{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:57:44Z","timestamp":1790603864948,"version":"4.1.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001316","name":"Abbott laboratories","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001316","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>There are limited data on the experience and perspectives of patients or clinicians about the use of digital tools (DTs, such as internet resources, social media, and smartphone apps) in heart failure (HF). This study aimed to explore patient and clinician perspectives of DT use and provide insights into the factors that facilitate or obstruct such use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This was a mixed-methods study using semi-structured interviews with 14 people living with HF and 9 clinicians working as HF specialists. Recorded interviews underwent thematic analysis. Three main themes emerged: \u2018the dual nature of information\u2019, the \u2018recommendation gap\u2019, and \u2018self-care as a time-dependent behaviour\u2019. Patients were generally fearful of information from DTs, with many disengaging from their use as a form of self-preservation. Patients described finding the \u2018right\u2019 information as a struggle, and their behaviour appeared related to their level of digital health literacy and degree of activation. Recommendation of DTs by clinicians was influenced by assumptions around the digital the capability of patients, the lack of evidence-based guideline recommendations, and a lack of local or international consensus around the use of DTs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Many patients living with HF are anxious about online information and withdraw from using DTs. A clinician\u2019s recommendation may help, providing an \u2018information prescription\u2019, but is limited by assumptions about patients and lack of training, local consensus, and clear international guidance. Routine assessment of digital capability, particularly in older patients, may balance some of these assumptions and support more consistent and equitable use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztag146","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T07:42:47Z","timestamp":1789371767000},"source":"Crossref","is-referenced-by-count":0,"title":["Patient and clinician perspectives on digital tools in heart failure: results in three London hospital networks (Qual-HF)"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9357-4692","authenticated-orcid":false,"given":"Kyle","family":"McBeath","sequence":"first","affiliation":[{"name":"Cardiology Department, Royal Brompton Hospital , Sydney Street, London SW3 6NP ,","place":["UK"]},{"name":"King\u2019s College London , Strand, London WC2R 2LS ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9318-783X","authenticated-orcid":false,"given":"Jillian P","family":"Riley","sequence":"additional","affiliation":[{"name":"Imperial College London , South Kensington Campus, London SW7 2AZ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-2552","authenticated-orcid":false,"given":"Martin R","family":"Cowie","sequence":"additional","affiliation":[{"name":"King\u2019s College London , Strand, London WC2R 2LS ,","place":["UK"]},{"name":"Imperial College London , South Kensington Campus, London SW7 2AZ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"2026092809170346500_ztag146-B1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s11897-025-00738-5","article-title":"Digital solutions in HF education: what can patients and clinicians gain?","volume":"23","author":"Castiello","year":"2026","journal-title":"Curr Heart Fail Rep"},{"key":"2026092809170346500_ztag146-B2","doi-asserted-by":"crossref","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) with the special contribution of the heart failure association (HFA) of the ESC","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"key":"2026092809170346500_ztag146-B3","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/ejhf.2008","article-title":"Self-care of heart failure patients: practical management recommendations from the heart failure association of the European Society of Cardiology","volume":"23","author":"Jaarsma","year":"2021","journal-title":"Eur J Heart Fail"},{"key":"2026092809170346500_ztag146-B4","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.2196\/jmir.8.4.e27","article-title":"eHEALS: the eHealth literacy scale","volume":"8","author":"Norman","year":"2006","journal-title":"J Med Internet Res"},{"key":"2026092809170346500_ztag146-B5","first-page":"A171","article-title":"146 Digital-HF: digital tools in heart failure\u2014a multicentre cross-sectional survey of patient usage","volume":"109","author":"McBeath","year":"2023","journal-title":"Heart"},{"key":"2026092809170346500_ztag146-B6","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1080\/14780887.2020.1780357","article-title":"The pursuit of quality in grounded theory","volume":"18","author":"Charmaz","year":"2021","journal-title":"Qual Res Psychol"},{"key":"2026092809170346500_ztag146-B7","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"2026092809170346500_ztag146-B8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1080\/10810730.2016.1250846","article-title":"The influence of eHealth literacy on perceived trust in online health communication channels and sources","volume":"22","author":"Paige","year":"2017","journal-title":"J Health Commun"},{"key":"2026092809170346500_ztag146-B9","doi-asserted-by":"crossref","first-page":"e26232","DOI":"10.2196\/26232","article-title":"Attitudes of health care professionals toward older adults\u2019 abilities to use digital technology: questionnaire study","volume":"23","author":"Mannheim","year":"2021","journal-title":"J Med Internet Res"},{"key":"2026092809170346500_ztag146-B10","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s12877-023-03772-x","article-title":"An age-old problem or an old-age problem? a UK survey of attitudes, historical use and recommendations by healthcare professionals to use healthcare apps","volume":"23","author":"Chowdhury","year":"2023","journal-title":"BMC Geriatr"}],"container-title":["European Heart Journal - Digital Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjdh\/advance-article-pdf\/doi\/10.1093\/ehjdh\/ztag146\/71066107\/ztag146.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjdh\/article-pdf\/7\/8\/ztag146\/71066107\/ztag146.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjdh\/article-pdf\/7\/8\/ztag146\/71066107\/ztag146.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:17:12Z","timestamp":1790601432000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjdh\/article\/doi\/10.1093\/ehjdh\/ztag146\/8793467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,9,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjdh\/ztag146","relation":{},"ISSN":["2634-3916"],"issn-type":[{"value":"2634-3916","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,9,4]]},"article-number":"ztag146"}}