Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jul 12, 2019
Open Peer Review Period: Jul 15, 2019 - Sep 9, 2019
Date Accepted: Jan 24, 2020
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Continuous monitoring of vital signs at the general ward using wearable devices: patients’ and healthcare professionals’ views
ABSTRACT
Background:
Wearable devices are eligible for continuous patient monitoring at the general ward, increasing patient safety. Little is known about experiences and expectations of patients and health care professionals regarding continuous monitoring with these devices.
Objective:
We sought to identify positive and negative effects, and barriers and facilitators for use of two wearable devices: ViSi Mobile (VM; Sotera Wireless) and HealthPatch (HP; Vital Connect).
Methods:
In this randomized controlled trial study, 90 patients admitted to the internal medicine and surgical wards of a university hospital in the Netherlands were randomly assigned to continuous vital sign monitoring using VM or HP, and a control group. User experiences and expectations were addressed using semi-structured interviews. Nurses, physician assistants and medical doctors were interviewed as well. Interviews were analyzed using thematic content analysis. Psychological distress was assessed using State Trait Anxiety Inventory (STAI) and Pain Catastrophizing Scale (PCS). The System Usability Scale (SUS) was used to assess the usability of both devices.
Results:
Sixty patients, 20 nurses, 3 physician assistants, and 6 medical doctors were interviewed. We identified 47 positive and 30 negative effects, and 19 facilitators and 36 barriers for the use of VM and HP. Most mentioned topics regarded earlier identification of clinical deterioration, increased feelings of safety, and VM lines and electrodes. No differences related to psychological distress and usability were found between randomization groups or devices.
Conclusions:
Both devices were well received by most patients and healthcare professionals and the majority encouraged the idea of monitoring vital signs continuously at the general ward. This comprehensive overview of barriers and facilitators of using wireless devices may serve as a guide for future researchers, developers and healthcare institutions that consider implementing continuous monitoring at the ward. Clinical Trial: HEEL-2015-03
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