10:55 - 11:40 amSaturday, September 17
LK 101
How patient engagement and gamification correlate with hypertension control
LK 101
How patient engagement and gamification correlate with hypertension control
Emmi Solutions
Massachusetts General Hospital
Background Ambulatory blood pressure (ABP) is known to provide prognostic information about cardiovascular disease better than office BP. In-pharmacy automated ABP kiosks have also been shown to have... Read more

Description

Background 
Ambulatory blood pressure (ABP) is known to provide prognostic information about cardiovascular disease better than office BP. In-pharmacy automated ABP kiosks have also been shown to have similar accuracy as manual BP measurements done by healthcare providers. ABP kiosks in retail locations provide an accessible, affordable, convenient and accurate means for patients who cannot afford home BP devices to monitor their BP. Other studies have shown mixed results regarding effect of self monitoring of BP and long term BP control. Not much is known about the correlation of ABP control and self monitoring of BP with patient engagement and gamification. 

Objective 
To examine the relationship between ABP and patient engagement with a nationwide ABP kiosk platform. 

Methods 
De-identified historic data from a nation wide ABP kiosk network (www.higi.com) was analyzed from September 2012 to April 2015. Approximately 9,700 ABP kiosks were deployed within the network during the time period of the study. Approximately 1,928,900 patients created accounts on the engagement platform. Only patients with initial BP measurement in the hypertensive range and those who opted-in to share data for research purposes were included in the study. A total of 158,800 patients met all inclusion criteria for the study. Mean age of the study population was 49 years, with 58% male and 42% female. Almost half the patients were obese (49%). Level of engagement was defined as the number of average monthly logins on the gamificati on platform (i.e. kiosk, web portal, and mobile app). BP changes were defined as the difference between a patient’s first and last reading on the kiosk network. Patient demographics, level of engagement with the gamification platform and their ABP trends were analyzed. 

Limitations 
Due to lack of control group in this study, the statistical significance observed in this study may not represent causation. We may have measured results of self-motivated patients who on their own or with the help of their provider have achieved better control of the BP. Throughout the course of the study new kiosks were being deployed resulting in some locations where there was not enough time available to measure outcomes for that population; this may have resulted in underestimation of the results. Further studies are needed with control groups to measure the direct effect of gamification on hypertension control. 

Conclusion 
The results show a statistically significant relationship between frequency of engagement as measured by level of monthly logins on the gamification platform and lowering of systolic BP.

Khan Siddiqui, MD is a serial entrepreneur and currently CTO and CMO of higi SH llc. Dr. Siddiqui is responsible for strategic direction of the company and leads the development of higi’s products and technologies. higi, a consumer centric health engagement company, uses a combination of interactive and social tools to help consumers to take small but meaningful engagement steps in their health and wellness to create lasting habits. higi has built the largest self-service health kiosk network in the US where 75% of US population lives within 5 miles of a higi station.

Prior to higi, Dr. Siddiqui was a Physician Executive and Principal Program Manager at Microsoft responsible for platform engineering for the health solutions group. He was responsible for engineering execution on various enterprise and cloud health products as well as personal health record for consumers. One of his key achievements at Microsoft was stimulating computer vision research that led to the development of classification forest algorithm, which is the foundation technology in Xbox Kinect. Dr. Siddiqui is on the board of directors of various startups in the US as well as a technology advisor for multiple national healthcare organizations.

A widely respected healthcare and technology expert focusing on persuasive technologies in health and wellness, Dr. Siddiqui is also a visiting Associate Professor at John Hopkins University School of Medicine. He completed his internship at New York University followed by diagnostic radiology residency and body imaging fellowship at Geisinger Medical Center in Danville, PA as well as imaging informatics fellowship at University of Maryland.

Current research includes large scale population studies on impact of ubiquitous access to health in combination of persuasive technologies to improve healthcare outcomes.

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