COVID-19 Self-Reported Symptom Tracking Programs in the United States: A Framework Synthesis.

Background With the continued spread of COVID-19 in the United States, identifying potential outbreaks before infected individuals cross the clinical threshold is key to allowing public health officials time to ensure local health care institutions are adequately prepared. In response to this need, researchers have developed participatory surveillance technologies which allow individuals to report emerging symptoms daily so that their data can be extrapolated and disseminated to local health care authorities. Objective This study uses a framework synthesis to evaluate existing self-reported symptom tracking programs in the U.S. for COVID-19 as an early-warning tool for probable clusters of infection. This in turn will inform decision makers and healthcare planners about these technologies and the usefulness of their information to aid in federal, state, and local efforts to mobilize effective current and future pandemic responses. Methods Programs were identified through keyword searches and snowball sampling, then screened for inclusion. A best fit framework was constructed for all programs that met the inclusion criteria by collating information collected from each into a table for easy comparison. Results We screened 8 programs and 6 were included in our final framework synthesis. We identified multiple common data elements including demographic information including race, age, gender, and affiliation - all were associated with universities, medical schools, or schools of public health. Dissimilarities included collection of data regarding smoking status, mental well-being, and suspected exposure to COVID-19. Conclusions Several programs currently exist that track COVID-19 symptoms from participants on a semi-regular basis. Coordination between symptom tracking program research teams and local and state authorities is currently lacking, presenting an opportunity for collaboration to avoid duplication of efforts and more comprehensive knowledge dissemination.