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Case Studies

UTILIZING DIGITAL INTERVENTIONS

Yale University: Digital Health Interventions in the Management of Patients With HF

Overview

 

Yale-New Haven Health System conducted a study to assess the ability of three digital technologies to promote self-care and improve QOL among people with heart failure (HF).1

The Challenge

 

Yale-New Health System sought to better understand the implementation and utilization of technologies that have the potential to improve QOL in patients with HF.1

The Approach

 

182 patients with a current diagnosis of HF with preserved or reduced ejection fraction were randomly assigned to utilize 1 of 3 digital health technologies or follow usual care protocols1:

  • Smart scale (Bodyport)
  • Conversational platform (Conversa™)
  • Smart phone application (Noom®)
 

90-day change in QOL was assessed by the Kansas City Cardiomyopathy Questionnaire (KCCQ)2

  • 151 participants completed 90-day surveys
  • Scores were compared with those of patients receiving usual care
 

Alerts were sent to study coordinators when health parameters reached predetermined thresholds indicative of worsening clinical status.1

Outcomes

 

Symptom improvement was reported at 90 days with Noom1

  • Improvements in Total Symptom Score and Clinical Summary Score were seen in the Noom group, compared with worsening scores in the usual care group

Continuous monitoring and alerts by digital health interventions facilitated the identification and HCP notification of different signs and symptoms of HF.1

No significant change in KCCQ Overall Summary Score or improvement relative to usual care was observed.1

More than half of all participants engaged with the technology.1

  • Bodyport: 94%
  • Conversa: 72%
  • Noom: 52%
 

HCP=healthcare provider; QOL=quality of life.

 

1. Victoria-Castro AM, Martin ML, Desai N, et al. Impact of digital health interventions in the quality of life of patients with heart failure: a randomized trial. Poster #266. 2022 Annual Scientific Meeting of the Heart Failure Society of American. Baltimore, Maryland. Presented October 1, 2022. 2. Victoria-Castro AM, Martin ML, Desai NR, et al. Impact of digital health interventions in the quality of life of patients with heart failure: a randomized trial. Abstract.