Usability evaluation for the Amulet wearable device in rural older adults with obesity

The following paper dates to last year, but is an important publication from the Amulet group:

  • John A. Batsis, Alexandra Zagaria, David F. Kotz, Stephen J. Bartels, George G. Boateng, Patrick O. Proctor, Ryan J. Halter, and Elizabeth A. Carpenter-Song. Usability evaluation for the Amulet wearable device in rural older adults with obesity. Gerontechnology, 17(3):151-159, 2018. DOI 10.4017/gt.2018.17.3.003.00.

Abstract: Mobile health (mHealth) interventions hold the promise of augmenting existing health promotion interventions. Older adults present unique challenges in advancing new models of health promotion using technology including sensory limitations and less experience with mHealth, underscoring the need for specialized usability testing. We use an open-source mHealth device as a case example for its integration in a newly designed health services intervention. We performed a convergent, parallel mixed-methods study including semi-structured interviews, focus groups, and questionnaires, using purposive sampling of 29 older adults, 4 community leaders, and 7 clinicians in a rural setting. We transcribed the data, developed codes informed by thematic analysis using inductive and deductive methods, and assessed the quantitative data using descriptive statistics. Our results suggest the importance of end-users in user-centered design of mHealth devices and that aesthetics are critically important. The prototype could potentially be feasibly integrated within health behavior interventions. Centralized dashboards were desired by all participants and ecological momentary assessment could be an important part of monitoring. Concerns of mHealth, including the prototype device, include the device’s accuracy, its intrusiveness in daily life and privacy. Formative evaluations are critically important prior to deploying large-scale interventions.

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About David Kotz

David Kotz is the Champion International Professor in the Department of Computer Science. He previously served as Interim Provost, as Associate Dean of the Faculty for the Sciences, as the Executive Director of the Institute for Security Technology Studies, and on the US Healthcare IT Policy Committee. His research interests include security and privacy, pervasive computing for healthcare, and wireless networks. He has published over 175 refereed journal and conference papers and obtained over $66m in grant funding. He is an Fellow of the IEEE, a Distinguished Member of the ACM, a 2008 Fulbright Fellow to India, and an elected member of Phi Beta Kappa. After receiving his A.B. in Computer Science and Physics from Dartmouth in 1986, he completed his Ph.D in Computer Science from Duke University in 1991 and returned to Dartmouth to join the faculty. For more information see http://www.cs.dartmouth.edu/~dfk/.

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