Tailored text messages not enough to improve mobility after heart issues

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Tailored text messages not enough to improve mobility after heart issues
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Nearly one in three Americans wear a wearable device, like a smartwatch, to track their health and fitness.

There was, however, a significant increase inover six minutes, a measure of functional capacity, three months after study initiation for Fitbit users, though this was not sustained at 6-months. There was not significant change in six-minute walk distance at six months for Apple Watch users.

"Overall, this study suggests that the intervention did not have a long term impact on physical activity that was sustained over time but may have intermediate or potentially device-specific effects," said first author Jessica R. Golbus, M.D., clinical instructor of internal medicine-cardiology at University of Michigan Medical School and member of the Precision Health initiative.

"Further analyses will help us to determine which types of tailored text messages are most effective and for which groups of patients. We will then use that information to design and deliver a future digital health intervention in which participants receive only the most effective text messages," Golbus said."This study is a first step in us understanding how best to use these new technologies to the benefits of patients.

Additional authors include Rachel Stevens, V. Swetha E. Jeganathan, MBBS, MRCS, Evan Luff, Jieru Shi, Walter Dempsey, Ph.D., Bhramar Mukherjee, Ph.D., Sarah Kohnstamm, M.D., Predrag Klasnja, Ph.D., Sachin Kheterpal, M.D., Brhmajee K. Nallamothu, M.D., all of University of Michigan, Kashvi Gupta, MBBS, M.P.H., of University of Missouri Kansas City, Thomas Boyden, M.D., of Spectrum Health, Vlad Taralunga, B.S.E., and Vik Kheterpal, M.D., both of CareEvolution, and Susan Murphy, Ph.D.

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