Background
Mobile health (mHealth) wearable devices are increasingly being adopted by individuals to help manage and monitor physiological signals. However, the current state of wearables does not consider the needs of racially minoritized low–socioeconomic status (SES) communities regarding usability, accessibility, and price. This is a critical issue that necessitates immediate attention and resolution.
Objective
This study’s aims were 3-fold, to (1) understand how members of minoritized low-SES communities perceive current mHealth wearable devices, (2) identify the barriers and facilitators toward adoption, and (3) articulate design requirements for future wearable devices to enable equitable access for these communities.
Methods
We performed semistructured interviews with low-SES Hispanic or Latine adults (N=19) from 2 metropolitan cities in the Midwest and West Coast of the United States. Participants were asked questions about how they perceive wearables, what are the current benefits and barriers toward use, and what features they would like to see in future wearable devices. Common themes were identified and analyzed through an exploratory qualitative approach.
Results
Through qualitative analysis, we identified 4 main themes. Participants’ perceptions of wearable devices were strongly influenced by their COVID-19 experiences. Hence, the first theme was related to the impact of COVID-19 on the community, and how this resulted in a significant increase in interest in wearables. The second theme highlights the challenges faced in obtaining adequate health resources and how this further motivated participants’ interest in health wearables. The third theme focuses on a general distrust in health care infrastructure and systems and how these challenges are motivating a need for wearables. Lastly, participants emphasized the pressing need for community-driven design of wearable technologies.
Conclusions
The findings from this study reveal that participants from underserved communities are showing emerging interest in using health wearables due to the COVID-19 pandemic and health care access issues. Yet, the needs of these individuals have been excluded from the design and development of current devices.
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A User Study of a Wearable System to Enhance Bystanders’ Facial Privacy
The privacy of users and information are becoming increasingly important with the growth and pervasive use of mobile devices such as wearables, mobile phones, drones, and Internet of Things (IoT) devices. Today many of these mobile devices are equipped with cameras which enable users to take pictures and record videos anytime they need to do so. In many such cases, bystanders’ privacy is not a concern, and as a result, audio and video of bystanders are often captured without their consent. We present results from a user study in which 21 participants were asked to use a wearable system called FacePET developed to enhance bystanders’ facial privacy by providing a way for bystanders to protect their own privacy rather than relying on external systems for protection. While past works in the literature focused on privacy perceptions of bystanders when photographed in public/shared spaces, there has not been research with a focus on user perceptions of bystander-based wearable devices to enhance privacy. Thus, in this work, we focus on user perceptions of the FacePET device and/or similar wearables to enhance bystanders’ facial privacy. In our study, we found that 16 participants would use FacePET or similar devices to enhance their facial privacy, and 17 participants agreed that if smart glasses had features to conceal users’ identities, it would allow them to become more popular.
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- Award ID(s):
- 1950416
- NSF-PAR ID:
- 10205752
- Date Published:
- Journal Name:
- IoT
- Volume:
- 1
- Issue:
- 2
- ISSN:
- 2624-831X
- Page Range / eLocation ID:
- 198 to 217
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.3390/iot1020013
