Cardiovascular

Mobile application for self-care in people with heart failure: a quasi-experimental study.

TL;DR

The use of the 'Tum-Tum' mobile app had a positive influence on increasing self-care maintenance and self-care confidence scores in people with heart failure.

Key Findings

A statistically significant difference was observed in heart failure self-care maintenance scores between pre-intervention and post-intervention time points.

  • Measured using the Self-Care of Heart Failure Index (SCHFI)
  • Comparison made between baseline (T0) and 60 days after app use (T1)
  • Statistical analysis performed using the Wilcoxon signed-rank test
  • Single-group quasi-experimental before-and-after design with 57 participants

A statistically significant difference was observed in heart failure self-care confidence scores between pre-intervention and post-intervention time points.

  • Self-care confidence was measured as a subscale of the Self-Care of Heart Failure Index (SCHFI)
  • Improvement observed after 60 days of using the 'Tum-Tum' mobile application
  • Wilcoxon signed-rank test was used for analysis
  • The self-care monitoring subscale was not reported as showing a statistically significant difference

The study sample consisted of 57 individuals with heart failure treated at a cardiology outpatient clinic in João Pessoa, Paraíba, Brazil.

  • 54.4% of participants were male
  • Median age was 60 years
  • Median number of years of education was six years
  • Participants were recruited from a public university hospital between January and May 2024

The 'Tum-Tum' mobile application was evaluated as having potential to support educational strategies promoted by healthcare professionals regarding self-care for people with heart failure.

  • Nurses were specifically highlighted as key professionals who could use the app to support patient education
  • The app was used for a 60-day intervention period
  • Self-care was measured at two time points: before app use (T0) and 60 days after (T1)
  • The study design was a single-group quasi-experimental before-and-after study

What This Means

This research studied whether a mobile phone app called 'Tum-Tum' could help people with heart failure better manage their own health. Fifty-seven patients attending a heart clinic in Brazil used the app for 60 days, and researchers measured their self-care abilities before and after using it with a validated questionnaire called the Self-Care of Heart Failure Index. The group was mostly male (54.4%), with a median age of 60 years and a median of six years of formal education. The study found that after 60 days of using the app, participants showed statistically significant improvements in two important areas: their ability to maintain healthy behaviors related to heart failure (such as following prescribed treatments and healthy habits), and their confidence in managing their condition. These improvements suggest the app was effective at supporting patients in taking a more active role in their own care. This research suggests that mobile health applications like 'Tum-Tum' could be a useful tool for nurses and other healthcare professionals to extend patient education beyond clinic visits, potentially helping heart failure patients better manage their condition at home. However, because this was a single-group study without a comparison group, it is not possible to rule out other factors that may have contributed to the improvements observed.

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Citation

Santos W, Sousa M, Almeida A, Almeida T, Freitas F, Gouveia B, et al.. (2026). Mobile application for self-care in people with heart failure: a quasi-experimental study.. Revista da Escola de Enfermagem da U S P. https://doi.org/10.1590/1980-220X-REEUSP-2025-0537en