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Table 6 Staff, patient and carer pre-implementation perceptions of wearable sensors

From: The use and impact of surveillance-based technology initiatives in inpatient and acute mental health settings: a systematic review

Wearable sensors

Pre-implementation perceptions of technology

MMAT quality rating​

Conflicts of interest

Potential uses or benefits

Staff

1 paper [53]

n = 25 nurses

• Could help monitor risk and so prevent situations escalating, reducing violent incidents.

• Provides information which patients may otherwise not express or which may not be observable by staff.

• Could foster self-awareness amongst patients.

• Facilitates less obtrusive monitoring without the need for physical contact.

• Factors that could increase patient willingness to engage could include stylish design and having clear benefits to wearing the device (e.g. if it affected their leave status).

High

None

Concerns and potential harms

Staff

1 paper [53]

n = 25 nurses

• Device could be used as a ligature due to elastic armband.

• Device could be used as a weapon to cause harm to self or others.

• Could exacerbate patient paranoia.

• Concerns about data security and patient confidentiality.

• Could add to staff’s workloads (e.g. if need to manually upload/analyse data, monitoring patient use of the technology, or if checklists accompany them).

• Patients’ willingness to use the technology may change depending on their mental state.

High

None

  1. Acronyms: MMAT Mixed Methods Appraisal Tool