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. 2024 Nov 7:8:e57328.
doi: 10.2196/57328.

The Development of Heart Failure Electronic-Message Driven Tips to Support Self-Management: Co-Design Case Study

Caleb Ferguson  1   2 , Scott William  1   2 , Sabine M Allida  1   2 , Jordan Fulcher  3   4 , Alicia J Jenkins  3   5 , Jo-Dee Lattimore  3   4 , L-J Loch  6 , Anthony Keech  3
Affiliations

The Development of Heart Failure Electronic-Message Driven Tips to Support Self-Management: Co-Design Case Study

Caleb Ferguson et al. JMIR Cardio. .

Abstract

Background: Heart failure (HF) is a complex syndrome associated with high morbidity and mortality and increased health care use. Patient education is key to improving health outcomes, achieved by promoting self-management to optimize medical management. Newer digital tools like SMS text messaging and smartphone apps provide novel patient education approaches.

Objective: This study aimed to partner with clinicians and people with lived experience of HF to identify the priority educational topic areas to inform the development and delivery of a bank of electronic-message driven tips (e-TIPS) to support HF self-management.

Methods: We conducted 3 focus groups with cardiovascular clinicians, people with lived experience of HF, and their caregivers, which consisted of 2 stages: stage 1 (an exploratory qualitative study to identify the unmet educational needs of people living with HF; previously reported) and stage 2 (a co-design feedback session to identify educational topic areas and inform the delivery of e-TIPS). This paper reports the findings of the co-design feedback session.

Results: We identified 5 key considerations in delivering e-TIPS and 5 relevant HF educational topics for their content. Key considerations in e-TIP delivery included (1) timing of the e-TIPS; (2) clear and concise e-TIPS; (3) embedding a feedback mechanism; (4) distinguishing actionable and nonactionable e-TIPS; and (5) frequency of e-TIP delivery. Relevant educational topic areas included the following: (1) cardiovascular risk reduction, (2) self-management, (3) food and nutrition, (4) sleep hygiene, and (5) mental health.

Conclusions: The findings from this co-design case study have provided a foundation for developing a bank of e-TIPS. These will now be evaluated for usability in the BANDAIDS e-TIPS, a single-group, quasi-experimental study of a 24-week e-TIP program (personalized educational messages) delivered via SMS text messaging (ACTRN12623000644662).

Keywords: app design; co-design; e-TIPS; electronic-message driven tips; heart failure; patient education; smartphone.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1.
Figure 1.. Co-design process. e-TIP: electronic-message driven tip; HF: heart failure.
Figure 2.
Figure 2.. Stage 2 co-design feedback questions. e-TIP: electronic-message driven tip.
Figure 3.
Figure 3.. Draft electronic-message driven tips (e-TIPS).
See this image and copyright information in PMC

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