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杰克逊心脏研究中的数字化关联:横断面研究。

Digital Connectedness in the Jackson Heart Study: Cross-sectional Study.

机构信息

University of Mississippi Medical Center, Jackson, MS, United States.

Department of Data Science, School of Population Health, University of Mississippi Medical Center, Jackson, MS, United States.

出版信息

J Med Internet Res. 2022 Nov 21;24(11):e37501. doi: 10.2196/37501.


DOI:10.2196/37501
PMID:36409531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9723970/
Abstract

BACKGROUND: Although new approaches for data collection, such as mobile technology and teleresearch, have demonstrated new opportunities for the conduct of more timely and less costly surveys in community-based studies, literature on the feasibility of conducing cardiovascular disease research using mobile health (mHealth) platforms among middle-aged and older African Americans has been limited. OBJECTIVE: The purpose of this study was to contribute to the knowledge regarding the penetrance of internet and mobile technologies, such as cellphones or smartphones in existing large cohort studies of cardiovascular disease. METHODS: A digital connectedness survey was conducted in the Jackson Heart Study (JHS), a Mississippi-based African American cohort study, as part of the annual follow-up calls with participants from July 2017 to February 2019. RESULTS: Of the 4024 participants contacted, 2564 (63.7%) completed the survey. Among survey respondents, 2262 (88.2%) reported use of internet or cellphone, and 1593 (62.1%) had a smartphone. Compared to nonusers (n=302), internet or cellphone users (n=2262) were younger (mean age 80.1, SD 8.0 vs 68.2, SD 11.3 years), more likely to be affluent (n=778, 40.1% vs n=39, 15.4%), and had greater than high school education (n=1636, 72.5% vs n=85, 28.1%). Internet or cellphone users were less likely to have cardiovascular disease history compared to nonusers (136/2262, 6.6% vs 41/302, 15.8%). The prevalence of current smoking and average BMI were similar between internet or cellphone users and nonusers. Among internet or cellphone users, 1316 (58.3%) reported use of email, 504 (22.3%) reported use of apps to track or manage health, and 1269 (56.1%) expressed interest in using JHS-developed apps. CONCLUSIONS: Our findings suggest that it is feasible to use mHealth technologies to collect survey data among African Americans already enrolled in a longitudinal study. Our findings also highlight the need for more efforts to reduce the age and education divide in access and use of internet and smartphones for tracking health and research in African American communities.

摘要

背景:尽管新的数据收集方法,如移动技术和远程研究,为在社区研究中进行更及时、成本更低的调查提供了新的机会,但关于在中年和老年非裔美国人中使用移动健康 (mHealth) 平台进行心血管疾病研究的可行性的文献仍然有限。

目的:本研究旨在为现有大型心血管疾病队列研究中互联网和移动技术(如手机或智能手机)的普及情况提供知识。

方法:作为 2017 年 7 月至 2019 年 2 月期间对参与者进行年度随访电话的一部分,在密西西比州非裔美国人队列研究杰克逊心脏研究 (JHS) 中进行了一项数字连接度调查。

结果:在联系的 4024 名参与者中,有 2564 名(63.7%)完成了调查。在调查受访者中,2262 名(88.2%)报告使用互联网或手机,1593 名(62.1%)拥有智能手机。与非使用者(n=302)相比,互联网或手机使用者(n=2262)更年轻(平均年龄 80.1,SD 8.0 岁 vs 68.2,SD 11.3 岁)、更富裕(n=778,40.1% vs n=39,15.4%),且接受过高中以上教育(n=1636,72.5% vs n=85,28.1%)。与非使用者相比,互联网或手机使用者的心血管疾病病史比例较低(136/2262,6.6% vs 41/302,15.8%)。互联网或手机使用者的当前吸烟率和平均 BMI 与非使用者相似。在互联网或手机使用者中,1316 名(58.3%)报告使用电子邮件,504 名(22.3%)报告使用应用程序来跟踪或管理健康,1269 名(56.1%)表示有兴趣使用 JHS 开发的应用程序。

结论:我们的研究结果表明,使用 mHealth 技术在已经参加纵向研究的非裔美国人中收集调查数据是可行的。我们的研究结果还强调需要做出更多努力,以缩小非裔美国人社区在获取和使用互联网和智能手机来跟踪健康和进行研究方面的年龄和教育差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2018/9723970/eb582ebe477c/jmir_v24i11e37501_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2018/9723970/eb582ebe477c/jmir_v24i11e37501_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2018/9723970/eb582ebe477c/jmir_v24i11e37501_fig1.jpg

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[2]
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[8]
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引用本文的文献

[1]
Disparities in sleep care and cardiovascular outcomes: defining the problem and implementing solutions.

J Clin Sleep Med. 2024-6-1

[2]
Design and Feasibility Analysis of a Smartphone-Based Digital Cognitive Assessment Study in the Framingham Heart Study.

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[3]
Integration of a Smartphone HF-Dedicated App in the Remote Monitoring of Heart Failure Patients with Cardiac Implantable Electronic Devices: Patient Access, Acceptance, and Adherence to Use.

J Clin Med. 2023-8-25

本文引用的文献

[1]
Increasing Engagement in the Electronic Framingham Heart Study: Factorial Randomized Controlled Trial.

J Med Internet Res. 2023-1-20

[2]
Adherence of Mobile App-Based Surveys and Comparison With Traditional Surveys: eCohort Study.

J Med Internet Res. 2021-1-20

[3]
Mobile Health (mHealth) Technology: Assessment of Availability, Acceptability, and Use in CKD.

Am J Kidney Dis. 2021-6

[4]
Association of Habitual Physical Activity With Cardiovascular Disease Risk.

Circ Res. 2020-10-23

[5]
Diversity and Inclusion in Unregulated mHealth Research: Addressing the Risks.

J Law Med Ethics. 2020-3

[6]
Indicators of retention in remote digital health studies: a cross-study evaluation of 100,000 participants.

NPJ Digit Med. 2020-2-17

[7]
Comparison of On-Site Versus Remote Mobile Device Support in the Framingham Heart Study Using the Health eHeart Study for Digital Follow-up: Randomized Pilot Study Set Within an Observational Study Design.

JMIR Mhealth Uhealth. 2019-9-30

[8]
Experiences of Adults With Type 1 Diabetes Using Glucose Sensor-Based Mobile Technology for Glycemic Variability: Qualitative Study.

JMIR Diabetes. 2019-7-8

[9]
Design and Preliminary Findings From a New Electronic Cohort Embedded in the Framingham Heart Study.

J Med Internet Res. 2019-3-1

[10]
Mobile health for older adult patients: Using an aging barriers framework to classify usability problems.

Int J Med Inform. 2019-1-15

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