{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T04:12:45Z","timestamp":1778299965206,"version":"3.51.4"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Increasing ownership of smartphones among Americans provides an opportunity to use these technologies to manage medical conditions. We examine the influence of baseline smartwatch ownership on changes in self-reported anxiety, patient engagement, and health-related quality of life when prescribed smartwatch for AF detection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We performed a <jats:italic>post-hoc<\/jats:italic> secondary analysis of the Pulsewatch study (NCT03761394), a clinical trial in which 120 participants were randomized to receive a smartwatch-smartphone app dyad and ECG patch monitor compared to an ECG patch monitor alone to establish the accuracy of the smartwatch-smartphone app dyad for detection of AF. At baseline, 14 days, and 44 days, participants completed the Generalized Anxiety Disorder-7 survey, the Health Survey SF-12, and the Consumer Health Activation Index. Mixed-effects linear regression models using repeated measures with anxiety, patient activation, physical and mental health status as outcomes were used to examine their association with smartwatch ownership at baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety-six participants, primarily White with high income and tertiary education, were randomized to receive a study smartwatch-smartphone dyad. Twenty-four (25%) participants previously owned a smartwatch. Compared to those who did not previously own a smartwatch, smartwatch owners reported significant greater increase in their self-reported physical health (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20095.07, <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.05), no differences in anxiety (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.92, <jats:italic>P<\/jats:italic>\u2009=\u20090.33), mental health (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22122.42, <jats:italic>P<\/jats:italic>\u2009=\u20090.16), or patient activation (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20091.86, <jats:italic>P<\/jats:italic>\u2009=\u20090.54).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participants who own a smartwatch at baseline reported a greater positive change in self-reported physical health, but not in anxiety, patient activation, or self-reported mental health over the study period.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdgth.2023.1243959","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T08:21:01Z","timestamp":1701850861000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Technology engagement is associated with higher perceived physical well-being in stroke patients prescribed smartwatches for atrial fibrillation detection"],"prefix":"10.3389","volume":"5","author":[{"given":"Edith","family":"Mensah Otabil","sequence":"first","affiliation":[]},{"given":"Qiying","family":"Dai","sequence":"additional","affiliation":[]},{"given":"Paula","family":"Anzenberg","sequence":"additional","affiliation":[]},{"given":"Andreas","family":"Filippaios","sequence":"additional","affiliation":[]},{"given":"Eric","family":"Ding","sequence":"additional","affiliation":[]},{"given":"Jordy","family":"Mehawej","sequence":"additional","affiliation":[]},{"given":"Joanne 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