The Effect of Information Provision, Motivation, and Self-monitoring Skill Program through LINE Application on Self-care Behaviors in Patients with Heart Failure

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Kittiya Mahaviriyotai
Doungrut Wattanakitkrileart
Autchariya Poungkaew


Purpose: To examine the effect of information provision, motivation, and self-monitoring skill program through LINE application on self-care behaviors in heart failure patients.

Design: A randomized controlled trial.

Methods: The participants were 64 patients with heart failure aged 18 years and above who received medical care at the OPD of a tertiary level hospital in Bangkok. The participants had NYHA functional class I-III, smartphones, and ability to use the LINE application. Simple random assignment was used to assign into the experimental (n = 32) and control groups (n = 32). One participant in each group withdrew from the study. The control group received regular care. The experimental group received information provision, motivation, and self-monitoring skill program through LINE application from February to June 2020. Evaluation of self-care behaviors was evaluated using the European Heart Failure Self-care Behavior Scale (EHFScBS-9). Data were analyzed using independent t-test and paired t-test.

Main findings: At posttest, the self-care behavior scores in the experimental group were significantly higher than that at pre-test (t = 9.67, p < .01). The experimental group had higher self-care scores, compared to the control group with statistical significance (t = -7.13, p < .01).

Conclusion and recommendations: According to the findings, information provision, motivation, and self-monitoring skill program through LINE application promoted patients to develop self-care behaviors. Therefore, nurses should apply this program to promote better self-care behaviors among patients with heart failure.


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Mahaviriyotai, K., Wattanakitkrileart, D., & Poungkaew, A. (2021). The Effect of Information Provision, Motivation, and Self-monitoring Skill Program through LINE Application on Self-care Behaviors in Patients with Heart Failure. Nursing Science Journal of Thailand, 39(1), 47-63. Retrieved from
Research Papers


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