User-centered design of feedback regarding health-related behaviors derived from wearables: An approach targeting older adults and persons living with neurodegenerative disease.

Autor:	Van Ooteghem K; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Godkin FE; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Thai V; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Beyer KB; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Cornish BF; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Weber KS; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Bernstein H; Department of Nanotechnology Engineering, University of Waterloo, Waterloo, ON, Canada., Kheiri SO; Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada., Swartz RH; Hurvitz Brain Sciences Program, Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.; Department of Medicine (Neurology), Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada., Tan B; Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada., McIlroy WE; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Roberts AC; School of Communication Sciences and Disorders, Western University, London, ON, Canada.; Department of Computer Science, Western University, London, ON, Canada.; Canadian Centre for Activity and Aging, Western University, London, ON, Canada.
Jazyk:	angličtina
Zdroj:	Digital health [Digit Health] 2023 Jun 02; Vol. 9, pp. 20552076231179031. Date of Electronic Publication: 2023 Jun 02 (Print Publication: 2023).
DOI:	10.1177/20552076231179031
Abstrakt:	Objective: There has been tremendous growth in wearable technologies for health monitoring but limited efforts to optimize methods 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 limb-mounted 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 self-awareness 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. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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