{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T01:23:11Z","timestamp":1767835391688,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Cardiovascular diseases are a leading cause of death globally, and effective self-management is critical for patient outcomes. Integrating Internet of Things-enabled devices with smartphone applications presents a novel approach to enhancing self-management, yet challenges with digital literacy and device usability persist, especially among the elderly. This study aimed to evaluate the adherence, ease of use, and impact on health awareness of a smartphone-connected remote monitoring system among cardiovascular outpatients in Japan.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We conducted a single-centre, prospective survey at Kumamoto University Hospital involving 10 cardiovascular outpatients (median age: 72.5 years) including heart failure (n = 2), hypertension (n = 3), post-cardiac surgery (n = 2), and others (n = 3). Participants received Bluetooth-enabled monitoring devices and a smartphone app for automatic data synchronization. Adherence, ease of use, and changes in health awareness were assessed through a structured questionnaire. The study found that 8 of 10 participants adhered to daily monitoring, with an average usage period of 48 days. Nine of 10 required minimal support with device use and 8 of 10 reported increase in health awareness. Seven of 10 indicated they could continue using it long term. The average recommendation score was 8.8\/10. The timely detection of asymptomatic paroxysmal atrial fibrillation in one patient highlighted the system's potential clinical benefits.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This pilot study suggests that a smartphone-connected remote monitoring system may enhance self-management practices and health awareness among cardiovascular outpatients. While the findings are promising, larger studies with longer follow-up periods are needed to confirm these results and evaluate the system's impact on clinical outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztae101","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T19:06:51Z","timestamp":1735067211000},"page":"289-292","source":"Crossref","is-referenced-by-count":2,"title":["Impact of a smartphone-connected remote monitoring system on self-management continuity and health awareness in cardiovascular outpatients: an exploratory survey"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4137-9136","authenticated-orcid":false,"given":"Masanobu","family":"Ishii","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]},{"name":"Department of Medical Information Science, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So","family":"Ikebe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Yamanouchi","sequence":"additional","affiliation":[{"name":"Department of Clinical Investigation, Kumamoto University Hospital , 1-1-1 Honjo, Chuo-ku, Kumamoto 860-8556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4314-259X","authenticated-orcid":false,"given":"Kenichi","family":"Tsujita","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University , 1-1-1 Honjo, Chuo-ku, Kumamoto, Kumamoto 860-8556 ,","place":["Japan"]},{"name":"Department of Clinical Investigation, Kumamoto University Hospital , 1-1-1 Honjo, Chuo-ku, Kumamoto 860-8556 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trial","volume":"11","author":"Sakane","year":"2023","journal-title":"JMIR Mhealth Uhealth"},{"key":"2025031807374104800_ztae101-B2","doi-asserted-by":"crossref","first-page":"e007741","DOI":"10.1161\/CIRCOUTCOMES.121.007741","article-title":"Digital health intervention in acute myocardial infarction","volume":"14","author":"Marvel","year":"2021","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"2025031807374104800_ztae101-B3","doi-asserted-by":"crossref","first-page":"e43809","DOI":"10.2196\/43809","article-title":"Efficacy of an mHealth app to support patients\u2019 self-management of hypertension: randomized controlled trial","volume":"25","author":"Liu","year":"2023","journal-title":"J Med Internet Res"},{"key":"2025031807374104800_ztae101-B4","doi-asserted-by":"crossref","first-page":"e676","DOI":"10.1016\/S2589-7500(22)00124-8","article-title":"Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and 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