Arrhythmias & electrophysiology

The Heartline Experience: Achieving Long-Term Participant Engagement in Digital Health Technology Trials

JACC AdvPublished randomized

Authors' conclusion

Study adherence in Heartline was high and sustained through 2-year follow-up, using a purposely designed engagement program delivered by a mobile app. Participants in this older population remotely and regularly submitted study information through the app and reported high study satisfaction (A Study to Investigate if Early Atrial Fibrillation [AF] Diagnosis Reduces Risk of Events Like Stroke in the Real-World; NCT04276441).

Study context

Population
U.S. participants aged ≥65 yearsenrolled Heartline participants, 32,299 (94%) started the program
Participants
34,244 participants
Comparison
Watch group
Methodological details3:1, stratified by prevalent atrial fibrillation
  • 3:1
  • Stratified by prevalent atrial fibrillation

Primary result

As reported in the abstract

Started the program

Of 34,244 enrolled participants, started the program

32,299

94%

Further findings

Active engagement with the app at least weekly · 1 year and 2 years

After 1 year
93%
After 2 years
86%

Electronic patient-reported outcome (ePRO) completion rates · 1 year and 2 years

At 1 year
82%
At 2 years
76%

Participant satisfaction · study completion

Participants reported high satisfaction with the study and their personal investment

Original publication

The Heartline Experience: Achieving Long-Term Participant Engagement in Digital Health Technology Trials. JACC Adv. Published 20 August 2025. doi:10.1016/j.jacadv.2025.102072

Summarised from the published abstract; every number is checked against it

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