Evidence map›Paper›PMID 41355850›Full record

ArticleJournal of nursing management2025

Wearable Devices in Elderly Chronic Disease Management: A Qualitative Study of Barriers and Facilitators.

Huichao Zhang, Jiayi Xu, Xinyu Lu, Mingmei Xu

Abstract read
In one paragraph

Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
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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

4 authors.

Huichao ZhangThe Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.ORCID 0000-0002-5959-6756
Jiayi XuSuzhou Medical College of Soochow University, Soochow, Jiangsu, China.ORCID 0009-0002-1047-8342
Xinyu LuNursing College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.ORCID 0000-0003-2368-1577
Mingmei XuThe Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.ORCID 0009-0006-9394-6429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To explore the perceptions of elderly patients with chronic diseases and their healthcare providers on the use of wearable devices for home health monitoring, identifying barriers and facilitators to their effective adoption in China's rapidly aging population. Background: As China's population ages, managing chronic diseases among elderly patients has become increasingly complex. Wearable health monitoring devices offer a promising solution, enabling remote and continuous health tracking. However, the adoption of these devices remains limited, particularly among elderly patients. Understanding the perspectives of both patients and healthcare providers is crucial for optimizing wearable device use in chronic disease management. Design: A qualitative descriptive study. Method: From May 2023 to March 2024, semistructured interviews were conducted with 16 elderly patients and 11 healthcare providers in Nanjing, China. Participants were selected through purposive sampling. Data were analyzed using Colaizzi's 7-step method, generating key themes that address both the challenges and opportunities in adopting wearable health technologies. Findings: Seven major themes emerged: (1) Technology Acceptance and Motivation, (2) Changes in Social Support and Interaction, (3) Adjustments in Healthcare Work Modes, (4) Barriers and Risks in Technology Application, (5) Device Compliance and Knowledge Gaps, (6) Identifying Key Features for Quality Assessment of Wearable Devices, and (7) The Role of Customization and Adaptability. While the potential benefits of wearable devices for chronic disease management were widely recognized, concerns about complexity, cost, and data security were key obstacles. Conclusion: Wearable devices hold significant potential for improving the management of chronic diseases among elderly patients, yet multiple barriers hinder their widespread adoption. Addressing issues related to usability, privacy, and affordability, alongside providing education and policy support, will be critical to enhancing their integration into healthcare settings. Implications for the Profession and Patient Care: This study underscores the importance of creating targeted strategies to overcome the challenges in using wearable health devices among elderly patients. Healthcare providers and policymakers should focus on simplifying technology, enhancing patient education, and addressing privacy concerns to foster broader acceptance and use of these devices in chronic disease care. Impact: By promoting the adoption of wearable health technologies, healthcare systems can improve chronic disease management outcomes for elderly patients, reduce the burden on healthcare services, and support a more patient-centered approach to care. Patient or Public Contribution: Elderly patients with chronic diseases and their healthcare providers contributed valuable insights by sharing their experiences with wearable health monitoring devices, shaping the study's findings.

Indexed as

Chronic DiseaseGeriatric AssessmentMonitoring, PhysiologicPatient Acceptance of Health CareWearable Electronic DevicesAgedAged, 80 and overChinaDisease ManagementFemaleHealth PersonnelHome Care ServicesHumansInterviews as TopicMaleQualitative Researchchronic disease managementelderly patientshealthcare providersqualitative studywearable health devices

Identifiers

PMID41355850
PMCPMC12680462

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Registered trials

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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.