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

机译:使用连续时间心率和活动跟踪器在基于患者的eHealth研究中评估效用和依从性

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摘要

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.
机译:远程医疗已用于远程诊断和治疗患者,但是以前应用的远程监控方法充满了依从性问题。这项研究的主要目的是在中度心血管疾病患者人群中使用消费者级连续时间心率和活动追踪器评估依从性。作为辅助分析,我们展示了通过将跟踪器信息与患者报告的结果调查评分相关联,利用该设备提供的信息来识别有关患者状态的信息的能力。我们显示,将连续时间活动跟踪器与心率监测器配合使用可以在远程监护应用中有效,因为患者在90天内的依从性水平较高(中位数使用量为90.0%),消耗量较低(每天减少0.09%)期。此外,收集的数据与临床相关的患者调查显着相关(PROMIS全球健康评分的r 2 = 0.15,p <.00001),因此可能为识别需要干预的患者提供有效的信号。

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