Welcome to the MHealth Hub Study
The purpose of this research is to promote individual self-management to improve adherence to
treatment regimens for patients with multimorbidity. We combine evidence-based strategies used in
care transition programs with a Nurse Practitioner/Community Health Worker (NP/CHW) team and mobile
health (m-Health) for access and conferencing to improve adherence and other patient outcomes. To
address the challenge of adherence, we use an 8 week self-management intervention with tailored
self-management strategies (problem solving, decision-making, action planning, self-tailoring,
resource utilization and forming a patient provider partnership), m-Health for daily messages,
self-monitoring activities, and real time virtual visits. The underlying mechanisms of the
interventions are to engage patients with at least two chronic diseases in self-management behaviors
and treatment adherence recommendations by promoting knowledge, self-efficacy, self-management
skills, and patient activation. Patients must be diagnosed with heart failure, COPD, diabetes or
hypertension and at least one other chronic disease to participate in the study. The NP provides
planning and follow-up care while the CHW addresses barriers to self-management. We will randomly
assign 75 patients (25/group) to either Standard Care, m-Health, or m-Health Plus (receives virtual
visits with NP/CHW team), using a randomized controlled trial (RCT) design with repeated measures at
baseline, 1, 2 and 3 months. Specifically, we will evaluate the feasibility of the m-Health
interventions, the impact of delivering each m-Health intervention compared to Standard Care, and
evaluate the components of the m-health interventions. Additionally, we will test the additive
impact of the NP/CHW team with the m-health technology platform.
IRB #445-18
Access the App
- Google / Android Devices
- Click here to access the Google Play Store
- Apple / iOS Devices
- Click here to access the Apple App Store
Questions about the study?
- mhealth@unmc.edu