title: Predicting adherence to use of remote health monitoring systems in a cohort of patients with chronic heart failure.
abstract: BACKGROUND
  It is unclear whether subgroups of patients may benefit from remote monitoring systems (RMS) and what user characteristics and contextual factors determine effective use of RMS in patients with heart failure (HF).
  
  
  OBJECTIVE
  The study was conducted to determine whether certain user characteristics (i.e. personal and clinical variables) predict use of RMS using advanced machine learning software algorithms in patients with HF.
  
  
  METHODS
  This pilot study was a single-arm experimental study with a pre- (baseline) and post- (3 months) design; data from the baseline measures were used for the current data analyses. Sixteen patients provided consent; only 7 patients (mean age 65.8 ± 6.1, range 58-83) accessed the RMS and transmitted daily data (e.g. weight, blood pressure) as instructed during the 12 week study duration.
  
  
  RESULTS
  Baseline demographic and clinical characteristics of users and non-users were comparable for a majority of factors. However, users were more likely to have no HF specialty based care or an automatic internal cardioverter defibrillator. The precision accuracy of decision tree, multilayer perceptron (MLP) and k-Nearest Neighbor (k-NN) classifiers for predicting access to RMS was 87.5%, 90.3%, and 94.5% respectively.
  
  
  CONCLUSIONS
  Our preliminary data show that a small set of baseline attributes is sufficient to predict subgroups of patients who had a higher likelihood of using RMS. While our findings shed light on potential end-users more likely to benefit from RMS-based interventions, additional research in a larger sample is warranted to explicate the impact of user characteristics on actual use of these technologies.
authors.affiliation: Program in Nursing Science, University of California Irvine, Irvine, CA, USA.
authors.forename: Lorraine S
authors.initials: LS
authors.lastname: Evangelista
authors.affiliation: School of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Ghasemzadeh
authors.affiliation: Program in Nursing Science, University of California Irvine, Irvine, CA, USA.
authors.forename: Jung-Ah
authors.initials: JA
authors.lastname: Lee
authors.affiliation: School of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, USA.
authors.forename: Ramin
authors.initials: R
authors.lastname: Fallahzadeh
authors.affiliation: School of Computer Science & Director, Wireless Health Institute, University of California, Los Angeles, CA, USA.
authors.forename: Majid
authors.initials: M
authors.lastname: Sarrafzadeh
authors.affiliation: College of Nursing, University of Kentucky, Lexington, KY, USA.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Moser
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D017147:Defibrillators, Implantable; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D058998:Remote Sensing Technology / Q000523:psychology
keywords: E-health; telecardiology; telehealth