Evidence map›Paper›PMID 33470944›Full record

ArticleJournal of medical Internet research2021

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

Chathurangi H Pathiravasan, Yuankai Zhang, Ludovic Trinquart, Emelia J Benjamin, Belinda Borrelli, David D McManus, Vik Kheterpal, Honghuang Lin, Mayank Sardana, Michael M Hammond and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Mitigating fraud in a fully decentralized clinical trial of a digital health intervention.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 1 country.

Chathurangi H PathiravasanDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, United States.ORCID 0000-0003-2170-1247
Yuankai ZhangDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, United States.ORCID 0000-0002-2318-7539
Ludovic TrinquartDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, United States.ORCID 0000-0002-3028-4900
Emelia J BenjaminSection of Preventive Medicine and Epidemiology and Cardiovascular Medicine, Department of Medicine, and Department of Epidemiology, Boston University Schools of Medicine and Public Health, Boston, MA, United States.ORCID 0000-0003-4076-2336
Belinda BorrelliCenter for Behavioral Science Research, Department of Health Policy & Health Services Research, Boston University Henry M Goldman School of Dental Medicine, Boston, MA, United States.ORCID 0000-0002-0859-796X
David D McManusCardiology Division, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.ORCID 0000-0002-9343-6203
Vik KheterpalCare Evolution, Ann Arbor, MI, United States.ORCID 0000-0002-4752-4229
Honghuang LinSection of Computational Biomedicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0003-3043-3942
Mayank SardanaCardiology Division, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0001-9465-1047
Michael M HammondBoston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0002-0157-4458
Nicole L SpartanoSection of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-0724-8629
Amy L DunnBoston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0002-9790-0077
Eric SchrammCare Evolution, Ann Arbor, MI, United States.ORCID 0000-0001-9458-4585
Christopher NowakCare Evolution, Ann Arbor, MI, United States.ORCID 0000-0003-1796-9558
Emily S MandersBoston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0001-9508-1541
Hongshan LiuBoston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0001-9379-6279
Jelena KornejBoston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA, United States.ORCID 0000-0003-3551-1145
Chunyu LiuDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, United States.ORCID 0000-0002-9160-0153
Joanne M MurabitoSection of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States.ORCID 0000-0002-0192-7516
Boston University · USNational Heart Lung and Blood Institute · USCareEvolution (United States) · USUniversity of California, San Francisco · USUniversity of Massachusetts Chan Medical School · US

Funding

The Center for Advancing Point of Care in Heart, Lung, Blood and Sleep DiseasesU54HL143541 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BRYAN O BUCHHOLZ, Nathaniel Scott Hafer · 2018 to 2026
$141.0M
FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
CAPSITE: Community Assessment of Pain and Sensitization in the ElderlyR01AG066010 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., EDWARDS, ROBERT R · 2020 to 2025
$3.3M
Detecting bleeding events using EHRs for prediction in AfibR01HL137794 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCMANUS, DAVID D., YU, HONG · 2018 to 2021
$3.3M
Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE-AF)R01HL126911 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCMANUS, DAVID D., SACZYNSKI, JANE STEELE · 2016 to 2019
$3.2M
Smartwatch Monitoring for Atrial Fibrillation After StrokeR01HL137734 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI CHON, KI H, MCMANUS, DAVID D. · 2018 to 2021
$3.1M
FHS-NEXT - Framingham Novel EXam using TechnologyR01HL141434 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., MCMANUS, DAVID D. · 2019 to 2022
$2.5M
NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL126911NHLBI NIH HHS R01 HL137734NHLBI NIH HHS R01 HL137794NHLBI NIH HHS R01 HL141434NHLBI NIH HHS U54 HL120163NHLBI NIH HHS U54 HL143541NIA NIH HHS R01 AG066010
6 · The paper itself

Abstract

backgroundeCohort studies offer an efficient approach for data collection. However, eCohort studies are challenged by volunteer bias and low adherence. We designed an eCohort embedded in the Framingham Heart Study (eFHS) to address these challenges and to compare the digital data to traditional data collection.

objectiveThe aim of this study was to evaluate adherence of the eFHS app-based surveys deployed at baseline (time of enrollment in the eCohort) and every 3 months up to 1 year, and to compare baseline digital surveys with surveys collected at the research center.

methodsWe defined adherence rates as the proportion of participants who completed at least one survey at a given 3-month period and computed adherence rates for each 3-month period. To evaluate agreement, we compared several baseline measures obtained in the eFHS app survey to those obtained at the in-person research center exam using the concordance correlation coefficient (CCC).

resultsAmong the 1948 eFHS participants (mean age 53, SD 9 years; 57% women), we found high adherence to baseline surveys (89%) and a decrease in adherence over time (58% at 3 months, 52% at 6 months, 41% at 9 months, and 40% at 12 months). eFHS participants who returned surveys were more likely to be women (adjusted odds ratio [aOR] 1.58, 95% CI 1.18-2.11) and less likely to be smokers (aOR 0.53, 95% CI 0.32-0.90). Compared to in-person exam data, we observed moderate agreement for baseline app-based surveys of the Physical Activity Index (mean difference 2.27, CCC=0.56), and high agreement for average drinks per week (mean difference 0.54, CCC=0.82) and depressive symptoms scores (mean difference 0.03, CCC=0.77).

conclusionsWe observed that eFHS participants had a high survey return at baseline and each 3-month survey period over the 12 months of follow up. We observed moderate to high agreement between digital and research center measures for several types of surveys, including physical activity, depressive symptoms, and alcohol use. Thus, this digital data collection mechanism is a promising tool to collect data related to cardiovascular disease and its risk factors.

Indexed as

Surveys and QuestionnairesCohort StudiesFemaleHumansMaleMiddle AgedMobile ApplicationsRisk Factorsadherenceagreementappcardiovascular diseaseeCohortFramingham Heart StudymHealthmobile healthsmartphonesurvey

Identifiers

PMID33470944
PMCPMC7857942
OpenAlexW3123081802

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.