
Abstract Overview
Background: We developed the Smart Heart prototype as a complete remote heart health monitoring and automated feedback delivery system. It uses sensing technology, combined with AI for early detection of heart failure deterioration, prompt action by end-users, and prevent heart failure-related hospitalisations by improving self-care activities, including physical activity.
Purpose: To describe the preliminary effects of Smart Heart on physical activity, sedentary behaviours, and self-care activities
Methods: Multi-site, single arm pilot study comprising 20 adults with heart failure. Participants accessed the Smart Heart System for 8-weeks. Outcomes were assessed at baseline and post-intervention. Physical activity and sedentary time were assessed using the Samsung Galaxy Watch Pro 5, self-care activities were assessed using the Self-Care of Heart Failure Index (SCHFI). Daily weights, symptoms, and BP were assessed via the Smart Heart platform.
Results: Participants spent long periods of time being sedentary with intermittent bouts of activity performed at a light intensity. Activity levels were associated with metrics of self-care.
Conclusions: This novel Smart Heart ecosystem offers a complete remote heart health monitoring and automated feedback delivery system to support people to modify sedentary time, physical activity and self-care activities, which are critical for the health and well-being of people living with heart failure.
Practical implications: Study findings will inform a future Type 2 hybrid randomised controlled trial. The co-designed intervention will also provide unique insights into the use of wearable technologies and how to integrate these data.
Funding: National Medical Health Research Council, GNT2004316
Additional Authors