Henson Connie, Freedman Ben, Rambaldini Boe, Carlson Bronwyn, Parter Carmen, Nalliah Chrishan J, Chapman Felicity, Shepherd Gina, Orchard Jessica, Skinner John, Gwynn Josephine, Macniven Rona, Ramsden Robyn, Speier Sophia Nala 'Ḵixsisa 'las, Nahdi Suud Mohamed, Christie Vita, Huang Yansong Harry, Ward Katrina D, Gwynne Kylie
Heart Research Institute, Sydney, Australia.
Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Newtown, New South Wales, Australia.
Digit Health. 2024 Aug 28;10:20552076241277039. doi: 10.1177/20552076241277039. eCollection 2024 Jan-Dec.
OBJECTIVE: Health programs for Indigenous people are most effective, acceptable, and sustainable when Indigenous perspectives are prioritized. Codesign builds on Indigenous people's creativity and propensity to experiment with new technologies and ensures research is designed and implemented in a culturally safe and respectful manner. Limited research has focused on older Indigenous people as partners in digital health. No research has focused on the acceptability and feasibility of older Indigenous people using wearables for heart health monitoring. This study provides insights into the acceptability and feasibility for ≥55-year-old Indigenous people living in remote locations to use wearables (watches and patches) to detect atrial fibrillation (AF) and high blood pressure. METHODS: This mixed methods study was codesigned and coimplemented with the local Aboriginal Controlled Health Service in a remote area of New South Wales, Australia. It included active involvement and codesign with the participants. The devices used in this study included a Withings Scan watch and a Biobeat patch. RESULTS: Despite challenging conditions (>36°C) and variable internet connectivity, 11 Indigenous older adults participated in a five-day wearables program in a remote location. Participants indicated that using digital health devices was acceptable and feasible for older Indigenous users. They described high levels of comfort, safety and convenience when using wearables (patches and watches) to detect AF. They were active participants in codesigning the program. CONCLUSION: Older Indigenous Australians are motivated to use wearable health devices. They are keen to participate in codesign innovative health tech programs to ensure new health technologies are acceptable to Indigenous people and feasible for remote locations.
目的:当优先考虑原住民的观点时,针对原住民的健康项目才最有效、可接受且可持续。共同设计基于原住民的创造力和对新技术进行试验的倾向,并确保研究以文化安全且尊重的方式进行设计和实施。有限的研究将年长的原住民作为数字健康领域的合作伙伴。尚无研究关注年长的原住民使用可穿戴设备进行心脏健康监测的可接受性和可行性。本研究深入探讨了居住在偏远地区的55岁及以上原住民使用可穿戴设备(手表和贴片)检测心房颤动(AF)和高血压的可接受性和可行性。 方法:这项混合方法研究是与澳大利亚新南威尔士州偏远地区的当地原住民控制健康服务机构共同设计并共同实施的。它包括参与者的积极参与和共同设计。本研究中使用的设备包括Withings Scan手表和Biobeat贴片。 结果:尽管条件具有挑战性(>36°C)且网络连接不稳定,但11名年长的原住民成年人在偏远地区参加了为期五天的可穿戴设备项目。参与者表示,对于年长的原住民用户来说,使用数字健康设备是可接受且可行的。他们描述了在使用可穿戴设备(贴片和手表)检测房颤时的高度舒适、安全和便利。他们积极参与了该项目的共同设计。 结论:年长的澳大利亚原住民有使用可穿戴健康设备的意愿。他们渴望参与共同设计创新的健康科技项目,以确保新的健康技术为原住民所接受且在偏远地区可行。
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