Author + information
- Sanket Shishir Dhruva,
- Carlos Mena-Hurtado,
- Jeptha Curtis,
- Leslie Krumholz,
- Dave Hutten,
- Wade Schulz,
- John Rumsfeld,
- Frederick Masoudi,
- Kathleen Hewitt,
- Jennifer Bae,
- Allen Hsiao and
- Harlan M. Krumholz
Advancing clinical medicine requires understanding both patient-reported and clinical outcomes better, cheaper, and faster. In particular, data on health status outcomes are fundamental to informing shared decision-making. This goal can be advanced through patient-reported and clinical data obtained through mobile health platforms, but there are limited data about how to optimize implementation and patient engagement with digital health technologies.
Working with the American College of Cardiology, we performed a pilot study to understand how to best deploy mobile health technologies. We enrolled 25 people after percutaneous coronary intervention (PCI) for stable coronary artery disease into Hugo, a mobile sync-for-science platform through which people obtain secure access to their healthcare data and then share these data with researchers. Over 30 days follow-up, we monitored clinical outcomes and emailed a mobile version of the Seattle Angina Questionnaire (SAQ-7) weekly.
In addition to the 25 people enrolled, many more were interested but did not have a smartphone and/or email address. This learning led to implementation of a pathway whereby people were enrolled directly through a research assistant's tablet, without need for a smartphone or email verification; participants could then answer follow-up questionnaires on any computer, tablet, or smartphone. Second, approximately 30% of participants did not complete follow-up questionnaires. This demonstrated the importance of early identification of people not responding to understand barriers and address technical issues, as well as implementation of reminders and text messaging. Third, some people preferred family members to answer questionnaires on their behalf; there are plans for family members to access data, but only with explicit patient permission. Finally, a handbook was created to support research assistants.
This study demonstrated multiple learnings and both technical and logistical improvements to optimize enrollment and continued engagement with a sync-for-science mobile health platform in order to obtain data that can support shared decision-making for PCI.
Poster Hall, Hall F
Sunday, March 17, 2019, 9:45 a.m.-10:30 a.m.
Session Title: Spotlight on Special Topics: Shared Decision Making 2
Abstract Category: 43. Spotlight on Special Topics: Shared Decision Making
Presentation Number: 1215-179
- 2019 American College of Cardiology Foundation