International Journal of Clinical Case Reports 2024, Vol.14, No.6, 339-350 http://medscipublisher.com/index.php/ijccr 343 health workers (CHWs) in enhancing community health, while also emphasizing the systemic challenges they face, such as limited access to health equipment and cultural barriers (Figure 3). The use of smart devices by CHWs can enhance their performance and credibility, further supporting the delivery of health services in community settings. Figure 3 Conceptual framework of facilitators and barriers to community health workers (CHWs) and patients acting as partners in health (Adopted from Greuel et al., 2023) Image caption: Challenges to the CHW-client interaction are shown in red (Adopted from Greuel et al., 2023) 4.2 Enhancing patient self-management Smart health devices play a crucial role in enhancing patient self-management by providing real-time feedback and educational support. For example, wearable electronic devices (WEDs) have been shown to improve self-care practices among patients with heart failure, leading to better management of their condition and reduced hospitalizations (Patel et al., 2022). Similarly, mobile health applications for chronic obstructive pulmonary disease (COPD) self-management have been found to support patients in managing their symptoms and improving their quality of life (Shaw et al., 2020). The use of smart devices in self-care management interventions, such as the SMART-HF trial, has demonstrated significant improvements in self-care behaviors and reduced in-hospital days for heart failure patients (Sahlin et al., 2021). 4.3 Improving patient health outcomes Continuous monitoring and personalized recommendations provided by smart health devices have been shown to improve patient health outcomes. For instance, smart home healthcare technologies for chronic disease management have been effective in monitoring health and wellness, recording physical activity, and improving overall quality of life (Dhamanti et al., 2023). The use of smart watches for health and wellness has also been associated with enhanced self-monitoring of personal activity, heart rate monitoring, and diabetes self-management, contributing to better health outcomes (Reeder and David, 2016). Additionally, the mI SMART intervention, which integrates multiple technologies, has demonstrated efficacy in improving health outcomes for rural, chronically ill patients by providing continuous monitoring and personalized feedback (Mallow et al., 2018).
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