Acceptability and feasibility of wearing activity monitors in community-dwelling older adults with dementia
Open accessAbstract
OBJECTIVES: Measuring physical activity is complicated particularly in people with dementia, where activity levels are low and subjective measures are susceptible to inaccurate recall. Activity monitors are increasingly being used within research; however, it is unclear how people with dementia view wearing such devices and what aspects of the device effect wear time. The aim of the study was to evaluate the acceptability and feasibility of people with dementia wearing activity monitors. METHODS: Twenty-six, community-dwelling, people with mild dementia were asked to wear an activity monitor (GENEactiv Original) over a 1-month period. Perceptions of the device were measured using the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) 2.0, alongside qualitative interviews. Device diary and activity monitor data were used to assess compliance. RESULTS: Participants tended to find wearing the activity monitors acceptable, with only three participants (12%) withdrawing prior to the study end date. Participants were generally satisfied with wearing the devices as measured by the QUEST (Mdn = 4.4, IQR = 1.1). Four themes were identified that influenced perceptions of wearing the device: external influences, design, routine, and perceived benefits. DISCUSSION: Asking people with dementia to wear a wrist-worn activity monitor for prolonged periods appears to be both feasible and acceptable. Researchers need to consider the needs and preferences of the sample population prior to selecting activity monitors.
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Farina et al included a participant with stroke-related vascular dementia but no acute motor symptoms.
“Farina et al [27] included a participant with stroke-related vascular dementia but no acute motor symptoms.”
From Patient-Perceived Factors Influencing Physical Activity Sensor Use in Stroke Prevention and Rehabilitation: Systematic Review of Qualitative Studies Using Thematic Synthesis (2026) · cites this paper as [27]
The participant-characteristics table (labeled References in our copy; page not supplied) lists one participant with vascular dementia. The Methods describe participants as ambulatory, but neither passage says this participant’s dementia was stroke-related or that they had no acute motor symptoms. (LLM, conf=0.86)
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“Finally, Mercer et al [35] included a participant with stroke-related gait asymmetry (shuffling) that impacted activity sensor accuracy, and Farina et al [27] included a participant with stroke-related vascular dementia but no acute motor symptoms.”
- Authors
- Farina, N., Sherlock, G., Thomas, S., Lowry, R. G., & Banerjee, S.
- Affiliations
- Brighton and Sussex Medical School (GB)
- Sussex Partnership NHS Foundation Trust (GB)
- University of Chichester (GB)
- Corresponding author
- Farina, Nicolas
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2019-02-20
- Volume
- 34
- Issue
- 4
- Pages
- 617-624
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2914275304
- Cited by
- 65
- References
- 35
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 14 · 2023: 6 · 2022: 10 · 2021: 10 · 2020: 5 · 2019: 4
- FWCI
- 4.97
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ChiPrints (University of Chichester) (acceptedVersion)
- Open Access at Essex (University of Essex) (acceptedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Centre for Dementia Studies, Brighton and Sussex Medical School
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- dementia, wearable activity trackers, physical activity measurement, wearable devices, acceptability, feasibility, community-dwelling older adults, device compliance, user satisfaction, assistive technology, GENEActiv, device design
- MeSH terms
- Aged, Dementia, Feasibility Studies, Humans, Patient Acceptance of Health Care, Personal Satisfaction, Quebec, Exercise, Independent Living, Accelerometry
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