{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:45:54Z","timestamp":1792093554943,"version":"4.4.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010571","name":"German Federal Ministry of Education and Research","doi-asserted-by":"publisher","award":["13KQ0904A, 13KQ0904B, 13KQ1104A"],"award-info":[{"award-number":["13KQ0904A, 13KQ0904B, 13KQ1104A"]}],"id":[{"id":"10.13039\/501100010571","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Remote patient management (RPM) in heart failure (HF) patients has beneficial clinical effects. This analysis investigates the effects of RPM used in the Telemedical Interventional Management in Heart Failure II (TIM-HF2) trial on HF-specific self-care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>From 2013 to 2017, 1538 HF outpatients (age 70.3 \u00b1 10.5 years, 70% men, 52%\/47% NYHA II\/III, 65% LVEF \u226445%) with a recent HF hospitalization were included to the study and randomized to usual care (UC) plus RPM (n = 796) or UC only (n = 775), with a 12-month follow-up. Self-reported self-care behaviour at baseline and at end of study was assessed with the 9-item European Heart Failure Self-care Behaviour Scale (EHFScBS-9), obtaining 1321 patients with valid baseline and follow-up questionnaires for the analysis. EHFScBS-9 sum scores increased in the RPM group (n = 667) from 78.7 \u00b1 17 to 84.5 \u00b1 14 and in the UC group (n = 654) from 79.0 \u00b1 17 to 80.0 \u00b1 16 from baseline to 12 months [difference in means (MD) 4.58 (3.02, 6.14); P &amp;lt; 0.001] with highest improvement [8.66 (3.52; 13.81)] in patients living alone and having an inadequate (&amp;lt;70) baseline EHFScBS-9. There were differences between both groups in item \u2018I weight myself every day\u2019 [MD \u22121.13 (\u22121.24, \u22121.02); P &amp;lt; 0.001] and item \u2018I take my medication as prescribed\u2019 [MD \u22120.06 (\u22120.10, \u22120.01); P = 0.014]. No correlation was found between the EHFScBS-9 score and the efficacy of RPM on the TIM-HF2 primary endpoint of percentage of days lost due to unplanned cardiovascular hospitalization or death of any cause.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>RPM improves HF-specific self-care behaviour by achieving a better adherence to recommended HF regimen.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Registration<\/jats:title>\n                  <jats:p>ClinicalTrials.gov: NCT01878630<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad019","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T15:54:06Z","timestamp":1675871646000},"page":"786-794","source":"Crossref","is-referenced-by-count":28,"title":["Effects of remote patient management on self-care behaviour in heart failure patients: results from the randomized TIM-HF2 trial"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8333-0931","authenticated-orcid":false,"given":"Oliver","family":"Deckwart","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Centre for Cardiovascular Telemedicine , 10117 Berlin , Germany"},{"name":"Department of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz , 55131 Mainz , Germany"},{"name":"Nurse Practice Development Department, Goethe University, University Hospital , 60318 Frankfurt , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Koehler","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Centre for Cardiovascular Telemedicine , 10117 Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4832-4333","authenticated-orcid":false,"given":"Susanne","family":"Lezius","sequence":"additional","affiliation":[{"name":"University Medical Center Hamburg-Eppendorf, Institute of Medical Biometry and Epidemiology , 20246 Hamburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1962-701X","authenticated-orcid":false,"given":"Sandra","family":"Prescher","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Centre for Cardiovascular Telemedicine , 10117 Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0441-4123","authenticated-orcid":false,"given":"Friedrich","family":"Koehler","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Centre for Cardiovascular Telemedicine , 10117 Berlin , Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner Site Berlin , 10785 Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0926-311X","authenticated-orcid":false,"given":"Sebastian","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Centre for Cardiovascular Telemedicine , 10117 Berlin , Germany"},{"name":"Department of Internal Medicine, BG Klinikum Unfallkrankenhaus Berlin GmbH , Warener Str. 7, 12683 Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"2023121405275459000_zvad019-B1","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","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"key":"2023121405275459000_zvad019-B2","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 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