Assistant Professor, University of Minnesota, School of Nursing, Minneapolis, MN, USA.
Statistician, University of Minnesota, School of Nursing, Minneapolis, MN, USA.
J Nurs Scholarsh. 2021 Sep;53(5):634-642. doi: 10.1111/jnu.12674. Epub 2021 May 16.
The purpose of this data visualization study was to identify patterns in patient-generated health data (PGHD) of women with and without Circulation signs or symptoms. Specific aims were to (a) visualize and interpret relationships among strengths, challenges, and needs of women with and without Circulation signs or symptoms; (b) generate hypotheses based on these patterns; and (c) test hypotheses generated in Aim 2.
The design of this visualization study was retrospective, observational, case controlled, and exploratory.
We used existing de-identified PGHD from a mobile health application, MyStrengths+MyHealth (N = 383). From the data, women identified with Circulation signs or symptoms (n = 80) were matched to an equal number of women without Circulation signs or symptoms. Data were analyzed using data visualization techniques and descriptive and inferential statistics.
Based on the patterns, we generated nine hypotheses, of which four were supported. Visualization and interpretation of relationships revealed that women without Circulation signs or symptoms compared to women with Circulation signs or symptoms had more strengths, challenges, and needs-specifically, strengths in connecting; challenges in emotions, vision, and health care; and needs related to info and guidance.
This study suggests that visualization of whole-person health including strengths, challenges, and needs enabled detection and testing of new health patterns. Some findings were unexpected, and perspectives of the patient would not have been detected without PGHD, which should be valued and sought. Such data may support improved clinical interactions as well as policies for standardization of PGHD as sharable and comparable data across clinical and community settings.
Standardization of patient-generated whole-person health data enabled clinically relevant research that included the patients' perspective.
本数据可视化研究的目的是识别有和无循环体征或症状的女性患者生成的健康数据(PGHD)中的模式。具体目标是:(a) 可视化和解释有和无循环体征或症状的女性的优势、挑战和需求之间的关系;(b) 根据这些模式生成假设;(c) 检验目标 2 中生成的假设。
本可视化研究的设计是回顾性、观察性、病例对照和探索性的。
我们使用了移动健康应用程序 MyStrengths+MyHealth 中的现有去识别 PGHD(N=383)。从数据中,我们识别出有循环体征或症状的女性(n=80)与数量相等的无循环体征或症状的女性进行匹配。使用数据可视化技术以及描述性和推断性统计方法对数据进行分析。
基于这些模式,我们生成了九个假设,其中四个得到了支持。关系的可视化和解释表明,与有循环体征或症状的女性相比,无循环体征或症状的女性具有更多的优势、挑战和需求,具体而言,在联系方面具有优势;在情绪、视力和医疗保健方面面临挑战;以及与信息和指导相关的需求。
本研究表明,包括优势、挑战和需求在内的整体健康数据的可视化能够检测和检验新的健康模式。一些发现出乎意料,如果没有 PGHD,就无法检测到患者的观点,应该重视和寻求这种数据。这些数据可能支持改善临床互动以及为 PGHD 制定标准化政策,以在临床和社区环境中实现可共享和可比的数据。
患者生成的整体健康数据的标准化使包括患者观点的临床相关研究成为可能。