Acceptance and uptake of wearable cardiac technologies in older adults : a systematic review and meta-synthesis

Background: An array of wearable cardiac monitoring technologies have become available to consumers in recent years. A key focus of research has been on the performance, accuracy, specificity and sensitivity of devices, with limited understanding of the barriers and enablers informing acceptance or uptake of these technologies, specifically in older adults. Objective: (i) To explore experiences and perceptions of older adults and health professionals in relation to using wearable cardiac health monitoring technologies; (ii) To identify barriers and enablers of acceptance and uptake of these devices. Methods: A qualitative meta-synthesis was undertaken based on the principles of Natobi and Hare's work. This meta-synthesis was conducted under several stages including: ascertaining of qualitative data, identifying relevant findings and reported the data according to the PRISMA guidelines. Results: A total of seven studies were included. Four interrelated themes emerged: (1) Feelings of trust, safety and confidence; (2) Functionality and affordability; (3) Risk of stigmatisation; and (4) Assurance of device data. Conclusion: This systematic review provides evidence of barriers and enablers in acceptability and uptake of wearable telemonitoring devices based on experiences of older adult, health professionals, and carers. Most significant factors that impact the uptake directly relate to the design aspects of the devices, appropriate and timely feedback, user-friendly technology and issues related to the affordability and cost. Findings highlight the need for end user engagement in the co-design and implementation of such interventions.