A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors.
Source: Bloss, C. S., et al. (2016). - Pubmed ID: 26788432
Setting: USA, Hospital
RCT
Follow up: 6 months
Sample size:
Total: 160 (130)
IG: 75(65)
CG: 85(65)
Inclusion criteria:
- One of three study conditions: Hypertension, diabetes and/or cardiac arrhythmia
Home monitoring
- Blood pressure
- Blood glucose
- ECG
- Smartphone or computer for data transfer
App
- Data monitoring
- Education
Intervention: Patients were trained on how to use app and medical devices and asked to take readings according to their condition. Data uploaded to app available for nurses. If poor monitor compliance nurses would send a reminder (email). Chronic disease education available at app.
Duration: 6 months
Add on: NA
Control group: Medical education and wellness information with regard to disease prevention and management.
Clinical effect:
- Health insurance claims →
- Self efficacy →
- Patient activation →
- Bp (sys) →
- Bp (dia)
- HemoglobinA1c →
Patient safety: NA
Patient experiences: Total use of one of the monitor device in study period: 10,305 times
- Total Bp: 6356 times (avg 151)
- Total BG: 3440 times (avg 248)
- Arrhythmia: 509 (avg 57)
Staff experiences: NA
Investment:
Equipment
- Relevant monitor equipment
Staff resources
- Development of online management platform/application
Running:
Staff resources
- Training pt.
- Monitoring
- Technical service
Organization: NA
Health care utilization:
- Inpatient stays →
- Emergency room visits →
- Pharmacy claims →