Wearables in the SARS-CoV-2 Pandemic: What Are They Good for?
Open accessPublished version of a preprint
Abstract
Recently, companies such as Apple Inc, Fitbit Inc, and Garmin Ltd have released new wearable blood oxygenation measurement technologies. Although the release of these technologies has great potential for generating health-related information, it is important to acknowledge the repercussions of consumer-targeted biometric monitoring technologies (BioMeTs), which in practice, are often used for medical decision making. BioMeTs are bodily connected digital medicine products that process data captured by mobile sensors that use algorithms to generate measures of behavioral and physiological function. These BioMeTs span both general wellness products and medical devices, and consumer-targeted BioMeTs intended for general wellness purposes are not required to undergo a standardized and transparent evaluation process for ensuring their quality and accuracy. The combination of product functionality, marketing, and the circumstances of the global SARS-CoV-2 pandemic have inevitably led to the use of consumer-targeted BioMeTs for reporting health-related measurements to drive medical decision making. In this viewpoint, we urge consumer-targeted BioMeT manufacturers to go beyond the bare minimum requirements described in US Food and Drug Administration guidance when releasing information on wellness BioMeTs. We also explore new methods and incentive systems that may result in a clearer public understanding of the performance and intended use of consumer-targeted BioMeTs.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Evidence of the performance of consumer smartwatch pulse oximetry devices remains limited.
“However, evidence of the performance of these devices remains limited, and disclaimers may be overlooked by consumers (S1 Text) [9].”
From Investigating the accuracy of blood oxygen saturation measurements in common consumer smartwatches (2023) · cites this paper as [9]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Investigating sources of inaccuracy in wearable optical heart rate sensors
Bent, B., Goldstein, B. A., Kibbe, W. A., & Dunn, J. P. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0226-6 · Cited by 673 · cited 1× · see citing works
“Perhaps the most integral component of the V3 framework is reporting results in a standardized and transparent manner [6,13,15-17].”
BackgroundSelf-citationWearables and the Medical Revolution
Dunn, J., Runge, R., & Snyder, M. (2018) · Personalized Medicine · doi:10.2217/pme-2018-0044 · Cited by 654 · see citing works
Self-citationJohansson, D., Malmgren, K., & Alt Murphy, M. (2018) · Journal of Neurology · doi:10.1007/s00415-018-8786-y · Cited by 188 · see citing works
Flagged first, then by citations
Research works printed but not linked: 8
- [4]Pevnick JM Birkeland K Zimmer R Elad Y Kedan I Wearable technology for cardiology: An update and framework for the future Trends Cardiovasc Med 2018 2 28 2 144 150 10.1016/j.tcm.2017.08.003 28818431 28818431 PMC5762264 · DOI
- [6]Coravos A Doerr M Goldsack J Manta C Shervey M Woods B Wood WA Modernizing and designing evaluation frameworks for connected sensor technologies in medicine NPJ Digit Med 2020 3 37 10.1038/s41746-020-0237-3 10.1038/s41746-020-0237-3 32195372 32195372 PMC7070075 · DOI · Paper page
- [10]Seshadri DR Davies EV Harlow ER Hsu JJ Knighton SC Walker TA Voos JE Drummond CK Wearable Sensors for COVID-19: A Call to Action to Harness Our Digital Infrastructure for Remote Patient Monitoring and Virtual Assessments Frontiers in Digital Health 2020 6 23 2 8 8 10.3389/fdgth.2020.00008 PMC8521919 34713021 · DOI
- [11]Natarajan A Su HW Heneghan C Assessment of physiological signs associated with COVID-19 measured using wearable devices medRxiv. Preprint posted online on August 16, 2020 10.1101/2020.08.14.20175265 PMC7705652 33299095 · DOI
- [13]Goldsack JC Coravos A Bakker JP Bent B Dowling AV Fitzer-Attas C Godfrey A Godino JG Gujar N Izmailova E Manta C Peterson B Vandendriessche B Wood WA Wang KW Dunn J Verification, analytical validation, and clinical validation (V3): the foundation of determining fit-for-purpose for Biometric Monitoring Technologies (BioMeTs) NPJ Digit Med 2020 3 55 10.1038/s41746-020-0260-4 10.1038/s41746-020-0260-4 32337371 32337371 PMC7156507 · DOI · Paper page
- [14]Manta C Jain SS Coravos A Mendelsohn D Izmailova ES An Evaluation of Biometric Monitoring Technologies for Vital Signs in the Era of COVID-19 Clin Transl Sci 2020 11 13 6 1034 1044 10.1111/cts.12874 32866314 32866314 PMC7719373 · DOI
- [15]Godfrey A Goldsack JC Tenaerts P Coravos A Aranda C Hussain A Barreto ME Young F Vitorio R BioMeT and Algorithm Challenges: A Proposed Digital Standardized Evaluation Framework IEEE J Transl Eng Health Med 2020 5 28 8 0700108 10.1109/JTEHM.2020.2996761 32542118 32542118 PMC7292480 · DOI
- [16]Godfrey A Vandendriessche B Bakker JP Fitzer-Attas C Gujar N Hobbs M Liu Q Northcott CA Parks V Wood WA Zipunnikov V Wagner JA Izmailova ES Fit-for-Purpose Biometric Monitoring Technologies: Leveraging the Laboratory Biomarker Experience Clin Transl Sci. Epub ahead of print 2020 8 08 10.1111/cts.12865 32770726 PMC7877826 32770726 · DOI · Paper page
Cited by
Sorted by citations
Investigating the accuracy of blood oxygen saturation measurements in common consumer smartwatches
Jiang, Y., Spies, C., Magin, J., Bhosai, S. J., Snyder, L., & Dunn, J. (2023) · PLOS Digital Health · doi:10.1371/journal.pdig.0000296 · Cited by 36 · see citing works
Self-citation
- Authors
- Bent, B., & Dunn, J. P.
- Affiliations
- Duke University (US)
- Corresponding author
- Dunn, Jessilyn P
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2020-12-22
- Volume
- 8
- Issue
- 12
- Pages
- e25137
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC7758082
- OpenAlex
- W3112020795
- Cited by
- 10
- References
- 3
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 3 · 2021: 4
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Health Professions › Health Information Management › Healthcare Regulation
- Keywords
- wearable devices, COVID-19 pandemic, consumer health technology, biometric monitoring, clinical decision-making, FDA guidance, wellness products, incentive mechanisms
- MeSH terms
- Fitness Trackers, Wearable Electronic Devices, COVID-19, Humans, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review