Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design
BackgroundNew electronic cohort (e-Cohort) study designs provide resource-effective methods for collecting participant data. It is unclear if implementing an e-Cohort study without direct, in-person participant contact can achieve successful participation rates. ObjectiveThe objective of...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2019-09-01
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| Series: | JMIR mHealth and uHealth |
| Online Access: | https://mhealth.jmir.org/2019/9/e13238 |
| _version_ | 1818879495178813440 |
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| author | Spartano, Nicole L Lin, Honghuang Sun, Fangui Lunetta, Kathryn L Trinquart, Ludovic Valentino, Maureen Manders, Emily S Pletcher, Mark J Marcus, Gregory M McManus, David D Benjamin, Emelia J Fox, Caroline S Olgin, Jeffrey E Murabito, Joanne M |
| author_facet | Spartano, Nicole L Lin, Honghuang Sun, Fangui Lunetta, Kathryn L Trinquart, Ludovic Valentino, Maureen Manders, Emily S Pletcher, Mark J Marcus, Gregory M McManus, David D Benjamin, Emelia J Fox, Caroline S Olgin, Jeffrey E Murabito, Joanne M |
| author_sort | Spartano, Nicole L |
| collection | DOAJ |
| description | BackgroundNew electronic cohort (e-Cohort) study designs provide resource-effective methods for collecting participant data. It is unclear if implementing an e-Cohort study without direct, in-person participant contact can achieve successful participation rates.
ObjectiveThe objective of this study was to compare 2 distinct enrollment methods for setting up mobile health (mHealth) devices and to assess the ongoing adherence to device use in an e-Cohort pilot study.
MethodsWe coenrolled participants from the Framingham Heart Study (FHS) into the FHS–Health eHeart (HeH) pilot study, a digital cohort with infrastructure for collecting mHealth data. FHS participants who had an email address and smartphone were randomized to our FHS-HeH pilot study into 1 of 2 study arms: remote versus on-site support. We oversampled older adults (age ≥65 years), with a target of enrolling 20% of our sample as older adults. In the remote arm, participants received an email containing a link to enrollment website and, upon enrollment, were sent 4 smartphone-connectable sensor devices. Participants in the on-site arm were invited to visit an in-person FHS facility and were provided in-person support for enrollment and connecting the devices. Device data were tracked for at least 5 months.
ResultsCompared with the individuals who declined, individuals who consented to our pilot study (on-site, n=101; remote, n=93) were more likely to be women, highly educated, and younger. In the on-site arm, the connection and initial use of devices was ≥20% higher than the remote arm (mean percent difference was 25% [95% CI 17-35] for activity monitor, 22% [95% CI 12-32] for blood pressure cuff, 20% [95% CI 10-30] for scale, and 43% [95% CI 30-55] for electrocardiogram), with device connection rates in the on-site arm of 99%, 95%, 95%, and 84%. Once connected, continued device use over the 5-month study period was similar between the study arms.
ConclusionsOur pilot study demonstrated that the deployment of mobile devices among middle-aged and older adults in the context of an on-site clinic visit was associated with higher initial rates of device use as compared with offering only remote support. Once connected, the device use was similar in both groups. |
| first_indexed | 2024-12-19T14:30:59Z |
| format | Article |
| id | doaj.art-87b0c8496353403abaa71b9786ef2341 |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-12-19T14:30:59Z |
| publishDate | 2019-09-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-87b0c8496353403abaa71b9786ef23412022-12-21T20:17:27ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222019-09-0179e1323810.2196/13238Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study DesignSpartano, Nicole LLin, HonghuangSun, FanguiLunetta, Kathryn LTrinquart, LudovicValentino, MaureenManders, Emily SPletcher, Mark JMarcus, Gregory MMcManus, David DBenjamin, Emelia JFox, Caroline SOlgin, Jeffrey EMurabito, Joanne MBackgroundNew electronic cohort (e-Cohort) study designs provide resource-effective methods for collecting participant data. It is unclear if implementing an e-Cohort study without direct, in-person participant contact can achieve successful participation rates. ObjectiveThe objective of this study was to compare 2 distinct enrollment methods for setting up mobile health (mHealth) devices and to assess the ongoing adherence to device use in an e-Cohort pilot study. MethodsWe coenrolled participants from the Framingham Heart Study (FHS) into the FHS–Health eHeart (HeH) pilot study, a digital cohort with infrastructure for collecting mHealth data. FHS participants who had an email address and smartphone were randomized to our FHS-HeH pilot study into 1 of 2 study arms: remote versus on-site support. We oversampled older adults (age ≥65 years), with a target of enrolling 20% of our sample as older adults. In the remote arm, participants received an email containing a link to enrollment website and, upon enrollment, were sent 4 smartphone-connectable sensor devices. Participants in the on-site arm were invited to visit an in-person FHS facility and were provided in-person support for enrollment and connecting the devices. Device data were tracked for at least 5 months. ResultsCompared with the individuals who declined, individuals who consented to our pilot study (on-site, n=101; remote, n=93) were more likely to be women, highly educated, and younger. In the on-site arm, the connection and initial use of devices was ≥20% higher than the remote arm (mean percent difference was 25% [95% CI 17-35] for activity monitor, 22% [95% CI 12-32] for blood pressure cuff, 20% [95% CI 10-30] for scale, and 43% [95% CI 30-55] for electrocardiogram), with device connection rates in the on-site arm of 99%, 95%, 95%, and 84%. Once connected, continued device use over the 5-month study period was similar between the study arms. ConclusionsOur pilot study demonstrated that the deployment of mobile devices among middle-aged and older adults in the context of an on-site clinic visit was associated with higher initial rates of device use as compared with offering only remote support. Once connected, the device use was similar in both groups.https://mhealth.jmir.org/2019/9/e13238 |
| spellingShingle | Spartano, Nicole L Lin, Honghuang Sun, Fangui Lunetta, Kathryn L Trinquart, Ludovic Valentino, Maureen Manders, Emily S Pletcher, Mark J Marcus, Gregory M McManus, David D Benjamin, Emelia J Fox, Caroline S Olgin, Jeffrey E Murabito, Joanne M Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design JMIR mHealth and uHealth |
| title | Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design |
| title_full | Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design |
| title_fullStr | Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design |
| title_full_unstemmed | Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design |
| title_short | Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design |
| title_sort | comparison of on site versus remote mobile device support in the framingham heart study using the health eheart study for digital follow up randomized pilot study set within an observational study design |
| url | https://mhealth.jmir.org/2019/9/e13238 |
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