{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:11:40Z","timestamp":1789078300551,"version":"build-2803163510"},"posted":{"date-parts":[[2026,9,10]]},"group-title":"Rehabilitation Medicine and Physical Therapy","reference-count":0,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.medrxiv.org\/about\/FAQ#license"}],"funder":[{"award":["Digital Physical Therapy Grant"],"award-info":[{"award-number":["Digital Physical Therapy Grant"]}],"id":[{"id":"https:\/\/ror.org\/015wb9p75","id-type":"ROR","asserted-by":"publisher"}]},{"award":["L30HD116274"],"award-info":[{"award-number":["L30HD116274"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"award":["R37HD068290"],"award-info":[{"award-number":["R37HD068290"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"award":["T32HD007434"],"award-info":[{"award-number":["T32HD007434"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Washington University Institute of Clinical and Translational Science","award":["Just-in-Time Core Usage Funding Program, mHRC-JIT996"],"award-info":[{"award-number":["Just-in-Time Core Usage Funding Program, mHRC-JIT996"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,9,10]]},"abstract":"<jats:p>Background: The disconnect between episodic in-clinic assessments and patients goals to improve activity in daily life presents a challenge in rehabilitation. Wearable sensors are promising for addressing this disconnect but are not part of routine practice. The purpose of this study was to develop and test a digital health solution that integrated wearable sensor technology into outpatient rehabilitation.\n\nMethods: Using an iterative user-centered design approach, a digital solution was built that integrated data from a wrist sensor into the electronic health record (EHR). The feasibility, usability, and resources required of the solution were evaluated in a 9-month proof-of-concept study in outpatient rehabilitation.\n\nResults: 17 clinicians and 38 patients (median monitoring duration: 42 days) participated. Patient adherence to daily data syncing was a median of 68.6% and was not significantly correlated with digital technology self-efficacy (r = 0.03, p = 0.86). Recent sensor data (\u2264 3 days old) were available in the EHR for 90.2% (193\/214) of clinic visits, and clinicians viewed these data in 81.9% (158\/193) of these visits. Overall user-friendliness on the System Usability Scale received a median rating of \"good\" from both patients and clinicians. Resources included costs to build the data transfer pipeline, a 24-month build timeline, and ongoing technical support.\n\nConclusions: By combining user-centered design principles with dedicated resources, we built a feasible and usable digital health solution to bridge the gap between brief clinic visits and daily life in outpatient rehabilitation. These results and future refinements will facilitate broader-scale implementation of sensor technology in rehabilitation.<\/jats:p>","DOI":"10.64898\/2026.09.04.26362284","type":"posted-content","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:45:42Z","timestamp":1789076742000},"source":"Crossref","is-referenced-by-count":0,"title":["Integrating Wearable Sensor Technology into Outpatient Rehabilitation Care: A Proof-of-Concept Study"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3043-6852","authenticated-orcid":false,"given":"Allison","family":"Miller","sequence":"first","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carey","family":"Holleran","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marghuretta","family":"Bland","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Crumley","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Jensen","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7643-3887","authenticated-orcid":false,"given":"Keith","family":"Lohse","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Fitzsimmons-Craft","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Newman","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Maddox","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Lang","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"54368","container-title":[],"original-title":[],"link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.64898\/2026.09.04.26362284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:45:42Z","timestamp":1789076742000},"score":1,"resource":{"primary":{"URL":"http:\/\/medrxiv.org\/lookup\/doi\/10.64898\/2026.09.04.26362284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.64898\/2026.09.04.26362284","relation":{},"subject":[],"published":{"date-parts":[[2026,9,10]]},"subtype":"preprint"}}