Evidence map›Paper›PMID 39943497›Full record

ArticleSensors (Basel, Switzerland)2025

From Steps to Context: Optimizing Digital Phenotyping for Physical Activity Monitoring in Older Adults by Integrating Wearable Data and Ecological Momentary Assessment.

Kim Daniels, Kirsten Quadflieg, Jolien Robijns, Jochen De Vry, Hans Van Alphen, Robbe Van Beers, Britt Sourbron, Anaïs Vanbuel, Siebe Meekers, Marlies Mattheeussen and 3 more

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kim DanielsCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.ORCID 0000-0002-4222-4518
Kirsten QuadfliegCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.
Jolien RobijnsCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.
Jochen De VryPXL Research, Centre of Expertise in Smart-ICT, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.ORCID 0009-0005-8875-4257
Hans Van AlphenCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.
Robbe Van BeersREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Britt SourbronREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Anaïs VanbuelREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Siebe MeekersREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Marlies MattheeussenREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Annemie SpoorenCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.
Dominique HansenREVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
Bruno BonnechèreCentre of Expertise in Care Innovation, Department of PXL-Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium.ORCID 0000-0002-7729-4700

Funding

Flanders Innovation and Entrepreneurship 2/DWO/2022/HC/VL041PXL University of Applied Sciences and Arts 2/DWO/2021/HC/P133
6 · The paper itself

Abstract

Physical activity (PA) is essential for healthy aging, but its accurate assessment in older adults remains challenging due to the limitations and biases of traditional clinical assessment. Mobile technologies and wearable sensors offer a more ecological, less biased alternative for evaluating PA in this population. This study aimed to optimize digital phenotyping strategies for assessing PA patterns in older adults, by integrating ecological momentary assessment (EMA) and continuous wearable sensor data collection. Over two weeks, 108 community-dwelling older adults provided real-time EMA responses while their PA was continuously monitored using Garmin Vivo 5 sensors. The combined approach proved feasible, with 67.2% adherence to EMA prompts, consistent across time points (morning: 68.1%; evening: 65.4%). PA predominantly occurred at low (51.4%) and moderate (46.2%) intensities, with midday activity peaks. Motivation and self-efficacy were significantly associated with low-intensity PA (R = 0.20 and 0.14 respectively), particularly in the morning. However, discrepancies between objective step counts and self-reported PA measures, which showed no correlation (R = -0.026,

Indexed as

Ecological Momentary AssessmentExerciseWearable Electronic DevicesAgedAged, 80 and overFemaleHumansMaleMiddle AgedMonitoring, PhysiologicPhenotypeagingdigital phenotypingecological momentary assessmentphysical activity patternswearable

Identifiers

PMID39943497
PMCPMC11820068

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.