提高心衰患者远程监护的依从性并收集症状特异性生物测量信号:随机对照试验。

IF 4.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS
Sukanya Mohapatra, Mirna Issa, Vedrana Ivezic, Rose Doherty, Stephanie Marks, Esther Lan, Shawn Chen, Keith Rozett, Lauren Cullen, Wren Reynolds, Rose Rocchio, Gregg C Fonarow, Michael K Ong, William F Speier, Corey W Arnold
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引用次数: 0

摘要

目的:移动保健(mHealth)疗法可通过持续监测生物计量参数并配以适当的干预措施来改善健康状况。然而,随着时间的推移,监测的依从性往往会下降。我们的随机对照试验旨在确定:(1) 带有游戏化和经济激励的移动应用程序是否能显著提高心力衰竭患者对移动医疗监测的依从性;(2) 活动数据是否与疾病特异性症状相关:我们招募了心力衰竭患者参加一项为期 180 天的前瞻性监测研究,研究分为 3 个阶段。所有 3 个观察组都包括使用连接的体重秤和活动追踪器进行监测。第二组包括一个额外的游戏化移动应用程序,第三组包括移动应用程序和基于坚持移动监测的经济奖励:我们招募了 111 名心衰患者参与研究。结果:我们招募了 111 名心衰患者参与研究。我们发现,与仅使用监测设备的研究组相比,使用经济奖励的研究组对活动追踪器(95% vs 72.2%,P = .01)和体重(87.5% vs 69.4%,P = .002)监测的依从性明显更高。此外,我们还发现每日步数与每日症状严重程度之间存在明显的相关性:我们的研究结果表明,增加了参与功能的移动应用程序可以成为提高长期依从性的有用工具,从而提高移动健康干预的效果。此外,活动追踪器数据还能提供对疾病负担的被动监测,可用于预测未来事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing adherence and collecting symptom-specific biometric signals in remote monitoring of heart failure patients: a randomized controlled trial.

Objectives: Mobile health (mHealth) regimens can improve health through the continuous monitoring of biometric parameters paired with appropriate interventions. However, adherence to monitoring tends to decay over time. Our randomized controlled trial sought to determine: (1) if a mobile app with gamification and financial incentives significantly increases adherence to mHealth monitoring in a population of heart failure patients; and (2) if activity data correlate with disease-specific symptoms.

Materials and methods: We recruited individuals with heart failure into a prospective 180-day monitoring study with 3 arms. All 3 arms included monitoring with a connected weight scale and an activity tracker. The second arm included an additional mobile app with gamification, and the third arm included the mobile app and a financial incentive awarded based on adherence to mobile monitoring.

Results: We recruited 111 heart failure patients into the study. We found that the arm including the financial incentive led to significantly higher adherence to activity tracker (95% vs 72.2%, P = .01) and weight (87.5% vs 69.4%, P = .002) monitoring compared to the arm that included the monitoring devices alone. Furthermore, we found a significant correlation between daily steps and daily symptom severity.

Discussion and conclusion: Our findings indicate that mobile apps with added engagement features can be useful tools for improving adherence over time and may thus increase the impact of mHealth-driven interventions. Additionally, activity tracker data can provide passive monitoring of disease burden that may be used to predict future events.

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来源期刊
Journal of the American Medical Informatics Association
Journal of the American Medical Informatics Association 医学-计算机:跨学科应用
CiteScore
14.50
自引率
7.80%
发文量
230
审稿时长
3-8 weeks
期刊介绍: JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.
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