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Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies
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Veteran and Staff Experience from a Pilot Program of Health Care System-Distributed Wearable Devices and Data Sharing
Jason J Saleem1,2, Nancy R Wilck3, John J Murphy3
1Department of Industrial Engineering, J.B. Speed School of Engineering, University of Louisville, Louisville, Kentucky, United States.
Applied Clinical Informatics
|May 25, 2022
Summary
The U.S. Department of Veterans Affairs (VA) pilot program successfully used Fitbits to engage Veterans in managing their health, with both Veterans and clinicians showing enthusiasm and perceived value in using wearable devices and patient-generated health data (PGHD).
Area of Science:
- Digital Health and Wearable Technology
- Patient-Generated Health Data (PGHD) Integration
- Veteran Healthcare Innovation
Background:
- Increasing adoption of wearable devices for health tracking.
- Potential of wearables to improve patient engagement and home healthcare.
- U.S. Department of Veterans Affairs (VA) pilot program distributing Fitbits to Veterans.
Purpose of the Study:
- Assess the VA Fitbit pilot program from Veteran and clinician perspectives.
- Identify barriers to Fitbit setup and data sharing via a mobile application.
- Evaluate the perceived value of Fitbit functions and PGHD sharing with care teams.
Main Methods:
- Conducted semi-structured interviews with 26 Veterans and 16 VA clinicians.
- Summarized responses by frequency of occurrence.
- Ensured accuracy through independent analyst auditing.
Main Results:
- Despite initial setup challenges, strong support exists for using Fitbits to engage Veterans and manage health.
- Clinicians recognized benefits and planned to use PGHD in care plans, including monitoring health behavior goals.
- Veterans demonstrated significant and sustained enthusiasm for using Fitbits.
Conclusions:
- The VA Fitbit pilot program was successful from both Veteran and clinician viewpoints.
- Expanded use of wearable devices in healthcare should be considered.
- Future research must address incorporating PGHD into electronic health records and clinical workflows.
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