Design and Preliminary Findings From a New Electronic Cohort Embedded in the Framingham Heart Study
Design and Preliminary Findings From a New Electronic Cohort Embedded in the Framingham Heart Study
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DOI：
10.2196/12143
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发表时间：
2019-03-01
影响因子：
7.4
通讯作者：
Murabito, Joanne M.
中科院分区：
文献类型：
--
作者：
McManus, David D.;Trinquart, Ludovic;Murabito, Joanne M.
背景：整合数字和移动健康(MHealth)数据的基于人群的可扩展数据收集的新模式是必要的。目的：本研究的目的是描述嵌入传统纵向队列研究--Framingham心脏研究(FHS)的心血管数字和mHealth电子队列(e-队列)。方法：我们邀请符合条件并同意的FHS第三代和OMNI参与者将电子Framingham心脏研究(EFHS)应用程序下载到他们的手机上，并共同部署数字血压(BP)袖带。之后，参与者还获得了一块智能手表(Apple Watch)。参与者被邀请通过eFHS应用程序完成调查，每周进行血压测量，并每天佩戴智能手表。结果：截至2017年7月，我们招募了790名eFHS参与者，占潜在符合条件的FHS参与者的76%(790/1044)。EFHS参与者的平均年龄为53+/-8岁，其中57%是女性。共有85%(675/790)的eFHS参与者完成了所有基线调查，59%(470/790)完成了为期3个月的调查。共有42%(241/573)和76%(306/405)的eFHS参与者在12周内分别坚持每周数字血压和心率(HR)上传。结论：我们设计了一个电子队列，重点是使用新的智能手机应用程序、数字血压袖带和智能手表识别新的心血管疾病风险因素。尽管只有很少的培训和支持，但3个月随访期的初步调查结果显示，吸烟率很高，坚持定期基于APP的调查、每周数字血压评估和智能手表人力资源测量是可以接受的。
Background: New models of scalable population-based data collection that integrate digital and mobile health (mHealth) data are necessary.Objective: The aim of this study was to describe a cardiovascular digital and mHealth electronic cohort (e-cohort) embedded in a traditional longitudinal cohort study, the Framingham Heart Study (FHS).Methods: We invited eligible and consenting FHS Generation 3 and Omni participants to download the electronic Framingham Heart Study (eFHS) app onto their mobile phones and co-deployed a digital blood pressure (BP) cuff. Thereafter, participants were also offered a smartwatch (Apple Watch). Participants are invited to complete surveys through the eFHS app, to perform weekly BP measurements, and to wear the smartwatch daily.Results: Up to July 2017, we enrolled 790 eFHS participants, representing 76% (790/1044) of potentially eligible FHS participants. eFHS participants were, on average, 53 +/- 8 years of age and 57% were women. A total of 85% (675/790) of eFHS participants completed all of the baseline survey and 59% (470/790) completed the 3-month survey. A total of 42% (241/573) and 76% (306/405) of eFHS participants adhered to weekly digital BP and heart rate (HR) uploads, respectively, over 12 weeks.Conclusions: We have designed an e-cohort focused on identifying novel cardiovascular disease risk factors using a new smartphone app, a digital BP cuff, and a smartwatch. Despite minimal training and support, preliminary findings over a 3-month follow-up period show that uptake is high and adherence to periodic app-based surveys, weekly digital BP assessments, and smartwatch HR measures is acceptable.