Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring infrastructure for atrial fibrillation management through teleconsultation. TeleCheck-AF project results

Gawałko, Monika; Hermans, Astrid N L; Velden, RMJ Van Der; Betz, Konstanze; Verhaert, Dominique V M; Pluymaekers, NAHA; Vernooy, Kevin; Sultan, Arian; Pison, Laurent; Manninger, Martin; Duncker, David; Evans, S; Sohaib, Afzal; Linz, Dominik; Hendriks, J. J. E.

doi:10.1093/europace/euac053.587

Cited by 4 publications

(1 citation statement)

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“…One of the largest endeavours has been the TELECHECK-AF virtual clinic. 68 , 91 Here, teleconsultation, use of a CE-certified, clinically validated smartphone photoplethysmography HR and rhythm monitoring App (FibriCheck, Flanders, Belgium), and virtual education were combined to support comprehensive AF management. 68 , 109 Patients used the app to check HR/rhythm three times a day for one week, and data was uploaded to the cloud for clinician review before teleconsultation.…”

Section: Virtual Clinicsmentioning

confidence: 99%

The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

Svennberg,

Caiani,

Bruining

et al. 2023

Europace

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Aims Over the past 25 years there has been a substantial development in the field of digital electrophysiology (EP) and in parallel a substantial increase in publications on digital cardiology. In this celebratory paper, we provide an overview of the digital field by highlighting publications from the field focusing on the EP Europace journal. Results In this journey across the past quarter of a century we follow the development of digital tools commonly used in the clinic spanning from the initiation of digital clinics through the early days of telemonitoring, to wearables, mobile applications, and the use of fully virtual clinics. We then provide a chronicle of the field of artificial intelligence, a regulatory perspective, and at the end of our journey provide a future outlook for digital EP. Conclusion Over the past 25 years Europace has published a substantial number of papers on digital EP, with a marked expansion in digital publications in recent years.

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Section: Virtual Clinicsmentioning

confidence: 99%

The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

Svennberg,

Caiani,

Bruining

et al. 2023

Europace

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Adherence to a handheld device-based atrial fibrillation screening protocol is associated with clinical outcomes

van der Velden,

Bonander,

Crijns

et al. 2024

Heart

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ObjectiveTo evaluate adherence and adherence consistency to the handheld ECG device-based screening protocol and their association with adverse cerebral and cardiovascular outcomes in two systematic atrial fibrillation (AF) screening programmes.MethodsIn 2012 (Systematic ECG Screening for Atrial Fibrillation Among 75-Year Old Subjects in the Region of Stockholm and Halland, Sweden (STROKESTOP) study) and 2016 (Stepwise mass screening for atrial fibrillation using N-terminal pro b-type natriuretic peptide (STROKESTOP II) study), half of all 75- and 76-year-old inhabitants of up to two Swedish regions were invited to participate in a systematic AF screening programme. Participants were instructed to perform 30-second measurements twice daily in STROKESTOP and four times daily in STROKESTOP II for 2 weeks. Adherence was defined as the number of measurements performed divided by the number of measurements asked, whereas adherence consistency was defined as the number of days with complete registrations.ResultsIn total, 6436 participants (55.7% female) from STROKESTOP and 3712 (59.8% female) from STROKESTOP II were included. Median adherence and adherence consistency were 100 (92–100)% and 12 (11–13) days in STROKESTOP and 90 (75–98)% and 8 (3–11) days in STROKESTOP II. Female sex and lower education were factors associated with both optimal adherence and adherence consistency in both studies. In STROKESTOP, low adherence and adherence consistency were associated with higher risk of adverse cerebral and cardiovascular outcomes (HR for composite primary endpoint 1.30 (1.11 to 1.51), p=0.001), including stroke (HR 1.68 (1.22 to 2.32), p=0.001) and dementia (1.67 (1.27 to 2.19), p<0.001).ConclusionsAdherence to twice daily handheld ECG measurements in STROKESTOP was higher than to four times daily measurements in STROKESTOP II. Female sex and lower educational attainment were associated with ≥100% adherence and adherence consistency. Low adherence and adherence consistency were associated with a higher risk of adverse outcomes.

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

Mekhael¹,

Lim²,

Noujaim³

et al. 2023

J Med Internet Res

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Background The 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. Objective The aim of this study was to evaluate patients’ compliance to wearable wristbands and determinants of compliance in a prospective COVID-19 cohort. Methods The 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. Results A 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 R2=0.1; β=1.6; P=.01). Conclusions Compliance 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.

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Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring infrastructure for atrial fibrillation management through teleconsultation. TeleCheck-AF project results

Cited by 4 publications

References 0 publications

The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

Adherence to a handheld device-based atrial fibrillation screening protocol is associated with clinical outcomes

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

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