Affiliation:
1. Cardiovascular Research Center, Massachusetts General Hospital Boston MA USA
2. Demoulas Center for Cardiac Arrhythmias Cardiology Division, Massachusetts General Hospital Boston MA USA
3. Division of General Internal Medicine Massachusetts General Hospital Boston MA USA
4. Department of Medicine Harvard Medical School Boston MA USA
5. Cardiology Division, Massachusetts General Hospital Boston MA USA
6. Harvard Medical School Boston MA USA
7. Biostatistics Center, Massachusetts General Hospital Boston MA USA
8. Department of Medicine University of Massachusetts T.H. Chan Medical School Worcester MA USA
Abstract
Background
Consumer wearable devices with health and wellness features are increasingly common and may enhance disease detection and management. Yet studies informing relationships between wearable device use, attitudes toward device data, and comprehensive clinical profiles are lacking.
Methods and Results
WATCH‐IT (Wearable Activity Tracking for Comprehensive Healthcare‐Integrated Technology) studied adults receiving longitudinal primary or ambulatory cardiovascular care in the Mass General Brigham health care system from January 2010 to July 2021. Participants completed a 20‐question electronic survey about perceptions and use of consumer wearable devices, with responses linked to electronic health records. Multivariable logistic regression was used to identify factors associated with device use. Among 214 992 individuals receiving longitudinal primary or cardiovascular care with an active electronic portal, 11 121 responded (5.2%). Most respondents (55.8%) currently used a wearable device, and most nonusers (95.3%) would use a wearable if provided at no cost. Although most users (70.2%) had not shared device data with their doctor previously, most believed it would be very (20.4%) or moderately (34.4%) important to share device‐related health information with providers. In multivariable models, older age (odds ratio [OR], 0.80 per 10‐year increase [95% CI, 0.77–0.82]), male sex (OR, 0.87 [95% CI, 0.80–0.95]), and heart failure (OR, 0.75 [95% CI, 0.63–0.89]) were associated with lower odds of wearable device use, whereas higher median income (OR, 1.08 per 1‐quartile increase [95% CI, 1.04–1.12]) and care in a cardiovascular medicine clinic (OR, 1.17 [95% CI, 1.05–1.30]) were associated with greater odds of device use.
Conclusions
Among patients in primary and cardiovascular medicine clinics, consumer wearable device use is common, and most users perceive value in wearable health data.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Cardiology and Cardiovascular Medicine