在资源匮乏环境中推进移动医疗研究:乌干达年轻女性对可穿戴智能手表设备的见解和实施挑战。

Advancing mHealth Research in Low-Resource Settings: Young Women's Insights and Implementation Challenges with Wearable Smartwatch Devices in Uganda.

机构信息

Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, GA 30144, USA.

College of Computing and Software Engineering, Kennesaw State University, Kennesaw, GA 30144, USA.

出版信息

Sensors (Basel). 2024 Aug 29;24(17):5591. doi: 10.3390/s24175591.

Abstract

In many regions globally, including low-resource settings, there is a growing trend towards using mHealth technology, such as wearable sensors, to enhance health behaviors and outcomes. However, adoption of such devices in research conducted in low-resource settings lags behind use in high-resource areas. Moreover, there is a scarcity of research that specifically examines the user experience, readiness for and challenges of integrating wearable sensors into health research and community interventions in low-resource settings specifically. This study summarizes the reactions and experiences of young women (N = 57), ages 18 to 24 years, living in poverty in Kampala, Uganda, who wore Garmin vívoactive 3 smartwatches for five days for a research project. Data collected from the Garmins included participant location, sleep, and heart rate. Through six focus group discussions, we gathered insights about the participants' experiences and perceptions of the wearable devices. Overall, the wearable devices were met with great interest and enthusiasm by participants. The findings were organized across 10 domains to highlight reactions and experiences pertaining to device settings, challenges encountered with the device, reports of discomfort/comfort, satisfaction, changes in daily activities, changes to sleep, speculative device usage, community reactions, community dynamics and curiosity, and general device comfort. The study sheds light on the introduction of new technology in a low-resource setting and also on the complex interplay between technology and culture in Kampala's slums. We also learned some insights into how wearable devices and perceptions may influence behaviors and social dynamics. These practical insights are shared to benefit future research and applications by health practitioners and clinicians to advance and enhance the implementation and effectiveness of wearable devices in similar contexts and populations. These insights and user experiences, if incorporated, may enhance device acceptance and data quality for those conducting research in similar settings or seeking to address population-specific needs and health issues.

摘要

在全球许多地区,包括资源匮乏的地区,使用移动健康技术(如可穿戴传感器)来增强健康行为和结果的趋势日益增长。然而,在资源匮乏的环境中进行研究时,这些设备的采用落后于高资源地区的使用。此外,专门研究用户体验、准备情况以及在资源匮乏的环境中整合可穿戴传感器进行健康研究和社区干预的挑战的研究很少。本研究总结了生活在乌干达坎帕拉贫困地区的 57 名年龄在 18 至 24 岁的年轻女性(N=57)佩戴 Garmin vívoactive 3 智能手表进行为期五天的研究项目的反应和体验。从 Garmin 收集的数据包括参与者的位置、睡眠和心率。通过六次焦点小组讨论,我们收集了参与者对可穿戴设备的体验和看法的见解。总体而言,参与者对可穿戴设备非常感兴趣和热情。研究结果组织成 10 个领域,突出了与设备设置、设备使用过程中遇到的挑战、舒适度/不适度报告、满意度、日常活动变化、睡眠变化、推测的设备使用、社区反应、社区动态和好奇心以及设备整体舒适度相关的反应和体验。该研究揭示了在资源匮乏的环境中引入新技术的情况,以及技术和文化在坎帕拉贫民窟之间的复杂相互作用。我们还了解到一些关于可穿戴设备和观念如何影响行为和社会动态的见解。这些实用的见解是为了造福未来的健康从业者和临床医生的研究和应用而分享的,以推进和增强类似背景和人群中可穿戴设备的实施和效果。如果加以考虑,这些见解和用户体验可能会增强在类似环境中进行研究或寻求解决特定人群需求和健康问题的人的设备接受度和数据质量。

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