Wearable devices: underrepresentation in the ageing society.
Ta-Wei Guu, Marijn Muurling, Zunera Khan...
https://pubmed.ncbi.nlm.nih.gov/37236695Actively Recruiting
Led by China Medical University Hospital · Updated on 2026-05-18
140
Participants Needed
1
Research Sites
52 weeks
Total Duration
C
China Medical University Hospital
Lead Sponsor
M
Ministry of Health and Welfare, Taiwan
Collaborating Sponsor
Researchers are studying the health and digital literacy of older adults living in rural Taiwan, particularly in Yunlin County, an area facing high rates of chronic diseases, frailty, dementia, and lifestyle challenges. This observational study aims to develop a wearable and mobile health research framework to monitor physical activity, sleep, cognitive biomarkers, and digital skills to support healthy aging. The project aligns with Taiwan's Healthy Taiwan Cultivation Plan and seeks to establish a digital aging database and identify markers predicting cognitive and functional decline. Participants will use several digital tools including a research-grade wrist actigraphy device (GeneActiv) to track activity and sleep for at least two weeks, the iMED mobile health app for personalized education and medication reminders, and an under-mattress sensor (iCue) for those with limited mobility. They will also attend educational sessions based on the World Health Organization's Integrated Care for Older People framework and provide blood samples to measure dementia-related biomarkers. The study will occur in two phases from 2025 to 2029, with initial baseline assessments followed by ongoing monitoring every three months. During the study, participants will undergo physical activity and sleep monitoring, cognitive and functional assessments using standardized questionnaires, and blood biomarker sampling at baseline and study end. Data collected will include wearable sensor information, clinical evaluations, and qualitative feedback on technology usability and user experience. The study aims to follow participants for up to 36 months, assessing changes in health behaviors, mental well-being, and functional status while developing a sustainable digital health model for rural older adults.
CONDITIONS
Digital Technology for Active and Healthy Ageing in Taiwan
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - At baseline
Participants provide baseline blood samples for dementia-related biomarker analysis and undergo standardized health and digital literacy assessments.
1 baseline visit (in-person)
Duration - At least 2 weeks initially, then ongoing through study
Participants wear a wrist actigraphy device for at least two weeks and may use an under-mattress sensor if mobility is limited, while using a mobile health app to track health and receive feedback.
Initial 2-week monitoring plus continued use; follow-up visits every 3 months
Duration - Ongoing throughout the study
Participants attend community-based educational sessions on physical activity, diet, cognitive health, and digital literacy adapted from the Aging Well Taiwan program based on WHO's ICOPE model.
Periodic community sessions
Duration - Up to 36 months
Participants are followed every three months to assess changes in activity, sleep, medication use, mental well-being, and behavioral outcomes, with repeat blood sampling at the end of the study.
Quarterly visits for assessments; blood samples at baseline and end of study
Total: 1 location
1
China Medical University Beigang Hospital
London, Alabama, United Kingdom, WC1N 2AN
Actively Recruiting
D
Dr Ta-Wei Guu Consultant psychiatrist, MD, PhD
Y
Yueh-Heng Chiang, RN, MS.
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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Ta-Wei Guu, Marijn Muurling, Zunera Khan...
https://pubmed.ncbi.nlm.nih.gov/37236695Ta-Wei Guu, Anna-Katharine Brem, Christopher P Albertyn...
https://pubmed.ncbi.nlm.nih.gov/38497216