Evaluating utility and compliance in a patient-based eHealth study using continuous-time heart rate and activity trackers. (29th May 2018)

• Record Type: Journal Article
• Authors: Speier, William; Dzubur, Eldin; Zide, Mary; Shufelt, Chrisandra; Joung, Sandy; Van Eyk, Jennifer E; Bairey Merz, C Noel; Lopez, Mayra; Spiegel, Brennan; Arnold, Corey
• Is Part Of: Journal of the American Medical Informatics Association. Volume 25:Number 10(2018)
• Page Start: 1386
• Page End: 1391
• Publication Date: 2018-05-29
• Subjects: mHealth -- health apps -- self-monitoring -- mobile health -- informatics; Medical informatics -- Periodicals; Information Services -- Periodicals; Medical Informatics -- Periodicals; Médecine -- Informatique -- Périodiques; Informatica; Geneeskunde; Informatique médicale; Computer network resources; Electronic journals; 610.285
• DOI: 10.1093/jamia/ocy067
• Languages: English
• ISSNs: 1067-5027

Abstract

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 (r 2 =0.15 for PROMIS global health scores, p < .00001), and therefore might provide an effective signal for identifying patients in need of intervention.