TY  - JOUR
AU  - Cruz, Stefany
AU  - Lu, Claire
AU  - Ulloa, Mara
AU  - Redding, Alexander
AU  - Hester, Josiah
AU  - Jacobs, Maia
PY  - 2024
DA  - 2024/5/8
TI  - Perceptions of Wearable Health Tools Post the COVID-19 Emergency in Low-Income Latin Communities: Qualitative Study
JO  - JMIR Mhealth Uhealth
SP  - e50826
VL  - 12
KW  - mHealth
KW  - mobile health
KW  - wearable
KW  - wearables
KW  - Health wearables
KW  - COVID-19
KW  - digital divide
KW  - low-socioeconomic status
KW  - socioeconomic
KW  - adoption
KW  - underserved
KW  - poverty
KW  - low income
KW  - low resource
KW  - marginalized
KW  - equity
KW  - attitude
KW  - attitudes
KW  - opinion
KW  - opinions
KW  - perception
KW  - perceptions
KW  - perspective
KW  - perspectives
KW  - acceptance
KW  - Spanish
KW  - Hispanic
KW  - Latinx
KW  - Hispanics
KW  - interview
KW  - interviews
AB  - Background: Mobile health (mHealth) wearable devices are increasingly being adopted by individuals to help manage and monitor physiological signals. However, the current state of wearables does not consider the needs of racially minoritized low–socioeconomic status (SES) communities regarding usability, accessibility, and price. This is a critical issue that necessitates immediate attention and resolution. Objective: This study’s aims were 3-fold, to (1) understand how members of minoritized low-SES communities perceive current mHealth wearable devices, (2) identify the barriers and facilitators toward adoption, and (3) articulate design requirements for future wearable devices to enable equitable access for these communities. Methods: We performed semistructured interviews with low-SES Hispanic or Latine adults (N=19) from 2 metropolitan cities in the Midwest and West Coast of the United States. Participants were asked questions about how they perceive wearables, what are the current benefits and barriers toward use, and what features they would like to see in future wearable devices. Common themes were identified and analyzed through an exploratory qualitative approach. Results: Through qualitative analysis, we identified 4 main themes. Participants’ perceptions of wearable devices were strongly influenced by their COVID-19 experiences. Hence, the first theme was related to the impact of COVID-19 on the community, and how this resulted in a significant increase in interest in wearables. The second theme highlights the challenges faced in obtaining adequate health resources and how this further motivated participants’ interest in health wearables. The third theme focuses on a general distrust in health care infrastructure and systems and how these challenges are motivating a need for wearables. Lastly, participants emphasized the pressing need for community-driven design of wearable technologies. Conclusions: The findings from this study reveal that participants from underserved communities are showing emerging interest in using health wearables due to the COVID-19 pandemic and health care access issues. Yet, the needs of these individuals have been excluded from the design and development of current devices. 
SN  - 2291-5222
UR  - https://mhealth.jmir.org/2024/1/e50826
UR  - https://doi.org/10.2196/50826
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38717816
DO  - 10.2196/50826
ID  - info:doi/10.2196/50826
ER  -