A cross-sectional study of physical activity participation among adults with chronic conditions participating in a digital health program.

Objective: Many American adults are insufficiently active. Digital health programs are designed to motivate this population to engage in regular physical activity and often rely on wearable devices and apps to objectively measure physical activity for a large number of participants. The purpose of this epidemiological study was to analyze the rates of physical activity among participants in a digital health program.

Home Monitoring of Blood Pressure: Short-Term Changes During Serial Measurements for 56398 Subjects.

Hypertension is one of the greatest contributors to premature morbidity and mortality worldwide. It has been demonstrated that lowering blood pressure (BP) by just a few mmHg can bring substantial clinical benefits, reducing the risk of stroke and ischemic heart disease. Properly managing high BP is one of the most pressing global health issues, but accurate methods to continuously monitoring BP at home are still under discussion.

Advanced and Accurate Mobile Health Tracking Devices Record New Cardiac Vital Signs.

Cardiovascular disease remains the leading cause of death and disease worldwide. As demands on an already resource-constrained healthcare system intensify, disease prevention in the future will likely depend on out-of-office monitoring of cardiovascular risk factors. Mobile health tracking devices that can track blood pressure and heart rate, in addition to new cardiac vital signs, such as physical activity level and pulse wave velocity (PWV), offer a promising solution.

Emu: Engagement Modeling for User Studies.

Mobile technologies that drive just-in-time ecological momentary assessments and interventions provide an unprecedented view into user behaviors and opportunities to manage chronic conditions. The success of these methods rely on engaging the user at the appropriate moment, so as to maximize questionnaire and task completion rates. However, mobile operating systems provide little support to precisely specify the contextual conditions in which to notify and engage the user, and study designers often lack the expertise to build context-aware software themselves.

Real World Home Blood Pressure Variability in Over 56,000 Individuals With Nearly 17 Million Measurements.

Background: Using the data from 56,365 individuals, from 185 countries, and a Nokia Health Wireless blood pressure (BP) monitor, we investigated real-world characteristics of BP variability (BPV).

Methods: All included individuals self-measured and uploaded their BP using Bluetooth at least 20 times over a period of ≥1 month at a frequency and duration of their choosing. In total, 16,904,844 BP measurements were analyzed, with a median of 146 measurements per person (interquartile range [IQR] 73-321) over a median of 14 months (IQR 7-31).

Self-Monitoring Utilization Patterns Among Individuals in an Incentivized Program for Healthy Behaviors.

Background: The advent of digital technology has enabled individuals to track meaningful biometric data about themselves. This novel capability has spurred nontraditional health care organizations to develop systems that aid users in managing their health. One of the most prolific systems is Walgreens Balance Rewards for healthy choices (BRhc) program, an incentivized, Web-based self-monitoring program.