Adults with two or more long-term conditions Not Applicable
Conditions
Interventions
This was an observational study.
Participants were provided with a smartphone pre-loaded with apps, a wearable device and an email address to receive questionnaires.
Participants regularly record
Sponsors
Lincolnshire Integrated Care Board
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Individuals over the age of 18 years 2. Have two or more long-term conditions AND/OR 3. Have a medium to high frailty score AND/OR 4. Are suffering from unsteadiness or falls AND/OR 5. Those who are found to have paroxysmal and/or asymptomatic atrial fibrillation (AF), hypertension or heart failure 6. Live in their own homes or in residential care homes or in nursing care homes
Exclusion criteria
Exclusion criteria: 1. Children 2. Individuals for whom consent cannot be obtained (i.e. individuals with severe mental impairments or learning difficulties) 3. Patients on palliative care 4. Individuals lacking mental health capacity or whose mental health conditions might be influenced by participating in the study 5. Individuals whose mental capacity deteriorates during the study period will be removed from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Apps based on photoplethysmography (PPG) were used daily (five times) a week to provide indicative estimates of: 1.1. Blood pressure (mmHg) 1.2. Pulse rate (beats per minute) 1.3. Respiration rate (respirations per minute) 1.4. Heart rhythm 1.5. Sinus rhythm 1.6. Atrial Fibrillation 1.7. Extrasystoles 1.8. Bradycardia 1.9. Increased heart rate variability (HRV) 1.10. Tachycardia 1.11. Pulse rate 1.12. Respiratory rate 1.13. Diastolic blood pressure (Dia BP) 1.14. Systolic blood pressure (Sys BP) 2. Sleep, exercise and activity measured using a wearable device worn on average for 1 to 3 months continuously including: 2.1. Acceleration 2.2. Physical Activity intensity 2.3. Sedentary vs movement activity 2.4. Posture changes 2.5. Sleep/wake time 2.6. Sleep event characterisation 3. Temperature in degrees Celsius measured daily using a thermometer | — |
Secondary
| Measure | Time frame |
|---|---|
| Person-related experience measures (PREMS) were measured by weekly electronic surveys: 1. Quality of life: 1.1. Health status (howRu) – pain, distress, disability, dependence 1.2. Personal wellbeing (PWS) – satisfaction, worthwhile, happy, anxious 1.3. Person-specific outcome (PSO) – issue #1, issue #2 1.4. Sleep – sleep time, wake time, wake refreshed, sleep well 1.5. Fatigue – energy, tiring fast, concentration, stamina 2. Individual care: 2.1. Health confidence (HCS) – knowledge, self-management, get help, share decisions 2.2. Patient experience (howRwe) – kind, talk to me, prompt, organised 2.3. Service integration – communication, awareness, repetition, teamwork 2.4. Self-care – diet, exercise, weight, medication 2.5. Shared decisions – benefits, downside, choices, involvement 2.6. Behaviour change – capability, opportunity, motivation, automatic 2.7. Adherence – remember, take if bad, take if good, treatment satisfaction 2.8. Acceptance of loss – know capability, recognition, change activity, move on 2.9. Privacy – data are secure, data are shared, can check data, privacy satisfaction 2.10. Product confidence – use often, confident user, positives, negatives 2.11. User satisfaction (UX) – helps me, easy to use, support available, product satisfaction 2.12. Training – reaction, learning, behaviour, results 3. Community: 3.1. Social determinants (SDoH) – education, self-esteem, environment, poverty 3.2. Social contact – companionship, can confide, people to help, join in 3.3. Loneliness – no friends, isolated, alone, lonely 3.4. Neighbour relationships – know neighbours, trust, share information, help each other 3.5. Personal safety – safe at home, respected at home, safe out, respected out | — |
Countries
England, United Kingdom
Contacts
Public ContactTony Bowden
Outcome results
None listed