Wearable sensor technology efficacy in peripheral vascular disease (wSTEP): a randomized controlled trial
File(s)
Supporting information
Supporting information
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: To evaluate the effect of using wearable activity monitors (WAMs) in patients with intermittent claudication (IC) within a single-center randomized controlled trial. BACKGROUND: WAMs allow users to set daily activity targets and monitor their progress. They may offer an alternative treatment to supervised exercise programs (SEPs) for patients with IC. METHODS: Thirty-seven patients with IC were recruited and randomized into intervention or control group. The intervention consisted of a feedback-enabled, wrist-worn activity monitor (WAM) in addition to access to SEP. The control group was given access to SEP only. The outcome measures were maximum walking distance (MWD), claudication distance (CD), and quality of life as measured by the VascuQol questionnaire. Participants were assessed upon recruitment, and at 3, 6, and 12 months. RESULTS: Patients in the WAM group showed significant improvement in MWD at 3 and 6 months (80-112 m, to 178 m; P < 0.001), which was sustained at 12 months. The WAM group also increased CD (40 vs 110 m; P < 0.001) and VascuQol score (4.7 vs 5.8; P = 0.004). The control group saw a temporary increase in VascuQol score at 6 months (4.5 vs 4.7; P = 0.028), but no other improvements in MWD or CD were observed. Significantly higher improvements in MWD were seen in the WAM group compared with that in the control group at 6 months (82 vs -5 m; P = 0.009, r = 0.47) and 12 months (69 vs 7.5 m; P = 0.011, r = 0.52). CONCLUSIONS: The study demonstrates the significant, sustained benefit of WAM-led technologies for patients with IC. This potentially resource-sparing intervention is likely to provide a valuable adjunct or alternative to SEP.
Date Issued
2018-12-01
Date Acceptance
2017-05-01
Citation
Annals of Surgery, 2018, 268 (6), pp.1113-1118
ISSN
1528-1140
Publisher
Wolters Kluwer Health, Inc.
Start Page
1113
End Page
1118
Journal / Book Title
Annals of Surgery
Volume
268
Issue
6
Copyright Statement
© 2017 Wolters Kluwer Health, Inc. All rights reserved. This is a non-final version of an article published in final form in Annals of Surgery available at https://dx.doi.org/10.1097/SLA.0000000000002300
Sponsor
NIHR Imperial Biomedical Research Centre
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/28498233
Grant Number
RDB04
Subjects
11 Medical And Health Sciences
Surgery
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2017-05-11