{"doi":"10.26502/fccm.92920404","title":"Income in Relation to Psychosocial Factors Among Stroke Survivors using Smartwatches for Atrial Fibrillation Monitoring","abstract":"Background: Timely detection of atrial fibrillation (AF) is critical for stroke prevention. Smartwatches are FDA-approved devices that can now aide in this detection. Objective: Investigate how socioeconomic status is associated with self-reported psychosocial outcomes, including anxiety, patient activation, and health-related quality of life in stroke survivors using smartwatch for AF detection. Methods: We analyzed data from the Pulsewatch study, a randomized controlled trial (NCT03761394). Participants in the intervention group wore a cardiac patch monitor in addition to a smartwatch for AF detection, whereas the control group wore only the cardiac patch monitor. Generalized anxiety disorder-7 scale, Consumer Health Activation Index and short-form health survey were completed to assess anxiety, patient activation, physical and mental health status at baseline, 14, and 44 days. We used a longitudinal linear regression model to examine changes in psychosocial outcomes in low (<$50K) vs. high (>$50K) income groups. Results: A total of 95 participants (average age 64.9± 9.1 years; 57.9% male; 89.5% non-Hispanic white) were included. History of renal disease (p-value 0.029), statin use (p-value 0.034), depression (p-value 0.004), and anxiety (p-value <0.001), were different between the income groups. In the adjusted model, the low-income group was associated with increased anxiety (β 2.75, p-value 0.0003), and decreased physical health status (β -5.07, p-value 0.02). There was no change identified in self-reported patient engagement and mental health status score. Conclusion: Our findings demonstrate that low SES is associated with worse self-reporting of physical health status, and this may influence psychosocial outcomes in smartwatch users.","journal":"Cardiology and Cardiovascular Medicine","year":2024,"id":504671,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9588,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1355498,"name":"Tyler S. Jones","orcid":null,"position":1,"is_corresponding":false},{"id":1355499,"name":"Joseph Daniel","orcid":null,"position":2,"is_corresponding":false},{"id":740859,"name":"Jordy Mehawej","orcid":"0000-0001-6877-6778","position":3,"is_corresponding":false},{"id":965031,"name":"Andreas Filippaios","orcid":"0000-0003-0082-5507","position":4,"is_corresponding":false},{"id":965032,"name":"Tenes Paul","orcid":"0000-0002-0135-6864","position":5,"is_corresponding":false},{"id":724589,"name":"Ziyue Wang","orcid":"0000-0003-2662-3946","position":6,"is_corresponding":false},{"id":981563,"name":"Sakeina Howard-Wilson","orcid":"0000-0002-7986-0585","position":7,"is_corresponding":false},{"id":338817,"name":"Darleen Lessard","orcid":"0000-0002-9644-2203","position":8,"is_corresponding":false},{"id":306785,"name":"Eric Ding","orcid":"0000-0002-6904-8534","position":9,"is_corresponding":false},{"id":919784,"name":"Edith Mensah Otabil","orcid":"0000-0002-8926-8403","position":10,"is_corresponding":false},{"id":944469,"name":"Kamran Noorishirazi","orcid":"0000-0002-4059-2771","position":11,"is_corresponding":false},{"id":727667,"name":"Apurv Soni","orcid":"0000-0001-5049-3657","position":12,"is_corresponding":false},{"id":338820,"name":"Jane S. Saczynski","orcid":"0000-0002-6411-4774","position":13,"is_corresponding":false},{"id":1226209,"name":"Khanh V. Tran","orcid":"0000-0002-0121-6212","position":14,"is_corresponding":false},{"id":306787,"name":"David D. McManus","orcid":"0000-0002-9343-6203","position":15,"is_corresponding":false},{"id":915510,"name":"Syed Naeem","orcid":"0000-0001-8851-8477","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:10:39.578471Z","pmid":"39493359","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}