The SMART personalised self-management system for congestive heart failure: results of a realist evaluation

Journal article


Bartlett, Yvonne K, Haywood, Annette, Bentley, Claire L, Parker, Jack, Hawley, Mark S, Mountain, Gail A and Mawson, Susan 2014. The SMART personalised self-management system for congestive heart failure: results of a realist evaluation. BMC Medical Informatics and Decision Making. 14 (1). https://doi.org/10.1186/s12911-014-0109-3
AuthorsBartlett, Yvonne K, Haywood, Annette, Bentley, Claire L, Parker, Jack, Hawley, Mark S, Mountain, Gail A and Mawson, Susan
Abstract

Technology has the potential to provide support for self-management to people with congestive heart failure (CHF). This paper describes the results of a realist evaluation of the SMART Personalised Self-Management System (PSMS) for CHF. The PSMS was used, at home, by seven people with CHF. Data describing system usage and usability as well as questionnaire and interview data were evaluated in terms of the context, mechanism and outcome hypotheses (CMOs) integral to realist evaluation. The CHF PSMS improved heart failure related knowledge in those with low levels of knowledge at baseline, through providing information and quizzes. Furthermore, participants perceived the self-regulatory aspects of the CHF PSMS as being useful in encouraging daily walking. The CMOs were revised to describe the context of use, and how this influences both the mechanisms and the outcomes. Participants with CHF engaged with the PSMS despite some technological problems. Some positive effects on knowledge were observed as well as the potential to assist with changing physical activity behaviour. Knowledge of CHF and physical activity behaviour change are important self-management targets for CHF, and this study provides evidence to direct the further development of a technology to support these targets.

Keywordstechnology, realist evaluation, user-centred design, heart failure, self-management
Year2014
JournalBMC Medical Informatics and Decision Making
Journal citation14 (1)
PublisherSpringer Science and Business Media LLC
ISSN1472-6947
Digital Object Identifier (DOI)https://doi.org/10.1186/s12911-014-0109-3
Web address (URL)http://hdl.handle.net/10545/624990
http://creativecommons.org/licenses/by/4.0
hdl:10545/624990
Publication dates25 Nov 2014
Publication process dates
Deposited13 Jul 2020, 13:47
Accepted2014
ContributorsUniversity of Sheffield
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