title: Outcomes of a Mobile Phone Intervention for Heart Failure in a Minority County Hospital Population.
abstract: Chronic heart failure (HF) causes significant morbidity, mortality, and cost. Managing HF requires considerable self-management skills and self-efficacy. Little information exists about feasibility and potential impact of a mobile monitoring intervention to improve self-efficacy and quality of life (QoL) among minority patients with HF.
  
  
  
  We developed a mobile phone-assisted case management program and tested its impact on outcomes in minority patients with HF in a 2:1 randomized controlled trial. We evaluated self-care efficacy, knowledge, behavior, and QoL at baseline and 3 months.
  
  
  
  We enrolled 61 participants: intervention 42, usual care 19; mean age ± SD: 55 ± 10 years; 64% male; 75% white Hispanic, 25% African American; and 56% high school education or less. Comparison of the two groups with respect to changes from baseline to 3 months showed significant differences for Self-Efficacy for Managing Chronic Disease (2.09 ± 2.32, p-value = 0.005); health distress scale (-1.1 ± 1.5, p-value = 0.017); and QoL (Role Physical, 23.6 ± 44.5, p-value = 0.042, and General Health, 11.1 ± 14.2, p-value = 0.012).
  
  
  
  A mobile phone-based disease management program may help improve self-care efficacy and QoL in a minority population and offers a modality to help reduce ethnic disparity.
authors.affiliation: 1 Bruce W. Carter Department of Veterans Affairs Medical Center , Miami, Florida.|2 Geriatric Research Education and Clinical Centers (GRECC) , Miami Veterans Affairs Healthcare System, Miami, Florida.|3 Division of Geriatrics and Palliative Care, Department of Medicine, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Stuti
authors.initials: S
authors.lastname: Dang
authors.affiliation: 1 Bruce W. Carter Department of Veterans Affairs Medical Center , Miami, Florida.|2 Geriatric Research Education and Clinical Centers (GRECC) , Miami Veterans Affairs Healthcare System, Miami, Florida.
authors.forename: Chandana
authors.initials: C
authors.lastname: Karanam
authors.affiliation: 4 Division of Biostatistics, Departments of Public Health Sciences, Medicine, and Pediatrics, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Orlando
authors.initials: O
authors.lastname: Gómez-Marín
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000208:ethnology; D001835:Body Weight; D019090:Case Management; D040421:Cell Phone; D002908:Chronic Disease; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000208:ethnology / Q000628:therapy*; D006766:Hospitals, County / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D011446:Prospective Studies; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012720:Severity of Illness Index; D012907:Smoking / Q000208:ethnology; D012959:Socioeconomic Factors; D060145:Text Messaging
keywords: heart failure; mobile phones; quality of life; self-efficacy