Can Older Adult Emergency Department Patients Successfully Use the Apple Watch to Monitor Health?

OBJECTIVE: To determine usability of the Apple Watch in older adult emergency department (ED) patients after a fall. METHODS: We recruited older adults who fell and visited two urban EDs. They participated in an Apple Watch orientation and interviews on their experiences using the watch to complete varied tasks for 30 days. Interviews were recorded, transcribed, coded, and analyzed using framework analyses. RESULTS: Eight participants (mean age 77.6 years) enrolled from November 2019 to March 2020. Participants reported being able to apply and charge the watch but struggled with navigating screens, monitoring charging status, and responding with de novo text messages. Many cited difficulties with advanced tasks, such as the study's app-based movement and memory activities. Experience with smartphones and caregiver assistance enhanced users' ability to complete tasks. CONCLUSIONS: Older adults successfully performed basic Apple Watch functions. Family and community members may be necessary to assist with complex tasks.