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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01HL141434-03 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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In the electronic Framingham Heart Study (eFHS), the investigators developed and deployed a mobile app to collect cardiovascular risk factors and event data and test them against cardiovascular data collected in the Framingham research clinic for the FHS.
Participants enrolled in eFHS receive a series of digital surveys modules to complete on a regularly occurring schedule. The objective of the planned randomized trial is to test the effect of administering half of survey modules every 2 weeks versus all survey modules every 4 weeks on improving participants' response rates.
There will be 4 survey periods. Period 1 encompasses all survey modules administered from baseline up to week 8 (19 surveys/tasks per participant); period 2 from week 8 up to week 16 (18 surveys/tasks per participant); period 3 from week 16 up to week 24; period 4 from week 24 (16 surveys/tasks per participant).
Participants in eFHS are invited to enroll from the FHS Offspring and Omni Group 1 Cohorts during the in-person examination 10/5 at the FHS Research Center in Framingham, Massachusetts (MA), USA or remotely from home after the in-person examination. All eFHS participants have the eFHS myDataHelps mobile app (developed by FHS investigators with CareEvolution our industry partner) installed on their smartphone. The eFHS app allows communication with participants through notifications and data collection. Participants are asked to answer health surveys administered through the app.
Survey assessments will include 6 modules: cognition, pain, mood, physical function and performance, physical activity, and events. The interventions are defined by the patterns of administration of survey modules to the experimental and control groups. The administration of the cognition, pain, mood, and psychosocial modules follow the same pattern for both groups. However, the administration of the physical function, physical activity, and events modules is delayed by 2 weeks in the experimental group as compared to the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | The experimental group will receive the physical function survey at weeks 2, 10, 18, and 26; the physical activity survey at weeks 2, 14, and 26; the events survey at weeks 2, 6, 10, 14, 18, 22, and 26. The administration of the cognition, pain, mood, and psychosocial surveys follow the same pattern for both groups. |
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| Control Group | Active Comparator | The control group will receive the physical function survey at weeks 0, 8, 16, and 24; the physical activity survey at weeks 0, 12, and 24; the events survey at weeks 0, 4, 8, 12, 16, 20, and 24. The administration of the cognition, pain, mood, and psychosocial surveys follow the same pattern for both groups. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delayed administration of survey modules | Other | The intervention consists in delaying the administration of the physical function, physical activity, and events survey modules by 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Surveys/Tasks Returned in Period 1 | Proportion of surveys/task returned per participant (partially or fully completed) from baseline, up to week 8, will be documented on the eFHS app. | baseline, up to week 8 |
| Proportion of Surveys/Tasks Returned in Period 2 | Proportion of surveys/task returned per participant (partially or fully completed) from week 8, up to week 16, will be documented on the eFHS app. | week 8, up to week 16 |
| Proportion of Surveys/Tasks Returned in Period 3 | Proportion of surveys/task returned per participant (partially or fully completed) week 16, up to week 24, will be documented on the eFHS app. | week 16, up to week 24 |
| Proportion of Surveys/Tasks Returned in Period 4 | Proportion of surveys/task returned per participant (partially or fully completed) week 24, to completion of study usually 26 weeks, will be documented on the eFHS app. | week 24, to completion of study usually 26 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Questions/Task Completed Per Participant in Period 1 | Proportion of questions/task completed per participant from all survey modules administered from baseline to week 8, will be documented on the eFHS app. | baseline, up to week 8 |
| Proportion of Questions/Task Completed Per Participant in Period 2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joanne Murabito | Framingham Heart Study | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Framingham Heart Study | Framingham | Massachusetts | 01702 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41071587 | Derived | Zhang Y, Rong J, Wang X, Schramm E, Pathiravasan CH, Borrelli B, Faro JM, Benjamin EJ, Trinquart L, Liu C, Murabito JM. Smartphone App-Based Survey Deployment Patterns and Longitudinal Response Rate: Randomized Controlled Trial. J Med Internet Res. 2025 Oct 10;27:e73972. doi: 10.2196/73972. |
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The datasets generated and analyzed during this study are available from the research team upon reasonable request.
Investigators can research out to the research team from time of publication.
The data will be accessible from the research team via FHS guidelines at https://www.framinghamheartstudy.org/fhs-for-researchers/data-available-overview/
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| ID | Title | Description |
|---|---|---|
| FG000 | Experimental- Two-week Group | Delayed administration of the physical function, physical activity, and events survey modules by 2 weeks. |
| FG001 | Control- Four-week Group | The physical function, physical activity, and events survey modules are administered according to the regular 4-week pattern. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1- Baseline up to Week 8 |
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| Period 2- Week 8 up to Week 16 |
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| Period 3- Week 16 up to Week 24 |
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| Period 4- Week 24 to Study Completion |
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| ID | Title | Description |
|---|---|---|
| BG000 | Experimental- Two-week Group | Delayed administration of the physical function, physical activity, and events survey modules by 2 weeks. |
| BG001 | Control- Four-week Group | The physical function, physical activity, and events survey modules are administered according to the regular 4-week pattern. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Proportion of Surveys/Tasks Returned in Period 1 | Proportion of surveys/task returned per participant (partially or fully completed) from baseline, up to week 8, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of surveys returned | baseline, up to week 8 |
|
26 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Experimental- Two-week Group | Delayed administration of the physical function, physical activity, and events survey modules by 2 weeks. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joanne M Murabito, MD ScM | Framingham Heart Study, Boston University | 508-935-3461 | murabito@bu.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Oct 1, 2020 | Feb 6, 2025 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | May 28, 2021 | Feb 6, 2025 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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Each participant will be randomized to one of the 2 groups. A statistician will generate randomization lists with the use of randomly permuted blocks of varying sizes, with stratification according to participant's age (≤75 years vs. >75 years) and type of phone (android vs. iphone). Randomization will be implemented centrally through the app.
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| Regular administration of survey modules | Other | The physical function, physical activity, and events survey modules are administered according to the regular pattern |
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Proportion of questions/task completed per participant from week 8 to week 16, will be documented on the eFHS app. |
| week 8, up to week 16 |
| Proportion of Questions/Task Completed Per Participant in Period 3 | Proportion of questions/task completed per participant from week 16 to week 24, will be documented on the eFHS app. | week 16, up to week 24 |
| Proportion of Questions/Task Completed Per Participant in Period 4 | Proportion of questions/task completed per participant from week 24 to study completion, will be documented on the eFHS app. | week 24, to completion of study usually 26 weeks |
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| BG002 | Total | Total of all reporting groups |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
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| Primary | Proportion of Surveys/Tasks Returned in Period 2 | Proportion of surveys/task returned per participant (partially or fully completed) from week 8, up to week 16, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of surveys returned | week 8, up to week 16 |
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| Primary | Proportion of Surveys/Tasks Returned in Period 3 | Proportion of surveys/task returned per participant (partially or fully completed) week 16, up to week 24, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of surveys returned | week 16, up to week 24 |
|
|
|
| Primary | Proportion of Surveys/Tasks Returned in Period 4 | Proportion of surveys/task returned per participant (partially or fully completed) week 24, to completion of study usually 26 weeks, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of surveys returned | week 24, to completion of study usually 26 weeks |
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| Secondary | Proportion of Questions/Task Completed Per Participant in Period 1 | Proportion of questions/task completed per participant from all survey modules administered from baseline to week 8, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of questions completed | baseline, up to week 8 |
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| Secondary | Proportion of Questions/Task Completed Per Participant in Period 2 | Proportion of questions/task completed per participant from week 8 to week 16, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of questions completed | week 8, up to week 16 |
|
|
|
| Secondary | Proportion of Questions/Task Completed Per Participant in Period 3 | Proportion of questions/task completed per participant from week 16 to week 24, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of questions completed | week 16, up to week 24 |
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| Secondary | Proportion of Questions/Task Completed Per Participant in Period 4 | Proportion of questions/task completed per participant from week 24 to study completion, will be documented on the eFHS app. | Posted | Mean | Standard Deviation | proportion of questions completed | week 24, to completion of study usually 26 weeks |
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| 0 |
| 248 |
| 0 |
| 248 |
| 0 |
| 248 |
| EG001 | Control- Four-week Group | The physical function, physical activity, and events survey modules are administered according to the regular 4-week pattern. | 0 | 244 | 0 | 244 | 0 | 244 |
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