%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 26
%N 
%P e52435
%T Effectiveness of the Support From Community Health Workers and Health Care Professionals on the Sustained Use of Wearable Monitoring Devices Among Community-Dwelling Older Adults: Feasibility Randomized Controlled Trial
%A Wong,Arkers Kwan Ching
%A Bayuo,Jonathan
%A Su,Jing Jing
%A Wong,Frances Kam Yuet
%A Chow,Karen Kit Sum
%A Wong,Bonnie Po
%A Wong,Siu Man
%A Hui,Vivian
%+ School of Nursing, Hong Kong Polytechnic University, GH 502, Hung Hom, Hong Kong, China (Hong Kong), 852 34003805, arkers.wong@polyu.edu.hk
%K wearable monitoring device
%K lay worker
%K smartwatch
%K older adult
%K nurse
%K engagement
%K attrition
%K engagement
%K wearable
%K user experience
%D 2024
%7 18.11.2024
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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. Trial Registration: ClinicalTrials.gov NCT05269303; https://clinicaltrials.gov/ct2/show/NCT05269303 
%R 10.2196/52435
%U https://www.jmir.org/2024/1/e52435
%U https://doi.org/10.2196/52435