Self-Monitoring Utilization Patterns Among Individuals in an Incentivized Program for Healthy Behaviors.

Self-Monitoring Utilization Patterns Among Individuals in an Incentivized Program for Healthy Behaviors.
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DOI:
10.2196/jmir.6371
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发表时间:
2016-11-17
影响因子:
7.4
通讯作者:
Steinhubl S
Steinhubl S
中科院分区:
医学2区
文献类型:
--
作者:
Kim JY;Wineinger NE;Taitel M;Radin JM;Akinbosoye O;Jiang J;Nikzad N;Orr G;Topol E;Steinhubl S

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数字技术的出现使个人能够跟踪有关自己的有意义的生物识别数据。这种新颖的功能促使非传统医疗保健组织开发帮助用户管理健康的系统。最丰富的系统之一是沃尔格林健康选择平衡奖励 (BRhc) 计划,这是一个基于网络的激励性自我监控计划。本研究旨在评估参加沃尔格林 BRhc 计划的个人的健康数据自我跟踪特征,包括通过支持的设备或应用程序手动输入数据与自动输入数据的影响。我们获得了 2014 年总共 455,341 名 BRhc 用户的活动跟踪数据。在确定具有足够后续数据的用户后,我们探索了用户参与的时间趋势。百分之三十四的用户在参加一次活动后就退出了。在不同日期跟踪至少两项活动的用户中,参与时间中位数为 8 周,平均每周参与 5.8 项活动。此外,参与至少 20 周的用户(28.3% 的用户;33,078/116,621)每周持续参加 8 至 9 项活动。大多数用户(77%;243,774/315,744)仅通过手动数据输入来记录活动。然而,通过支持的设备或应用程序自动输入活动的个人的参与时间大约是手动输入活动的人的四倍(平均分别为 20 周和 5 周;P<.001)。这项研究深入了解了参与激励性、基于网络的自我监控计划的个人的利用模式。我们的结果表明,自动健康跟踪可以显着改善长期健康参与。
The advent of digital technology has enabled individuals to track meaningful biometric data about themselves. This novel capability has spurred nontraditional health care organizations to develop systems that aid users in managing their health. One of the most prolific systems is Walgreens Balance Rewards for healthy choices (BRhc) program, an incentivized, Web-based self-monitoring program. This study was performed to evaluate health data self-tracking characteristics of individuals enrolled in the Walgreens’ BRhc program, including the impact of manual versus automatic data entries through a supported device or apps. We obtained activity tracking data from a total of 455,341 BRhc users during 2014. Upon identifying users with sufficient follow-up data, we explored temporal trends in user participation. Thirty-four percent of users quit participating after a single entry of an activity. Among users who tracked at least two activities on different dates, the median length of participating was 8 weeks, with an average of 5.8 activities entered per week. Furthermore, users who participated for at least twenty weeks (28.3% of users; 33,078/116,621) consistently entered 8 to 9 activities per week. The majority of users (77%; 243,774/315,744) recorded activities through manual data entry alone. However, individuals who entered activities automatically through supported devices or apps participated roughly four times longer than their manual activity-entering counterparts (average 20 and 5 weeks, respectively; P<.001). This study provides insights into the utilization patterns of individuals participating in an incentivized, Web-based self-monitoring program. Our results suggest automated health tracking could significantly improve long-term health engagement.
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