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Nurse-Led Home-Based Mobile Health Cardiac Rehabilitation Program for Patients With Chronic Heart Failure: A Randomized Controlled Trial.

Fu-Lan Chang·Tsun-Jui Liu·Yu-Tsung Cheng·Chyi Lo·Yun-Ping Lin·Shu-Hua Lu
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Abstract

This 12-week randomized controlled trial evaluated a nurse-led mHealth intervention for patients with chronic heart failure, conceptually informed by Riegel's middle-range theory of self-care of chronic illness. The program integrated wearable activity tracking with weekly nurse-led behavioral coaching, reflecting the core self-care processes of monitoring, maintenance, and management. Compared with usual care, the intervention significantly improved daily step count, 6-minute walk distance, metabolic equivalents, and left ventricular ejection fraction. Findings highlight the effectiveness of theory-informed, nurse-delivered mHealth strategies in enhancing physical activity and cardiopulmonary function, while underscoring the critical role of advanced practice nurses in home-based chronic disease management.

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AgedFemaleHumansMaleMiddle AgedCardiac RehabilitationChronic DiseaseDigital HealthHeart FailureHome Care ServicesSelf CareTelemedicineRiegel’s middle-range theory of self-care of chronic illnesscardiac rehabilitationchronic heart failuremobile healthnurse-led careJournal ArticleRandomized Controlled Trial

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Fu-Lan Chang, Tsun-Jui Liu, Yu-Tsung Cheng, Chyi Lo, Yun-Ping Lin, Shu-Hua Lu. 2026-07-07. Nurse-Led Home-Based Mobile Health Cardiac Rehabilitation Program for Patients With Chronic Heart Failure: A Randomized Controlled Trial.. https://doi.org/10.1097/ans.0000000000000654

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Journal Article; Randomized Controlled Trial resourceAged subjectDigital Health subjectFemale subjectHeart Failure subjectHumans subjectJournal Article subjectMale subjectMiddle Aged subjectRandomized controlled trials study

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