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• W3033734626 abstract "Abstract Background and Aims Pervasive sensing technologies allow healthcare providers to gain additional insights into patient’s status outside the clinical setting. In order to adopt widespread use of remote monitoring devices we must first study the feasibility of their use. We aim to quantify how long patients will use a wearable device before requiring an intervention to maintain the use of the device. Method In-center hemodialysis (HD) patients were enrolled from 4 clinics in New York City starting in May 2018 and followed for a period of up to 1 year. Patients ≥18 years, on HD ≥3 months, able to walk, owning a smartphone, mobile tablet or PC were enrolled. They were provided with a wrist-based monitoring device (Fitbit Charge 2). Participants were instructed on how to use the device, and sync data to their smartphone, mobile tablet, or PC. If a patient failed to sync data for 7 consecutive days, a text message or email reminder was sent from the research staff. We evaluated time to first notification using Kaplan Meier time-to-event analysis. Predictors of time to first intervention was assessed via univariate Cox Regression. Patients were censored at the end of the observation period (January 6, 2020). Socio-economic parameters such as living situation, marriage status, employment status, race, and education level were collected at the beginning of the study. Results 125 patients were enrolled into our study. 7 patients were screen-failed after enrollment. At enrollment patients were 54±12 years old with a dialysis vintage of 5.6±5.8 years. 37% lived alone, 56% were single, 59% unemployed, 64% were African-American, and 42% had an education level of some college or higher. 82% of the patients required a text message reminder to continue wearing/syncing the device. Mean and median time to first reminder were 101 days (95% CI 80 to 123) and 50 days (95% CI 35 to 70 days), respectively. The probability of being on the study without intervention is shown in Figure 1. Predictors of time to first intervention were chosen a priori and included gender, age, living situation, and education level. None of these parameters were significant predictors of time to first intervention. Conclusion We found that most patients will require at least some intervention or counseling to maintain the use of a wrist-based wearable device for remote patient monitoring. While most patients require an intervention before approximately 2 months into wear, the patients who can maintain use independently after that point are likely to do so for longer." @default.
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• W3033734626 date "2020-06-01" @default.
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• W3033734626 title "P1443USE OF WRIST-BASED MONITORING DEVICE AMONG HEMODIALYSIS PATIENTS - A FEASIBILITY STUDY" @default.
• W3033734626 doi "https://doi.org/10.1093/ndt/gfaa142.p1443" @default.
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