{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T06:28:21Z","timestamp":1786429701935,"version":"build-2736575974"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"\n Background<\/jats:title>\n Digital health may support continuous, personalized follow-up after heart transplantation; however, successful implementation depends on patient trust, digital confidence, and acceptable data-governance arrangements.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To characterize digital access, perceived usefulness, trust, privacy concerns, and implementation readiness among adult heart transplant recipients, and to explore differences across demographic and technology-use subgroups.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In this cross-sectional study, consecutive adult heart transplant recipients attending routine follow-up at a tertiary center completed a 43-item questionnaire developed through literature-informed item generation, multidisciplinary expert review, and pilot testing in 5 transplant recipients. Responses were summarized descriptively. Exploratory subgroup comparisons used Pearson chi-square or Fisher exact tests, as appropriate. As multiple comparisons were exploratory,\n p<\/jats:italic>\n -values were interpreted as hypothesis-generating.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Ninety-three recipients participated; 61 (65.6%) were male and 74 (79.6%) were older than 45 years. Smartphone use was common (85\/93, 91.4%), whereas wearable use remained limited (18\/93, 19.4%). Most respondents agreed that technology could improve health monitoring (69\/92, 75.0%), and 69\/93 (74.2%) considered digital tools more useful and reliable when incorporating guidance from their treating clinicians. Nevertheless, 29\/93 (31.2%) expressed discomfort with device-led monitoring, and 49\/92 (53.3%) preferred physician advice over app-based guidance. Concerns about data misuse were reported by 44\/93 (47.3%), although 72\/93 (77.4%) supported data use for clinical research and 69\/93 (74.2%) valued revocable consent. Perceived usefulness differed significantly by sex (males 83.3% vs. females 59.4%,\n p<\/jats:italic>\n \u2009=\u20090.023). Medication-related insecurity and preference for physician advice varied across age groups (\n p<\/jats:italic>\n \u2009=\u20090.029 and\n p<\/jats:italic>\n \u2009=\u20090.030, respectively). Greater daily technology use was associated with less medication-related insecurity and less discomfort with monitoring (\n p<\/jats:italic>\n \u2009=\u20090.009 and\n p<\/jats:italic>\n \u2009=\u20090.022).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Heart transplant recipients demonstrate substantial but conditional readiness for digital health adoption. Successful implementation appears to depend not only on access, but also on clinician integration, task-specific confidence, and transparent, patient-controlled data governance. These findings support a staged, human-centered implementation approach rather than technology substitution for established clinical relationships.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fdgth.2026.1839950","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:40:48Z","timestamp":1786426848000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient trust and readiness for digital health-enabled precision care after heart transplantation: a real-world survey"],"prefix":"10.3389","volume":"8","author":[{"given":"Chiara","family":"Tessari","sequence":"first","affiliation":[{"name":"Department Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua","place":["Padua, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Esenia","sequence":"additional","affiliation":[{"name":"Department of Industrial Engineering, University of Padua","place":["Padua, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Andreis","sequence":"additional","affiliation":[{"name":"Department Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua","place":["Padua, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Bagno","sequence":"additional","affiliation":[{"name":"Department of Industrial Engineering, University of Padua","place":["Padua, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino","family":"Gerosa","sequence":"additional","affiliation":[{"name":"Department Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua","place":["Padua, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1186\/s12875-021-01594-7","article-title":"A prospective observational real-world feasibility study assessing the role of app-based remote patient monitoring in reducing primary care clinician workload during the COVID-19 pandemic","volume":"22","author":"Shah","year":"2021","journal-title":"BMC Fam Pract"},{"key":"B2","doi-asserted-by":"publisher","first-page":"100","DOI":"10.7812\/TPP\/23.022","article-title":"Benefits and challenges of remote patient monitoring as perceived by health care practitioners: a systematic review","volume":"27","author":"Serrano","year":"2023","journal-title":"Perm J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e15124","DOI":"10.2196\/15400","article-title":"Effects of mobile health interventions on cardiovascular outcomes: a systematic review","volume":"8","author":"Kitsiou","year":"2020","journal-title":"JMIR Mhealth Uhealth"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e0000104","DOI":"10.1371\/journal.pdig.0000104","article-title":"Challenges and recommendations for wearable devices in digital health: data quality, interoperability, health equity, and fairness","volume":"1","author":"Canali","year":"2022","journal-title":"PLOS Digit Health"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e040232","DOI":"10.1136\/bmjopen-2020-040232","article-title":"Does remote patient monitoring reduce acute care use? A systematic review","volume":"11","author":"Taylor","year":"2021","journal-title":"BMJ Open"},{"key":"B6","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s12933-023-01741-7","article-title":"Cardiovascular complications in a diabetes prediction model using machine learning: a systematic review","volume":"22","author":"Kee","year":"2023","journal-title":"Cardiovasc Diabetol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e0000519","DOI":"10.1371\/journal.pdig.0000519","article-title":"Mapping the ethical landscape of digital biomarkers: a scoping review","volume":"3","author":"Andreoletti","year":"2024","journal-title":"PLOS Digit Health"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2026.1839950\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:40:49Z","timestamp":1786426849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2026.1839950\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":7,"alternative-id":["10.3389\/fdgth.2026.1839950"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2026.1839950","relation":{},"ISSN":["2673-253X"],"issn-type":[{"value":"2673-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]},"article-number":"1839950"}}