“Wearables only work on patients that wear them”: Barriers and facilitators to the adoption of wearable cardiac monitoring technologies

Ferguson, Caleb; Hickman, Louise; Turkmani, Sabera; Breen, Paul P.; Inglis, Sally C.

doi:10.1016/j.cvdhj.2021.02.001

Cited by 41 publications

(22 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39 In addition, we found the Dreem app's functionality to present basic sleep metrics back to the participant encouraged use of the Dreem 2 headband and was a likely contributor to adherence and compliance in our feasibility study. This is in line with Ferguson et al 40 who found a key facilitator to adherence of wearable technology among cardiac patients were ‘timely and appropriate feedback, and friendly user experience’. Although promising, it is important to recognise that the feasibility and acceptability of the Dreem 2 headband is one aspect of integrating these technologies into practice; validating the headband data, funding for devices, and training development for researchers and clinicians are equally important in facilitating the uptake of these devices.…”

Section: Discussionsupporting

confidence: 88%

Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: An at-home observational study

Zambelli¹,

Jakobsson²,

Threadgold³

et al. 2022

DIGITAL HEALTH

View full text Add to dashboard Cite

Background Chronic pain conditions affect up to one third of the adult population in the United Kingdom. Sleep problems are prevalent and negatively impact quality of life. Lack of standardised tools for routine screening and assessment of sleep changes have been a barrier for sleep management. Novel sleep wearables offer an exciting and accessible way to measure sleep but have not been tested outside of the consumer-led landscape and are not commonly used in research and clinical settings. Aims The study aimed to explore the feasibility and acceptability of a sleep monitoring headband (Dreem 2) utilising EEG technology and accompanying smartphone application among a cohort of adults with chronic pain. Results Twenty-one adults (81% women) completed a one-week home sleep study using a sleep headband and accompanying app. Ninety per cent of participants met the pre-defined requirement of two-night's sleep recording. All participants recorded one night of sleep data via the sleep headband. The majority (76%) of participants were satisfied with the sleep study, and 86% of participants were willing to wear the headband longer than the 2-night minimum requirement. Finally, 76% reported the headband as ‘somewhat’ or ‘extremely’ comfortable whist awake; 57% rated the headband as comfortable during sleep. Conclusion The Dreem 2 headband appears to be a feasible and acceptable means of collecting sleep measurements among individuals with chronic pain, despite common sleep disturbances. These devices may have utility for screening, assessment and monitoring in research and practice. Further research is needed to provide guidelines and training for integration.

show abstract

Section: Discussionsupporting

confidence: 88%

Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: An at-home observational study

Zambelli¹,

Jakobsson²,

Threadgold³

et al. 2022

DIGITAL HEALTH

View full text Add to dashboard Cite

show abstract

“…This may seem like an obvious point, but wearable health devices in general, no matter how worthwhile the concept of the wearable health device, are only of benefit to the intended user if they use the device as intended. In other words a wearable device is only of benefit if the intended user engages in the behaviours expected by the designer [ 62 ]. However, adherence to wearable health devices can in fact be very poor and the issue of poor compliance to wearable health technology is of particular concern to payers, like insurance companies, who sometimes pay for the wearable technology on the basis of the promised health benefits these devices should provide.…”

Section: Discussionmentioning

confidence: 99%

Design of a Planner-Based Intervention to Facilitate Diet Behaviour Change in Type 2 Diabetes

Cradock

Quinlan

Finucane

et al. 2022

Sensors

View full text Add to dashboard Cite

Diet behaviour is influenced by the interplay of the physical and social environment as well as macro-level and individual factors. In this study, we focus on diet behaviour at an individual level and describe the design of a behaviour change artefact to support diet behaviour change in persons with type 2 diabetes. This artefact was designed using a human-centred design methodology and the Behaviour Change Wheel framework. The designed artefact sought to support diet behaviour change through the addition of healthy foods and the reduction or removal of unhealthy foods over a 12-week period. These targeted behaviours were supported by the enabling behaviours of water consumption and mindfulness practice. The artefact created was a behaviour change planner in calendar format, that incorporated behaviour change techniques and which focused on changing diet behaviour gradually over the 12-week period. The behaviour change planner forms part of a behaviour change intervention which also includes a preparatory workbook exercise and one-to-one action planning sessions and can be customised for each participant.

show abstract

“…For instance, regular and effective patient-provider communication was noted when the provider remained the same. 91 Patients were found to report mostly positive experiences when telehealth facilitated maintenance of a pre-existing relationship. 57 A pre-existing patient-provider relationship when using remote consultations was linked to positive outcomes including enabling providers to engage patients in shared decision-making and self-management 56 and better treatment continuity and clinician outcomes.…”

Section: Communication Systemsmentioning

confidence: 98%

The impact of eHealth on relationships and trust in primary care: A review of reviews

Ramachandran

Brinton

Wiljer

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Given the increasing integration of digital health technologies in team-based primary care, this review aimed at understanding the impact of eHealth on patient-provider and provider-provider relationships. Methods: A review of reviews was conducted on three databases to identify papers published in English from 2008 onwards. The impact of different types of eHealth on relationships and trust and the factors influencing the impact were thematically analyzed. Results:A total of 79 reviews were included. Patient-provider relationships were discussed more frequently as compared to provider-provider relationships. Communication systems like telemedicine were the most discussed type of technology. eHealth was found to have both positive and negative impacts on relationships and/or trust. This impact was influenced by a range of patient-related, provider-related, technology-related, and organizational factors, such as patient sociodemographics, provider communication skills, technology design, and organizational technology implementation, respectively. Conclusions:Recommendations are provided for effective and equitable technology selection, application, and training to optimize the impact of eHealth on relationships and trust. The review findings can inform providers’ and policymakers’ decision-making around the use of eHealth in primary care delivery to facilitate relationship-building.

show abstract

“Wearables only work on patients that wear them”: Barriers and facilitators to the adoption of wearable cardiac monitoring technologies

Cited by 41 publications

References 29 publications

Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: An at-home observational study

Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: An at-home observational study

Design of a Planner-Based Intervention to Facilitate Diet Behaviour Change in Type 2 Diabetes

The impact of eHealth on relationships and trust in primary care: A review of reviews

Contact Info

Product

Resources

About