RT journal article
T1 Needs of patients with multi-morbidity and heart failure for the development of a mHealth to improve their self-management: A qualitative analysis
A1 Bas Sarmiento, María del Pilar
A1 Fernández Gutiérrez, Martina
A1 Poza Méndez, Miriam
A1 Carrasco Bernal, Mª Ángeles
A1 Cuenca García, María Magdalena
A1 Díaz Rodríguez, Mercedes
A1 Gómez Jiménez, María De La Paz
A1 Paloma Castro, Olga
A1 Torres Castaño, Alezandra
A1 Marín Paz, Antonio Jesús
A2 Enfermería y Fisioterapia
K1 eHealth
K1 heart failure
K1 multi-morbidity
K1 perception
K1 qualitative research
AB Objective: To provide practical information regarding needs, preferences of content and format of an app to assist the self-management in patients with multi-morbidity and heart failure (HF). Methods: The three-phase study was conducted in Spain. Six integrative reviews, a qualitative methodology based on Van Manen's hermeneutic phenomenology through semi-structured interviews and user stories were used. Data collection continued until data saturation was reached. All data were transcribed verbatim and analysed using a framework approach. Thematic analysis technique following the methods of Braun and Clarke was used for emerging themes. Results: Integrative reviews conducted included practical recommendations to include in the content and format of the App and helped create the interview guide. Interviews revealed 15 subthemes that captured the meaning of narratives offering contextual insights into the development of the App. The main effective mechanisms of multicomponent interventions for patients with HF must contain (a) components that increase the patient's understanding of HF, (b) self-care, (c) self-efficacy and participation of the family/informal caregiver, (4) psychosocial well-being and (5) professional support and use of technology. User stories revealed that patients prioritized improvements in direct contact with health services in case of emergency (90%), nutritional information (70%), type of exercises in order to improve their physical condition (75%) and information about food and drug interaction (60%). The importance of motivation messages (60%) was highlighted by transversal way. Conclusions: The three-phase process integrating theoretical basis, evidence from integrative reviews and research findings from target users has been considered a guide for future app development
PB SAGE
SN 2055-2076
YR 2023
FD 2023-06-08
LK http://hdl.handle.net/10498/29724
UL http://hdl.handle.net/10498/29724
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 21-sep-2026