Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Advertisement

Currently submitted to: Journal of Medical Internet Research

Date Submitted: Jun 9, 2019
Open Peer Review Period: Jun 12, 2019 - Aug 7, 2019
(closed for review but you can still tweet)

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note “no longer under consideration” will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a “Peer-Review Me” button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed “version of record” (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

Evaluation of the demographic representativeness and health outcomes of users of SiSU Health Stations

  • Leah Flitcroft; 
  • Won Sun Chen; 
  • Denny Meyer; 
  • Patrick J Hannebery; 

ABSTRACT

Background:

SiSU Wellness health check stations collect data on a range of self-reported and machine measured health indicators, including diabetes status, physical activity levels, waist circumference, dietary practices, heart rate, blood pressure, weight, Body Mass Index (BMI) and body fat percentage. Users of the health stations are able to monitor their progress and changes to health over time by connecting their health check station profile to a free application downloadable from Google Play or the iTunes store. The stations and associated application are intended to assist consumers by allowing them to monitor their health status over time and providing alerts to consumers when follow up with a General Practitioner (GP) is recommended.

Objective:

To assess the demographic representativeness of SiSU Health Station users, identify the factors associated with repeat utilisation stations, and determine whether the health status of repeat users changed between their baseline and final health checks.

Methods:

SiSU Health Station users were compared with 2014-2015 Australian National Health Survey participants on key demographic and health characteristics to determine representativeness. Binary logistic regression analyses were used to compare demographic and health characteristics of repeat and one-time users. Baseline and final health checks of repeat users were compared using McNemar’s Tests and Wilcoxon Signed Rank Tests. The relationship between number of checks and final health scores was investigated using generalised linear models.

Results:

Data from 180,442 SiSU Health Station health checks conducted at 192 locations across Australia between October 2017 and June 2018, including 8,441 repeat users. SiSU Health Stations located in Priceline Pharmacies accounted for 98.4% of checks. The demographic profile of SiSU Health Station users differs from that of the general population. A larger proportion of SiSU users were female (55.87% vs 50.72%), younger (47.87% vs 34.49% under 35 years) and socio-economically advantaged (35.68% vs 20.325. When considering the gender profile of Priceline Pharmacy customers, males were found to be substantially over-indexed on health station usage, accounting for 44.10% of health checks but only 3.00% of customers. Compared with NHS participants, a smaller proportion of SiSU Health Station users were overweight or obese, were smokers, had high blood pressure or had diabetes. When data were weighted for demographic differences, only rates of high blood pressure were found to be lower for SiSU users compared to National Health Survey participants (OR=1.26, p<0.001). Repeat users were more likely to be female (OR=1.37, p<0.001), younger (OR=0.99, p<0.001), and from high socio-economic status areas - those residing in SEIFA quintiles 4 and 5 were significantly more likely to be repeat users compared to those residing in quintile 1 (OR=1.243, p<0.001 and OR=1.151, p<0.001 respectively). Repeat users were more likely to have higher body mass index (OR=1.02 p<0.001), high blood pressure (OR=1.15, p<0.001), and less likely to be smokers (OR=0.77, p<0.001). Significant improvements in health status were observed for repeat users. Mean BMI decreased by 0.97kg/m2 from baseline to final check (z=-14.24, p<0.001), while the proportion of people with high blood pressure decreased from 15.8% to 12.9% (2=38.21, p<0.001). The proportion of smokers decreased from 11.9% to 10.1% (2=48.39, p<0.001). The number of repeat health checks was found to be significantly associated with smoking status (OR=0.96, p<0.048), but not with higher blood pressure (p=0.142) or BMI (p=0.225).

Conclusions:

These findings provide valuable insight into the health benefits of health stations for self-monitoring and partially support previous research regarding the effect of demographics and health status on uptake of self-management of health.


 Citation

Please cite as:

Flitcroft L, Chen WS, Meyer D, Hannebery PJ

Evaluation of the demographic representativeness and health outcomes of users of SiSU Health Stations

JMIR Preprints. 09/06/2019:14977

DOI: 10.2196/preprints.14977

URL: https://preprints.jmir.org/preprint/14977


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.