The Fitness Tracker Fallout

We’ve talked about this a bit before. Fitness trackers are all the rage, but they have yet to overcome the challenge of becoming an enduring product line.

Maybe we shouldn’t be so surprised by this fallout. When I look at the graveyard of fitness products that my wife has purchased, they’ve all gone through a similar fallout. They get purchased, used briefly and then set to the side. It’s very much the nature of the fitness market.

Unfortunately, I have yet to see anything in the fitness market that will change this reality. The closest I get is the health sensors that are integrated directly into the cell phone. Our cell phones have GPS, accelerometors and other health related sensors built in. We’re really close to being able to track much of our health on our smartphone with no interaction from us as the end user. That will be a game changer.

Another example of this is some of the amazing ways that our health data can be calculated and tracked through our cell phone’s video camera. Imagine if much of our health data could be collected by taking a selfie a day. I can’t market a product that asks you to sit in front of a camera every day. I can market taking a selfie a day. We’re almost there.

Other wearables like smart clothing are interesting as well. Last I checked we all wore clothing regularly. There’s no change of habit required to wear smart clothing that monitors your health. This is going to be the key to avoiding the fall out.

What else do you see happening with health tracking? What will help us avoid the seemingly inevitable fall out?

September 4, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

Timex SmartWatch Doesn’t Need a Smartphone

We’ve been covering a lot of the movement in the SmartWatch space. It’s a really interesting set of technology since every one of them integrates some piece of healthcare into their technology. One of the features of pretty much every smartwatch out there is that they’re essentially just a second screen for your smartphone. That means you need a smartphone to be able to use the smartwatch. That’s not really too much of an issue since most of us have smartphones.

While it’s true that most people have smartphones, when it comes to health and fitness you often don’t want to carry around your smartphone while you’re running, swimming, biking, etc. With this in mind, I was intrigued by the announcement of the Timex Ironman smartwatch that doesn’t require a smartphone. Here’s a short description from the WSJ article:

The point, for Timex, was to create a device that could keep someone connected during hardcore workouts without having to bring along a smartphone or music player. It’s waterproof down to 50 meters, so it’s fine for swimming and even diving, and has a Qualcomm Mirasol display, which is more visible in direct sunlight than many LCD screens.

The watch tracks a user’s speed, distance traveled and pace in real time, and can share it with friends and family who want to follow along. The wireless connectivity enables the watch to send email messages, and a “find me” mode allows users to send an alert to emergency contacts such as friends and family if trouble arises.

I see this as another great evolution of the smartwatch environment. First, it provides a health and fitness alternative that makes a lot of sense. Second, it’s really interesting to see a company like Timex getting involved in the space. It will be really interesting to see how Timex does developing a touchscreen watch since that’s not their usual skill set.

August 20, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

FitBit Makes You Gain Weight

How’s that for a headline? That’s the story that caught my eye on this NBC – Today show article that talks about the Fitbit, Jawbone Up and Nike Fuelband tracking technology and its impact on people’s weight. First, it’s worth noting that the Today show is talking about fitness trackers. That’s a great sign of the mainstream appeal of these fitness trackers. Although, I guess we have to ask if it’s a fad.

However, back to the original part of the story. Does the FitBit make you gain weight? Obviously, a medical device doesn’t make you gain weight or make you lose weight. However, the information it offers you can influence the choices you make. The article talks about how one person compared the estimated calories burn vs the estimated calories eaten and there was a disconnect with what was happening with their body. According to the fitbit, they were burning a lot more calories than they were taking in, but they were still gaining weight.

What this highlights to me is something most of us have known forever. Weight loss is really hard and is a much more complicated problem than we want it to be. It’s simple to say that it should just be a mathematical equation of calories in and calories burned, but it’s not that simple. People’s metabolism matters. The type of calories you eat matters. I could keep going, but you get the point.

We should of course know this since the weight loss industry has to be a trillion dollar industry. People will spend hordes of money losing weight. Unfortunately, much of that money is spent on things that don’t get results. However, it’s worth noting that it’s not often the devices fault as much as the user error (or lack of user use).

Let’s also be clear that we’re still really early on in the fitness tracker and other wearable sensor technology evolution. Five more years from now I think the sensors and algorithms will be so much better than today. Although, I might be most hopeful that people will find some amazing psychological solutions that really change people’s behavior for good. The potential is there to make an enormous difference in so many people’s lives.

August 6, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

SmartWatch Showdown

The following is a guest blog post by .

For those hoping the new Android Wear devices coupled with Google Fit would be some sort of mashup of a Basis-type fitness tracker and Google Now notifications, well, you’re going to have to wait some more.  Last week at I/O, Google previewed the three new smartwatches running their new wearable device OS: Samsung Gear Live, LG G Watch and Motorola’s Moto360.  Both the Samsung and LG will be available for order after the first week of July, and the Moto360 is planned for late summer.

Between the LG and Samsung, the devices are near identical with the major differences being in stylistic hardware design.  Both devices have the same processor (1.2GHz), storage and memory (4GB, 512MB respectively), have your standard Bluetooth 4.0 LE, accelerometer, gyro and compass as well as being water resistant for up to 30 min in a meter of water. Neither device has a speaker, or the ability to send audio navigation directions or information to bluetooth headphones, and any “Ok Google” searches return with cards, where information can then be pushed to the user’s mobile device.

The major technical differences show up in the display:  the LG has a 280 x 280 IPS LCD, while the Samsung sports a 320 x 320 SuperAMOLED display. The resolution isn’t a major difference, but the Samsung does come off a with a bit more umph. Regardless, don’t expect to be able to see either display in bright sunlight.

Both device batteries are expected to last at least a full day on a single charge, but with the LG’s larger 400mAh capacity and lower-level screen, users may end up pulling more time from the device, even though the AMOLED has an overall lower power consumption during long displays of black pixels.  Current battery life usage tests for both show about a 60% drop over 12 hours of fairly active use.  Charging back to full strength from there takes about an hour for the Samsung and around 90-minutes on the LG model.  The LG model has a magnetic charging base which is incredibly convenient and streamlined, while the Samsung design is clumsy and awkward to click in, and does not lay flat.

The Samsung also includes a heart rate monitor, and while that may seem valuable to the healthcare crowd, it’s only implemented as an on-demand feature so don’t expect any continuous data tracking for now.  Additionally, Samsung has a pretty bad track record when it comes to heart rate monitor accuracy, so actual applicability in any use is TBD.  Even with the HR monitor and better display, the Samsung is the less expensive option at $199, with LG being an additional $30.

The dimensions are nearly the same, as are the weights, with the LG being a bit heavier and with a slightly smaller footprint. Both devices are on the clunkier side with large square displays. Stylistically, the LG takes on a more “sport look” and is straight black with a replaceable soft matted rubber strap, traditional buckle and very squared off face.  The Samsung’s casing is far more refined being a near match to their older Gear 2, with beveled edges and a silver boarder finish, but the clasping mechanism on the fixed sportband is a nub-button style making it feel less secure.

Side by side, it will probably come down to fit and comfort for most users.  The LG, being very flat, tends to irritate the wrist bones on those users with smaller or bonier wrists, even at looser strap settings.  The Samsung’s back has a slight taper, and will be more comfortable. There’s also a physical on/off button hidden on the bottom of the Samsung, but given the use model of the devices it seems a little unnecessary and just one more thing to break.

Both devices are quite responsive to gesture control, and there’s been no noticeable lag in screen activation through this feature.

As far as the OS goes, Android Wear works mostly the same regardless of which device it’s on. This includes standard settings like screen dimming and activation, notifications through Google Now, Google Fit functionality and voice command.  Visually, the major difference is the “clock” face with several Google OEM options available, and then each device having a few more choices. Notifications pop up on the bottom of both devices, and swipe directions to control actions are consistent across both models, typically giving users the option to mute, view, reply or push information to the user’s phone.

Voice commands start with the classic “Ok Google…” just as with mobile devices, but includes a few wearable specific commands such as take a note, reminders, steps, send a text/email, etc.  Google has no plans to segregate Android Wear apps from the rest of the Play Store, so functionally any application downloaded to a user’s phone that has a Wear component will be synced to the device as well.

So, aside from seeing what the final OS looks like upon public release, and what apps will be available in the near future, the remaining major question is how the Moto360 stacks up against the other two devices.  The specs aren’t fully released, but given how close the other two compare on a technical level, expect it to at least make par. What is known about the Moto360 is that it has a much more classical look and feel, with round face, stainless steel accents, leather straps, a physical button and will likely be dust and water resistant.

The watch is still on the bulky side, with the face about as large around as a silver dollar, and the casing is about as thick as the others. The round design appeals to both genders, and will fit smaller wrists better aesthetically and bonier wrists more comfortably (n=1 in this very scientific study). The display also flips, unlike the other two, for users who prefer devices on the right arm. As for charging, the backside is port-fee, and appears to be an induction based design, and that also points to some possible contact based bio-sensor functionality. Motorola states that  battery life was “made a priority”  based on lessons learned from developing their first smartwatch. Again, if much of this current design is a pivot from the first attempt, there’s a reasonable expectation that there will be more fitness tracking functionality in the Moto360 than in the Samsung or LG watches, but Motorola is being rather coy on those points.

Unfortunately, for fitness tracker users looking for an Android integrated option, none of these devices are there yet, but there is the potential once apps come into the marketplace for Android Wear and especially once the GoogleFit SDK is released.  For previous Pebble owners looking for a notification device replacement with a little more flexibility, all three are good options, and it really just comes down to aesthetic preferences.  In either case, it’s probably worth waiting a couple months for the Moto360, as it really seems the most promising of the three.

And on a more depressing note, this really signals the end for cross-platform smart watches like the Pebble as both Apple and Google work their way into developing truly connected, fluidly integrated platform-specific devices.

July 2, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

Samsung’s $50 Million Digital Health Investment Fund

Fred Pennic over at HIT Consultant posted a great story about the new $50 million digital health initiative coming out of Samsung. Here’s a portion of Fred’s article about the announcement:

The new initiative will utilize a new health open reference design platform tailored to take advantage of the latest sensors, behavioral algorithms, battery technologies and displays.
To aggressively support this initiative, Samsung has also announced a $50 million investment fund dedicated to innovative start-ups and technologies in the digital health space. The goal of the fund is to stimulate creative new approaches to digital health and Samsung’s open platforms.

I’ve long been interested in the role that cell phone companies will play in the digital health space and specifically in the health sensors space. There’s always been a bit of a problem for me with the various health sensors out there in the market today. I just don’t care enough about them to wear one every day. The watch comes closest to a natural product that I could see myself wearing it regularly, but the clip on products just aren’t something I want to do every day. I have too many other things to think about.

Of course, you wouldn’t catch most of us without our cell phones on us. This is why it’s always made sense why the cell phone would be the ultimate health tracker. It doesn’t require a habit change by the end user.

Until this cell phone-health sensor vision comes to fruition we’re going to have to limp along with these other wearable technologies and no doubt Samsung wants to be a major player in that space so they know which ones are worth integrating into their cell phones down the road. With that in mind, $50 million seems like a small investment for them to make in the space.

I personally see this $50 million fund as a small down payment by Samsung on what will likely become a much larger investment for them in healthcare.

May 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

Decline of Health and Fitness Tracker Usage

I’ve started hearing a number of people mention this. In some cases it’s first hand accounts of their own usage and in other cases it’s people talking about the health and fitness tracker usage trend. Basically, it seems that we haven’t yet figured out how to make a health and fitness tracker sticky. This chart from Edneavour Partners shows the tracker usage trend really well:
Health and Fitness Tracker Usage

From my own personal experience, I’ve found a similar usage curve. The big challenge is that the value of the tracker 3 months out isn’t clear. When you first start using the tracker, the data is quite interesting because you’ve never seen the fitness tracking data. Plus, you’re interested to see how it changes over time. Once you reach the 3 month plateau, you already basically know the patterns and so they lose their value.

What’s not clear is whether these companies (or some outside company) will find a way to leverage a long term history of tracking into something really valuable. Will having blood pressure trends for 3 years make it so you can detect potential health issues that you wouldn’t have discovered otherwise? I think this is the potential for the quantified self movement, but I’m skeptical that the current set of trackers and sensors will get us there. How much value can be gotten from steps, weight, and blood pressure? I think we’ll need a more advanced set of trackers to be able to reach that longer term goal.

May 21, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

Fuelband Team Fired

In the world of wearables, the Nike FuelBand was one of the rockstar products out there. So it was intriguing to see the report from CNet that Nike was fireing the majority of the FuelBand team. Plus, they note that they will stop making wearable hardware. They will continue to sell the FuelBand SE, but won’t be bringing the slimmer version to market like they’d planned this Fall. They will continue to improve the Nike+FuelBand App.

This is an interesting move by Nike. I wonder what led to this decision. Was it an issue internal to Nike or did they just see that they had no need to be doing the hardware since there were plenty of alternatives out there. They could just use their brand and some Nike powered apps with the existing hardware on the market? It would be hard to argue that there hasn’t been a huge interest in this type of fitness tracking product.

One potential issue is that the fitness tracking product line is finding that retention of users is a big problem. People start using a fitness tracker and do so quite well for a month or two. After that, they stop using it because they’ve already more or less seen the results and the data. This is the challenge these fitness trackers face. How do you keep the product interesting and continually engage users.

Nike getting out of the hardware game isn’t really a big issue since there are so many other trackers. However, I wonder if it’s a clue as to what else might be happening in the market.

April 23, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

The 3 Pillars of mHealth

I’ve been digging into the mHealth world for a number of years. As I look at the mHealth marketplace, I see it working in a number of interesting directions. Each has its own promise and there’s some overlapping technologies which I think often confuses the market. However, I think that we can break the mHealth market into the following 3 areas:

Consumer mHealth – This area of mHealth is dominated by the various fitness trackers, but also is probably 90% mobile health apps you find on the app stores). This is taking your mHealth product direct to the consumer. This isn’t a doctor recommended product. This is consumers seeing a health and fitness product that they want and they start using it on their own. We’ve seen millions of people adopt these technologies and you can be sure that we’ll see millions more.

What’s interesting about this market is the challenge it is to maintain a user base. The biggest trend with all of these applications and devices is that people use them for the first couple months and then stop. How many of you have a fitness tracker in a drawer at home? I know I do. Outside of the hard core self trackers, I think we have yet to find a mHealth application with true stickiness beyond the initial experience.

Employer mHealth – Far too many people discount the potential of the employer mHealth market. It’s a shifting market as more and more employers get out of healthcare, but it’s still a huge area of opportunity. The beauty of this market is that employers have a direct financial reason to want to keep their employees healthy. Not only does it reduce their costs to pay for healthcare, but avoiding employee sick days translates to increased office productivity.

The big challenge with employer mHealth is proving that you can reduce their healthcare costs and avoid employee sick days. Plus, even if you can produce a study with these results, it can often be a long and difficult sale to these large organizations. Far too often the person who controls the purse strings is far removed from the person doing their employee wellness program. Bringing those two together is not a simple task.

Enterprise mHealth – I define this part of the market the hospital and doctor focused mHealth applications. In many cases it’s applying mobile to existing technology, but it can also be selling a new mHealth application to doctors and hospitals. The great part of this technology is that we all know that healthcare is heading this direction. Doctors and their patients are very mobile and want these applications. This move is inevitable.

The problem with this market is that doctors and hospitals are so distracted that getting their attention is a herculean task. It’s incredibly hard for a doctor to see what is real and what is myth when it comes to all these new mobile applications. One thing doctors won’t do is risk their reputation. This is why I believe many doctors are slow to adopt mobile health applications. They don’t want to risk making a bad choice and hurting their reputation. We need a better way for doctors to discover what’s really valuable for them in the mHealth world.

March 26, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

Fitbit Force Sales Stopped and Voluntary Recall Begins

The CEO of Fitbit has announced that they have stopped sales of the Fitbit Force and offered a voluntary recall. If you have a Fitbit Force and would like to get a refund, they have set up a dedicated page on their website or call .

Here’s a comment from the CEO about the reason for the recall:

Late last year, we began selling Fitbit Force, our most advanced activity tracker. Recently, some Force users have reported skin irritation. While only 1.7% of Force users have reported any type of skin irritation, we care about every one of our customers. On behalf of the entire Fitbit team, I want to apologize to anyone affected.

Of course, we know the difference in number between people who report problems and those that have them is very different. It is interesting that their test results show that users are likely experiencing allergic contact dermatitis.

When you think about a watch based product like this, you’d think that the science of materials for watches would be solid. It seems really odd to me that Fitbit and their pile of investor dollars didn’t tap into this science to avoid an issue like this.

The timing for this is also interesting with so many people touting the Fitbit Force as their giveaway at HIMSS 2014. Well, I guess winners now have an easy way to cash it in for $130 if they want as opposed to heading to eBay.

James Park, Fitbit CEO, does note that they’re working on their next generation tracker. I won’t be surprised if the Fitbit Force brand never sees the light of day again. I’m pretty sure they’ll want to take the lessons learned and move forward and put the Force behind them.

February 21, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .

While at the mHealth Summit I had a chance to meet with Cerora. At first I wasn’t all that excited to see another piece of EEG hardware. I’d seen one before, and it seemed the science of it was so early that we still hadn’t seen many real world results that were worth talking about. However, when I started talking to the people at Cerora, I was impressed by their linear focus on using the hardware for just one purpose as opposed to a company with a technology that’s trying to find a solution. Plus, I love that they had plenty of clinical study background as well.

However, the device itself still wasn’t as interesting to me as how they would pair the EEG with Google Glass. Sure, Google Glass seems like just another toy, but they had a vision for how to use Google Glass that I hadn’t heard before. They were interested in using the accelerometer in Google Glass and I believe they said the eye tracking potential to be able to monitor someone’s gait. For example, when they walked were they swaying from side to side in an abnormal way.

To be honest, I may not even be doing justice to what they have in mind. However, the concept is what I found most interesting. Could Google Glass be used as an amazing health tracking device or as a health research device? I think Cerora might be on to something combining Google Glass with their EEG.

January 24, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: and .



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