Mensah Otabil, EdithDai, QiyingAnzenberg, PaulaFilippaios, AndreasDing, Eric YMehawej, JordyMathew, Joanne ELessard, Darleen MWang, ZiyueNoorishirazi, KamranHamel, AlexanderPaul, Tenes JDiMezza, DanielleHan, DongMohagheghian, FahimehSoni, ApurvLin, HonghuangBarton, Bruce ASaczynski, JaneChon, Ki HTran, Khanh-VanMcManus, David D2024-01-222024-01-222023-12-06Mensah Otabil E, Dai Q, Anzenberg P, Filippaios A, Ding E, Mehawej J, Mathew JE, Lessard D, Wang Z, Noorishirazi K, Hamel A, Paul T, DiMezza D, Han D, Mohagheghian F, Soni A, Lin H, Barton B, Saczynski J, Chon KH, Tran KV, McManus DD. Technology engagement is associated with higher perceived physical well-being in stroke patients prescribed smartwatches for atrial fibrillation detection. Front Digit Health. 2023 Dec 6;5:1243959. doi: 10.3389/fdgth.2023.1243959. PMID: 38125757; PMCID: PMC10731012.2673-253X10.3389/fdgth.2023.124395938125757https://hdl.handle.net/20.500.14038/52994Background: Increasing ownership of smartphones among Americans provides an opportunity to use these technologies to manage medical conditions. We examine the influence of baseline smartwatch ownership on changes in self-reported anxiety, patient engagement, and health-related quality of life when prescribed smartwatch for AF detection. Method: We performed a post-hoc secondary analysis of the Pulsewatch study (NCT03761394), a clinical trial in which 120 participants were randomized to receive a smartwatch-smartphone app dyad and ECG patch monitor compared to an ECG patch monitor alone to establish the accuracy of the smartwatch-smartphone app dyad for detection of AF. At baseline, 14 days, and 44 days, participants completed the Generalized Anxiety Disorder-7 survey, the Health Survey SF-12, and the Consumer Health Activation Index. Mixed-effects linear regression models using repeated measures with anxiety, patient activation, physical and mental health status as outcomes were used to examine their association with smartwatch ownership at baseline. Results: Ninety-six participants, primarily White with high income and tertiary education, were randomized to receive a study smartwatch-smartphone dyad. Twenty-four (25%) participants previously owned a smartwatch. Compared to those who did not previously own a smartwatch, smartwatch owners reported significant greater increase in their self-reported physical health (β = 5.07, P < 0.05), no differences in anxiety (β = 0.92, P = 0.33), mental health (β = -2.42, P = 0.16), or patient activation (β = 1.86, P = 0.54). Conclusions: Participants who own a smartwatch at baseline reported a greater positive change in self-reported physical health, but not in anxiety, patient activation, or self-reported mental health over the study period.en© 2023 Mensah Otabil, Dai, Anzenberg, Filippaios, Ding, Mehawej, Mathew, Lessard, Wang, Noorishirazi, Hamel, Paul, DiMezza, Han, Mohagheghian, Soni, Lin, Barton, Saczynski, Chon, Tran and McManus. This is an open- access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Pulsewatchanxietyatrial fibrillation detectionpatient activationself-reported mental healthself-reported physical healthsmartwatchJournal ArticleFrontiers in digital health