Category: Technology (e.g. robotics, assistive technology, mHealth); Technology (e.g. robotics, assistive technology, mHealth)
To explore patient experiences using wearable devices during a post-acute recovery period.
A case series using qualitative and quantitative methods to assess the usage and acceptability of FitBit® wearable devices during a post-acute episode of care.
Medicare Bundled Payment for Care Improvement (BPCI) initiative with episodes initiated upon admission to a Brooks Rehabilitation skilled nursing facility (SNF).
Participants (or Animals, Specimens, Cadavers) :
From October, 2014 to December, 2018, 5,490 patients participated in BPCI through Brooks Rehabilitation. During October, 2017 to April, 2018, 24 BPCI patients were enrolled in the study. Patients from all Brooks’ episode groups (joint arthroplasty, hip fractures, spinal procedures, and congestive heart failure) enrolled.
Patients used a FitBit® Alta HR and/or a FitBit® Zip for 60 days during their stay in SNF and afterward at home. Patients completed pre and post technology acceptance surveys. A semi-structured interview with open-ended questions about experience was administered after the episode or with discontinued use.
Main Outcome Measure(s) :
Patient self-reported experience using a wearable device.
Participants mean age was 73.3 (SD=5.3), 71% were women and 83% had an orthopedic diagnosis. Among enrollees, 11 (48%) wore their device through episode completion and 12 (50%) completed the interview. One-half of interviewees reported an overall positive experience using the FitBit®. Qualitative data revealed that use led to increased activity awareness and positive involvement with healthcare providers. Participants reported challenges in adoption of the technology.
Wearable device use among elderly patients during post-acute recovery may not be viable due to lack of acceptance and frequent discontinued use. Future studies should explore acceptability of wearable devices during an episode of care for other populations.