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Pilot RCT of mHealth intervention in adult elective cardiac surgery patients showed feasibility and acceptable uptakeNew mobile tool helps heart surgery patients recover at home

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Key Takeaway
Note this pilot RCT showed feasibility but readmission differences were not reported.

This pilot randomized controlled trial evaluated an mHealth intervention in adult elective cardiac surgery patients discharged home within 30 days. Eligible participants were able to understand spoken English and use a smartphone, tablet, or computer. The setting was a major metropolitan publicly funded health service. A total of 70 eligible patients were identified, and 61 participated in the study.

The intervention comprised patient narrative videos and online resources focused on diagnosis, preparing for surgery, and immediate and ongoing recovery. The primary outcomes assessed were feasibility, acceptability, and protocol integrity. Secondary outcomes included 30-day readmission, quality of life, knowledge, skill, and confidence for self-help. The follow-up period covered 30-day readmission and 90-day follow-up.

Feasibility and acceptability were feasible and acceptable for patients, with no protocol violations observed. Of the 61 participants, 27 (84.4%) accessed the intervention. Content viewing showed high engagement with material related to diagnosis, surgery, and looking forward, compared with programs related to rehabilitation. Actions for self-help incrementally increased from baseline to 90-day follow-up in the intervention group.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. The study limitations include modest uptake of the mHealth intervention and its pilot nature. The effect of patient narratives on patient activation warrants testing in an adequately powered randomized controlled trial.

Imagine leaving the hospital after open-heart surgery. You feel relieved but also worried. What if you forget your medication? What if you miss a warning sign? A new smartphone program aims to guide you through those first critical weeks at home. It uses real patient stories and simple online resources to build your confidence.

This matters now because heart surgery is common and the recovery can be overwhelming. Many patients go home within a few days. They must manage wounds, medications, and symptoms while feeling tired and anxious. Family caregivers often feel unsure too. Current discharge instructions can be hard to remember. A tool that fits in your pocket could help fill the gaps.

For years, recovery relied on paper handouts and follow-up calls. But here is the twist. A new study tested a mobile health program that uses patient narratives. These are real stories from people who have been through heart surgery. The idea is that hearing how others coped can make you feel more prepared and more willing to take action.

Think of recovery like learning a new skill. You can read a manual, but watching someone do it helps you understand the steps. The program acts like a coach in your pocket. It gives you information when you need it and shows you how others handled similar challenges. It is like a map and a mentor at the same time.

The study was a pilot randomized controlled trial in a major city hospital. Adults having elective heart surgery who could use a smartphone or computer were invited. Of 70 eligible patients, 61 took part. They were randomly assigned to receive usual care or usual care plus the mobile program. The program included videos and online resources about diagnosis, preparing for surgery, and recovery. Researchers checked how many people used it and whether the plan was followed.

The program was feasible and acceptable. Most people who got access used it. When they did, they watched more content about diagnosis and surgery than about rehabilitation. There were no major problems with how the study was run. Readmission rates within 30 days were similar between groups. But the intervention group showed a steady increase in actions to manage their health from baseline to 90 days.

This does not mean the app is a cure or a guarantee.

An expert perspective from the field suggests that patient stories can activate people to take charge of their care. The study supports the idea that a mobile program can be a practical tool for self-management. It fits with growing interest in digital health that is simple, personal, and easy to access.

What this means for you is straightforward. If you are facing heart surgery, ask your care team about digital recovery tools. Some hospitals already offer apps or online programs. If you have a smartphone, you may be able to use a program like this to feel more prepared and confident at home.

The study has important limits. It was small and done in one hospital. The follow-up was short. The findings show promise but do not prove the program reduces readmissions or improves long-term outcomes. Larger trials are needed to confirm benefits.

What happens next is clear. Researchers plan to run a bigger, more powerful trial. They will test whether patient stories and online resources can improve recovery and reduce readmissions. If results are positive, hospitals may add mobile programs to standard care. Until then, patients and caregivers can talk with their doctors about tools that support recovery at home.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
AIMS: To determine feasibility, acceptability and test protocol integrity, for testing a mobile health (mHealth) intervention focused on enhancing self-management after adult cardiac surgery. Secondary aims were to assess the effect of the intervention on 30-day readmission, quality of life, and knowledge, skill and confidence for self-help. METHODS AND RESULTS: A parallel-group, pilot randomized controlled trial was conducted in a major metropolitan publicly funded health service. Adult elective cardiac surgery patients discharged home within 30-days, able to understand spoken English, and use a smartphone, tablet or computer were eligible for inclusion. The mHealth intervention comprised patient narrative videos, and on-line resources focused on diagnosis, preparing for surgery, and immediate, and ongoing recovery. From August 2021 until the 23rd of December 2022, there were 341/516 elective cardiac surgery cases. Of 70 (20.5%) eligible patients, 61 (87.1%) participated. The mHealth intervention was accessed by 27 (84.4%) participants. When accessed, the intervention was feasible and acceptable for patients, there were no protocol violations. There was high viewing of content related to diagnosis, surgery and looking forward, compared with programmes related to rehabilitation. Readmission rates did not differ between groups. Participants taking action to manage their health in the intervention group incrementally increased from baseline to 90-day follow-up. CONCLUSION: The effect of patient narratives on patient activation warrants testing in an adequately powered randomized controlled trial. While the uptake of the mHealth intervention was modest, trends in actions for self-help and rate of 30-day readmission imply the intervention is potentially effective in improving self-help management. REGISTRATION: The Australian and New Zealand Clinical Trials Registry: ACTRN12621000082808.
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