Failing to encourage physical activity with wearable technology: what next?

Wearable devices and associated systems that provide real-time feedback aim to encourage healthy behaviours. However, while the research base has grown considerably, results continue to paint a mixed picture when demonstrating wearables’ ability to increase levels of physical activity. Given these recent developments, this commentary explores the key reasons why wearable devices and other mobile technologies often fail to change behaviour. We also provide several suggestions that could feed into future research designs and maximise the success of subsequent interventions. These recommendations aim to stimulate interdisciplinary discussions by encouraging clinicians and researchers to consider how these technological advances can be effectively leveraged, and become a core component of preventative medicine in the 21st century.

[1]  D. Asch,et al.  Wearable devices as facilitators, not drivers, of health behavior change. , 2015, JAMA.

[2]  Eric J. Topol,et al.  A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors , 2015, bioRxiv.

[3]  M. Lachman,et al.  Behavior Change with Fitness Technology in Sedentary Adults: A Review of the Evidence for Increasing Physical Activity , 2017, Front. Public Health.

[4]  M. O'Kane,et al.  Efficacy of self monitoring of blood glucose in patients with newly diagnosed type 2 diabetes (ESMON study): randomised controlled trial , 2008, BMJ : British Medical Journal.

[5]  E. Finkelstein,et al.  Effectiveness of activity trackers with and without incentives to increase physical activity (TRIPPA): a randomised controlled trial. , 2016, The lancet. Diabetes & endocrinology.

[6]  S. Blair,et al.  Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy , 2012, BDJ.

[7]  John P. A. Ioannidis,et al.  Why Most Clinical Research Is Not Useful , 2016, PLoS medicine.

[8]  M. Marcus,et al.  Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss: The IDEA Randomized Clinical Trial. , 2016, JAMA.

[9]  Guy Paré,et al.  Systematic Reviews and Meta-Analyses of Home Telemonitoring Interventions for Patients With Chronic Diseases: A Critical Assessment of Their Methodological Quality , 2013, Journal of medical Internet research.

[10]  G. Dunton Sustaining Health-Protective Behaviors Such as Physical Activity and Healthy Eating. , 2018, JAMA.

[11]  L. Piwek,et al.  The Rise of Consumer Health Wearables: Promises and Barriers , 2016, PLoS medicine.

[12]  N. Mutrie,et al.  Interventions to promote walking: systematic review , 2007, BMJ : British Medical Journal.

[13]  Zakkoyya H. Lewis,et al.  TITLE AND ABSTRACT 1 a ) TITLE : Identi � cation as a randomized trial in the title 1 a ) , 2016 .

[14]  Eric J Topol,et al.  Towards a smart medical home , 2017, The Lancet.

[15]  David A. Ellis,et al.  Digital Traces of Behaviour Within Addiction: Response to Griffiths (2017) , 2018, International Journal of Mental Health and Addiction.

[16]  Lora Giangregorio,et al.  Behavior Change Techniques Present in Wearable Activity Trackers: A Critical Analysis , 2016, JMIR mHealth and uHealth.

[17]  S. Heymsfield,et al.  Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. , 1992, The New England journal of medicine.