Multipathological patients with complex health needs are responsible for the majority number of avoidable hospital admissions. The expansion of mHealth interventions in the field of communication with the patient, the reduction of health inequalities, the improvement in access to health resources, the adherence to treatments and self-care of chronic diseases lead to an optimistic horizon . However, there are few applications that demonstrate its effectiveness in these patients, which is diminished when they are not based on evidence, nor are designed by and for users with different levels of health literacy.
Objective: to evaluate the efficacy of an mHealth intervention, with respect to routine clinical practice, to improve health literacy and self-management of the multiple pathological patient with heart failure and complex health needs. Hypothesis: the proposed mHealth intervention is more effective than usual clinical practice, favoring health literacy and self-management of multiple pathological patients with heart failure and complex health needs, so its use would be relevant as part of the assistance process. Methodology: randomized, controlled, multicenter clinical trial for the evaluation of the efficacy of an mHealth intervention with two groups: a control group (routine clinical practice) and an experimental group (routine clinical practice together with ad hoc designed mHealth intervention). In this project, the design and content validation of the mHealth tool will be carried out, evaluating its relevance and suitability.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
236
MHealth (mobile health) intervention is an act whose purpose is to improve, maintain, promote or modify health, functioning or health conditions.
Health Management area of Gibraltar
Algeciras, Cádiz, Spain
ACTIVE_NOT_RECRUITINGF. para la Gestión de la Inv. Biomédica de Cádiz Ríos
Cadiz, Spain
RECRUITINGHealth literacy
Literacy on health defined by points (range 0-50)
Time frame: 1 year
General selfmanagement
Selfmanagement on health (scale 1-5)
Time frame: 1 year
selfmanagement on heart failure
European Heart Failure SelfCare Behavior Scale (range 12-60)
Time frame: 1 year
self-independence
Personal grade of self-independence- Barthel Index
Time frame: 1 year
self-independence 2
Personal grade of self-independence- Lawton and Brody Index
Time frame: 1 year
Adherence to treatments
Adherence to treatments measured by Morisky-Green Questionnaire
Time frame: 1 year
Prognosis
Life prognosis using PROFUND Index
Time frame: 1 year
Patient satisfaction
General patient satisfaction using a simple questionnarie
Time frame: 1 year
Patient satisfaction 2
Patients satisfaction related to mHealth device
Time frame: 1 year
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