{
  "abstract": "Background: Mobile health applications may support self-care following acute decompensated heart failure (ADHF), particularly when conventional healthcare contact is limited. We evaluated the integration of the Aintree Heart Failure Passport (AHFP) application into a specialist ambulatory ADHF pathway and described self-care behaviour, medication adherence and 30-day heart failure rehospitalisation among app users. Methods: This prospective, single-centre observational study included consecutive patients treated with day-case intravenous diuretics in a consultant-led ambulatory heart failure unit at a UK university hospital between March 2020 and July 2021. Patients with access to a smartphone were offered the AHFP application. Self-care behaviour and medication adherence were assessed two weeks after presentation using the nine-item European Heart Failure Self-care Behaviour Scale (EHFScB-9) and five-item Medication Adherence Report Scale (MARS-5), respectively. Thirty-day HF hospitalisation among application users was compared with a separate cohort of hospitalised HF patients recorded in the National Heart Failure Audit (73/382, 19.1%). This inpatient cohort was used as a contextual benchmark rather than a matched control group. Results: Of 221 consecutive patients treated for ADHF, 148 (67%) downloaded and registered with the AHFP application. Their mean age was 62 ± 6.1 years, and 45% were women. At two weeks, the mean EHFScB-9 score was 19.1 ± 6.7, and the mean MARS-5 score was 23.3 ± 1.0. Within 30 days, 16 patients (10.8%; 95% CI 6.8–16.8%) were hospitalised with HF, accounting for 73 inpatient bed-days. The corresponding 30-day readmission rate in the separate inpatient audit cohort was 19.1% (73/382). Conclusions: The AHFP application was downloaded and registered by 67% of patients treated within an ambulatory ADHF pathway. Self-care behaviour and medication adherence were assessed at two weeks. The observed 30-day HF hospitalisation rate was lower than that of a separate inpatient audit cohort, although differences in patient selection and care setting preclude attribution to the application. These findings support the feasibility of integrating a self-care application into specialist ambulatory HF care and warrant further evaluation in controlled studies.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiology, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Lower Lane, Liverpool L9 7AL, UK",
    "Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool L7 8TX, UK",
    "Department of Clinical Medicine, Aalborg University, 9000 Aalborg, Denmark",
    "Department of Cardiology, Lipidology and Internal Medicine, Medical University of Bialystok, 15-540 Bialystok, Poland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Hani Essa",
      "orcid": "0000-0001-9445-2582"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Gregory Yoke Hong Lip",
      "orcid": "0000-0002-7566-1626"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Rajiv Sankaranarayanan",
      "orcid": "0000-0003-2355-2011"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3pvphktgapgna.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15208183",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706181/?tool=EBI",
  "id": "3pvphktgapgna",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/8183",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3600|Mobile Health and mHealth Applications"
    ]
  ],
  "openalex": "W7223169345",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706181/pdf/?tool=EBI",
  "pmcid": "PMC13706181",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/3pvphktgapgna.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15208183",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/8183"
    },
    {
      "first_seen": "2026-10-30T12:21:34Z",
      "native_id": "PMC:PMC13706181",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13706181"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "A Self-Care Mobile Application for Patients with Acute Decompensated Heart Failure During the COVID-19 Pandemic",
  "title_text": "A Self-Care Mobile Application for Patients with Acute Decompensated Heart Failure During the COVID-19 Pandemic",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:34Z",
  "url": "https://research.draconitic.com/paper/3pvphktgapgna",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}