Adherence with physical activity monitoring wearable devices in a community-based population: observations from the Washington, D.C., Cardiovascular Health and Needs Assessment
- 280 Downloads
Wearable mobile health (mHealth) technologies offer approaches for targeting physical activity (PA) in resource-limited, community-based interventions. We sought to explore user characteristics of PA tracking, wearable technology among a community-based population within a health and needs assessment. In 2014–2015, we conducted the Washington, D.C., Cardiovascular Health and Needs Assessment in predominantly African-American churches among communities with higher obesity rates and lower household incomes. Participants received a mHealth PA monitor and wirelessly uploaded PA data weekly to church data collection hubs. Participants (n = 99) were 59 ± 12 years, 79% female, and 99% African-American, with a mean body mass index of 33 ± 7 kg/m2. Eighty-one percent of participants uploaded PA data to the hub and were termed “PA device users.” Though PA device users were more likely to report lower household incomes, no differences existed between device users and non-users for device ownership or technology fluency. Findings suggest that mHealth systems with a wearable device and data collection hub may feasibly target PA in resource-limited communities.
KeywordsmHealth technology Physical activity Community-based participatory research Obesity African-American Activity monitoring
We would like to acknowledge the participating church communities for warmly welcoming our research team and providing feedback from preliminary stages. Additionally, we acknowledge the D.C. CHOC for their contribution to the study design and their insightful recommendations. We would like to acknowledge Ms. Darlene Allen for her work with blood testing for the study.
We would also like to acknowledge the work on this project by Mr. Praduman Jain and colleagues from Vignet Corporation through use of their Precision Medicine Initiative (PMI) toolkit under contract #HHSN268201400023P. The PMI toolkit enables custom mHealth programs for data collection, population surveillance, interactive informed consent, assessments, remote monitoring, CBPR, consumer engagement, interventions, motivation, and behavior change.
Compliance with ethical standards
Disclosure of potential conflict of interest and funding sources
The views expressed in this manuscript are those of the authors and do not necessarily represent the views of the National Heart, Lung, and Blood Institute; the National Institutes of Health; or the U.S. Department of Health and Human Services. The authors declare that they have no conflict of interest.
This study was funded by grant HL006168. Funding for TP-W, LY, and VM is provided through the Division of Intramural Research of the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH). Funding for CA is provided through a professional services contract (contract #HHSN268201300173P) through the Division of Intramural Research of NHLBI at NIH. Funding for ST and JA-B is provided through the Office of Intramural Training and Education of the NIH. Funding for GW and AB is provided through the Clinical Center, NIH. Funding for MP-L is provided through the Division of Intramural Research of NHLBI at NIH.
Research involving human participants
Statement of human rights: All procedures involving human participants performed in the Washington, D.C. CV Health and Needs Assessment study were in accordance with the ethical standards of the National Heart, Lung, and Blood Institute (NHLBI) Institutional Review Board study and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Written informed consent was obtained from all individual participants included in the study.
- 1.Kochanek, K.D., et al., Mortality in the United States, 2013. NCHS Data Brief, 2014(178): p. 1–8.Google Scholar
- 2.Smedley BD, S.A., Nelson AR, editors, Unequal treatment: confronting racial and ethnic disparities in health care. Washington DC: 2002 by the National Academy of Sciences; 2003.Google Scholar
- 3.Cooper, R., Cutler, J., Desvigne-Nickens, P., Fortmann, S. P., Friedman, L., Havlik, R., et al. (2000). Trends and disparities in coronary heart disease, stroke, and other cardiovascular diseases in the United States: findings of the national conference on cardiovascular disease prevention. Circulation, 102(25), 3137–3147.CrossRefPubMedGoogle Scholar
- 4.Mensah GA M.A., Ford ES, Greenlund KJ, Croft JB, State of disparities in cardiovascular health in the United States. Circulation 2005;111(10):1233–1241. doi: 10.1161/01.cir.0000158136.76824.04.
- 13.Crossing the Quality Chasm: The IOM Health Care Quality Initiative. 2001, Institute of Medicine: Washington, DC.Google Scholar
- 14.Smith, J.C. and B.R. Schatz. Feasibility of mobile phone-based management of chronic illness. in AMIA annual symposium proceedings. 2010. American Medical Informatics Association.Google Scholar
- 15.Pew Research Internet Project: cell phone and smartphone ownership demographics, http://www.pewinternet.org/data-trend/mobile/cellphone-and-smartphone-ownership-demographics/, Accessed October 23, 2014.
- 18.Fitzsimons, C. F., et al. (2013). Using an individualised consultation and activPAL feedback to reduce sedentary time in older Scottish adults: results of a feasibility and pilot study. Prev Med, 57(5).Google Scholar
- 28.United States Census Bureau: www.census.gov. Accessed 10 April 2015.
- 29.Chobanian AV, B.G., Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, Roccella EJ, Committee tNHBPEPC., Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003.Google Scholar
- 30.National Heart, L., and Blood Institute Expert Panel. [Accessed April 3, 2011];Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Available at: http://www.nhlbi.nih.gov/guidelines/obesity.
- 47.Smith, A., Mobile Access 2010. Pew Internet and American Life Project, July 7 (2010) Available from: http://pewinternet.org.ezproxy.nihlibrary.nih.gov/Reports/2010/Mobile-Access-2010.aspx.