核心经验:实现参与者长期参与数字卫生技术试验
Janeta Nikolovski1, Ann Marie Navar2, Steven Steinhubl3
1Johnson & Johnson, Raritan, New Jersey, USA.
JACC. Advances
|August 21, 2025
概括
通过使用手机应用程序监测心房动 (AF) 的老年人,心脏线研究显示了高持续的参与度. 这种数字健康方法促进了两年的远程数据收集和参与者的高满意度.
科学领域:
- 数字健康
- 心脏病学
- 临床研究
背景情况:
- 数字健康技术为提高临床研究效率和参与者的多样性提供了潜力.
- 然而, 保持参与者对这些技术的长期参与存在挑战.
研究的目的:
- 评估基于移动应用程序的参与计划对心房的诊断,治疗和结果的影响.
- 这项研究重点关注65岁及以上的美国参与者,他们使用Apple Watch的功能,如不规则节律通知 (IRN) 和心电图.
主要方法:
- 参与者按1:1随机分配到观察组或对照组,分层按发病率.
- 一个定制的应用程序促进了注册,IRN后的跟踪和电子患者报告结果 (ePRO) 收集.
- 包括以人为中心的设计,健康教育和激励在内的行为科学原则被用来提高参与度.
主要成果:
- 在34244名注册参与者中,94%的人启动了该计划.
- 观察到持续的高参与度:93%的每周参与度在1年和86%在2年.
- 电子患者报告结果完成率为1年82%和2年76%.
结论:
- 通过基于移动应用程序的参与计划,
- 年长的成年人成功地通过远程提交了研究信息,并报告了高满意度.
- 这证明了数字健康工具对这一群体的长期参与临床研究的可行性.
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