Unlocking the potential of wearable digital technologies for global health research in low-income settings: A qualitative study
Year: 2025
Type: article
Abstract: Introduction: Wearable smart devices have emerged as effective tools with the potential to support real-time mobility tracking, monitoring, and data collection for public health research. In low-income settings, however, unlocking this potential requires addressing challenges related to implementation, acceptability, and sustained use among research participants. This study explored facilitators and barriers to the effective use of wearable smartwatches in Kampala, Uganda. Methods: We conducted a cross-sectional qualitative study among 36 adults participating in an ongoing prospective cohort. Participants were purposively selected based on adherence patterns: consistent wearers (≥5 days/week) and inconsistent wearers (≤3 days/week). Stratified by sex, we held two focus group discussions (FGDs) with male (n=10) and female (n=10) participants. Additional FGDs were conducted with males (n=8) and females (n=8) who completely failed to wear the smartwatches. Data were inductively coded and analyzed to identify themes reflecting experiences, motivators, and barriers to wearing the devices. Results: Several themes emerged. Prestige and functionality: Some participants perceived the smartwatch as a status symbol, which encouraged regular use. Functional features such as the ability to make or receive calls, check body temperature, and count steps further motivated adherence. Reassurance and social support: Support from researchers, friends, and family reinforced use of the devices. Privacy and community perceptions: Some participants expressed concerns that the smartwatch could reveal intimate details of their daily lives. Others reported being stigmatized or viewed suspiciously by community members who believed the device could be used for surveillance or spying. Conclusion: Social prestige associated with smartwatch use, along with consistent support from researchers and social networks, can facilitate the uptake of wearable digital technologies in public health research. However, addressing individual privacy concerns and community-level misconceptions is essential for unlocking the full potential of these devices in low-income settings.
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4417329664
FWCI:
Cites:
Cited by:
Related to: