{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:09:05Z","timestamp":1790672945107,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To systematically map the application forms, functions, outcomes, and implementation barriers of digital health interventions (DHIs) in home self\u2010management for patients undergoing transcatheter aortic valve replacement (TAVR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Scoping review following the Joanna Briggs Institute methodology with a published a priori protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A systematic search was conducted in PubMed, Cochrane Library, Embase, Web of Science, CINAHL, CNKI and Wanfang Databases from inception to 26 August 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses extension for Scoping Reviews (PRISMA\u2010ScR). A protocol was prospectively registered on the Open Science Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>19 studies were included. DHIs for post\u2010TAVR home self\u2010management covered seven application forms: wearable devices, mobile applications, remote monitoring platforms, AI\u2010powered voice virtual assistants, remote video training platforms, social media platforms and integrated management platforms. Their core functions included remote ECG monitoring, home\u2010based exercise rehabilitation, multi\u2010parameter physiological monitoring, health education and AI\u2010driven follow\u2010up. Current evidence suggests potential positive effects of DHIs on improving exercise capacity, reducing readmission rates, enhancing intervention adherence and increasing patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DHIs for post\u2010TAVR home self\u2010management feature diverse forms and integrated functions, with preliminary evidence suggesting positive effects on multiple outcomes. However, evidence for hard clinical endpoints remains limited, and dedicated health economic evaluations are largely absent. The digital divide remains a key barrier to clinical implementation. Future efforts should optimize technology combinations, improve age\u2010friendly design, promote stratified care and advance reimbursement policies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>DHIs offer promising support for post\u2010TAVR home management. Addressing accessibility and usability barriers is essential to translate these benefits into routine care. Nurses play a pivotal role in patient education, digital literacy support and remote monitoring coordination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            What is already known?\n                            <jats:list list-type=\"explicit-label\">\n                              <jats:list-item>\n                                <jats:p>Digital health interventions have been increasingly applied in cardiac surgery, but evidence specifically for TAVR home self\u2010management remains fragmented.<\/jats:p>\n                              <\/jats:list-item>\n                            <\/jats:list>\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            What this paper adds?\n                            <jats:list list-type=\"explicit-label\">\n                              <jats:list-item>\n                                <jats:p>This scoping review systematically maps the application forms, functional modules, outcomes, and implementation barriers of DHIs in post\u2010TAVR home self\u2010management, identifying evidence gaps and highlighting the digital divide as a key implementation challenge.<\/jats:p>\n                              <\/jats:list-item>\n                            <\/jats:list>\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>Nurses and healthcare providers can leverage DHIs to support post\u2010TAVR patient education, remote monitoring and rehabilitation, but must consider patients' digital literacy and accessibility needs when implementing these technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>This is a scoping review study.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      Open Science Framework (OSF):\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/osf.io\/kuz7b\/overview\">https:\/\/osf.io\/kuz7b\/overview<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  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