COVID RADAR app : Description and validation of population surveillance of symptoms and behavior in relation to COVID-19

BACKGROUND: Monitoring of symptoms and behavior may enable prediction of emerging COVID-19 hotspots. The COVID Radar smartphone app, active in the Netherlands, allows users to self-report symptoms, social distancing behaviors, and COVID-19 status daily. The objective of this study is to describe the validation of the COVID Radar.

METHODS: COVID Radar users are asked to complete a daily questionnaire consisting of 20 questions assessing their symptoms, social distancing behavior, and COVID-19 status. We describe the internal and external validation of symptoms, behavior, and both user-reported COVID-19 status and state-reported COVID-19 case numbers.

RESULTS: Since April 2nd, 2020, over 6 million observations from over 250,000 users have been collected using the COVID Radar app. Almost 2,000 users reported having tested positive for SARS-CoV-2. Amongst users testing positive for SARS-CoV-2, the proportion of observations reporting symptoms was higher than that of the cohort as a whole in the week prior to a positive SARS-CoV-2 test. Likewise, users who tested positive for SARS-CoV-2 showed above average risk social-distancing behavior. Per-capita user-reported SARS-CoV-2 positive tests closely matched government-reported per-capita case counts in provinces with high user engagement.

DISCUSSION: The COVID Radar app allows voluntarily self-reporting of COVID-19 related symptoms and social distancing behaviors. Symptoms and risk behavior increase prior to a positive SARS-CoV-2 test, and user-reported case counts match closely with nationally-reported case counts in regions with high user engagement. These results suggest the COVID Radar may be a valid instrument for future surveillance and potential predictive analytics to identify emerging hotspots.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

PloS one - 16(2021), 6 vom: 30., Seite e0253566

Sprache:

Englisch

Beteiligte Personen:

van Dijk, Willian J [VerfasserIn]
Saadah, Nicholas H [VerfasserIn]
Numans, Mattijs E [VerfasserIn]
Aardoom, Jiska J [VerfasserIn]
Bonten, Tobias N [VerfasserIn]
Brandjes, Menno [VerfasserIn]
Brust, Michelle [VerfasserIn]
le Cessie, Saskia [VerfasserIn]
Chavannes, Niels H [VerfasserIn]
Middelburg, Rutger A [VerfasserIn]
Rosendaal, Frits [VerfasserIn]
Visser, Leo G [VerfasserIn]
Kiefte-de Jong, Jessica [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 08.07.2021

Date Revised 13.07.2021

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0253566

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327386525