Problem: Heart failure (HF) is a growing public health concern in the U.S., with prevalence projected to rise by 46% by 2030, affecting nearly 20% of adults over 40. HF carries a 5-year mortality rate exceeding 55%, and annual healthcare costs are expected to surpass $50 billion. Purpose: To understand how the use of wearable devices in adults with HF influences sustained changes in outcomes by answering the following question: How does the use of wearable devices influence health outcomes in adults with heart failure? Methods: A systematic review was conducted using the PRISMA-ScR framework. Searches in PubMed and EBSCO yielded six peer-reviewed studies meeting inclusion criteria. Five reviewers independently assessed the studies. Results: Preliminary synthesis suggests that the utilization of wearables can positively influence health outcomes in adults with HF. Key outcomes of interest include quality of life (QOL), hospitalizations, and activity levels. Across studies, daily step counts increased and QOL improvements were statistically significant, while emergency department visits and hospitalizations remained unchanged. Additionally, a significant correlation was found between steps per day and symptom severity. Conclusion: The healthcare team should consider the integration of these devices into patient care plans to support self-efficacy in their heart failure management.
