MedPath

eFHS Messaging Trial

Not Applicable
Completed
Conditions
Cardiovascular Diseases
Interventions
Other: standard notices
Other: personalized notices
Other: am notices
Other: pm notices
Other: weekend notices
Other: weekday notices
Registration Number
NCT03516019
Lead Sponsor
Boston University
Brief Summary

In this research the investigators will develop and test an innovative scalable mobile health and digital cardiovascular monitoring system within a longitudinal deeply characterized cohort with three components: 1) smartphone application (app) designed to promote adherence, integrate digital and mHealth information, and facilitate communication with participants and researchers; 2) smartwatch activity monitoring using the Apple iWatch; and 3) home blood pressure (BP) monitoring using the Withings blood pressure device.

The objective of the messaging trial is to test the effect of messaging strategies on improving participants' long-term use of and engagement with our selected mobile health technologies and on increasing response rate of survey data collection.

Detailed Description

The research design includes a cohort eFHS Study and an embedded randomized factorial trial on a subset of the cohort.

For the primary e-cohort, the investigators will build a custom mobile app for use within the Framingham Heart Study (FHS) to digitally collect data, compare it against research clinic-collected data, quantify risk factor burden, and perform CVD risk prediction. The app development will focus on 1) CVD risk factor data that would benefit from more frequent ascertainment than the every four to eight year FHS examination cycles; 2) circumstances where in vivo assessment may be superior to clinic-based assessment; 3) key endpoints of the FHS that are considered FHS landmarks. In addition to the eFHS App, participants will be offered wireless devices (Withings BP) to measure blood pressure and an Apple Watch to measure heart rate and steps per day.

For the messaging trial, the investigators will conduct a randomized factorial trial phase to test the effect of messaging strategies. Participants will be sent a weekly notification through the eFHS app. Participants will be randomly allocated to one of 8 groups defined according to the following: using personalized reminder messaging vs. standard neutral messaging; notification sent on a weekday vs. weekend; notification sent in the morning vs. the evening. The three main comparisons will be simultaneously evaluated according to a 2x2x2 factorial design.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
650
Inclusion Criteria

Not provided

Exclusion Criteria
  • Participants who do not meet the inclusion criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Weekend am standard noticesam noticesParticipants in this arm receive standard weekend notices on Saturday at 7am
Weekend am personalized noticesam noticesParticipants in this arm receive a personalized weekend am notices on Saturday at 7am.
Weekend am standard noticesweekend noticesParticipants in this arm receive standard weekend notices on Saturday at 7am
Weekend pm personalized noticespm noticesParticipants in this arm receive personalized pm notices on Saturday at 7pm.
Weekend pm personalized noticesweekend noticesParticipants in this arm receive personalized pm notices on Saturday at 7pm.
Weekday am standard noticesweekday noticesParticipants in this arm receive standard weekday notices on Wednesday at 7am.
Weekday pm standard noticesstandard noticesParticipants in this arm receive standard weekday notices on Wednesday at 7pm
Weekday pm standard noticespm noticesParticipants in this arm receive standard weekday notices on Wednesday at 7pm
Weekday pm personalized noticesweekday noticesParticipants in this arm receive a personalized weekday pm notices on Wednesday at 7pm.
Weekend am standard noticesstandard noticesParticipants in this arm receive standard weekend notices on Saturday at 7am
Weekday am personalized noticespersonalized noticesParticipants in this arm receive personalized weekday am notices on Wednesday at 7am.
Weekday am personalized noticesam noticesParticipants in this arm receive personalized weekday am notices on Wednesday at 7am.
Weekday pm personalized noticespm noticesParticipants in this arm receive a personalized weekday pm notices on Wednesday at 7pm.
Weekend am personalized noticespersonalized noticesParticipants in this arm receive a personalized weekend am notices on Saturday at 7am.
Weekend am personalized noticesweekend noticesParticipants in this arm receive a personalized weekend am notices on Saturday at 7am.
Weekday am personalized noticesweekday noticesParticipants in this arm receive personalized weekday am notices on Wednesday at 7am.
Weekday am standard noticesstandard noticesParticipants in this arm receive standard weekday notices on Wednesday at 7am.
Weekday pm standard noticesweekday noticesParticipants in this arm receive standard weekday notices on Wednesday at 7pm
Weekday pm personalized noticespersonalized noticesParticipants in this arm receive a personalized weekday pm notices on Wednesday at 7pm.
Weekend pm personalized noticespersonalized noticesParticipants in this arm receive personalized pm notices on Saturday at 7pm.
Weekday am standard noticesam noticesParticipants in this arm receive standard weekday notices on Wednesday at 7am.
Weekend pm standard noticesstandard noticesParticipants in this arm receive standard weekend notices on Saturday at 7pm
Weekend pm standard noticesweekend noticesParticipants in this arm receive standard weekend notices on Saturday at 7pm
Weekend pm standard noticespm noticesParticipants in this arm receive standard weekend notices on Saturday at 7pm
Primary Outcome Measures
NameTimeMethod
Adherence at 3 months to the weekly BP recording3 months

proportion of participants who submit their weekly blood pressure measurement at 3 months

Adherence at 3 months to the weekly HR recording3 months

proportion of participants who submit their weekly heart rate measurement at 3 months

Secondary Outcome Measures
NameTimeMethod
Adherence at one month to the weekly BP recording1 month

proportion of participants who submit their weekly blood pressure measurement at 1 month

Adherence at one month to the weekly HR recording1 month

proportion of participants who submit their weekly heart rate measurement at 1 month

Trial Locations

Locations (1)

Framingham Heart Study

🇺🇸

Boston, Massachusetts, United States

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