Wearable fitness tracker use in federally qualified health center patients: strategies to improve the health of all of us using digital health devices

Holko, Michelle; Litwin, Tamara R.; Muñoz, Fátima; Theisz, Katrina I.; Salgin, Linda; Jenks, Nancy Piper; Holmes, Beverly; Watson-McGee, Pamelia; Winford, Eboni; Sharma, Yashoda

doi:10.1038/s41746-022-00593-x

Cited by 37 publications

(21 citation statements)

References 8 publications

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“…In addition, there are significant racial disparities in terms of access to wearable devices. A study from 2022 showed that wearable devices, along with other digital technologies, are not as widely used in low-income and minority populations 16 . The study highlights cost and education as significant factors affecting access and use of wearables.…”

Section: Consumer Wearablesmentioning

confidence: 99%

Promoting racial equity in digital health: applying a cross-disciplinary equity framework

2023

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Even as innovation occurs within digital medicine, challenges around equity and racial health disparities remain. Golden et al. evaluate structural racism in their recent paper focused on reproductive health. They recommend a framework to Remove, Repair, Restructure, and Remediate. We propose applying the framework to three areas within digital medicine: artificial intelligence (AI) applications, wearable devices, and telehealth. With this approach, we can continue to work towards an equitable future for digital medicine.

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Section: Consumer Wearablesmentioning

confidence: 99%

Promoting racial equity in digital health: applying a cross-disciplinary equity framework

2023

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“…Ownership was similar between participants of different ethnic backgrounds, but Black and Hispanic individuals were less likely to approve sharing of their data for heart disease research. On the other hand, surveys performed in Federally Qualified Health Centers with predominantly underrepresented population (70% nonwhite, 70% learning less than 30,000) report lower wearable ownership of 21% [ 27 ]. Cost was the main barriers for those who did not own a fitness tracker but would like to own one.…”

Section: Barriers To Digital Health Inclusionmentioning

confidence: 99%

Health Techequity: Opportunities for Digital Health Innovations to Improve Equity and Diversity in Cardiovascular Care

Hernandez

Rodríguez

2022

Curr Cardiovasc Risk Rep

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Purpose of Review In this review, we define health equity, disparities, and social determinants of health; the different components of digital health; the barriers to digital health equity; and cardiovascular digital health trials and possible solutions to improve health equity through digital health. Recent Findings Digital health interventions show incredible potential to improve cardiovascular diseases by obtaining longitudinal, continuous, and actionable patient data; increasing access to care; and by decreasing delivery barriers and cost. However, certain populations have experienced decreased access to digital health innovations and decreased representation in cardiovascular digital health trials. Summary Special efforts will need to be made to expand access to the different elements of digital health, ensuring that the digital divide does not exacerbate health disparities. As the expansion of digital health technologies continues, it is vital to increase representation of minoritized groups in all stages of the process: product development (needs findings and screening, concept generation, product creation, and testing), clinical research (pilot studies, feasibility studies, and randomized control trials), and finally health services deployment.

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“…Later there were other works [35,36,37] that explored SWs for health purposes. On the broader scale some [38,39] analyze datasets of heart rate variability and some analysis physical activity [40,41,42]. However, they were analyzed independently, and no study has been done to identify the correlation between the two approaches.…”

Section: Analysis Of Heart Ratementioning

confidence: 99%

Longitudinal Analysis of Heart Rate and Physical Activity Collected from Smartwatches

Karimi¹,

Amoozgar²,

Reiazi³

et al. 2022

Preprint

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Smartwatches (SWs) can continuously and autonomously monitor vital signs, including heart rates and physical activities involving wrist movement. The monitoring capability of SWs has several key health benefits arising from their role in preventive and diagnostic medicine. Current research, however, has not explored many of these opportunities, including longitudinal studies. In our work, we gathered longitudinal data points, e.g., heart rate and physical activity, from various brands of SWs worn by 1,014 users. Our analysis shows three common heart rate patterns during sleep but two common patterns during the day. We find that heart rate and physical activities are higher in summer and the first month of the new year compared to other months. Moreover, physical activities are reduced on weekends compared with weekdays. Interestingly, the highest peak of physical activity is during the evening.

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Wearable fitness tracker use in federally qualified health center patients: strategies to improve the health of all of us using digital health devices

Cited by 37 publications

References 8 publications

Promoting racial equity in digital health: applying a cross-disciplinary equity framework

Promoting racial equity in digital health: applying a cross-disciplinary equity framework

Health Techequity: Opportunities for Digital Health Innovations to Improve Equity and Diversity in Cardiovascular Care

Longitudinal Analysis of Heart Rate and Physical Activity Collected from Smartwatches

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