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Updated: Jan 13, 2026

Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
Published on: February 21, 2025
"The More You Give the Wearable, the More It Gives You": How Regular Exercisers Navigate Exercise Using Wearable
Adam H Ibrahim1,2, Cory T Beaumont3, Kelley Strohacker4
1Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, Knoxville, TN, USA. aibrahi5@uwyo.edu.
Consumer wearables provide recovery scores using heart rate variability (HRV) to aid training. Users find these scores validating, prompting behavioral changes, but can also elicit emotional responses, suggesting a need for education and design improvements.
Area of Science:
- Sports Science
- Human-Computer Interaction
- Wearable Technology
Background:
- Consumer off-the-shelf wearables (COTSW) increasingly offer recovery/readiness scores.
- These scores utilize heart rate variability (HRV) for user-friendly interpretation (e.g., percent, color codes).
- Limited research exists on the perceived informational utility of HRV-derived scores and their impact on user adoption.
Purpose of the Study:
- To qualitatively explore user experiences with COTSW and their readiness/recovery scores.
- To understand how individuals interact with and interpret HRV-derived data from wearables.
- To identify factors influencing user adoption and fidelity with wearable-based recovery metrics.
Main Methods:
- Qualitative study involving 17 regular exercisers using Whoop™ or Oura™ for ≥3 months.
- One-on-one virtual semi-structured interviews were conducted.
- Data analysis employed reflexive thematic analysis with 'in-vivo' quotes.
Main Results:
- Theme 1: Users experienced validation and reinforcement of lifestyle choices ('It's kinda validating, right?').
- Theme 2: Users showed curiosity and experimented with devices, adjusting behaviors to improve scores ('It's really putting the power in my hands.').
- Theme 3: Users exhibited complex emotional rather than rational responses to scores and interfaces ('more of an emotional response rather than a rational one').
Conclusions:
- COTSW readiness/recovery scores influence user behavior and self-perception.
- Findings highlight the psychological impact of wearable data interpretation.
- Recommendations include enhanced user education and design considerations for positive data interaction.
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