期刊
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
卷 25, 期 10, 页码 1386-1391出版社
OXFORD UNIV PRESS
DOI: 10.1093/jamia/ocy067
关键词
mHealth; health apps; self-monitoring; mobile health; informatics
类别
资金
- California Initiative to Advance Precision Medicine (CIAPM)
- National Institutes of Heart, Lung, and Blood Institute [NIH/NHLBI R56HL135425, K23HL127262]
- National Center for Research Resources [NIH/NCRR UL1RR033176]
- National Center for Advancing Translational Sciences (NCATS) [NIH/NCATS UL1TR000124]
- UCLA Clinical Translational Science Institute (CTSI) [NIH/NCATS UL1TR000124]
- Advanced Clinical Biosystems Research Institute
- Erika Glazer Endowed Chair in Women's Heart Health
- Barbra Streisand Women's Cardiovascular Research and Education Program
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.
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