Conclusion This review indicates that current research on activity monitoring devices may be overstated due to the variability in adherence .
Results showed that physical activity tracking in women and in young adults have been understudied
Background Activity monitoring devices are currently being used to facilitate and monitor physical activity .
No prior review has examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease .
Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial
Background Heart failure ( HF ) patients discharged from rural hospitals have higher 30-day readmission rates .  Self-management ( SM ) reduces readmissions , but adherence to SM guidelines is low in the rural HF population . We tested a home-based intervention to enhance patient activation and lead to improved SM adherence . Methods In this two-group , repeated measures r and omized control trial , the main outcomes were patient reported and clinical outcomes associated with SM adherence , and all-cause readmission at 30 , 90 and 180 days . Results The study included 100 HF patients discharged from a rural critical access hospital . The intervention group received a 12-week SM training and coaching program delivered by telephone and tailored on subjects ’ activation levels . At α = .10 , the PATCH intervention showed significantly greater improvement compared to usual care in patient-reported SM adherence : weighing themselves , following a low-sodium diet , taking prescribed medication , and exercising daily ( all p < .0005 ) at 3 and 6 months after discharge . In contrast , groups did not differ in physical activity assessed by actigraphy or in clinical biomarkers . Contrary to expectation , the 30-day readmission rate was significantly higher ( p = .088 ) in the intervention group ( 19.6 % ) than in the control group ( 6.1 % ) , with no differences at 90 or 180 days . Conclusion It is feasible to conduct a r and omized controlled trial in HF patients discharged from rural critical access hospitals . Significantly higher patient-reported SM adherence was not accompanied by lower clinical biomarkers or readmission rates . Further research is needed to underst and mechanisms that influence outcomes and healthcare utilization in this population .Trial registration Clinical Trial Registration Information : Clinical Trials.gov ; NCT01964053
Conclusion This review indicates that current research on activity monitoring devices may be overstated due to the variability in adherence .
Results showed that physical activity tracking in women and in young adults have been understudied
Background Activity monitoring devices are currently being used to facilitate and monitor physical activity .
No prior review has examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease .