Community Research and Development Information Service - CORDIS

H2020

HEARTEN Report Summary

Project ID: 643694
Funded under: H2020-EU.3.1.

Periodic Reporting for period 1 - HEARTEN (A co-operative mHEALTH environment targeting adherence and management of patients suffering from Heart Failure)

Reporting period: 2015-01-01 to 2016-06-30

Summary of the context and overall objectives of the project

Heart failure (HF) is a staggering clinical and public health problem, related with significant mortality, morbidity, and healthcare expenditures, particularly for those aged ≥65 years. Conditions including high blood pressure or heart defects can cause HF. Patients suffering from HF experience several effects, such as difficulty in breathing at rest/ exercise, fast or irregular heartbeat. Co-morbidities, such as chronic obstructive pulmonary disease, frequently accompany HF, contributing to increased morbidity and mortality, and an impairment of quality of life. The goal of managing HF is primarily to decrease the likelihood of disease progression (thereby decreasing the risk of death and the need for hospitalization) and to lessen symptoms.

Nowadays apart from therapeutic suggestions, the healthcare professionals provide lifestyle suggestions related to physical activity and nutrition. However, HF patients are among the most medication non adherent patients compared to the patients with other chronic diseases. In addition, most HF patients do not follow the nutrition suggestions and do not perform regular physical exercise. This is a major barrier with a negative impact in their clinical condition, autonomy, and generally in their quality of life.

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

HEARTEN involves several actors in patient monitoring and management. Healthcare professionals and caregivers, nutritionists, physical activity experts and psychologists are all working together in order to create a patient-centered collaborative environment. The HEARTEN system can provide to the ecosystem actors information related to patient’s status change, medication and global adherence levels (in terms of medication, nutrition and physical activity), risk for adverse events (relapses) and risk for death. Each of these actors has access to different type of patient information and can provide suggestions and recommendations based on the field of his/her expertise. The healthcare professionals provide support for changing the treatment plan and specifically for patient medication, exercise program and, nutrition recommendations, while the physical activity experts, the nutritionist and the psychologists provide support related to the last two types of recommendations (physical activity, nutrition). In addition the HEARTEN system provides different types of alerts to the involved actors.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

The patient is using several unobtrusive devices for monitoring his/her physiological measurements (blood pressure, heart and respiratory rate, temperature, weight and physical activity). In parallel breath/ saliva biosensors are developed that are linked to the perceived medication. The identification of the breath/saliva biomarkers has been completed. The following six months the validation of the biomarkers and the finalization of the breath/saliva biosensor will be accomplished. The first version of the mobile application that allows the patient communication is already deployed and used by the participating Clinical partners. The same applies for the web application that is utilized by the healthcare professionals. The Knowledge Management System (KMS) that reveals hidden clinical knowledge is under development and will be finalized according to the prospective study data, while the design of the notification and message flow of the Dynamic Patient Communication protocol (DynPCP) has been completed.

The HEARTEN consortium consists of 12 partners from six European countries (FR, ES, EL, DE, IT, PT). The coordination is undertaken by the Universite Lyon 1 Claude Bernard (FR) and the technical management by the Foundation for Research and Technology Hellas (EL). HEARTEN has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No 643694.

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