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dc.contributor.authorBartlett, Y.K.*
dc.contributor.authorHaywood, A.*
dc.contributor.authorBentley, C.L.*
dc.contributor.authorParker, J.*
dc.contributor.authorHawley, M.S.*
dc.contributor.authorMountain, Gail*
dc.contributor.authorMawson, S.*
dc.date.accessioned2016-12-19T16:55:25Z
dc.date.available2016-12-19T16:55:25Z
dc.date.issued2014-11-25
dc.identifier.citationBartlett YK, Haywood A, Bentley CL et al (2014) The SMART personalised selfmanagement system for congestive heart failure: results of a realist evaluation. BMC Medical Informatics and Decision Making. 14(1): 109.en_US
dc.identifier.urihttp://hdl.handle.net/10454/11012
dc.descriptionYesen_US
dc.description.abstractBackground Technology has the potential to provide support for self-management to people with congestive heart failure (CHF). This paper describes the results of a realist evaluation of the SMART Personalised Self-Management System (PSMS) for CHF. Methods The PSMS was used, at home, by seven people with CHF. Data describing system usage and usability as well as questionnaire and interview data were evaluated in terms of the context, mechanism and outcome hypotheses (CMOs) integral to realist evaluation. Results The CHF PSMS improved heart failure related knowledge in those with low levels of knowledge at baseline, through providing information and quizzes. Furthermore, participants perceived the self-regulatory aspects of the CHF PSMS as being useful in encouraging daily walking. The CMOs were revised to describe the context of use, and how this influences both the mechanisms and the outcomes. Conclusions Participants with CHF engaged with the PSMS despite some technological problems. Some positive effects on knowledge were observed as well as the potential to assist with changing physical activity behaviour. Knowledge of CHF and physical activity behaviour change are important self-management targets for CHF, and this study provides evidence to direct the further development of a technology to support these targets.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1186/s12911-014-0109-3en_US
dc.rights© 2014 Bartlett et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.subjectTechnology; Realist evaluation; User-centred design; Heart failure; Self-managementen_US
dc.titleThe SMART personalised self-management system for congestive heart failure: results of a realist evaluationen_US
dc.status.refereedYesen_US
dc.date.Accepted2014-11-07
dc.typeArticleen_US
dc.type.versionPublished versionen_US
refterms.dateFOA2018-07-25T15:50:31Z


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