Journal article
Predicting adherence to use of remote health monitoring systems in a cohort of patients with chronic heart failure
Technology and health care, Vol.25(3), pp.425-433
2017
Handle:
https://hdl.handle.net/2376/114939
PMCID: PMC5695547
PMID: 27886024
Abstract
It is unclear whether subgroups of patients may benefit from remote monitoring systems (RMS) and what user characteristics and contextual factors determine effective use of RMS in patients with heart failure (HF).
The study was conducted to determine whether certain user characteristics (i.e. personal and clinical variables) predict use of RMS using advanced machine learning software algorithms in patients with HF.
This pilot study was a single-arm experimental study with a pre- (baseline) and post- (3 months) design; data from the baseline measures were used for the current data analyses. Sixteen patients provided consent; only 7 patients (mean age 65.8 ± 6.1, range 58-83) accessed the RMS and transmitted daily data (e.g. weight, blood pressure) as instructed during the 12 week study duration.
Baseline demographic and clinical characteristics of users and non-users were comparable for a majority of factors. However, users were more likely to have no HF specialty based care or an automatic internal cardioverter defibrillator. The precision accuracy of decision tree, multilayer perceptron (MLP) and k-Nearest Neighbor (k-NN) classifiers for predicting access to RMS was 87.5%, 90.3%, and 94.5% respectively.
Our preliminary data show that a small set of baseline attributes is sufficient to predict subgroups of patients who had a higher likelihood of using RMS. While our findings shed light on potential end-users more likely to benefit from RMS-based interventions, additional research in a larger sample is warranted to explicate the impact of user characteristics on actual use of these technologies.
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Details
- Title
- Predicting adherence to use of remote health monitoring systems in a cohort of patients with chronic heart failure
- Creators
- Lorraine S Evangelista - Program in Nursing Science, University of California Irvine, Irvine, CA, USAHassan Ghasemzadeh - School of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, USAJung-Ah Lee - Program in Nursing Science, University of California Irvine, Irvine, CA, USARamin Fallahzadeh - School of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, USAMajid Sarrafzadeh - School of Computer Science & Director, Wireless Health Institute, University of California, Los Angeles, CA, USADebra K Moser - College of Nursing, University of Kentucky, Lexington, KY, USA
- Publication Details
- Technology and health care, Vol.25(3), pp.425-433
- Academic Unit
- Electrical Engineering and Computer Science, School of; Food Science, School of
- Publisher
- Netherlands
- Grant note
- UL1 TR000124 / NCATS NIH HHS P30 AG021684 / NIA NIH HHS R01 HL093466 / NHLBI NIH HHS
- Identifiers
- 99900548303601842
- Language
- English
- Resource Type
- Journal article