Effect of a mobile-based, family-centered self-care education program on Health Literacy and Self-Care in Patients with Heart Failure: A Randomized Controlled Trial.
Zohreh Badiyepeymaiejahromi, Mahsa Khorramkish, Ali Asghar Rahmaniankushkaki
PMID 41289533WHAT IT FOUND
Heart failure patients whose family members took part in a short weekly mobile self-care education program had better health literacy and self-care after one month than patients who received routine care alone.
Key findings
01Patients in the family-centered mobile education group had higher health literacy and self-care scores than control patients after one month.
02Within the education group, health literacy and self-care scores increased significantly from before to after the program.
03Before the intervention, health literacy and self-care scores did not differ significantly between groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was small and done at one center, using convenience sampling, so it may not apply to other heart failure populations. Patients and researchers were not blinded to group assignment, and the investigator assessed outcomes, which can bias self-reported scores. Follow-up was only one month, so the study does not show whether behavior changes last. The intervention combined family selection, weekly videos, phone follow-up, group discussion, and routine cardiology care, so the contribution of any single part cannot be separated.
The easy way to misread this
Do not conclude that the mobile app alone caused the benefit or that the effect will last. The patients and family members also received weekly videos, phone follow-up, group discussion, and continued routine cardiology care, and outcomes were measured only one month after the program.