Evaluating utility and compliance in a patient-based eHealth study using continuous-time heart rate and activity trackers.

Journal of the American Medical Informatics Association : JAMIA
William SpeierCorey Arnold

Abstract

Telemedicine has been used to remotely diagnose and treat patients, yet previously applied telemonitoring approaches have been fraught with adherence issues. The primary goal of this study was to evaluate the adherence rates using a consumer-grade continuous-time heart rate and activity tracker in a mid-risk cardiovascular patient population. As a secondary analysis, we show the ability to utilize the information provided by this device to identify information about a patient's state by correlating tracker information with patient-reported outcome survey scores. We showed that using continuous-time activity trackers with heart rate monitors can be effective in a telemonitoring application, as patients had a high level of adherence (90.0% median usage) and low attrition (0.09% decrease per day) over a 90-day period. Furthermore, data collected correlated significantly with clinically relevant patient surveys (r2=0.15 for PROMIS global health scores, p < .00001), and therefore might provide an effective signal for identifying patients in need of intervention.

References

Apr 15, 2005·Journal of Medical Internet Research·Gunther Eysenbach
Aug 3, 2005·BMJ : British Medical Journal·UNKNOWN GESICA Investigators
Oct 19, 2007·European Journal of Heart Failure·Robyn A ClarkUNKNOWN CHAT Study Team
Nov 22, 2007·JAMA : the Journal of the American Medical Association·Dena M BravataJohn R Sirard
Dec 20, 2007·Medicine and Science in Sports and Exercise·Richard P TroianoMargaret McDowell
Oct 29, 2008·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Bonnie J WakefieldGary E Rosenthal
Feb 21, 2009·European Journal of Heart Failure·Andrea MortaraUNKNOWN HHH Investigators
Dec 3, 2009·Journal of Cardiopulmonary Rehabilitation and Prevention·Makoto AyabeJunichiro Aoki
Mar 18, 2010·Arthritis Care & Research·Sara R PivaMary Chester M Wasko
Sep 21, 2010·International Journal of Cardiology·Sebastian WinklerFriedrich Koehler
Feb 2, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ethan Basch, Amy P Abernethy
May 20, 2011·The International Journal of Behavioral Nutrition and Physical Activity·Sara L ShugerSteven N Blair
Oct 11, 2011·International Journal of Cardiology·Friedrich KoehlerStefan D Anker
Jan 12, 2013·Journal of Physical Activity & Health·Elizabeth ChmeloStephen Messier
Mar 13, 2013·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·David E ConroyShawna E Doerksen
Sep 4, 2014·Circulation. Cardiovascular Quality and Outcomes·Paul S ChanJohn A Spertus
Feb 19, 2015·Postgraduate Medicine·Nina C FranklinRoss A Arena
Apr 19, 2015·The International Journal of Behavioral Nutrition and Physical Activity·Ty FergusonCarol Maher
Feb 10, 2016·JAMA Internal Medicine·Michael K OngUNKNOWN Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group
Feb 26, 2016·Journal of the American Medical Informatics Association : JAMIA·Ryan J ShawHayden B Bosworth
Feb 10, 2017·Current Heart Failure Reports·Muaddi AlharbiRobyn Gallagher
Mar 1, 2018·PloS One·Simone BenedettoPaolo Actis

❮ Previous
Next ❯

Citations

Sep 12, 2019·NPJ Digital Medicine·Chrisandra ShufeltC Noel Bairey Merz
Sep 9, 2020·Journal of the American Heart Association·Chrisandra L ShufeltC Noel Bairey-Merz
Dec 28, 2019·International Journal of Environmental Research and Public Health·Rosario Padial-RuzFélix Zurita-Ortega
Aug 2, 2021·Critical Care Nurse·Frederick R MacapagalEmma Mcclellan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Telemedicine and Telecare
Misha Kay
Tennessee Medicine : Journal of the Tennessee Medical Association
David G Gerkin
Tennessee Medicine : Journal of the Tennessee Medical Association
David G Gerkin
Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Charles R Doarn, Ronald C Merrell
The Journal of the American Academy of Orthopaedic Surgeons
Alpesh A Patel
© 2022 Meta ULC. All rights reserved