在卫生系统中预测连接可穿戴设备的参与模式:生存分析
Allistair Clark1, Gillian Gresham2, Joshua Pevnick1
1Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, United States.
Journal of medical Internet research
|September 17, 2025
概括
在医疗保健中,可穿戴设备的使用在1年内显示68%的患者参与. 较年轻的患者和那些每天步骤较少的人更有可能从这些健康技术中提前脱离.
科学领域:
- 数字健康和可穿戴技术
- 电子健康记录的整合 电子健康记录的整合
- 纵向健康数据分析
背景情况:
- 可穿戴设备提供持续的客观活动和健康数据收集.
- 将可穿戴数据集成到电子健康记录 (EHR) 中的数量正在增加.
- 了解患者参与模式和影响可穿戴设备使用的因素是有限的.
研究的目的:
- 量化1年患者参与率与可穿戴设备集成到EHRs.
- 识别预测可穿戴设备持续参与的人口统计和行为因素.
- 在大量患者队列中分析长期 (1年) 的可穿戴设备使用情况.
主要方法:
- 来自学术医疗中心 (2015-2022) 连接设备数据的生存分析.
- 在可穿戴设备用户中评估早期脱离的时间.
- 多变量考克斯比例危险回归以确定1年参与的预测因素.
主要成果:
- 分析包括8616名患者;68.13%的患者在1年内保持了活跃的可穿戴设备参与.
- 在性别或种族类别之间没有发现显著的参与差异.
- 年龄较小 (18-34岁) 和每天步数较少 (<5000) 预测了更高的脱离风险.
结论:
- 可穿戴设备的参与度很大,但因人口和行为因素而异.
- 提高参与度对于最大限度地利用可穿戴技术在医疗保健中的好处至关重要.
- 未来的发展应该集中在改善传感器能力和用户保留,以获得更好的健康结果.
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