Evidence map›Paper›PMID 40491260›Full record

ArticleAnnals of clinical and translational neurology2025

Actionable Wearables Data for the Neurology Clinic: A Proof-of-Concept Tool.

Nicolette Miller, Ebenezer Chinedu-Eneh, Jaeleene Wijangco, Kyra Henderson, Nikki Sisodia, Narender Sara, Jennifer Reihm, Shane Poole, Jim Rowson, Chu-Yueh Guo and 3 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Nicolette MillerDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0001-8987-4908
Ebenezer Chinedu-EnehDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0009-0002-8486-1950
Jaeleene WijangcoDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0009-0006-1561-6547
Kyra HendersonDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0009-0006-8350-0474
Nikki SisodiaDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0009-0006-7270-595X
Narender SaraDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0003-4552-9832
Jennifer ReihmDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0001-6766-6323
Shane PooleDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0002-3203-151X
Jim RowsonDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.
Chu-Yueh GuoDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0002-5730-7770
Jeffrey M GelfandDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0002-5121-3319
Valerie J BlockDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0001-6199-5484
Riley BoveDepartment of Neurology, UCSF Weill Institute for Neurosciences, San Francisco, California, USA.ORCID 0000-0002-2034-8800

Funding

MS Falls InsightTrack (MS FIT): A personal health library to reduce falls in patients with MSR01LM013396 · NLM · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOVE, RILEY MARIE BROWNE · 2021 to 2024
$1.4M
NLM NIH HHS R01 LM013396U.S. National Library of Medicine R01LM013396
6 · The paper itself

Abstract

objectiveWearable devices can monitor key health and fitness domains. In multiple sclerosis (MS), monitoring step count and sleep is feasible, valid, and offers a holistic glimpse of patient functioning and worsening. However, data generated from wearables are typically unavailable at the point of care. We describe the design, development, and evaluation of a proof-of-concept tool that delivers patient-generated wearables data in accessible, interpretable, and actionable formats to an outpatient Neurology clinic.

methodsThrough a process of human-centered design, stakeholders were engaged to create a technological solution to access and display wearables data via a launch from the electronic health record (EHR). Designs were informed by patient-centered observational research and clinician interviews to ensure user alignment and validity. Qualitative and quantitative evaluations (Health ITUES framework) as well as live observations of use assessed functionality, ease of use, and clinical integration.

resultsDuring development, 25 clinicians and four engineers across eight clinical settings provided feedback. The proof-of-concept wearable selected was Fitbit, which was connected via a custom solution to the EHR dashboard (BRIDGE). In the final validation, clinician satisfaction was high: mean scores > 4/5 for all performance and ease of use components. Live visualizations during clinical encounters highlighted a range of potential uses: detecting progression by step count, setting motivating and realistic activity goals despite limitations, referring to rehabilitation after activity drops, and measuring effects of interventions on sleep quality.

interpretationIntegrating wearables data into a clinical workflow for neurology is feasible and highlights novel areas to support shared decision-making and data-driven, personalized care.

Indexed as

Multiple SclerosisNeurologyWearable Electronic DevicesElectronic Health RecordsHumansProof of Concept Studyfitbitsleepsteps/activityvisualizationswearables

Identifiers

PMID40491260
PMCPMC12343321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.