Deering Sean, Grade Madeline M, Uppal Jaspreet K, Foschini Luca, Juusola Jessie L, Amdur Adam M, Stepnowsky Carl J
Veterans Affairs San Diego Healthcare System, Health Services Research & Development Unit, La Jolla, CA, United States.
American Sleep Apnea Association, Washington, DC, United States.
JMIR Res Protoc. 2019 Jan 21;8(1):e10974. doi: 10.2196/10974.
Participant recruitment can be a significant bottleneck in carrying out research studies. Connected health and mobile health platforms allow for the development of Web-based studies that can offer improvement in this domain. Sleep is of vital importance to the mental and physical health of all individuals, yet is understudied on a large scale or beyond the focus of sleep disorders. For this reason and owing to the availability of digital sleep tracking tools, sleep is well suited to being studied in a Web-based environment.
The aim of this study was to investigate a method for speeding up the recruitment process and maximizing participant engagement using a novel approach, the Achievement Studies platform (Evidation Health, Inc, San Mateo, CA, USA), while carrying out a study that examined the relationship between participant sleep and daytime function.
Participants could access the Web-based study platform at any time from any computer or Web-enabled device to complete study procedures and track study progress. Achievement community members were invited to the study and assessed for eligibility. Eligible participants completed an electronic informed consent process to enroll in the study and were subsequently invited to complete an electronic baseline questionnaire. Then, they were asked to connect a wearable device account through their study dashboard, which shared their device data with the research team. The data were used to provide objective sleep and activity metrics for the study. Participants who completed the baseline questionnaires were subsequently sent a daily single-item Sleepiness Checker activity for 7 consecutive days at baseline and every 3 months thereafter for 1 year.
Overall, 1156 participants enrolled in the study within a 5-day recruitment window. In the 1st hour, the enrollment rate was 6.6 participants per minute (394 per hour). In the first 24 hours, the enrollment rate was 0.8 participants per minute (47 participants per hour). Overall, 1132 participants completed the baseline questionnaires (1132/1156, 97.9%) and 1047 participants completed the initial Sleepiness Checker activity (1047/1156, 90.6%). Furthermore, 1000 participants provided activity-specific wearable data (1000/1156, 86.5%) and 982 provided sleep-specific wearable data (982/1156, 84.9%).
The Achievement Studies platform allowed for rapid recruitment and high study engagement (survey completion and device data sharing). This approach to carrying out research appears promising. However, conducting research in this way requires that participants have internet access and own and use a wearable device. As such, our sample may not be representative of the general population.
在开展研究时,招募参与者可能是一个重大瓶颈。互联健康和移动健康平台有助于开发基于网络的研究,从而在这一领域带来改进。睡眠对所有人的身心健康至关重要,但在大规模研究中或超出睡眠障碍的研究重点之外,睡眠方面的研究还很不足。出于这个原因,并且由于数字睡眠追踪工具的可用性,睡眠非常适合在基于网络的环境中进行研究。
本研究的目的是调查一种方法,即使用一种新颖的方法——成就研究平台(美国加利福尼亚州圣马特奥市的Evidation Health公司)来加快招募过程并最大限度地提高参与者的参与度,同时开展一项研究,考察参与者睡眠与日间功能之间的关系。
参与者可以从任何计算机或具备网络功能的设备上随时访问基于网络的研究平台,以完成研究程序并跟踪研究进展。成就社区成员被邀请参加该研究并接受资格评估。符合条件的参与者完成电子知情同意程序以加入研究,随后被邀请完成电子基线问卷。然后,要求他们通过研究仪表板连接可穿戴设备账户,该账户会与研究团队共享他们的设备数据。这些数据用于为研究提供客观的睡眠和活动指标。完成基线问卷的参与者随后在基线时连续7天每天收到一项关于嗜睡程度的单项活动,此后每3个月进行一次,为期1年。
总体而言,在为期5天的招募窗口内,有1156名参与者加入了该研究。在第1小时,招募率为每分钟6.6名参与者(每小时394名)。在最初的24小时内,招募率为每分钟0.8名参与者(每小时47名)。总体而言,1132名参与者完成了基线问卷(1132/1156,97.9%),1047名参与者完成了初始的嗜睡程度检查活动(1047/1156,90.6%)。此外,1000名参与者提供了特定活动的可穿戴设备数据(1000/1156,86.5%),982名参与者提供了特定睡眠的可穿戴设备数据(982/1156,84.9%)。
成就研究平台实现了快速招募和高研究参与度(调查问卷完成情况和设备数据共享)。这种开展研究的方法似乎很有前景。然而,以这种方式进行研究要求参与者能够访问互联网并且拥有并使用可穿戴设备。因此,我们的样本可能不具有一般人群的代表性。