scholarly journals Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network

2021 ◽  
pp. bjsports-2020-103148
Author(s):  
Jan M Mühlen ◽  
Julie Stang ◽  
Esben Lykke Skovgaard ◽  
Pedro B Judice ◽  
Pablo Molina-Garcia ◽  
...  

Assessing vital signs such as heart rate (HR) by wearable devices in a lifestyle-related environment provides widespread opportunities for public health related research and applications. Commonly, consumer wearable devices assessing HR are based on photoplethysmography (PPG), where HR is determined by absorption and reflection of emitted light by the blood. However, methodological differences and shortcomings in the validation process hamper the comparability of the validity of various wearable devices assessing HR. Towards Intelligent Health and Well-Being: Network of Physical Activity Assessment (INTERLIVE) is a joint European initiative of six universities and one industrial partner. The consortium was founded in 2019 and strives towards developing best-practice recommendations for evaluating the validity of consumer wearables and smartphones. This expert statement presents a best-practice validation protocol for consumer wearables assessing HR by PPG. The recommendations were developed through the following multi-stage process: (1) a systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, (2) an unstructured review of the wider literature pertaining to factors that may introduce bias during the validation of these devices and (3) evidence-informed expert opinions of the INTERLIVE Network. A total of 44 articles were deemed eligible and retrieved through our systematic literature review. Based on these studies, a wider literature review and our evidence-informed expert opinions, we propose a validation framework with standardised recommendations using six domains: considerations for the target population, criterion measure, index measure, testing conditions, data processing and the statistical analysis. As such, this paper presents recommendations to standardise the validity testing and reporting of PPG-based HR wearables used by consumers. Moreover, checklists are provided to guide the validation protocol development and reporting. This will ensure that manufacturers, consumers, healthcare providers and researchers use wearables safely and to its full potential.

2020 ◽  
pp. bjsports-2020-103147
Author(s):  
William Johnston ◽  
Pedro B Judice ◽  
Pablo Molina García ◽  
Jan M Mühlen ◽  
Esben Lykke Skovgaard ◽  
...  

Consumer wearable and smartphone devices provide an accessible means to objectively measure physical activity (PA) through step counts. With the increasing proliferation of this technology, consumers, practitioners and researchers are interested in leveraging these devices as a means to track and facilitate PA behavioural change. However, while the acceptance of these devices is increasing, the validity of many consumer devices have not been rigorously and transparently evaluated. The Towards Intelligent Health and Well-Being Network of Physical Activity Assessment (INTERLIVE) is a joint European initiative of six universities and one industrial partner. The consortium was founded in 2019 and strives to develop best-practice recommendations for evaluating the validity of consumer wearables and smartphones. This expert statement presents a best-practice consumer wearable and smartphone step counter validation protocol. A two-step process was used to aggregate data and form a scientific foundation for the development of an optimal and feasible validation protocol: (1) a systematic literature review and (2) additional searches of the wider literature pertaining to factors that may introduce bias during the validation of these devices. The systematic literature review process identified 2897 potential articles, with 85 articles deemed eligible for the final dataset. From the synthesised data, we identified a set of six key domains to be considered during design and reporting of validation studies: target population, criterion measure, index measure, validation conditions, data processing and statistical analysis. Based on these six domains, a set of key variables of interest were identified and a ‘basic’ and ‘advanced’ multistage protocol for the validation of consumer wearable and smartphone step counters was developed. The INTERLIVE consortium recommends that the proposed protocol is used when considering the validation of any consumer wearable or smartphone step counter. Checklists have been provided to guide validation protocol development and reporting. The network also provide guidance for future research activities, highlighting the imminent need for the development of feasible alternative ‘gold-standard’ criterion measures for free-living validation. Adherence to these validation and reporting standards will help ensure methodological and reporting consistency, facilitating comparison between consumer devices. Ultimately, this will ensure that as these devices are integrated into standard medical care, consumers, practitioners, industry and researchers can use this technology safely and to its full potential.


2018 ◽  
Vol 210 ◽  
pp. 01006
Author(s):  
Miguel G. Molina ◽  
Priscila E. Garzón ◽  
Carolina J. Molina ◽  
Juan X. Nicola

With the uprising of Internet of Things (IoT) networks, new applications have taken advantage of this new concept. Having all devices and all people connected 24/7 have several advantages in a variated amount of disciplines. One of them is medicine and the e-health concept. The possibility of having a real time lecture of the vital signs of people can prevent a live threat situation. This paper describes the realization of a device capable of measuring the heart rate of a person and checking for abnormalities that may negatively affect the patient’s well-being. This project will make use of electronic devices known as microcontrollers, specifically from the Arduino family, enabling us to capture data, and, with the help of a network card and a RJ-45 cable, transfer it to a PC and visualize the heart rate in real time over its assigned IP address.


BMC Medicine ◽  
2011 ◽  
Vol 9 (1) ◽  
Author(s):  
Corina Schuster ◽  
Roger Hilfiker ◽  
Oliver Amft ◽  
Anne Scheidhauer ◽  
Brian Andrews ◽  
...  

2020 ◽  
Vol 6 ◽  
pp. 237796082093729
Author(s):  
Renae S. Authement ◽  
Sharon L. Dormire

Introduction As online nursing education programs continue to increase to meet the demands of the growing market, nursing faculty are challenged to develop and deliver courses based on best practice principles. The Online Nursing Education Best Practices Guide (ONE Guide) builds on and extends the nationally recognized Quality Matters® program and serves as a roadmap guiding course development and delivery. The fundamental principle for success in online teaching is instructor presence; the teacher as a facilitator of learning is illustrated throughout the guide. An Online Instructor Checklist facilitates systematic implementation of best practice principles. Methods This article is based on a focused literature review and concept analysis resulting in a comprehensive guide for delivery of effective, quality nursing education through best practices in the online learning environment. A broad search of databases focused on articles during 2014 to 2019 was completed. The literature review included articles that examined over 1200 student perceptions of instructor presence in the online setting. Conclusion Nurses carry a direct responsibility for the health and well-being of patients. Nursing quality education proves fundamental to the profession’s long-term outcomes. The ONE Guide and Online Instructor Checklist apply comprehensive, evidence-based teaching strategies to give a roadmap for success in the online teaching environment.


Author(s):  
Elizabeth McCourt ◽  
Judith Singleton ◽  
Vivienne Tippett ◽  
Lisa Nissen

Abstract Objectives In the aftermath of a disaster, the services provided by pharmacists are essential to ensure the continued health and well-being of the local population. To continue pharmacy services, it is critical that pharmacists are prepared for disasters. A systematic literature review was conducted to explore pharmacists’ and pharmacy students’ preparedness for disasters and the factors that affect preparedness. Methods This review was conducted in April 2020 through electronic databases CINAHL, MEDLINE, Embase, PubMed, Scopus and PsycINFO, and two disaster journals. Search terms such as ‘pharmacist*’, ‘disaster*’ and ‘prepared*’ were used. The search yielded an initial 1781 titles. Articles were included if they measured pharmacists or pharmacy students’ disaster preparedness. After screening and quality appraisal by two researchers, four articles were included in final analysis and review. Data were extracted using a data collection tool formulated by the researchers. Meta-analysis was not possible; instead, results were compared across key areas including preparedness ratings and factors that influenced preparedness. Key findings Three articles focused on pharmacy students’ preparedness for disasters, and one on registered pharmacists’ preparedness. Preparedness across both groups was poor to moderate with <18% of registered pharmacists found to be prepared to respond to a disaster. Factors that potentially influenced preparedness included disaster competency, disaster interventions and demographic factors. Conclusion For pharmacists, the lack of research around their preparedness speaks volumes about their current involvement and expectations within disaster management. Without a prepared pharmacy workforce and pharmacy involvement in disaster management, critical skill and service gaps in disasters may negatively impact patients.


Technologies ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 85 ◽  
Author(s):  
Albert Hankel ◽  
Gaston Heimeriks ◽  
Patricia Lago

Context: Many publications have described, measured, tracked or assessed Information and Communication Technology (ICT) activities that impact the environment. A complete conceptual view of the environmental impact of ICT can be described in three orders of effect: Direct, indirect and systemic. Objective: The goal of this study is to find out how the existing literature contributes towards our understanding of the environmental impact of ICT. We approach this question by identifying factors that can be of influence on the environmental impact and map these factors onto a conceptual framework of Green ICT. Method: We used a systematic literature review to collect factors of influence regarding the environmental impact of ICT. Results: From the data we collected and the analyses made, we created a taxonomy, and report on the frequencies of the factors of influence in the primary studies as well as gaps and additions compared to the conceptual framework. We found five main classes of influence that can form a continuous cycle, but noted that the research field is strongly focused on the direct impact of ICT. Conclusion: Our study contributes towards a better understanding of the environmental impact of ICT by framing factors of influence in a conceptual framework. The taxonomy we create and the analysis of the studies could be helpful in defining a research agenda, to further enable the full potential of Green ICT. In addition, the taxonomy can be used as a starting point for a practical tool, for organizations that wish to apply Green ICT to its full extent.


Author(s):  
Monica Thiel

Purpose – Beginning with a multitude of differing definitions and theories of CSR and sustainability, an analysis of the effects and impacts of the social domain to remain an untapped resource to strengthen and merge the practice of sustainable development. The paper aims to discuss these issues. Design/methodology/approach – Utilizing a systematic review of literature between 1977 and 2013 about CSR and sustainability definitions and theories to reveal knowledge fragmentation in the use of the social domain and its implications within sustainable development. Findings – Identifies the gaps of the social domain in sustainable development and raises awareness to advance sustainable development beyond current sustainable development strategies, initiatives and practices. The pertinent publications from the inclusion and exclusion criteria in the systematic literature review were analyzed to determine how the social domain is used and interpreted in CSR and sustainability. Based upon the findings, four themes represent the social domain as socio-economics, stakeholders, societal well-being and social sustainability with suggestions for further research. Research limitations/implications – The systematic literature review searched one academic search engine and focussed on journals and books written in English. Originality/value – The contribution of the paper highlights, first, how an underdeveloped social domain can contribute toward multiple meanings of sustainable development and the social domain’s untapped capacity to develop a clearer standard definition of sustainable development and second, the potential to advance competitive advantage for corporations and governments.


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