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dc.contributor.authorNuvvula, Sri
dc.contributor.authorDing, Eric Y.
dc.contributor.authorSaleeba, Connor
dc.contributor.authorShi, Qiming
dc.contributor.authorWang, Ziyue
dc.contributor.authorKapoor, Alok
dc.contributor.authorSaczynski, Jane S.
dc.contributor.authorLubitz, Steven A.
dc.contributor.authorKovell, Lara C.
dc.contributor.authorMcKee, M Diane
dc.contributor.authorMcManus, David D.
dc.date2022-08-11T08:08:11.000
dc.date.accessioned2022-08-23T15:45:32Z
dc.date.available2022-08-23T15:45:32Z
dc.date.issued2021-08-23
dc.date.submitted2022-03-16
dc.identifier.citation<p>Nuvvula S, Ding EY, Saleeba C, Shi Q, Wang Z, Kapoor A, Saczynski JS, Lubitz SA, Kovell LC, McKee MD, McManus DD. NExUS-Heart: Novel examinations using smart technologies for heart health-Data sharing from commercial wearable devices and telehealth engagement in participants with or at risk of atrial fibrillation. Cardiovasc Digit Health J. 2021 Aug 23;2(5):256-263. doi: 10.1016/j.cvdhj.2021.08.001. PMID: 35265917; PMCID: PMC8890085. <a href="https://doi.org/10.1016/j.cvdhj.2021.08.001">Link to article on publisher's site</a></p>
dc.identifier.issn2666-6936 (Linking)
dc.identifier.doi10.1016/j.cvdhj.2021.08.001
dc.identifier.pmid35265917
dc.identifier.urihttp://hdl.handle.net/20.500.14038/27549
dc.description.abstractBackground: Telemedicine and commercial wearable devices capable of detecting atrial fibrillation (AF) have revolutionized arrhythmia care during coronavirus disease 2019. However, not much is known about virtual patient-provider interactions or device sharing behaviors. Objective: The purpose of this study was to characterize how participants with or at risk of AF are engaging with their providers in the context of telemedicine and using commercially wearable devices to manage their health. Methods: We developed a survey to describe participant behaviors around telemedicine encounters and commercial wearable device use. The survey was distributed to participants diagnosed with AF or those at risk of AF (as determined by being at least 65 years old and having a CHA2DS2-VASc stroke risk score of > 2) in the University of Massachusetts Memorial Health Care system. Results: The survey was distributed to 23,530 patients, and there were 1222 (5.19%) participant responses. Among the participants, 327 (26.8%) had AF and 895 (73.2%) were at risk of AF. Neither device ownership nor device type use differed by AF status. After adjusting for covariates that may influence surveyed participant communication patterns, we found that participants with AF were more likely to share their wearable device-derived data with providers (adjusted odds ratio 1.87; 95% confidence interval 1.02-3.41). Rates of sharing physical activity or sleep data were low for both groups and did not differ by AF status. Conclusion: Compared with participants at risk of developing AF, those with AF were more likely to share heart rate and rhythm data from their commercial wearable devices with providers. However, both groups had similar rates of sharing physical activity and sleep data, telemedicine engagement, and technology use and ownership.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=35265917&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rightsCopyright © 2021 Heart Rhythm Society. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAtrial fibrillation
dc.subjectCardiacdata
dc.subjectCommercial wearable device
dc.subjectData sharing behavior
dc.subjectTelehealth
dc.subjectTelemedicine
dc.subjectBiomedical Devices and Instrumentation
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.subjectInfectious Disease
dc.subjectTelemedicine
dc.subjectVirus Diseases
dc.titleNExUS-Heart: Novel examinations using smart technologies for heart health-Data sharing from commercial wearable devices and telehealth engagement in participants with or at risk of atrial fibrillation
dc.typeJournal Article
dc.source.journaltitleCardiovascular digital health journal
dc.source.volume2
dc.source.issue5
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1356&amp;context=covid19&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/covid19/350
dc.identifier.contextkey28374450
refterms.dateFOA2022-08-23T15:45:32Z
html.description.abstract<p>Background: Telemedicine and commercial wearable devices capable of detecting atrial fibrillation (AF) have revolutionized arrhythmia care during coronavirus disease 2019. However, not much is known about virtual patient-provider interactions or device sharing behaviors.</p> <p>Objective: The purpose of this study was to characterize how participants with or at risk of AF are engaging with their providers in the context of telemedicine and using commercially wearable devices to manage their health.</p> <p>Methods: We developed a survey to describe participant behaviors around telemedicine encounters and commercial wearable device use. The survey was distributed to participants diagnosed with AF or those at risk of AF (as determined by being at least 65 years old and having a CHA2DS2-VASc stroke risk score of > 2) in the University of Massachusetts Memorial Health Care system.</p> <p>Results: The survey was distributed to 23,530 patients, and there were 1222 (5.19%) participant responses. Among the participants, 327 (26.8%) had AF and 895 (73.2%) were at risk of AF. Neither device ownership nor device type use differed by AF status. After adjusting for covariates that may influence surveyed participant communication patterns, we found that participants with AF were more likely to share their wearable device-derived data with providers (adjusted odds ratio 1.87; 95% confidence interval 1.02-3.41). Rates of sharing physical activity or sleep data were low for both groups and did not differ by AF status.</p> <p>Conclusion: Compared with participants at risk of developing AF, those with AF were more likely to share heart rate and rhythm data from their commercial wearable devices with providers. However, both groups had similar rates of sharing physical activity and sleep data, telemedicine engagement, and technology use and ownership.</p>
dc.identifier.submissionpathcovid19/350
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.contributor.departmentGraduate School of Biomedical Sciences
dc.contributor.departmentSchool of Medicine
dc.source.pages256-263


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Copyright © 2021 Heart Rhythm Society. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Except where otherwise noted, this item's license is described as Copyright © 2021 Heart Rhythm Society. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).