Patient-centered activity monitoring in the self-management of chronic health conditions

Abstract

BackgroundAs activity tracking devices become smaller, cheaper, and more consumer-accessible, they will be used more extensively across a wide variety of contexts. The expansion of activity tracking and personal data collection offers the potential for patient engagement in the management of chronic diseases. Consumer wearable devices for activity tracking have shown promise in post-surgery recovery in cardiac patients, pulmonary rehabilitation, and activity counseling in diabetic patients, among others. Unfortunately, the data generated by wearable devices is seldom integrated into programmatic self-management chronic disease regimens. In addition, there is lack of evidence supporting sustained use or effects on health outcomes, as studies have primarily focused on establishing the feasibility of monitoring activity and the association of measured activity with short-term benefits.DiscussionMonitoring devices can make a direct and real-time impact on self-management, but the validity and reliability of measurements need to be established. In order for patients to become engaged in wearable data gathering, key patient-centered issues relating to usefulness in care, motivation, the safety and privacy of information, and clinical integration need to be addressed. Because the successful usage of wearables requires an ability to comprehend and utilize personal health data, the user experience should account for individual differences in numeracy skills and apply evidence-based behavioral science principles to promote continued engagement.SummaryActivity monitoring has the potential to engage patients as advocates in their personalized care, as well as offer health care providers real world assessments of their patients’ daily activity patterns. This potential will be realized as the voice of the chronic disease patients is accounted for in the design of devices, measurements are validated against existing clinical assessments, devices become part of the treatment ‘prescription’, behavior change programs are used to engage patients in self-management, and best practices for clinical integration are defined.

Perspectives of individuals with diabetes on selfcare: contributions for assistance

“…This will allow individuals to recognize their role as protagonists in relation to their health and illness and feel supported during the process of changing habits. 5,23 It is also considered that the actions of the nursing team cannot be restricted to the traditional way of transmitting information, as referred by P9, since this model of intervention has been shown to be ineffective. 8 These actions should be conducted in order to encourage and promote the development of individuals' self-care skills for their own health.…”

Loss‐Framed Financial Incentives and Personalized Goal‐Setting to Increase Physical Activity Among Ischemic Heart Disease Patients Using Wearable Devices: The ACTIVE REWARD Randomized Trial

“…One patient had very high step counts compared to others in the study. After investigation, we learned that the patient frequently played the drums and there have been reports of inaccurate step tracking from this activity 35, 36. Therefore, all of this patient's data were deemed invalid and classified as missing.…”

Smartwatch Applications for Mental Health: A Qualitative Analysis of the Users� Perspectives

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