Nearly one in three Americans wear a wearable device, like a smartwatch, to track their health and fitness.

Studies have shown positive effects of increasing movement in ways that can be measured by these devices, especially for people who recently had a heart attack or other cardiovascular event.

But a Michigan Medicine-led report shows that adding a mobile health application to such devices yields mixed results. Tailored text messages to encourage high-risk people to move more may improve some short-term outcomes but doesn't always improve physical activity levels for everyone.

The randomized clinical trial, called the Virtual AppLication-supported Environment To Increase Exercise Study, or VALENTINE, compared the physical activity levels of patients enrolled in cardiac rehabilitation who received the mobile health intervention to those who did not. Cardiac rehabilitation is a medically supervised program is recommended after cardiovascular events, such as heart attack or surgery.

Of the more than 200 participants in the study, half were provided a mobile health intervention that consisted of an application that allowed for activity tracking and goal setting, as well as tailored, just-in-time text messages to promote physical activity. The messages accounted for factors such as the weather, time of day, or day of week to ensure that they were highly relevant to a participant's environment.

Results, published in npj Digital Medicine, reveal no significant increase in physical activity levels for patients enrolled in cardiac rehabilitation receiving the mobile health intervention across all smartwatch types.

There was, however, a significant increase in walking distance over six minutes, a measure of functional capacity, three months after study initiation for Fitbit users, though this was not sustained at 6-months. There was not significant change in six-minute walk distance at six months for Apple Watch users.

Source:
https://www.news-medical.net/news/20230926/Study-finds-mixed-results-for-mobile-health-app-in-cardiac-rehabilitation.aspx