基于电子邮件的招聘进入健康eHeart研究:邀请合格患者的队列分析
Madelena Y Ng1,2,3, Jeffrey E Olgin3, Gregory M Marcus3
1School of Public Health, University of California, Berkeley, CA, United States.
Journal of medical Internet research
|December 22, 2023
概括
电子邮件招聘数字健康研究是有效的,但可能导致非代表性样本. 社会人口统计学因素,而不是临床因素,主要影响了健康电子心脏研究的招生,突出了需要多样化的招聘策略.
科学领域:
- 数字健康数字健康
- 临床研究 临床研究
- 医疗信息学 医疗信息学
背景情况:
- 基于Web和应用程序的平台提高了数字健康研究的效率.
- 远程招聘可能会损害研究样本的代表性和通用性.
- 评估电子邮件活动对于了解数字健康研究的招生至关重要.
研究的目的:
- 通过电子邮件招聘确定影响健康电子心脏研究入学的社会人口统计学和临床因素.
- 在大规模远程招聘活动中分析注册和同意的预测因素.
主要方法:
- 加利福尼亚大学旧金山分校 (UCSF) 被邀请参加健康eHeart研究的患者的队列分析.
- 定义主要结果为帐户注册和同意.
- 提取了电子健康记录数据和分析了从2015年8月到2016年2月的招聘活动数据.
主要成果:
- 一个电子邮件活动达到了93.5%的受邀患者,产生3.6%的注册率和84.1%的同意率.
- 年龄较大,女性,非西班牙裔白人种族以及商业保险/医疗保险与更高的注册率有关.
- 某些临床条件 (例如痴呆症,癌症) 与较低的注册几率有关,而社会人口统计学因素对同意的影响不同.
结论:
- 电子邮件招聘对于像Health eHeart这样的大规模数字健康研究非常有效.
- 社会人口统计学因素比临床因素更强烈地预测了入学率.
- 实现多样化的研究样本需要除了电子邮件招聘之外的额外策略来克服参与障碍.
相关概念视频
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
01:20Study Designs in Epidemiology
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and case-control studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and case-control studies.
01:26Longitudinal Studies
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
01:23Assessment of the Cardiovascular System I: Subjective Data
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...