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Self-Reported Acceptance of a Wearable Activity Monitor in Persons With Stroke: Usability Study

  • 0Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Jmir Cardio +

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December 23, 2025

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December 23, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Wearable activity monitors show high acceptance among stroke survivors, but this doesn't guarantee consistent device wear. Further research is needed to understand adherence barriers in stroke rehabilitation.

Area Of Science

  • Biomedical Engineering
  • Rehabilitation Technology
  • Digital Health

Background

  • Wearable activity monitors provide scalable, cost-effective remote monitoring of functional status.
  • These devices collect detailed biometric data (e.g., physical activity, heart rate), complementing traditional clinical measures.
  • Understanding user acceptance is crucial for implementing these technologies in stroke rehabilitation.

Purpose Of The Study

  • To investigate the self-reported acceptance of a wrist-worn wearable activity monitor (Fitbit Inspire 2) in individuals with stroke.
  • To assess the relationship between reported acceptance and adherence to wearing the device.

Main Methods

  • Sixty-five participants with stroke wore a Fitbit Inspire 2 for 3 months.
  • Acceptance was measured using the Technology Acceptance Questionnaire (TAQ) across 7 dimensions.
  • Spearman correlations examined links between TAQ scores and device wear adherence.

Main Results

  • Participants reported high overall acceptance of the Fitbit Inspire 2 across all TAQ dimensions.
  • The device was perceived as useful, easy to use, and unintrusive.
  • High self-reported acceptance did not correlate with actual device wear time.

Conclusions

  • Stroke survivors generally accept wearable activity monitors like the Fitbit Inspire 2.
  • High acceptance does not automatically translate to consistent adherence in real-world use.
  • It cannot be assumed that stroke patients will wear these devices simply due to reported high acceptability.

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