Evaluating Utility and Compliance in a Patient-based EHealth Study Using Continuous-time Heart Rate and Activity Trackers

Overview

Journal J Am Med Inform Assoc

Publisher Oxford University Press

Specialty Medical Informatics

Date 2018 Jun 1

PMID 29850807

Citations 21

Authors

William Speier

Eldin Dzubur

Mary Zide

Chrisandra Shufelt

Sandy Joung

Jennifer E Van Eyk

C Noel Bairey Merz

Mayra Lopez

Brennan Spiegel

Corey Arnold

Affiliations

Soon will be listed here.

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.

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