Perception of Older Adults Toward Smartwatch Technology for Assessing Pain and Related Patient-Reported Outcomes: Pilot Study
Chronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient's long-term recall capabi...
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| Vydáno v: | JMIR mHealth and uHealth Ročník 7; číslo 3; s. e10044 |
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| Hlavní autoři: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Canada
JMIR Publications
26.03.2019
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| ISSN: | 2291-5222, 2291-5222 |
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| Abstract | Chronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient's long-term recall capability. Smartwatches can be used as digital ecological momentary assessment (EMA) tools for real-time collection of pain scores. Smartwatches are generally less expensive than smartphones, are highly portable, and have a simpler user interface, providing an excellent medium for continuous data collection and enabling a higher compliance rate.
The aim of this study was to explore the attitudes and perceptions of older adults towards design and technological aspects of a smartwatch framework for measuring patient report outcomes (PRO) as an EMA tool.
A focus group session was conducted to explore the perception of participants towards smartwatch technology and its utility for PRO assessment. Participants included older adults (age 65+), with unilateral or bilateral symptomatic knee osteoarthritis. A preliminary user interface with server communication capability was developed and deployed on 10 Samsung Gear S3 smartwatches and provided to the users during the focus group. Pain was designated as the main PRO, while fatigue, mood, and sleep quality were included as auxiliary PROs. Pre-planned topics included participants' attitude towards the smartwatch technology, usability of the custom-designed app interface, and suitability of the smartwatch technology for PRO assessment. Discussions were transcribed, and content analysis with theme characterization was performed to identify and code the major themes.
We recruited 19 participants (age 65+) who consented to take part in the focus group study. The overall attitude of the participants toward the smartwatch technology was positive. They showed interest in the direct phone-call capability, availability of extra apps such as the weather apps and sensors for tracking health and wellness such as accelerometer and heart rate sensor. Nearly three-quarters of participants showed willingness to participate in a one-year study to wear the watch daily. Concerns were raised regarding usability, including accessibility (larger icons), notification customization, and intuitive interface design (unambiguous icons and assessment scales). Participants expressed interest in using smartwatch technology for PRO assessment and the availability of methods for sharing data with health care providers.
All participants had overall positive views of the smartwatch technology for measuring PROs to facilitate patient-provider communications and to provide more targeted treatments and interventions in the future. Usability concerns were the major issues that will require special consideration in future smartwatch PRO user interface designs, especially accessibility issues, notification design, and use of intuitive assessment scales. |
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| AbstractList | Chronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient's long-term recall capability. Smartwatches can be used as digital ecological momentary assessment (EMA) tools for real-time collection of pain scores. Smartwatches are generally less expensive than smartphones, are highly portable, and have a simpler user interface, providing an excellent medium for continuous data collection and enabling a higher compliance rate.
The aim of this study was to explore the attitudes and perceptions of older adults towards design and technological aspects of a smartwatch framework for measuring patient report outcomes (PRO) as an EMA tool.
A focus group session was conducted to explore the perception of participants towards smartwatch technology and its utility for PRO assessment. Participants included older adults (age 65+), with unilateral or bilateral symptomatic knee osteoarthritis. A preliminary user interface with server communication capability was developed and deployed on 10 Samsung Gear S3 smartwatches and provided to the users during the focus group. Pain was designated as the main PRO, while fatigue, mood, and sleep quality were included as auxiliary PROs. Pre-planned topics included participants' attitude towards the smartwatch technology, usability of the custom-designed app interface, and suitability of the smartwatch technology for PRO assessment. Discussions were transcribed, and content analysis with theme characterization was performed to identify and code the major themes.
We recruited 19 participants (age 65+) who consented to take part in the focus group study. The overall attitude of the participants toward the smartwatch technology was positive. They showed interest in the direct phone-call capability, availability of extra apps such as the weather apps and sensors for tracking health and wellness such as accelerometer and heart rate sensor. Nearly three-quarters of participants showed willingness to participate in a one-year study to wear the watch daily. Concerns were raised regarding usability, including accessibility (larger icons), notification customization, and intuitive interface design (unambiguous icons and assessment scales). Participants expressed interest in using smartwatch technology for PRO assessment and the availability of methods for sharing data with health care providers.
All participants had overall positive views of the smartwatch technology for measuring PROs to facilitate patient-provider communications and to provide more targeted treatments and interventions in the future. Usability concerns were the major issues that will require special consideration in future smartwatch PRO user interface designs, especially accessibility issues, notification design, and use of intuitive assessment scales. Chronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient's long-term recall capability. Smartwatches can be used as digital ecological momentary assessment (EMA) tools for real-time collection of pain scores. Smartwatches are generally less expensive than smartphones, are highly portable, and have a simpler user interface, providing an excellent medium for continuous data collection and enabling a higher compliance rate.BACKGROUNDChronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient's long-term recall capability. Smartwatches can be used as digital ecological momentary assessment (EMA) tools for real-time collection of pain scores. Smartwatches are generally less expensive than smartphones, are highly portable, and have a simpler user interface, providing an excellent medium for continuous data collection and enabling a higher compliance rate.The aim of this study was to explore the attitudes and perceptions of older adults towards design and technological aspects of a smartwatch framework for measuring patient report outcomes (PRO) as an EMA tool.OBJECTIVEThe aim of this study was to explore the attitudes and perceptions of older adults towards design and technological aspects of a smartwatch framework for measuring patient report outcomes (PRO) as an EMA tool.A focus group session was conducted to explore the perception of participants towards smartwatch technology and its utility for PRO assessment. Participants included older adults (age 65+), with unilateral or bilateral symptomatic knee osteoarthritis. A preliminary user interface with server communication capability was developed and deployed on 10 Samsung Gear S3 smartwatches and provided to the users during the focus group. Pain was designated as the main PRO, while fatigue, mood, and sleep quality were included as auxiliary PROs. Pre-planned topics included participants' attitude towards the smartwatch technology, usability of the custom-designed app interface, and suitability of the smartwatch technology for PRO assessment. Discussions were transcribed, and content analysis with theme characterization was performed to identify and code the major themes.METHODSA focus group session was conducted to explore the perception of participants towards smartwatch technology and its utility for PRO assessment. Participants included older adults (age 65+), with unilateral or bilateral symptomatic knee osteoarthritis. A preliminary user interface with server communication capability was developed and deployed on 10 Samsung Gear S3 smartwatches and provided to the users during the focus group. Pain was designated as the main PRO, while fatigue, mood, and sleep quality were included as auxiliary PROs. Pre-planned topics included participants' attitude towards the smartwatch technology, usability of the custom-designed app interface, and suitability of the smartwatch technology for PRO assessment. Discussions were transcribed, and content analysis with theme characterization was performed to identify and code the major themes.We recruited 19 participants (age 65+) who consented to take part in the focus group study. The overall attitude of the participants toward the smartwatch technology was positive. They showed interest in the direct phone-call capability, availability of extra apps such as the weather apps and sensors for tracking health and wellness such as accelerometer and heart rate sensor. Nearly three-quarters of participants showed willingness to participate in a one-year study to wear the watch daily. Concerns were raised regarding usability, including accessibility (larger icons), notification customization, and intuitive interface design (unambiguous icons and assessment scales). Participants expressed interest in using smartwatch technology for PRO assessment and the availability of methods for sharing data with health care providers.RESULTSWe recruited 19 participants (age 65+) who consented to take part in the focus group study. The overall attitude of the participants toward the smartwatch technology was positive. They showed interest in the direct phone-call capability, availability of extra apps such as the weather apps and sensors for tracking health and wellness such as accelerometer and heart rate sensor. Nearly three-quarters of participants showed willingness to participate in a one-year study to wear the watch daily. Concerns were raised regarding usability, including accessibility (larger icons), notification customization, and intuitive interface design (unambiguous icons and assessment scales). Participants expressed interest in using smartwatch technology for PRO assessment and the availability of methods for sharing data with health care providers.All participants had overall positive views of the smartwatch technology for measuring PROs to facilitate patient-provider communications and to provide more targeted treatments and interventions in the future. Usability concerns were the major issues that will require special consideration in future smartwatch PRO user interface designs, especially accessibility issues, notification design, and use of intuitive assessment scales.CONCLUSIONSAll participants had overall positive views of the smartwatch technology for measuring PROs to facilitate patient-provider communications and to provide more targeted treatments and interventions in the future. Usability concerns were the major issues that will require special consideration in future smartwatch PRO user interface designs, especially accessibility issues, notification design, and use of intuitive assessment scales. BackgroundChronic pain, including arthritis, affects about 100 million adults in the United States. Complexity and diversity of the pain experience across time and people and its fluctuations across and within days show the need for valid pain reports that do not rely on patient’s long-term recall capability. Smartwatches can be used as digital ecological momentary assessment (EMA) tools for real-time collection of pain scores. Smartwatches are generally less expensive than smartphones, are highly portable, and have a simpler user interface, providing an excellent medium for continuous data collection and enabling a higher compliance rate. ObjectiveThe aim of this study was to explore the attitudes and perceptions of older adults towards design and technological aspects of a smartwatch framework for measuring patient report outcomes (PRO) as an EMA tool. MethodsA focus group session was conducted to explore the perception of participants towards smartwatch technology and its utility for PRO assessment. Participants included older adults (age 65+), with unilateral or bilateral symptomatic knee osteoarthritis. A preliminary user interface with server communication capability was developed and deployed on 10 Samsung Gear S3 smartwatches and provided to the users during the focus group. Pain was designated as the main PRO, while fatigue, mood, and sleep quality were included as auxiliary PROs. Pre-planned topics included participants’ attitude towards the smartwatch technology, usability of the custom-designed app interface, and suitability of the smartwatch technology for PRO assessment. Discussions were transcribed, and content analysis with theme characterization was performed to identify and code the major themes. ResultsWe recruited 19 participants (age 65+) who consented to take part in the focus group study. The overall attitude of the participants toward the smartwatch technology was positive. They showed interest in the direct phone-call capability, availability of extra apps such as the weather apps and sensors for tracking health and wellness such as accelerometer and heart rate sensor. Nearly three-quarters of participants showed willingness to participate in a one-year study to wear the watch daily. Concerns were raised regarding usability, including accessibility (larger icons), notification customization, and intuitive interface design (unambiguous icons and assessment scales). Participants expressed interest in using smartwatch technology for PRO assessment and the availability of methods for sharing data with health care providers. ConclusionsAll participants had overall positive views of the smartwatch technology for measuring PROs to facilitate patient-provider communications and to provide more targeted treatments and interventions in the future. Usability concerns were the major issues that will require special consideration in future smartwatch PRO user interface designs, especially accessibility issues, notification design, and use of intuitive assessment scales. |
| Author | Fillingim, Roger Benton Rashidi, Parisa Mendoza, Tonatiuh Weber, Eric Manini, Todd Matthew Young, Mary Ellen Battula, Manoj Kheirkhahan, Matin Davoudi, Anis |
| AuthorAffiliation | 5 Department of Occupational Therapy University of Florida Gainesville, FL United States 1 Department of Aging and Geriatric Research University of Florida Gainesville, FL United States 4 Department of Biomedical Engineering University of Florida Gainesville, FL United States 2 Department of Health Outcomes and Biomedical Informatics University of Florida Gainesville, FL United States 6 Department of Community Dentistry and Behavioral Science University of Florida Gainesville, FL United States 3 Department of Computer and Information Science and Engineering University of Florida Gainesville, FL United States |
| AuthorAffiliation_xml | – name: 6 Department of Community Dentistry and Behavioral Science University of Florida Gainesville, FL United States – name: 2 Department of Health Outcomes and Biomedical Informatics University of Florida Gainesville, FL United States – name: 1 Department of Aging and Geriatric Research University of Florida Gainesville, FL United States – name: 5 Department of Occupational Therapy University of Florida Gainesville, FL United States – name: 3 Department of Computer and Information Science and Engineering University of Florida Gainesville, FL United States – name: 4 Department of Biomedical Engineering University of Florida Gainesville, FL United States |
| Author_xml | – sequence: 1 givenname: Todd Matthew orcidid: 0000-0002-5970-4462 surname: Manini fullname: Manini, Todd Matthew – sequence: 2 givenname: Tonatiuh orcidid: 0000-0002-6726-4460 surname: Mendoza fullname: Mendoza, Tonatiuh – sequence: 3 givenname: Manoj orcidid: 0000-0001-8362-027X surname: Battula fullname: Battula, Manoj – sequence: 4 givenname: Anis orcidid: 0000-0002-3383-9481 surname: Davoudi fullname: Davoudi, Anis – sequence: 5 givenname: Matin orcidid: 0000-0002-1057-5073 surname: Kheirkhahan fullname: Kheirkhahan, Matin – sequence: 6 givenname: Mary Ellen orcidid: 0000-0001-6401-4346 surname: Young fullname: Young, Mary Ellen – sequence: 7 givenname: Eric orcidid: 0000-0002-3139-2444 surname: Weber fullname: Weber, Eric – sequence: 8 givenname: Roger Benton orcidid: 0000-0002-7699-8183 surname: Fillingim fullname: Fillingim, Roger Benton – sequence: 9 givenname: Parisa orcidid: 0000-0003-4530-2048 surname: Rashidi fullname: Rashidi, Parisa |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30912756$$D View this record in MEDLINE/PubMed |
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| Copyright | Todd Matthew Manini, Tonatiuh Mendoza, Manoj Battula, Anis Davoudi, Matin Kheirkhahan, Mary Ellen Young, Eric Weber, Roger Benton Fillingim, Parisa Rashidi. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.03.2019. Todd Matthew Manini, Tonatiuh Mendoza, Manoj Battula, Anis Davoudi, Matin Kheirkhahan, Mary Ellen Young, Eric Weber, Roger Benton Fillingim, Parisa Rashidi. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.03.2019. 2019 |
| Copyright_xml | – notice: Todd Matthew Manini, Tonatiuh Mendoza, Manoj Battula, Anis Davoudi, Matin Kheirkhahan, Mary Ellen Young, Eric Weber, Roger Benton Fillingim, Parisa Rashidi. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.03.2019. – notice: Todd Matthew Manini, Tonatiuh Mendoza, Manoj Battula, Anis Davoudi, Matin Kheirkhahan, Mary Ellen Young, Eric Weber, Roger Benton Fillingim, Parisa Rashidi. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.03.2019. 2019 |
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| Keywords | smartwatch patient-reported outcomes (PRO) ecological momentary assessment (EMA) focus group |
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| License | Todd Matthew Manini, Tonatiuh Mendoza, Manoj Battula, Anis Davoudi, Matin Kheirkhahan, Mary Ellen Young, Eric Weber, Roger Benton Fillingim, Parisa Rashidi. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.03.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. |
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| SubjectTerms | Aged Aged, 80 and over Female Focus Groups - methods Humans Male Mobile Applications - standards Mobile Applications - statistics & numerical data Original Paper Pain Measurement - methods Pain Measurement - standards Patient Reported Outcome Measures Perception Pilot Projects Qualitative Research Technology Assessment, Biomedical - methods |
| Title | Perception of Older Adults Toward Smartwatch Technology for Assessing Pain and Related Patient-Reported Outcomes: Pilot Study |
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