Development of a New Wireless ECG Patch: A
User Experience Survey
Fatemeh Sheikh-Ahmadi
Department of Architecture and
Environmental Design
Iran University of Science &
Technology
Tehran, Iran
fs.sheikhahmadi@gmail.com
Lars Kooijman
Institute for Intelligent Systems
Research and Innovation (IISRI)
Deakin University
VIC, Australia
l.kooijman@deakin.edu.au
Khashayar Hojjati-Emami
Industrial Design Department
University of Art
Tehran, Iran
k.emami@art.ac.ir
Siamak Pedrammehr
Institute for Intelligent Systems
Research and Innovation (IISRI)
Deakin University
VIC, Australia
s.pedrammehr@gmail.com
Vahid Foroutan
Department of Electrical Engineering
Urmia University
Tehran, Iran
vahidforoutan.vf@gmail.com
Houshyar Asadi
Institute for Intelligent Systems
Research and Innovation (IISRI)
Deakin University
VIC, Australia
Houshyar.Asadi@deakin.edu.au
Abstract—Technological advancements have facilitated the
development of innovative wearable electrocardiography
(ECG) patches suitable for remote patient monitoring.
However, there is a current lack of comprehensive
understanding regarding the user experience (UX) associated
with these devices which is crucial to ensure their widespread
acceptance. This research aims to present a design for a
wireless ECG patch (WEP) that focuses on user experience
features, making it easy to operate and integrate into daily
routines. Initially, we surveyed 50 participants to discern the
pertinent criteria for the user experience (UX) design of
commercial ECG patches. Our approach integrated existing
research findings and incorporated technical considerations
mandated by project stakeholders. Subsequently, an expert
panel comprising a designer, technical experts, and a
physician selected the optimal design concept.
Following the development of the prototype, it underwent
a 48-hour user experience investigation, which involved a
questionnaire and an overview assessment. A significant
majority of participants reported that the device was
comfortable to wear and easy to use. Additionally, the study
participants expressed satisfaction and indicated a keen
interest in utilizing the device in the future. These results
affirm that the newly designed WEP is a reliable,
comfortable, and user-friendly device for remote patient
monitoring, hinting at the potential for such devices to
enhance patient care and improve overall health outcomes
through further development and adoption.
Keywords—User experience, product design, wireless ECG
patch, user studies, smart wearables, health remote monitoring
I. INTRODUCTION
Early detection is critical for survival in cardiac disease, the
leading cause of death worldwide [1]. Cardiovascular
diseases (CVD) burden society in terms of human suffering
and economic costs. In Europe, for instance, the cost of
managing CVDs amounts to approximately 210 billion
euros per year [2]. Given the rising prevalence of heart
disease, there is an escalating demand for compact, low-
power sensors capable of monitoring vital signs and activity
patterns. These devices are anticipated to steer the
healthcare landscape toward a novel patient-centric model
prioritizing prevention. This shift enables just-in-time
intervention, decentralizing healthcare from hospitals to
homes, thereby enabling individuals to receive timely
medical attention [3].
An important tool used for diagnosing and assessing CVD
patients is electrocardiography (ECG). The contraction and
relaxation of the heart muscle leads to changes in electrical
charge [4]. The ECG system displays these voltage
variations at time series across electrodes located on the
body surface [5]. Although clinical ECG monitoring is a
conventional approach for detecting heart disease in
advance, it is not suitable for capturing the health status in
everyday life. This highlights the need for a tool that can
detect and prevent serious heart disease through continuous
observation during daily activities [6]. Wearable
monitoring systems utilize advanced and emerging
communication technologies to capture and transmit
biological signals over long distances [4]. Biomedical data
can be transmitted via wired or wireless communication to
any location or device for processing and monitoring at any
time [7].
The first generation of wearables, which included
watches, shoes, and headgear, were mainly focused on
tracking an individual's physical activity, heart rate, or body
temperature. The second generation of wearables, also
known as new wearables, come in various forms, such as
patches that are worn on the skin, tattoos, films that are
mounted on teeth, contact lenses, and smart textiles. These
new wearables are designed to provide a more
comprehensive range of features and functions [8]. Using a
patch-type device for ECG monitoring has three key
benefits. Firstly, it is small and lightweight, making it
discreet and unobtrusive. Secondly, it is user-friendly as the
device only requires snapping on electrodes and attaching
them to the chest without having to position individual
electrodes. Lastly, the patch uses standard ECG electrodes,
ensuring a stable skin-electrode interface, which results in
improved signal quality and reduced noise [9].
In recent years, advances in wearable biosensors have
greatly improved the non-invasive monitoring of vital signs
for non-critical treatments [10]. As previously mentioned,
ECG patches have gained popularity among wearable
devices and have been developed in various types according
to the background purpose of their intended usage. The
appropriate one is not only for its ease of use but for its
2024 IEEE International Systems Conference (SysCon) | 979-8-3503-5880-3/24/$31.00 ©2024 IEEE | DOI: 10.1109/SysCon61195.2024.10553539
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