Appl Clin Inform 2022; 13(03): 532-540
DOI: 10.1055/s-0042-1748857
Research Article

Veteran and Staff Experience from a Pilot Program of Health Care System–Distributed Wearable Devices and Data Sharing

Jason J. Saleem
1   Department of Industrial Engineering, J.B. Speed School of Engineering, University of Louisville, Louisville, Kentucky, United States
2   Center for Human Systems Engineering, University of Louisville, Louisville, Kentucky, United States
,
Nancy R. Wilck
3   Department of Veterans Affairs (VA), Office of Connected Care, Patient Care Services, Veterans Health Administration, Washington, District of Columbia, United States
,
John J. Murphy
3   Department of Veterans Affairs (VA), Office of Connected Care, Patient Care Services, Veterans Health Administration, Washington, District of Columbia, United States
,
Jennifer Herout
3   Department of Veterans Affairs (VA), Office of Connected Care, Patient Care Services, Veterans Health Administration, Washington, District of Columbia, United States
› Author Affiliations
Funding This study was supported by the U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Connected Care (IPA PO# 133C16012).

Abstract

Objective The growing trend to use wearable devices to track activity and health data has the potential to positively impact the patient experience with their health care at home and with their care team. As part of a pilot program, the U.S. Department of Veterans Affairs (VA) distributed Fitbits to Veterans through four VA medical centers. Our objective was to assess the program from both Veterans' and clinicians' viewpoints. Specifically, we aimed to understand barriers to Fitbit setup and use for Veterans, including syncing devices with a VA mobile application (app) to share data, and assess the perceived value of the device functions and ability to share information from the Fitbit with their care team. In addition, we explored the clinicians' perspective, including how they expected to use the patient-generated health data (PGHD).

Methods We performed semi-structured interviews with 26 Veterans and 16 VA clinicians to assess the program. Responses to each question were summarized in order of frequency of occurrence across participants and audited by an independent analyst for accuracy.

Results Our findings reveal that despite setup challenges, there is support for the use of Fitbits to engage Veterans and help manage their health. Clinicians believed there were benefits for having Veterans use the Fitbits and expected to use the PGHD in a variety of ways as part of the Veterans' care plans, including monitoring progress toward health behavior goals. Veterans were overwhelmingly enthusiastic about using the Fitbits; this enthusiasm seems to extend beyond the 3 month “novelty period.”

Conclusion The pilot program for distributing Fitbits to Veterans appears to be successful from both Veterans' and clinicians' perspectives and suggests that expanded use of wearable devices should be considered. Future studies will need to carefully consider how to incorporate the PGHD into the electronic health record and clinical workflow.

Protection of Human and Animal Subjects

The findings reported in this publication were not derived, in whole or in part, from activities constituting research as described by VHA policy (VHA Office of Research & Development Program Guide 1200.21). Since this project was designed for VHA internal purposes only and was not intended to produce generalizable knowledge, this project does not constitute research activities that are subject to a variety of requirements and oversight by VA Office of Research Oversight and Office of Research and Development including institutional review board (IRB) approval. Although IRB approval was not required or sought, publication of the findings reported in this article has been authorized by the VHA. Privacy and confidentiality of data was maintained for all Veterans and clinicians interviewed for this project.




Publication History

Received: 31 December 2021

Accepted: 23 March 2022

Article published online:
25 May 2022

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