Evidence map›Paper›PMID 36763647›Full record

Observational studyJournal of medical Internet research2023

Compliance Challenges in a Longitudinal COVID-19 Cohort Using Wearables for Continuous Monitoring: Observational Study.

Mario Mekhael, Chan Ho, Charbel Noujaim, Ala Assaf, Hadi Younes, Abdel Hadi El Hajjar, Humza A Chaudhry, Brennan Lanier, Nour Chouman, Noor Makan and 6 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Mario Mekhael *Tulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-8809-5419
Chan HoTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-9998-5601
Charbel NoujaimTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0002-3179-4398
Ala AssafTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-6443-798X
Hadi YounesTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0002-7202-1164
Abdel Hadi El HajjarDepartment of Medicine, Cleveland Clinic Foundation, Cleveland, OH, United States.ORCID 0000-0003-4820-8102
Humza A ChaudhryTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0002-7915-4162
Brennan LanierTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-8208-5340
Nour ChoumanTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0002-6624-1590
Noor MakanTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0003-0632-2839
Botao ShanTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0003-2219-0709
Yichi ZhangTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0002-1780-7156
Lilas DagherDepartment of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0003-0660-318X
Omar KreidiehTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-6189-2821
Nassir MarroucheTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0003-0454-0541
Eoin DonnellanTulane University School of Medicine, New Orleans, LA, United States.ORCID 0000-0001-8440-9900
Tulane University · USCleveland Clinic · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WEAICOR (Wearables to Investigate the Long Term Cardiovascular and Behavioral Impacts of COVID-19) study was a prospective observational study that used continuous monitoring to detect and analyze biometrics. Compliance to wearables was a major challenge when conducting the study and was crucial for the results.

objectiveThe aim of this study was to evaluate patients' compliance to wearable wristbands and determinants of compliance in a prospective COVID-19 cohort.

methodsThe Biostrap (Biostrap USA LLC) wearable device was used to monitor participants' biometric data. Compliance was calculated by dividing the total number of days in which transmissions were sent by the total number of days spent in the WEAICOR study. Univariate correlation analyses were performed, with compliance and days spent in the study as dependent variables and age, BMI, sex, symptom severity, and the number of complications or comorbidities as independent variables. Multivariate linear regression was then performed, with days spent in the study as a dependent variable, to assess the power of different parameters in determining the number of days patients spent in the study.

resultsA total of 122 patients were included in this study. Patients were on average aged 41.32 years, and 46 (38%) were female. Age was found to correlate with compliance (r=0.23; P=.01). In addition, age (r=0.30; P=.001), BMI (r=0.19; P=.03), and the severity of symptoms (r=0.19; P=.03) were found to correlate with days spent in the WEAICOR study. Per our multivariate analysis, in which days spent in the study was a dependent variable, only increased age was a significant determinant of compliance with wearables (adjusted R

conclusionsCompliance is a major obstacle in remote monitoring studies, and the reasons for a lack of compliance are multifactorial. Patient factors such as age, in addition to environmental factors, can affect compliance to wearables.

Indexed as

COVID-19Wearable Electronic DevicesData CollectionFemaleHumansMaleProspective StudiesResearch Designbiometriccardiovascular healthcomplianceCOVID-19digital healthheart diseaseremote monitoringwearable devicewearables

Identifiers

PMID36763647
PMCPMC10131852
OpenAlexW4320032661

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.