12 November 2018

In PLoS One Niek Koenders and colleagues showed the importance of testing the validity of physical activity monitors in a real-world hospital setup rather than an experimental setup.

Purpose: To assess the concurrent validity of a wireless patch sensor to monitor time lying, sitting/standing, and walking in an experimental and a hospital setup.

Methods: Healthy adults participated in two testing sessions: an experimental and real-world hospital setup. Data on time lying, sitting/standing, and walking was collected with the HealthPatch and concurrent video recordings. Validity was assessed in three ways: 1. test for mean differences between HealthPatch data and reference values; 2. Intraclass Correlation Coefficient analysis (ICC 3.1 agreement); and 3. test for mean differences between posture detection accuracies.

Results: Thirty-one males were included. Significant mean differences were found between HealthPatch data and reference values for sitting/standing (mean 14.4 minutes, reference: 12.0 minutes, p<0.01) and walking (mean 6.4 minutes, reference: 9.0 minutes, p<0.01) in the experimental setup. Good correlations were found between the HealthPatch data and video data for lying (ICC: 0.824) and sitting/standing (ICC: 0.715) in the hospital setup. Posture detection accuracies of the HealthPatch were significantly higher for lying and sitting/standing in the experimental setup.

Conclusions: Overall, the results show a good validity of the HealthPatch to monitor lying and poor validity to monitor sitting/standing or walking. In addition, the validity outcomes were less favourable in the hospital setup.

Publication
Validation of a wireless patch sensor to monitor mobility tested in both an experimental and a hospital setup: A cross-sectional study.
Koenders N, Seeger JPH, van der Giessen T, van den Hurk TJ, Smits IGM, Tankink AM, Nijhuis-van der Sanden MWG, Hoogeboom TJ.

Niek Koenders and Thomas Hoogeboom are both member of theme Healthcare improvement science.
 

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