Wearables to support self-management of older adults with chronic diseases. A qualitative study from the perspectives of patients and physicians

BackgroundThe use of wearable devices (WD) is discussed as an option to support elderly chronically ill people. These technologies lack essential research regarding the improvement of self-management. This study aimes to identify perspectives, expectations and their underlying background of patients and physicians with respect to the usage of WDs to enhance self-management.MethodsIn this study a total of 14patients and physicians were surveyed using asemi-structured questionnaire design. The data were analyzed by qualitative content analysis.ResultsThe participants have in general apositive attitude towards the use of WDs with respect to memory function, self-control, sense of security, documentation of vital parameters and communication about the disease, as well as suitability for everyday use; however, in many cases participants are concerned about the usage of WDs for a variety of reasons. They perceive the device as unnecessary or they lack technological self-confidence and felt controlled as well as data protection concerns. Participant responses show prerequisites which should be met for the usage of aWD requiring an individual needs assessment.ConclusionThe results show apotential of WDs to improve self-management. The usage of WD could have apositive effect on the course of the disease; however, personality and environmental factors should be taken into account to individually adjust and support the usage of WDs. Furthermore, the application of WDs should be integrated into astructured training program accompanied by healthcare professionals. For this purpose, funding and time-oriented framework conditions should be established.