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- Title
User-centered design of feedback regarding health-related behaviors derived from wearables: An approach targeting older adults and persons living with neurodegenerative disease.
- Authors
Van Ooteghem, Karen; Godkin, F. Elizabeth; Thai, Vanessa; Beyer, Kit B.; Cornish, Benjamin F.; Weber, Kyle S.; Bernstein, Hannah; Kheiri, Soha O.; Swartz, Richard H.; Tan, Brian; McIlroy, William E.; Roberts, Angela C.
- Abstract
Objective: There has been tremendous growth inwearable technologies for healthmonitoring but limited efforts to optimizemethods for sharing wearables-derived information with older adults and clinical cohorts. This study aimed to co-develop, design and evaluate a personalized approach for information-sharing regarding daily health-related behaviors captured with wearables. Methods: A participatory research approach was adopted with: (a) iterative stakeholder, and evidence-led development of feedback reporting; and (b) evaluation in a sample of older adults (n = 15) and persons living with neurodegenerative disease (NDD) (n = 25). Stakeholders included persons with lived experience, healthcare providers, health charity representatives and individuals involved in aging/NDD research. Feedback report information was custom-derived from two limbmounted inertial measurement units and a mobile electrocardiography device worn by participants for 7-10 days. Mixed methods were used to evaluate reporting 2 weeks following delivery. Data were summarized using descriptive statistics for the group and stratified by cohort and cognitive status. Results: Participants (n = 40) were 60% female (median 72 (60-87) years). A total of 82.5% found the report easy to read or understand, 80% reported the right amount of information was shared, 90% found the information helpful, 92% shared the information with a family member or friend and 57.5% made a behavior change. Differences emerged in sub-group comparisons. A range of participant profiles existed in terms of interest, uptake and utility. Conclusions: The reporting approach was generally well-received with perceived value that translated into enhanced selfawareness and self-management of daily health-related behaviors. Future work should examine potential for scale, and the capacity for wearables-derived feedback to influence longer-term behavior change.
- Publication
Digital Health, 2023, Vol 9, p1
- ISSN
2055-2076
- Publication type
Article
- DOI
10.1177/20552076231179031