile de France
Melun, France
CHU Arnaud de Villeneuve
Montpellier, France
Hôpital Lariboisière
Paris, France
Hôpital Universitaire Pitié Salpêtrière
Paris, France
...and 6 more locations
Evaluation of the use of "MonCoeur" application on patient physical activity
Comparison between the 2 study arms of the score of the Qappa ("questionnaire d'activité physique pour personnes âgées" / translation in english: "physical activity questionnaire for seniors") physical activity questionnaire. The QAPPA uses the calculation system of the volume of physical activity per minute and per week and classified as high, moderate, or low level.
Time frame: 3, 6 and 12 months
Describe how often and how the application is used by patients
Calculation of the number and type of parameters filled in the application.
Time frame: 3, 6 and 12 months