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Design of a consumer mobile health app for heart failure: findings from the nurse-led co-design of Care4myHeart


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Woods, LS ORCID: 0000-0003-4811-4608, Duff, J ORCID: 0000-0003-1427-0303, Roehrer, E ORCID: 0000-0001-6211-7747, Walker, K ORCID: 0000-0002-0267-416X and Cummings, EA ORCID: 0000-0001-6501-7450 2019 , 'Design of a consumer mobile health app for heart failure: findings from the nurse-led co-design of Care4myHeart' , JMIR Nursing, vol. 2, no. 1 , pp. 1-13 , doi: 10.2196/14633.

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Background: Consumer health care technology shows potential to improve outcomes for community-dwelling persons withchronic conditions, yet health app quality varies considerably. In partnership with patients and family caregivers, hospital cliniciansdeveloped Care4myHeart, a mobile health (mHealth) app for heart failure (HF) self-management.Objective: The aim of this paper was to report the outcomes of the nurse-led design process in the form of the features andfunctions of the developed app, Care4myHeart.Methods: Seven patients, four family caregivers, and seven multidisciplinary hospital clinicians collaborated in a design thinkingprocess of innovation. The co-design process, involving interviews, design workshops, and prototype feedback sessions, incorporatedthe lived experience of stakeholders and evidence-based literature in a design that would be relevant and developed with rigor.Results: The home screen displays the priority HF self-management components with a reminder summary, general informationon the condition, and a settings tab. The health management section allows patients to list health care team member’s contactdetails, schedule medical appointments, and store documents. The My Plan section contains nine important self-managementcomponents with a combination of information and advice pages, graphical representation of patient data, feedback, and more.The greatest strength of the co-design process to achieve the design outcomes was the involvement of local patients, familycaregivers, and clinicians. Moreover, incorporating the literature, guidelines, and current practices into the design strengthenedthe relevance of the app to the health care context. However, the strength of context specificity is also a limitation to portability,and the final design is limited to the stakeholders involved in its development.Conclusions: We recommend health app development teams strategically incorporate relevant stakeholders and literature todesign mHealth solutions that are rigorously designed from a solid evidence base and are relevant to those who will use orrecommend their use.

Item Type: Article
Authors/Creators:Woods, LS and Duff, J and Roehrer, E and Walker, K and Cummings, EA
Keywords: heart failure, mobile health (mHealth), mobile apps, self-management, mobile phone, patient involvement
Journal or Publication Title: JMIR Nursing
Publisher: J M I R Publications, Inc.
ISSN: 2562-7600
DOI / ID Number: 10.2196/14633
Copyright Information:

Copyright 2019 Leanna Woods, Jed Duff, Erin Roehrer, Kim Walker, Elizabeth Cummings. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

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