Monitoring health as an opportunity to categorize preventative and early-treatment actions in a self-care journey: our experience with a Healthcare Magenta Scorecard

Abstract

Background: Applying a digital health intervention to measure health and wellbeing status may be an opportunity to guide healthcare and promotion. In our scenario, we deal with mainly digital-native patients, we developed the Healthcare Magenta Scorecard with this aim.Methods: Grounded in the six domains of health and promotion (physical activity; sleep quality; nutrition; habits/lifestyle; mental Health; quality of life) we developed a health Magenta Scorecard (magenta score), a mobile based Electronic Patient Reported Outcomes (e-PRO) that measures patients health and wellbeing every 3-5 months. The Magenta Scorecard was derived from previously published evidence-based instruments. We collected data when patients onboard in our healthcare system (T0 and T1, time span between measurements, 141 days) and provided correlations among our domains of care.Results: A total of 1,622 participants responded to T0 and T1 our Magenta Scorecard. Participants mean age was 31.3 [95% confidence interval (CI): 31.2-31.5] years and female (63.4%). Fifty-five percent (n=892) of our sample were categorized as Health and Wellbeing promotion, 8.5% (n=138) disease management, 35.7% (n=579) self-care care support and only 0.8% (n=13) as case management. From our care coordination guided approach, our Magenta Scorecard improved by 26 points, from T0 (649, 95% CI: 643-656) to T1 (675, 95% CI: 668-682). Our Magenta Scorecard domains had significant, however weak spearman correlations.Conclusions: we exposed our Magenta Scorecard rationale and its guided approach. The Magenta Scorecard seems to have adequate responsiveness and significantly correlated with all the domains. Further prospective research is needed to validate our results in the long term.