School of Nursing, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
Hong Kong Lutheran Social Service, Homantin, China (Hong Kong).
J Med Internet Res. 2024 Nov 18;26:e52435. doi: 10.2196/52435.
The wearable monitoring device (WMD) is emerging as a promising tool for community-dwelling older adults to monitor personal health, enhance awareness of their activities, and promote healthy behaviors. However, the sustained use of WMDs among this population remains a significant challenge.
This study aims to implement an interventional program that promotes and motivates the continued use of WMDs among older adults through a peer and professional support approach. This program will facilitate the integration of WMDs into their daily lives.
This feasibility trial examined the following: (1) the usability of the WMD from the users' perspectives; (2) the feasibility of the Live With Wearable Monitoring Device program; and (3) the effectiveness of the Live With Wearable Monitoring Device program among community-dwelling older adults. The intervention, based on Self-Determination Theory, involved using the Live With Wearable Monitoring Device program over a 3-month period, with ongoing professional and peer support provided by community health workers, aided by a nurse and social workers. This support included 1 home visit and biweekly communication via WhatsApp. Data were collected at baseline and at 1, 3, and 6 months.
A total of 39 participants were enrolled in the intervention group, while 37 participants were in the control group. The recruitment rate was high (76/89, 85%), and the attrition rate was low (8/76, 11%), indicating that the program is feasible for older adults. Participants in the intervention group exhibited higher self-efficacy, lower anxiety levels, and used the smartwatch more frequently, in terms of both days and hours, compared with the control group. A between-group difference was observed in self-efficacy between the intervention and control groups (β=3.31, 95% CI 0.36-6.25, P=.03), with statistically significant higher mean values recorded at all 4 time points.
It is clear that merely providing a WMD to older adults does not guarantee its usage, particularly for those unfamiliar with how to utilize its health-related functions in their daily routines. This study implemented a theory-based program aimed at enhancing the ongoing use of WMDs among older adults, suggesting that continuous professional and peer support may significantly influence WMD usage.
ClinicalTrials.gov NCT05269303; https://clinicaltrials.gov/ct2/show/NCT05269303.
可穿戴监测设备（WMD）作为一种有前途的工具，正在为社区居住的老年人监测个人健康、增强对自身活动的认识以及促进健康行为方面发挥作用。然而，这一人群对 WMD 的持续使用仍然是一个重大挑战。
本研究旨在通过同伴和专业支持的方法，实施一项促进和激励老年人持续使用 WMD 的干预计划，以帮助他们将 WMD 融入日常生活。
本可行性试验从以下方面进行了评估：（1）从用户角度评估 WMD 的可用性；（2）Live With Wearable Monitoring Device 计划的可行性；（3）社区居住的老年人对 Live With Wearable Monitoring Device 计划的效果。该干预计划基于自我决定理论，在 3 个月的时间内使用 Live With Wearable Monitoring Device 计划，并由社区卫生工作者提供持续的专业和同伴支持，辅以护士和社会工作者的帮助。这种支持包括 1 次家访和通过 WhatsApp 进行的每两周一次的沟通。数据在基线时以及 1、3 和 6 个月时进行收集。
共有 39 名参与者被纳入干预组，37 名参与者被纳入对照组。招募率较高（76/89，85%），失访率较低（8/76，11%），表明该计划对老年人来说是可行的。与对照组相比，干预组的参与者自我效能感更高，焦虑水平更低，并且更频繁地使用智能手表，无论是天数还是小时数。干预组和对照组之间在自我效能感方面存在组间差异（β=3.31，95%CI 0.36-6.25，P=.03），在所有 4 个时间点均记录到更高的平均值。
仅向老年人提供 WMD 并不能保证其使用，尤其是对于那些不熟悉如何在日常生活中利用其健康相关功能的老年人。本研究实施了一项基于理论的计划，旨在增强老年人对 WMD 的持续使用，表明持续的专业和同伴支持可能会显著影响 WMD 的使用。
ClinicalTrials.gov NCT05269303；https://clinicaltrials.gov/ct2/show/NCT05269303。
