Health behavior outcomes in stroke survivors prescribed wearables for atrial fibrillation detection stratified by age
Joanne Mathew1
Jordy Mehawej2
Ziyue Wang2
Taylor Orwig2
Eric Ding2
Andreas Fi-lippaios2
Syed Naeem2
Edith Mensah Otabil2
Alex Hamel2
Kamran Noorishirazi2
Irina Radu2
Jane Saczynski3
David D.McManus4
Khanh-Van Tran2
1.Division of Cardiovascular Medicine,Department of Medicine,University of Massachusetts Chan Medical School,Lake Avenue North,Worcester,USA;Department of Internal Medicine,Central Michigan University,Mount Pleasant,USA2.Division of Cardiovascular Medicine,Department of Medicine,University of Massachusetts Chan Medical School,Lake Avenue North,Worcester,USA3.Department of Pharmacy and Health Systems Sciences,School of Pharmacy,Northeastern University,Boston,USA4.Division of Cardiovascular Medicine,Department of Medicine,University of Massachusetts Chan Medical School,Lake Avenue North,Worcester,USA;Department of Population and Quantitative Health Sciences,University of Massachusetts Chan Medical School,Lake Avenue North,Worcester,USA
摘要：BACKGROUND Smartwatches have become readily accessible tools for detecting atrial fibrillation(AF).There remains lim-ited data on how they affect psychosocial outcomes and engagement in older adults.We examine the health behavior outcomes of stroke survivors prescribed smartwatches for AF detection stratified by age.
METHODS We analyzed data from the Pulsewatch study,a randomized controlled trial that enrolled patients(≥50 years)with a history of stroke or transient ischemic attack and CHA2DS2-VASc≥2.Intervention participants were equipped with a car-diac patch monitor and a smartwatch-app dyad,while control participants wore the cardiac patch monitor for up to 44 days.We evaluated health behavior parameters using standardized tools,including the Consumer Health Activation Index,the General-ized Anxiety Disorder questionnaire,the 12-Item Short Form Health Survey,and wear time of participants categorized into three age groups:Group 1(ages 50-60),Group 2(ages 61-69),and Group 3(ages 70-87).We performed statistical analysis using a mixed-effects repeated measures linear regression model to examine differences amongst age groups.
RESULTS Comparative analysis between Groups 1,2 and 3 revealed no significant differences in anxiety,patient activation,perception of physical health and wear time.The use of smartwatch technology was associated with a decrease in perception of mental health for Group 2 compared to Group 1(β =-3.29,P = 0.046).
CONCLUSION Stroke survivors demonstrated a willingness to use smartwatches for AF monitoring.Importantly,among these study participants,the majority did not experience negative health behavior outcomes or decreased engagement as age in-creased.
机标关键词：behaviordetectionstrokeatrialfibrillationhealthoutcomesprescribed
论文发表日期：2024-03-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 323-330 )