Research progress on mobile health technology in the management of patients with heart failure out-of-hospital

Shuhui Wang , Xinyi Yin , Ping Liu , Jinfei Yang

Healthcare and Rehabilitation ›› 2025, Vol. 1 ›› Issue (3) : 100035

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Healthcare and Rehabilitation ›› 2025, Vol. 1 ›› Issue (3) : 100035 DOI: 10.1016/j.hcr.2025.100035
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Research progress on mobile health technology in the management of patients with heart failure out-of-hospital

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Abstract

Alongside conventional treatment, out-of-hospital management is pivotal for patients with heart failure, demonstrating improvements in clinical outcomes and health-related quality of life, while decreasing medical care utilization and costs. This review examines the necessity and current application of mobile medical technology in out-of-hospital management for patients with heart failure, aiming to provide guidance for patients to effectively implement multidimensional strategies in managing their chronic condition in daily life.

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Shuhui Wang, Xinyi Yin, Ping Liu, Jinfei Yang. Research progress on mobile health technology in the management of patients with heart failure out-of-hospital. Healthcare and Rehabilitation, 2025, 1(3): 100035 DOI:10.1016/j.hcr.2025.100035

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Ethics approval

Since this study is a systematic review of existing literature and does not involve any direct interaction with human participants or animals, ethical approval for the study was not required.

Funding

This work was supported by the Taishan Scholar Project of Shandong Province [grant number tsqn202103108], the Natural Science Foundation of Qingdao [grant number 0300703010], and the Open Grant from the Pingyuan Laboratory [grant number 0211130006] for financial support.

CRediT authorship contribution statement

Jinfei Yang Project Administration, Supervision, Writing -review & editing, Funding acquisition. Shuhui Wang Writing -original draft, Investigation, Data curation. Xinyi Yin Writing -original draft, Investigation, Data curation. Ping Liu Validation, Investigation. All the authors have read and approved the final version of this manuscript.

Data availability

The data presented in this review were collected from publicly available sources, including peer-reviewed journals, government reports, and online databases. All references are cited within the text and listed in the bibliography.

Declaration of Competing Interest

The authors declare that they have no conflicts of interest. Author Jinfei Yang is an editorial board member of Healthcare and Rehabilitation, but has not been involved in the journal’s review of or decisions related to this manuscript.

Acknowledgements

The authors are grateful to all participants for their time and effort.

References

[1]

Writing Committee Members. ACC/AHA Joint Committee Members. 2022 ACC/ AHA/HFSA guideline for the management of heart failure. J Card Fail. 2022; 28(5):e1-e167. https://doi.org/10.1016/j.cardfail.2022.02.010

[2]

Darvish M, Shakoor A, Feyz L, et al. Heart failure: assessment of the global economic burden. Eur Heart J. 2025; ehaf323. https://doi.org/10.1093/eurheartj/ehaf323

[3]

Khan MS, Shahid I, Bennis A, Rakisheva A, Metra M, Butler J.Global epidemiology of heart failure. Nat Rev Cardiol. 2024; 21(10):717-734. https://doi.org/10.1038/s41569-024-01046-6

[4]

Wu J, Long P, Zeng L, Wang L, Gong X, Wei A. Pharmacologic therapy updates of 2024 guidelines for the diagnosis and treatment of heart failure in China. Herald of Medicine. 2024; 43(11):1718-1722. https://doi.org/10.3870/j.issn.1004-0781.2024.11.002

[5]

Bozkurt B, Ahmad T, Alexander KM, et al. Heart failure epidemiology and outcomes statistics: a report of the heart failure society of America. J Card Fail. 2023; 29(10):1412-1451. https://doi.org/10.1016/j.cardfail.2023.07.006

[6]

Fu L, Jiang JR, Lin WD, et al. Prevalence and incidence of heart failure among community in China during a three-year follow-up. J Geriatr Cardiol. 2023; 20(4):284-292. https://doi.org/10.26599/1671-5411.2023.04.008

[7]

Yun S, Comín-Colet J, Calero-Molina E, et al. Evaluation of mobile health technology combining telemonitoring and teleintervention versus usual care in vulnerable-phase heart failure management (HERMeS): a multicentre, randomised controlled trial. Lancet Digit Health. 2025; 7(5):100866. https://doi.org/10.1016/j.landig.2025.02.006

[8]

Silavanich V, Nathisuwan S, Phrommintikul A, Permsuwan U. Relationship of medication adherence and quality of life among heart failure patients. Heart Lung. 2019; 48(2):105-110. https://doi.org/10.1016/j.hrtlng.2018.09.009

[9]

Cheng C, Donovan G, Al-Jawad N, Jalal Z. The use of technology to improve medication adherence in heart failure patients: a systematic review of randomised controlled trials. J Pharm Policy Pr. 2023; 16(1):81. https://doi.org/10.1186/s40545-023-00582-9

[10]

Bezerra Giordan L, Ronto R, Chau J, Chow C, Laranjo L. Use of mobile apps in heart failure self-management: qualitative study exploring the patient and primary care clinician perspective. JMIR Cardio. 2022; 6(1):e33992. https://doi.org/10.2196/33992

[11]

Stampe K, Kishik S, Müller SD. Mobile health in chronic disease management and patient empowerment: exploratory qualitative investigation into patient-physician consultations. J Med Internet Res. 2021; 23(6):e26991. https://doi.org/10.2196/26991

[12]

de Souza Ferreira E, Dias MA, et al. Mobile solution and chronic diseases: development and implementation of a mobile application and digital platform for collecting, analyzing data, monitoring and managing health care. BMC Health Serv Res. 2024; 24(1):1009. https://doi.org/10.1186/s12913-024-11505-y

[13]

Zhang Z, Patel A. Mobile + Health = Boosting China's mHealth Bandwidth. A policy whitepaper. Published November 2015. Accessed 15 Jan 2025. https://www.georgeinstitute.org/mobile-health-boosting-chinas-healthcare-bandwidth.

[14]

Samal L, Fu HN, Camara DS, Wang J, Bierman AS, Dorr DA. Health information technology to improve care for people with multiple chronic conditions. Health Serv Res. 2021; 56(S1):1006-1036. https://doi.org/10.1111/1475-6773.13860

[15]

Gao M, Wan SH, Cheng C, et al. Research hotspots and visualization analysis of mobile medical application in monitoring cardiac function of patients with heart disease. Chinese Journal of Modern Nursing. 2023; 29(5):651-655. https://doi.org/10.3760/cma.j.cn115682-20220625-03078

[16]

Zhang YJ, Liu FL, Han JQ, Wang L, Li XZ. Research progress of applying mobile health care in the management of the senile chronic illness. Chinese Clinical Nursing. 2021; 13(7):454-457,460. https://doi.org/10.3969/j.issn.1674-3768.2021.07.015

[17]

N’Dri LA, Park S, Nash DB, Park S. The evolution of disease state management: historical milestones and future directions. J Manag Care Spec Pharm. 2020; 26(2):90-93. https://doi.org/10.18553/jmcp.2020.26.2.9

[18]

Feltner C, Jones CD, Cené CW, et al. Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis. Ann Intern Med. 2014; 160(11):774-784. https://doi.org/10.7326/M14-00

[19]

Arfaras-Melainis A, Polyzogopoulou E, Triposkiadis F, et al. Heart failure and sepsis: practical recommendations for the optimal management. Heart Fail Rev. 2020; 25(2):183-194. https://doi.org/10.1007/s10741-019-09816-y

[20]

Yancy CW, Jessup M, Bozkurt B, et al. 2017 2017 ACC/AHA/HFSA Focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the american college of cardiology/american heart association task force on clinical practice guidelines and the heart failure society of America. Circulation. 2017; 136(6):e137-e161. https://doi.org/10.1161/CIR.0000000000000509

[21]

Chen J, Luo WX, Yang XF, et al. Self-management theories, models and frameworks in patients with chronic heart failure: a scoping review. Nurs Open. 2024; 11(1):e2066. https://doi.org/10.1002/nop2.2066

[22]

Jaarsma T, Hill L, Bayes-Genis A, et al. Self-care of heart failure patients: practical management recommendations from the heart failure association of the european society of cardiology. Eur J Heart Fail. 2021; 23(1):157-174. https://doi.org/10.1002/ejhf.2008

[23]

Kobe EA, McVeigh T, Hameed I, Fudim M. Heart failure remote monitoring: a review and implementation how-to. J Clin Med. 2023; 12(19):6200. https://doi.org/10.3390/jcm12196200

[24]

Ding W, Lu J, Wang F, Bai L, Liu J, Wang R. Trends and influencing factors of self-management in patients with chronic heart failure: a longitudinal study. BMC Geriatr. 2025; 25(1):294. https://doi.org/10.1186/s12877-025-05959-w

[25]

Harkness K, Spaling MA, Currie K, Strachan PH, Clark AM. A systematic review of patient heart failure self-care strategies. J Cardiovasc Nurs. 2015; 30(2):121-135. https://doi.org/10.1097/JCN.0000000000000118

[26]

Li QX, Pang X, Tan F, et al. Effects of outhospital disease management on the outcome of patients with chronic heart failure. Journal of Clinical Cardiology. 2015; 31(6):627-629. https://doi.org/10.13201/j.issn.1001-1439.2015.06.013

[27]

Steiner B, Neumann A, Pelz Y, et al. Challenges in heart failure care in four European countries: a comparative study. Eur J Public Health. 2023; 33(3):448-454. https://doi.org/10.1093/eurpub/ckad059

[28]

Allida S, Du H, Xu X, et al. mHealth education interventions in heart failure. Cochrane Database Syst Rev. 2020; 7(7):CD011845. https://doi.org/10.1002/14651858.CD011845.pub2

[29]

Zhang Y, Gao C, Greene SJ, et al. Clinical performance and quality measures for heart failure management in China: the china-heart failure registry study. ESC Heart Fail. 2023; 10(1):342-352. https://doi.org/10.1002/ehf2.14184

[30]

Manolis AA, Manolis TA, Manolis AS.Neurohumoral activation in heart failure. Int J Mol Sci. 2023; 24(20):15472. https://doi.org/10.3390/ijms242015472

[31]

Bezerra Giordan L, Tong HL, Atherton JJ, et al. The use of mobile apps for heart failure self-management: systematic review of experimental and qualitative studies. JMIR Cardio. 2022; 6(1):e33839. https://doi.org/10.2196/33839

[32]

Song YJ, Sun XL, Tu H, Chen Q, Hu TY. Application of “Internet +” Hospital Family Integration Model in Capacity Management of Patients with Chronic Heart Failure. Nursing Practice and Research. 2022; 19(15):2221-2225. https://doi.org/10.3969/j.issn.1672-9676.2022.15.003

[33]

Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the management of heart failure: executive summary: a report of the american college of cardiology/american heart association joint committee on clinical practice guidelines. Circulation. 2022; 145(18):e876-e894. https://doi.org/10.1161/CIR.0000000000001062

[34]

Thorup C, Hansen J, Grønkjær M, et al. Cardiac patients’ walking activity determined by a step counter in cardiac telerehabilitation: data from the intervention arm of a randomized controlled trial. J Med Internet Res. 2016; 18(4):e69. https://doi.org/10.2196/jmir.5191

[35]

Nagatomi Y, Ide T, Higuchi T, et al. Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Heart Fail. 2022; 9(4):2407-2418. https://doi.org/10.1002/ehf2.13934

[36]

Guo Y, Romiti GF, Corica B, et al. Mobile health-technology integrated care in atrial fibrillation patients with heart failure: a report from the mAFA-II randomized clinical trial. Eur J Intern Med. 2023; 107:46-51. https://doi.org/10.1016/j.ejim.2022.11.002

[37]

Indraratna P, Biswas U, McVeigh J, et al. A smartphone-based model of care to support patients with cardiac disease transitioning from hospital to the community (teleclinical care): pilot randomized controlled trial. JMIR Mhealth Uhealth. 2022; 10(2):e32554. https://doi.org/10.2196/32554

[38]

Dendale P, De Keulenaer G, Troisfontaines P, et al. Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of heart failure) study. Eur J Heart Fail. 2012; 14(3):333-340. https://doi.org/10.1093/eurjhf/hfr144

[39]

Zan S, Agboola S, Moore SA, Parks KA, Kvedar JC, Jethwani K. Patient engagement with a mobile web-based telemonitoring system for heart failure self-management: a pilot study. JMIR Mhealth Uhealth. 2015; 3(2):e33. https://doi.org/10.2196/mhealth.3789

[40]

Dorsch MP, Farris KB, Rowell BE, Hummel SL, Koelling TM. The effects of the manageHF4Life mobile app on patients with chronic heart failure: randomized controlled trial. JMIR Mhealth Uhealth. 2021; 9(12):e26185. https://doi.org/10.2196/26185

[41]

Zhang N, Li Q, Chen S, et al. Effectiveness of nurse-led electronic health interventions on illness management in patients with chronic heart failure: a systematic review and meta-analysis. Int J Nurs Stud. 2024;15:104630. https://doi.org/10.1016/j.ijnurstu.2023.104630

[42]

Hale TM, Jethwani K, Kandola MS, Saldana F, Kvedar JC. A remote medication monitoring system for chronic heart failure patients to reduce readmissions: a two-arm randomized pilot study. J Med Internet Res. 2016; 18(5):e91. https://doi.org/10.2196/jmir.5256

[43]

Dietrich F, Zeller A, Allemann S, Arnet I. Development and acceptance of a new adherence monitoring package to identify non-adherent patients with polypharmacy in primary care: a feasibility study. BMJ Open Qual. 2023; 12(1):e002155. https://doi.org/10.1136/bmjoq-2022-002155

[44]

Ding H, Jayasena R, Chen SH, et al. The effects of telemonitoring on patient compliance with self-management recommendations and outcomes of the innovative telemonitoring enhanced care program for chronic heart failure: randomized controlled trial. J Med Internet Res. 2020; 22(7):e17559. https://doi.org/10.2196/17559

[45]

45.Clays E, Puddu PE, Luštrek M, et al. Proof-of-concept trial results of the HeartMan mobile personal health system for self-management in congestive heart failure. Sci Rep. 2021; 11(1):5663. https://doi.org/10.1038/s41598-021-84920-4

[46]

Athilingam P, Jenkins B, Johansson M, Labrador M. A mobile health intervention to improve self-care in patients with heart failure: pilot randomized control trial. JMIR Cardio. 2017; 1(2):e3. https://doi.org/10.2196/cardio.7848

[47]

Liu H, Zhou QS, Liang S. Digital inclusion in public services for vulnerable groups: a systematic review for research themes and goal-action framework from the lens of public service ecosystem theory. Gov Inf Q. 2025; 42(2):102019. https://doi.org/10.1016/j.giq.2025.102019

[48]

Shen MD, Chen SB, Ding XD. The effectiveness of digital twins in promoting precision health across the entire population: a systematic review. NPJ Digit Med. 2024; 7(1):145. https://doi.org/10.1038/s41746-024-01146-0

[49]

Yang QY, Liang SL, Yang D. Digital inclusion: practical exploration and experience reference in developed countries. Information Studies: Theory & Application. 2022; 45(3):194-201. https://doi.org/10.16353/j.cnki.1000-7490.2022.03.027

[50]

Tajudeen FP, Bahar N, Tan MP, Peer Mustafa MB, Saedon NI, Jesudass J. Understanding user requirements for a senior-friendly mobile health application. Geriatr (Basel). 2022; 7(5):110. https://doi.org/10.3390/geriatrics7050110

[51]

Wu G, Wang H, Yang Z, He D, Chan S. Electronic health records sharing based on consortium blockchain. J Med Syst. 2024; 48(1):106. https://doi.org/10.1007/s10916-024-02120-9

[52]

Tangari G, Ikram M, Sentana IWB, Ijaz K, Kaafar MA, Berkovsky S. Analyzing security issues of android mobile health and medical applications. J Am Med Inf Assoc. 2021; 28(10):2074-2084. https://doi.org/10.1093/jamia/ocab131

[53]

Saeed H, Malik H, Bashir U, et al. Blockchain technology in healthcare: a systematic review. PLoS One. 2022; 17(4):e0266462. https://doi.org/10.1371/journal.pone.0266462

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