Evidence map›Paper›PMID 36951890›Full record

Trial reportJournal of medical Internet research2023

Characterization of Influenza-Like Illness Burden Using Commercial Wearable Sensor Data and Patient-Reported Outcomes: Mixed Methods Cohort Study.

Victoria Hunter, Allison Shapiro, Devika Chawla, Faye Drawnel, Ernesto Ramirez, Elizabeth Phillips, Sara Tadesse-Bell, Luca Foschini, Vincent Ukachukwu

3 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report 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. It is linked to 3 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT04245800 completednot on this map

Behavioral Patterns and Patient Self-completed Diagnostic Testing Study of Respiratory Viral Infection "Home Testing of Respiratory Illness"

TypeobservationalSponsorEvidation HealthRan2019 to 2020Enrolled5,233ConditionsInfluenza -Like Illness, Influenza A, Influenza Type B, Respiratory Viral Infection
NCT06207929 completednot on this mapstarted 2024, after this paper: background citation

Wearable Assisted Viral Evidence (WAVE) Study A Decentralized, Prospective Study Exploring the Relationship Between Passively-collected Data From Wearable Activity Devices and Respiratory Viral Infections

TypeobservationalSponsorEvidation HealthRan2024 to 2024Enrolled18,157ConditionsInfluenza, Human, COVID-19, Influenza A, Influenza B
NCT06229444 nacompletednot on this mapstarted 2024, after this paper: background citation

Predict + Protect: A Randomized Controlled Trial Exploring the Effectiveness of a Predictive Health Education Intervention on the Adoption of Protective Behaviors Related to Influenza-like Illness (ILI)

TypeinterventionalSponsorEvidation HealthRan2024 to 2024Enrolled17,043ConditionsInfluenza, Influenza A, Influenza B, COVID-19ArmsILI Predictive Alerts, Reactive Content, and Proactive Content, ILI Predictive Alerts, Reactive Content, Proactive Content, No Intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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

9 authors at 3 institutions in 3 countries.

Victoria HunterGenentech, Inc, South San Francisco, CA, United States.ORCID 0000-0002-1825-6827
Allison ShapiroEvidation Health, Inc, San Mateo, CA, United States.ORCID 0000-0003-3110-0955
Devika ChawlaGenentech, Inc, South San Francisco, CA, United States.ORCID 0000-0002-9727-6833
Faye DrawnelF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0000-0001-5620-9709
Ernesto RamirezEvidation Health, Inc, San Mateo, CA, United States.ORCID 0000-0002-3121-2837
Elizabeth PhillipsEvidation Health, Inc, San Mateo, CA, United States.ORCID 0000-0003-0360-8532
Sara Tadesse-BellGenentech, Inc, South San Francisco, CA, United States.ORCID 0000-0001-5380-5919
Luca FoschiniEvidation Health, Inc, San Mateo, CA, United States.ORCID 0000-0003-1409-3570
Vincent UkachukwuRoche Products Limited, Welwyn Garden City, United Kingdom.ORCID 0000-0002-7663-9105
Evidation Health (United States) · USRoche (Switzerland) · CHRoche (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of influenza-like illness (ILI) is typically estimated via hospitalizations and deaths. However, ILI-associated morbidity that does not require hospitalization remains poorly characterized.

objectiveThe main objective of this study was to characterize ILI burden using commercial wearable sensor data and investigate the extent to which these data correlate with self-reported illness severity and duration. Furthermore, we aimed to determine whether ILI-associated changes in wearable sensor data differed between care-seeking and non-care-seeking populations as well as between those with confirmed influenza infection and those with ILI symptoms only.

methodsThis study comprised participants enrolled in either the FluStudy2020 or the Home Testing of Respiratory Illness (HTRI) study; both studies were similar in design and conducted between December 2019 and October 2020 in the United States. The participants self-reported ILI-related symptoms and health care-seeking behaviors via daily, biweekly, and monthly surveys. Wearable sensor data were recorded for 120 and 150 days for FluStudy2020 and HTRI, respectively. The following features were assessed: total daily steps, active time (time spent with >50 steps per minute), sleep duration, sleep efficiency, and resting heart rate. ILI-related changes in wearable sensor data were compared between the participants who sought health care and those who did not and between the participants who tested positive for influenza and those with symptoms only. Correlative analyses were performed between wearable sensor data and patient-reported outcomes.

resultsAfter combining the FluStudy2020 and HTRI data sets, the final ILI population comprised 2435 participants. Compared with healthy days (baseline), the participants with ILI exhibited significantly reduced total daily steps, active time, and sleep efficiency as well as increased sleep duration and resting heart rate. Deviations from baseline typically began before symptom onset and were greater in the participants who sought health care than in those who did not and greater in the participants who tested positive for influenza than in those with symptoms only. During an ILI event, changes in wearable sensor data consistently varied with those in patient-reported outcomes.

conclusionsOur results underscore the potential of wearable sensors to discriminate not only between individuals with and without influenza infections but also between care-seeking and non-care-seeking populations, which may have future application in health care resource planning.

trial registrationClinicaltrials.gov NCT04245800; https://clinicaltrials.gov/ct2/show/NCT04245800.

Indexed as

Influenza, HumanWearable Electronic DevicesCohort StudiesCost of IllnessHumansPatient Reported Outcome Measuresinfluenzainfluenza-like illnessperson-generated health care datawearable sensor

Identifiers

PMID36951890
PMCPMC10131710
OpenAlexW4360600620

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.