Identifying Hurdles to Making Sleep Wearables Data Actionable for Users: A Grounded Theory Study

Commercially available wearable health devices (WHDs) carry the potential to decentralize healthcare systems. These devices can empower individuals with health knowledge by offering a low-cost and accessible way to monitor physical activity, sedentary behavior, cardiac health, and sleep. However, a lack of standardization in design, health, and safety regulations means that consumer-grade WHDs on the market vary in efficacy to affect positive behavior change in users, as user compliance alone does not indicate whether these devices actually influence wellbeing outcomes long term. We use a grounded theory analysis of the experiences of seven long-term informed users of the same wearable, the Oura Ring, to propose a substantive theory describing the tacit challenges that these users face in order to truly benefit from their device even after extended use. We provide recommendations as to how designers of wearable devices can facilitate the user’s journey to surpass these obstacles.