eFHS Messaging Trial

NCT ID: NCT03516019

Last Updated: 2021-02-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-19

Study Completion Date

2019-03-23

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

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.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cardiovascular Diseases

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

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

PREVENTION

Blinding Strategy

SINGLE

Investigators
eFHS researchers, statistician, research assistant, and clinic staff are masked to intervention assignment.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Weekday am personalized notices

Participants in this arm receive personalized weekday am notices on Wednesday at 7am.

Group Type EXPERIMENTAL

personalized notices

Intervention Type OTHER

The personalized notices take into account if data were received over the previous week, and accordingly encourages the participant to use the device and send her data, or encourages the participant to continue using the device and sending data. A library of personalized notices with alternative motivational content was developed. Each time a notification is sent, it will be drawn at random from the library.

am notices

Intervention Type OTHER

notifications sent at 7 am.

weekday notices

Intervention Type OTHER

notifications sent on Wednesday

Weekday pm personalized notices

Participants in this arm receive a personalized weekday pm notices on Wednesday at 7pm.

Group Type EXPERIMENTAL

personalized notices

Intervention Type OTHER

The personalized notices take into account if data were received over the previous week, and accordingly encourages the participant to use the device and send her data, or encourages the participant to continue using the device and sending data. A library of personalized notices with alternative motivational content was developed. Each time a notification is sent, it will be drawn at random from the library.

pm notices

Intervention Type OTHER

notifications sent at 7 pm.

weekday notices

Intervention Type OTHER

notifications sent on Wednesday

Weekend am personalized notices

Participants in this arm receive a personalized weekend am notices on Saturday at 7am.

Group Type EXPERIMENTAL

personalized notices

Intervention Type OTHER

The personalized notices take into account if data were received over the previous week, and accordingly encourages the participant to use the device and send her data, or encourages the participant to continue using the device and sending data. A library of personalized notices with alternative motivational content was developed. Each time a notification is sent, it will be drawn at random from the library.

am notices

Intervention Type OTHER

notifications sent at 7 am.

weekend notices

Intervention Type OTHER

notifications sent on Saturday

Weekend pm personalized notices

Participants in this arm receive personalized pm notices on Saturday at 7pm.

Group Type EXPERIMENTAL

personalized notices

Intervention Type OTHER

The personalized notices take into account if data were received over the previous week, and accordingly encourages the participant to use the device and send her data, or encourages the participant to continue using the device and sending data. A library of personalized notices with alternative motivational content was developed. Each time a notification is sent, it will be drawn at random from the library.

pm notices

Intervention Type OTHER

notifications sent at 7 pm.

weekend notices

Intervention Type OTHER

notifications sent on Saturday

Weekday am standard notices

Participants in this arm receive standard weekday notices on Wednesday at 7am.

Group Type EXPERIMENTAL

standard notices

Intervention Type OTHER

The standard notices which are neutral and invite participants to wear the watch daily and to measure their blood pressure weekly.

am notices

Intervention Type OTHER

notifications sent at 7 am.

weekday notices

Intervention Type OTHER

notifications sent on Wednesday

Weekday pm standard notices

Participants in this arm receive standard weekday notices on Wednesday at 7pm

Group Type EXPERIMENTAL

standard notices

Intervention Type OTHER

The standard notices which are neutral and invite participants to wear the watch daily and to measure their blood pressure weekly.

pm notices

Intervention Type OTHER

notifications sent at 7 pm.

weekday notices

Intervention Type OTHER

notifications sent on Wednesday

Weekend am standard notices

Participants in this arm receive standard weekend notices on Saturday at 7am

Group Type EXPERIMENTAL

standard notices

Intervention Type OTHER

The standard notices which are neutral and invite participants to wear the watch daily and to measure their blood pressure weekly.

am notices

Intervention Type OTHER

notifications sent at 7 am.

weekend notices

Intervention Type OTHER

notifications sent on Saturday

Weekend pm standard notices

Participants in this arm receive standard weekend notices on Saturday at 7pm

Group Type EXPERIMENTAL

standard notices

Intervention Type OTHER

The standard notices which are neutral and invite participants to wear the watch daily and to measure their blood pressure weekly.

pm notices

Intervention Type OTHER

notifications sent at 7 pm.

weekend notices

Intervention Type OTHER

notifications sent on Saturday

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

personalized notices

The personalized notices take into account if data were received over the previous week, and accordingly encourages the participant to use the device and send her data, or encourages the participant to continue using the device and sending data. A library of personalized notices with alternative motivational content was developed. Each time a notification is sent, it will be drawn at random from the library.

Intervention Type OTHER

standard notices

The standard notices which are neutral and invite participants to wear the watch daily and to measure their blood pressure weekly.

Intervention Type OTHER

am notices

notifications sent at 7 am.

Intervention Type OTHER

pm notices

notifications sent at 7 pm.

Intervention Type OTHER

weekday notices

notifications sent on Wednesday

Intervention Type OTHER

weekend notices

notifications sent on Saturday

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participants of the FHS Third Generation, Omni Group 2, and New Offspring Spouse Cohorts attending the in-person examination 3 with access to a smartphone or home internet access and English speaking/reading.

Specifically for the RCT substudy (re: engagement with select mobile health technologies):

* English-speaking individual
* Owns an iPhone with compatible iOS (version 9 or higher);
* Residence in the United States
* Provision of permissions for notifications and data sharing with the Research Center
* Provision of signed and dated informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Robert Wood Johnson Foundation

OTHER

Sponsor Role collaborator

Boston University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Joanne Murabito, MD ScM

Role: PRINCIPAL_INVESTIGATOR

Framingham Heart Study

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Framingham Heart Study

Boston, Massachusetts, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Trinquart L, Liu C, McManus DD, Nowak C, Lin H, Spartano NL, Borrelli B, Benjamin EJ, Murabito JM. Increasing Engagement in the Electronic Framingham Heart Study: Factorial Randomized Controlled Trial. J Med Internet Res. 2023 Jan 20;25:e40784. doi: 10.2196/40784.

Reference Type DERIVED
PMID: 36662544 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

74624

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

H-36586

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Mobile App for Heart Failure
NCT05668000 COMPLETED NA
e-Diary in Heart Failure
NCT03452683 WITHDRAWN NA
Mind Your Heart Study
NCT03571581 COMPLETED NA