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Erschienen in: Supportive Care in Cancer 11/2017

24.05.2017 | Original Article

A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers

verfasst von: Nga H. Nguyen, Nyssa T. Hadgraft, Melissa M. Moore, Dori E. Rosenberg, Chris Lynch, Marina M. Reeves, Brigid M. Lynch

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2017

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Abstract

Background

Physical inactivity and sedentary behaviour are common amongst breast cancer survivors. These behaviours are associated with an increased risk of comorbidities such as heart disease, diabetes and other cancers. Commercially available, wearable activity trackers (WATs) have potential utility as behavioural interventions to increase physical activity and reduce sedentary behaviour within this population.

Purpose

The purpose of the study is to explore the acceptability and usability of consumer WAT amongst postmenopausal breast cancer survivors.

Methods

Fourteen participants tested two to three randomly assigned trackers from six available models (Fitbit One, Jawbone Up 24, Garmin Vivofit 2, Garmin Vivosmart, Garmin Vivoactive and Polar A300). Participants wore each device for 2 weeks, followed by a 1-week washout period before wearing the next device. Four focus groups employing a semi-structured interview guide explored user perceptions and experiences. We used a thematic analysis approach to analyse focus group transcripts.

Results

Five themes emerged from our data: (1) trackers’ increased self-awareness and motivation, (2) breast cancer survivors’ confidence and comfort with wearable technology, (3) preferred and disliked features of WAT, (4) concerns related to the disease and (5) peer support and doctor monitoring were possible strategies for WAT application.

Conclusions

WATs are perceived as useful and acceptable interventions by postmenopausal breast cancer survivors. Effective WAT interventions may benefit from taking advantage of the simple features of the trackers paired with other behavioural change techniques, such as specialist counselling, doctor monitoring and peer support, along with simple manual instructions.
Literatur
1.
Zurück zum Zitat Crowgey T, Peters KB, Hornsby WE, Lane A, McSherry F, Herndon JE, West MJ, Williams CL, Jones LW (2013) Relationship between exercise behavior, cardiorespiratory fitness, and cognitive function in early breast cancer patients treated with doxorubicin-containing chemotherapy: a pilot study 1. Appl Physiol Nutr Metab 39(6):724–729CrossRef Crowgey T, Peters KB, Hornsby WE, Lane A, McSherry F, Herndon JE, West MJ, Williams CL, Jones LW (2013) Relationship between exercise behavior, cardiorespiratory fitness, and cognitive function in early breast cancer patients treated with doxorubicin-containing chemotherapy: a pilot study 1. Appl Physiol Nutr Metab 39(6):724–729CrossRef
2.
Zurück zum Zitat Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62(4):242–274CrossRef Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62(4):242–274CrossRef
4.
Zurück zum Zitat Harrison S, Hayes SC, Newman B (2009) Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psycho-Oncology 18(4):387–394CrossRef Harrison S, Hayes SC, Newman B (2009) Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psycho-Oncology 18(4):387–394CrossRef
5.
Zurück zum Zitat Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23(24):5814–5830CrossRef Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23(24):5814–5830CrossRef
6.
Zurück zum Zitat Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK (2015) Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat 149(2):331–342CrossRef Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK (2015) Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat 149(2):331–342CrossRef
7.
Zurück zum Zitat Dempsey PC, Owen N, Yates TE, Kingwell BA, Dunstan DW (2016) Sitting less and moving more: improved glycaemic control for type 2 diabetes prevention and management. Curr Diab Rep 16(11):114CrossRef Dempsey PC, Owen N, Yates TE, Kingwell BA, Dunstan DW (2016) Sitting less and moving more: improved glycaemic control for type 2 diabetes prevention and management. Curr Diab Rep 16(11):114CrossRef
8.
Zurück zum Zitat Pureprofile (2015) PRESS RELEASE: Wearables work—Australians more active with fitness trackers. PRESS RELEASE: Wearables work—Australians more active with fitness trackers. Accessed 15/12/2016 Pureprofile (2015) PRESS RELEASE: Wearables work—Australians more active with fitness trackers. PRESS RELEASE: Wearables work—Australians more active with fitness trackers. Accessed 15/12/2016
9.
Zurück zum Zitat Michie S, Abraham C, Whittington C, McAteer J, Gupta S (2009) Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol 28(6):690CrossRef Michie S, Abraham C, Whittington C, McAteer J, Gupta S (2009) Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol 28(6):690CrossRef
10.
Zurück zum Zitat Cadmus-Bertram LA, Marcus BH, Patterson RE, Parker BA, Morey BL (2015) Randomized trial of a Fitbit-based physical activity intervention for women. Am J Prev Med 49(3):414–418CrossRef Cadmus-Bertram LA, Marcus BH, Patterson RE, Parker BA, Morey BL (2015) Randomized trial of a Fitbit-based physical activity intervention for women. Am J Prev Med 49(3):414–418CrossRef
11.
Zurück zum Zitat Mercer K, Giangregorio L, Schneider E, Chilana P, Li M, Grindrod K (2016) Acceptance of commercially available wearable activity trackers among adults aged over 50 and with chronic illness: a mixed-methods evaluation. JMIR Mhealth Uhealth 4(1)CrossRef Mercer K, Giangregorio L, Schneider E, Chilana P, Li M, Grindrod K (2016) Acceptance of commercially available wearable activity trackers among adults aged over 50 and with chronic illness: a mixed-methods evaluation. JMIR Mhealth Uhealth 4(1)CrossRef
12.
Zurück zum Zitat Shih PC, Han K, Poole ES, Rosson MB, Carroll JM (2015) Use and adoption challenges of wearable activity trackers. iConference 2015 Proceedings Shih PC, Han K, Poole ES, Rosson MB, Carroll JM (2015) Use and adoption challenges of wearable activity trackers. iConference 2015 Proceedings
13.
Zurück zum Zitat Evenson KR, Goto MM, Furberg RD (2015) Systematic review of the validity and reliability of consumer-wearable activity trackers. Int J Behav Nutr Phys Act 12(1):1CrossRef Evenson KR, Goto MM, Furberg RD (2015) Systematic review of the validity and reliability of consumer-wearable activity trackers. Int J Behav Nutr Phys Act 12(1):1CrossRef
14.
Zurück zum Zitat McMahon SK, Lewis B, Oakes M, Guan W, Wyman JF, Rothman AJ (2016) Older adults’ experiences using a commercially available monitor to self-track their physical activity. JMIR Mhealth Uhealth 4(2)CrossRef McMahon SK, Lewis B, Oakes M, Guan W, Wyman JF, Rothman AJ (2016) Older adults’ experiences using a commercially available monitor to self-track their physical activity. JMIR Mhealth Uhealth 4(2)CrossRef
15.
Zurück zum Zitat El-Amrawy F, Nounou MI (2015) Are currently available wearable devices for activity tracking and heart rate monitoring accurate, precise, and medically beneficial? Healthcare Inform Res 21(4):315–320CrossRef El-Amrawy F, Nounou MI (2015) Are currently available wearable devices for activity tracking and heart rate monitoring accurate, precise, and medically beneficial? Healthcare Inform Res 21(4):315–320CrossRef
17.
Zurück zum Zitat Patton MQ (1990) Qualitative evaluation and research methods. SAGE Publications, Inc Patton MQ (1990) Qualitative evaluation and research methods. SAGE Publications, Inc
18.
Zurück zum Zitat Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef
19.
Zurück zum Zitat Ltd QIP (2012) NVivo qualitative data analysis software. QSR International Pty Ltd Ltd QIP (2012) NVivo qualitative data analysis software. QSR International Pty Ltd
20.
Zurück zum Zitat Norman SA, Localio AR, Potashnik SL, Torpey HAS, Kallan MJ, Weber AL, Miller LT, DeMichele A, Solin LJ (2009) Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. J Clin Oncol 27(3):390–397CrossRef Norman SA, Localio AR, Potashnik SL, Torpey HAS, Kallan MJ, Weber AL, Miller LT, DeMichele A, Solin LJ (2009) Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. J Clin Oncol 27(3):390–397CrossRef
21.
Zurück zum Zitat Wang JB, Cadmus-Bertram LA, Natarajan L, White MM, Madanat H, Nichols JF, Ayala GX, Pierce JP (2015) Wearable sensor/device (Fitbit One) and SMS text-messaging prompts to increase physical activity in overweight and obese adults: a randomized controlled trial. Telemed e-Health 21(10):782–792CrossRef Wang JB, Cadmus-Bertram LA, Natarajan L, White MM, Madanat H, Nichols JF, Ayala GX, Pierce JP (2015) Wearable sensor/device (Fitbit One) and SMS text-messaging prompts to increase physical activity in overweight and obese adults: a randomized controlled trial. Telemed e-Health 21(10):782–792CrossRef
22.
Zurück zum Zitat Thompson WG, Kuhle CL, Koepp GA, McCrady-Spitzer SK, Levine JA (2014) “Go4Life” exercise counseling, accelerometer feedback, and activity levels in older people. Arch Gerontol Geriatr 58(3):314–319CrossRef Thompson WG, Kuhle CL, Koepp GA, McCrady-Spitzer SK, Levine JA (2014) “Go4Life” exercise counseling, accelerometer feedback, and activity levels in older people. Arch Gerontol Geriatr 58(3):314–319CrossRef
23.
Zurück zum Zitat Washington WD, Banna KM, Gibson AL (2014) Preliminary efficacy of prize-based contingency management to increase activity levels in healthy adults. J Appl Behav Anal 47(2):231–245CrossRef Washington WD, Banna KM, Gibson AL (2014) Preliminary efficacy of prize-based contingency management to increase activity levels in healthy adults. J Appl Behav Anal 47(2):231–245CrossRef
24.
Zurück zum Zitat Kim S, Gajos KZ, Muller M, Grosz BJ (2016) Acceptance of mobile technology by older adults: a preliminary study. Kim S, Gajos KZ, Muller M, Grosz BJ (2016) Acceptance of mobile technology by older adults: a preliminary study.
25.
Zurück zum Zitat O’Brien T, Troutman-Jordan M, Hathaway D, Armstrong S, Moore M (2015) Acceptability of wristband activity trackers among community dwelling older adults. Geriatr Nurs 36(2):S21–S25CrossRef O’Brien T, Troutman-Jordan M, Hathaway D, Armstrong S, Moore M (2015) Acceptability of wristband activity trackers among community dwelling older adults. Geriatr Nurs 36(2):S21–S25CrossRef
26.
Zurück zum Zitat Lynch BM, Dunstan DW, Vallance JK, Owen N (2013) Don’t take cancer sitting down. Cancer 119(11):1928–1935CrossRef Lynch BM, Dunstan DW, Vallance JK, Owen N (2013) Don’t take cancer sitting down. Cancer 119(11):1928–1935CrossRef
27.
Zurück zum Zitat Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, Troiano RP, Hollenbeck A, Schatzkin A (2012) Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr 95(2):437–445CrossRef Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, Troiano RP, Hollenbeck A, Schatzkin A (2012) Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr 95(2):437–445CrossRef
28.
Zurück zum Zitat Campbell PT, Patel AV, Newton CC, Jacobs EJ, Gapstur SM (2013) Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. Journal of Clinical Oncology:JCO. 2012.2045. 9735 Campbell PT, Patel AV, Newton CC, Jacobs EJ, Gapstur SM (2013) Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. Journal of Clinical Oncology:JCO. 2012.2045. 9735
29.
Zurück zum Zitat National Cancer Institute (2016) Electromagnetic fields and cancer. Accessed 01/11/2016 2016 National Cancer Institute (2016) Electromagnetic fields and cancer. Accessed 01/11/2016 2016
Metadaten
Titel
A qualitative evaluation of breast cancer survivors’ acceptance of and preferences for consumer wearable technology activity trackers
verfasst von
Nga H. Nguyen
Nyssa T. Hadgraft
Melissa M. Moore
Dori E. Rosenberg
Chris Lynch
Marina M. Reeves
Brigid M. Lynch
Publikationsdatum
24.05.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 11/2017
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3756-y

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