{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T02:07:11Z","timestamp":1774922831042,"version":"3.50.1"},"reference-count":17,"publisher":"BMJ","issue":"2-3","funder":[{"DOI":"10.13039\/100009717","name":"Eastern Health Foundation","doi-asserted-by":"publisher","award":["EHFRG2017_029"],"award-info":[{"award-number":["EHFRG2017_029"]}],"id":[{"id":"10.13039\/100009717","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Innov"],"accepted":{"date-parts":[[2019,8,11]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Remote assessment of heart rate and rhythm using smart technology (ST) holds promise in screening and monitoring of atrial fibrillation (AF). However, patient engagement is paramount to the success of ST interventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We assessed the attitudes and potential barriers towards ST for arrhythmia monitoring in an elderly, multimorbidity cohort. Consecutive inpatients were recruited across three hospitals and administered a standardised survey regarding attitudes towards ST for arrhythmia detection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 363 participants (median age 68 years (IQR: 55\u201380 years), mean CHA<jats:sub>2<\/jats:sub>DS<jats:sub>2<\/jats:sub>VASC score 3\u00b12), 68.9% were interested in ST for cardiac monitoring. Those with underlying AF (n=112) and younger (&lt;65 years) patients were more likely to be interested in using ST for cardiac monitoring (p for both &lt;0.001). Complexity (71.1%) of ST was identified as a major barrier to its adoption, particularly in older participants (p=0.02). While only 52% of participants trusted the accuracy of ST, over 90% would seek medical attention based on aberrant readings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>We report a high level of interest among an older, high-risk patient cohort in using ST for cardiac monitoring. Despite a level of distrust in these devices, abnormal readings would still prompt the overwhelming majority of patients to seek medical attention. This highlights a need for physicians to validate the accuracy and clinical effectiveness of ST-derived physiological measurements, an area which remains unclear due to the paucity of trials.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration number<\/jats:title>\n                  <jats:p>ACTRN: 12616991374459.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjinnov-2018-000336","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T17:15:15Z","timestamp":1567530915000},"page":"101-107","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluating patient attitudes and barriers towards smart technology for cardiac monitoring: results from a prospective multicentre study"],"prefix":"10.1136","volume":"5","author":[{"given":"Anoop N","family":"Koshy","sequence":"first","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"},{"name":"Department of Cardiology, Austin Health, University of Melbourne Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Jefferson","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"},{"name":"Department of Cardiology, Austin Health, University of Melbourne Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Jithin K","family":"Sajeev","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Kevin","family":"Rajakariar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Louise","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Jennifer","family":"Cooke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"}]},{"given":"Andrew W","family":"Teh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia"},{"name":"Department of Cardiology, Austin Health, University of Melbourne Clinical School, Melbourne, Victoria, Australia"}]}],"member":"239","published-online":{"date-parts":[[2019,9,3]]},"reference":[{"key":"2025072812123175000_5.2-3.101.1","unstructured":"Wigginton C . Global mobile consumer trends. New York: Deloitte, 2017. https:\/\/www2.deloitte.com\/global\/en\/pages\/technology-media-and-telecommunications\/articles\/gx-global-mobile-consumer-trends.html"},{"key":"2025072812123175000_5.2-3.101.2","unstructured":"Shirer M , Llamas R , Ubrani J . Idc forecasts Shipments of wearable devices to nearly double by 2021 as smart watches and new product categories gain traction Framingham, Massachusetts international data Corporation, 2017. Available: https:\/\/www.idc.com\/getdoc.jsp?containerId=prUS44553518 [Accessed 11 Oct 2018]."},{"key":"2025072812123175000_5.2-3.101.3","unstructured":"Krueger AC . Electrocardiograph software for over-the-counter use, 2018. Available: https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf18\/DEN180044.pdf [Accessed 11 Sep 2018]."},{"key":"2025072812123175000_5.2-3.101.4","doi-asserted-by":"crossref","unstructured":"Eapen ZJ , Turakhia MP , McConnell MV , et al . Defining a mobile health roadmap for cardiovascular health and disease. J Am Heart Assoc 2016;5.doi:10.1161\/JAHA.115.003119","DOI":"10.1161\/JAHA.115.003119"},{"key":"2025072812123175000_5.2-3.101.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.02.073"},{"key":"2025072812123175000_5.2-3.101.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.030583"},{"key":"2025072812123175000_5.2-3.101.7","doi-asserted-by":"publisher","DOI":"10.1177\/2047487314552604"},{"key":"2025072812123175000_5.2-3.101.8","doi-asserted-by":"crossref","unstructured":"Koshy AN , Sajeev JK , Negishi K , et al . Accuracy of blinded clinician interpretation of single-lead smartphone electrocardiograms and a proposed clinical workflow. Am Heart J 2018.","DOI":"10.1016\/j.ahj.2018.08.001"},{"key":"2025072812123175000_5.2-3.101.9","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1111\/imj.13777","article-title":"Utility of photoplethysmography for heart rate estimation among inpatients","volume":"48","author":"Koshy","year":"2018","journal-title":"Intern Med J"},{"key":"2025072812123175000_5.2-3.101.10","unstructured":"Anderson M , Perrin A . Tech adoption Climbs among older adults Washington: Pew research center, 2017. Available: http:\/\/www.pewinternet.org\/2017\/05\/17\/tech-adoption-climbs-among-older-adults\/"},{"key":"2025072812123175000_5.2-3.101.11","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq278"},{"key":"2025072812123175000_5.2-3.101.12","unstructured":"Grubb B . Australians are 'rightly' questioning My Health Record, says Privacy Commissioner, 2018. Available: https:\/\/www.smh.com.au\/technology\/australians-are-rightly-questioning-my-health-record-says-privacy-commissioner-20180730-p4zui3.html"},{"key":"2025072812123175000_5.2-3.101.13","unstructured":"Ledger D , McCaffrey D . How the science of human behaviour change offers the secret to long-term engagement: endeavour partners, 2014. Available: http:\/\/endeavourpartners.net\/assets\/Endeavour-Partners-Wearables-and-the-Scienceof-Human-Behavior-Change-Part-1-January-20141.pdf"},{"key":"2025072812123175000_5.2-3.101.14","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1161\/CIRCULATIONAHA.117.031614","article-title":"Letter by Koshy et al Regarding Article, \"Assessment of Remote Heart Rhythm Sampling Using the AliveCor Heart Monitor to Screen for Atrial Fibrillation: The REHEARSE-AF Study\"","volume":"137","author":"Koshy","year":"201","journal-title":"Circulation"},{"key":"2025072812123175000_5.2-3.101.15","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur194"},{"key":"2025072812123175000_5.2-3.101.16","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.009024"},{"key":"2025072812123175000_5.2-3.101.17","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000232"}],"container-title":["BMJ Innovations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjinnov-2018-000336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T19:12:41Z","timestamp":1753729961000},"score":1,"resource":{"primary":{"URL":"https:\/\/innovations.bmj.com\/lookup\/doi\/10.1136\/bmjinnov-2018-000336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":17,"journal-issue":{"issue":"2-3","published-online":{"date-parts":[[2019,12,30]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bmjinnov-2018-000336"],"URL":"https:\/\/doi.org\/10.1136\/bmjinnov-2018-000336","relation":{},"ISSN":["2055-8074","2055-642X"],"issn-type":[{"value":"2055-8074","type":"print"},{"value":"2055-642X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}