Pedometers, the frustrating motivators: a qualitative investigation of users’ experiences of the Yamax SW-200 among people with multiple sclerosis

Fortune, Jennifer; Norris, Meriel; Stennett, Andrea; Kilbride, Cherry; Lavelle, Grace; Victor, Christina; Souza, Lorraine De; Hendrie, Wendy; Ryan, Jennifer M

doi:10.1080/09638288.2020.1770344

Cited by 5 publications

(12 citation statements)

References 48 publications

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“…The Garmin Vivofit 4 elicited the most negative reactions when the participants shared their thoughts on the device interface, as well as identifying difficulties synching the device. Similar issues were previously identified when exploring adults with MS experiences of monitoring step-count using the Yamax SW200 (18). However, this study highlights that these issues are not unique to the Yamax SW200.…”

Section: Discussionsupporting

confidence: 71%

“…Furthermore, criterion validity of these devices against manually counted steps was only assessed during walking. Despite being validated, adults with MS frequently perceived the Yamax SW200 to be inaccurate when monitoring their step-counts over 12 weeks ( 18 ). This suggests that, while these devices may be accurate for measuring step-count during walking in controlled environments, they are less accurate at measuring step-count during activities of daily life.…”

Section: Introductionmentioning

confidence: 99%

“…People with MS reported additional challenges with using the Yamax SW200 to monitor step-count, including difficulties attaching it, limited durability, and difficulties opening the device to view step-count on the digital display ( 18 ). These challenges resulted in frustration and had a negative impact on participants' motivation to increase step-count ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Validity and Acceptability of Wearable Devices for Monitoring Step-Count and Activity Minutes Among People With Multiple Sclerosis

Lavelle

Norris

Flemming

et al. 2022

Front. Rehabilit. Sci.

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Multiple wearable devices that purport to measure physical activity are widely available to consumers. While they may support increases in physical activity among people with multiple sclerosis (MS) by providing feedback on their performance, there is little information about the validity and acceptability of these devices. Providing devices that are perceived as inaccurate and difficult to use may have negative consequences for people with MS, rather than supporting participation in physical activity. The aim of this study was, therefore, to assess the validity and acceptability of commercially available devices for monitoring step-count and activity time among people with MS. Nineteen ambulatory adults with MS [mean (SD) age 52.1 (11.9) years] participated in the study. Step-count was assessed using five commercially available devices (Fitbit Alta, Fitbit Zip, Garmin Vivofit 4, Yamax Digi Walker SW200, and Letscom monitor) and an activPAL3μ while completing nine everyday activities. Step-count was also manually counted. Time in light activity, moderate-to-vigorous activity, and total activity were measured during activities using an Actigraph GT3X accelerometer. Of the 19 participants who completed the validity study, fifteen of these people also wore the five commercially available devices for three consecutive days each, and participated in a semi-structured interview regarding their perception of the acceptability of the monitors. Mean percentage error for step-count ranged from 12.1% for the Yamax SW200 to −112.3% for the Letscom. Mean step-count as manually determined differed to mean step-count measured by the Fitbit Alta (p = 0.002), Garmin vivofit 4 (p < 0.001), Letscom (p < 0.001) and the research standard device, the activPAL3μ (p < 0.001). However, 95% limits of agreement were smallest for the activPAL3μ and largest for the Fitbit Alta. Median percentage error for activity minutes was 52.9% for the Letscom and 100% for the Garmin Vivofit 4 and Fitbit Alta compared to minutes in total activity. Three inductive themes were generated from participant accounts: Interaction with device; The way the device looks and feels; Functionality. In conclusion, commercially available devices demonstrated poor criterion validity when measuring step-count and activity time in people with MS. This negatively affected the acceptability of devices, with perceived inaccuracies causing distrust and frustration. Additional considerations when designing devices for people with MS include an appropriately sized and lit display and ease of attaching and charging devices.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validity and Acceptability of Wearable Devices for Monitoring Step-Count and Activity Minutes Among People With Multiple Sclerosis

Lavelle

Norris

Flemming

et al. 2022

Front. Rehabilit. Sci.

Self Cite

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“…From a questionnaire asked at the end of the period, 97% of participants considered daily use of the watch acceptable and 63% of participants even considered keeping some sort of activity tracker on after the end of the study. Focusing on people with MS, Fortune et al [ 37 ] purposefully recruited 15 participants after the end of a randomized control trial to be part of semi-structured interviews. Purposeful recruitment was done to get a wide range of experiences (e.g.…”

Section: Discussionmentioning

confidence: 99%

The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations

2021

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Functionally limiting health conditions have a high rate of prevalence worldwide and incur a significant amount of economic burden. Physical activity (PA) can prevent the onset of these conditions and alleviate economic burden by reducing symptoms, but a large portion of these individuals do not engage in health enhancing PA. Consumer wearable physical activity monitors (WPAM) are tools that have become increasingly popular within the past few years and could provide a means to improve PA levels for individuals with health conditions that cause functional limitations. This review reports on the validity of PA outcomes, feasibility and utility, and intervention/promotion effectiveness for consumer WPAM in functionally limited clinical populations. 2250 records from January 2018 to July 2021 were retrieved from PubMed, Web of Science, SPORTDiscus and CINAHL with 656 records being duplicates and 23 records passing a full-text article review. Studies included within the review looked at individuals with osteoarthritis, rheumatoid arthritis, axial spondyloarthritis, multiple sclerosis, Parkinson's disease, ischemic stroke and peripheral arterial disease. The most popular brand of consumer WPAM was Fitbit. Validation studies for consumer WPAM were primarily focused on step counts showing overestimations for daily step counts and over-and under-estimations occurring within shorter time durations depending on step cadence. Wrist worn WPAM are the most feasible for functionally limited clinical populations with widespread utilization for associating clinically relevant outcomes with PA levels but they have limited validation to confirm their accuracy and precision in measurement. Interventions included used a mixture of a WPAM and other behavior change techniques to improve PA levels for clinical populations and show promising effectiveness. Future work is warranted on determining the validity of PA outcomes from WPAM determined to be feasible in select clinical populations and creating interventions looking at which features of a consumer WPAM intervention promote PA.

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“…Pedometers increase awareness and motivation to promote activity. 9 Studies have demonstrated an association between physical activity and length of hospital stay and surgical outcomes. 6,10,11 However, studies revealing the effect of postoperative physical activity on early lung capacity are limited.…”

mentioning

confidence: 99%

The Effect of Postoperative Mobilization with a Pedometer on Pulmonary Functions and Length of Postoperative Hospital Stay in Patients Undergoing Lung Resection: Cross-Sectional Study

Özkan¹,

Işıklı²,

Ünver³

et al. 2022

Turkiye Klinikleri Arch Lung

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ABS TRACT Objective: Mobilization takes an important place in providing postoperative pulmonary rehabilitation and is accepted as an effective factor in accelerating the recovery process and improving physical and mental health. This study aims to determine the effect of postoperative mobilization with a pedometer on pulmonary functions and length of postoperative hospital stay in patients undergoing lung resection. Material and Methods: This descriptive and cross-sectional study was conducted with the participation of 52 patients in a thoracic surgery clinic of a university hospital . The "patient identification form" and the "patient results evaluation form" were used to collect the data. Data were analyzed using IBM SPSS Statistics 22.0. Shapiro-Wilk test was used to test the compatibility of the data to normal distribution. The Spearman correlation analysis was used in analyzing the data. Result: It was revealed that the total step count and walking distance did not affect the postoperative forced expiratory volume in 1 second (FEV 1 ), forced vital capacity (FVC), and FEV 1 /FVC values (p>0.05). A weak negative correlation was determined between total step count and the length of postoperative hospital stay (p<0.05). It was found that 84.6% of the patients were satisfied/very satisfied with the use of a pedometer. Conclusion: The study demonstrated that the increase in the step count was not effective on pulmonary functions in the early period but shortened the length of postoperative hospital stay. We recommend the use of a pedometer after lung resections since it standardizes the mobilization measurement, promotes mobilization, and shortens the length of hospital stay owing to its contributions to pulmonary physiotherapy.

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Pedometers, the frustrating motivators: a qualitative investigation of users’ experiences of the Yamax SW-200 among people with multiple sclerosis

Cited by 5 publications

References 48 publications

Validity and Acceptability of Wearable Devices for Monitoring Step-Count and Activity Minutes Among People With Multiple Sclerosis

Validity and Acceptability of Wearable Devices for Monitoring Step-Count and Activity Minutes Among People With Multiple Sclerosis

The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations

The Effect of Postoperative Mobilization with a Pedometer on Pulmonary Functions and Length of Postoperative Hospital Stay in Patients Undergoing Lung Resection: Cross-Sectional Study

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