| Course | HCD 404 Advanced Concepts in Health Care Delivery |
|---|---|
| Module | Module 2 |
| Paper type | Scenario paper |
| Length | About 432 words, 4 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | BS in Health Care Administration and Policy |
| Updated | October 2026 |
Free sample paper for HCD 404 Module 2
Alerts and Step Counts: Should a Primary Care Practice Bring Wearables Into the Exam Room?
Student Name
BS in Health Care Administration and Policy, Arizona State University
HCD 404: Advanced Concepts in Health Care Delivery
Instructor Name
Month Day, Year
Alerts and Step Counts: Should a Primary Care Practice Bring Wearables Into the Exam Room?
The Scenario
A suburban primary care practice faces two requests. Patients increasingly arrive with smartwatch notifications of an irregular rhythm and want them reviewed. Separately, a large employer that contracts with the practice wants to give every employee in its weight management program an activity tracker and asks the practice to monitor the data.
Use One: Rhythm Notifications
Smartwatches with optical sensors can flag an irregular pulse that may indicate atrial fibrillation, a common rhythm disorder that raises stroke risk. In a study of 419,297 people without known atrial fibrillation, 0.52 percent received a notification over a median of 117 days. Among those who later wore an electrocardiogram patch, atrial fibrillation was found in 34 percent, and when an irregular pulse notification occurred while the patch was worn, atrial fibrillation was confirmed 84 percent of the time (Perez et al., 2019). These figures show that notifications are uncommon and often meaningful, but that many notified people will not have atrial fibrillation on later testing, and the study did not show that screening this way improves outcomes.
Use Two: Activity Trackers for Weight Loss
Activity trackers seem a natural addition to weight loss programs. A randomized trial tested this among 471 young adults in a behavioral weight loss program. After 24 months, those given a wearable device lost less weight, 3.5 kilograms on average, than those who self-monitored through a website, who lost 5.9 kilograms (Jakicic et al., 2016). The device did not add to the program and may have distracted from it.
Risks
Consumer health wearables raise broader concerns about accuracy, data ownership and whether users sustain engagement (Piwek et al., 2016).
| Risk | For patients | For the practice |
|---|---|---|
| False alarms | Anxiety and further testing | Visits and tests for notifications that prove benign |
| Data volume | Uncertainty about who watches the data | Liability if streams are monitored inconsistently |
| Privacy | Consumer devices are often outside HIPAA | Questions about storing device data in the record |
| Equity | Devices cost money | Programs may favor patients who already engage |
Recommendation
For rhythm notifications, the practice should create a simple pathway: a nurse reviews the notification and symptoms, and patients at risk receive confirmatory testing with a clinical device. The practice should not promise to monitor watch data continuously. For the employer's program, the practice should decline to promise weight loss from trackers, offer them as optional tools within a proven behavioral program and agree to review summary data at scheduled visits rather than in real time. Both decisions should be revisited as evidence develops.
References
Jakicic, J. M., Davis, K. K., Rogers, R. J., King, W. C., Marcus, M. D., Helsel, D., Rickman, A. D., Wahed, A. S., & Belle, S. H. (2016). Effect of wearable technology combined with a lifestyle intervention on long-term weight loss: The IDEA randomized clinical trial. JAMA, 316(11), 1161-1171. https://doi.org/10.1001/jama.2016.12858
Perez, M. V., Mahaffey, K. W., Hedlin, H., Rumsfeld, J. S., Garcia, A., Ferris, T., Balasubramanian, V., Russo, A. M., Rajmane, A., Cheung, L., Hung, G., Lee, J., Kowey, P., Talati, N., Nag, D., Gummidipundi, S. E., Beatty, A., Hills, M. T., Desai, S., Granger, C. B., Desai, M., & Turakhia, M. P. (2019). Large-scale assessment of a smartwatch to identify atrial fibrillation. New England Journal of Medicine, 381(20), 1909-1917. https://doi.org/10.1056/NEJMoa1901183
Piwek, L., Ellis, D. A., Andrews, S., & Joinson, A. (2016). The rise of consumer health wearables: Promises and barriers. PLOS Medicine, 13(2), e1001953. https://doi.org/10.1371/journal.pmed.1001953
HCD 404 Module 2 instructions, in plain terms
The Evaluating Wearables Scenario Paper is the second of HCD 404's two short scenario papers and carries 15 points. The posted objective it serves is to determine wearable health care technology's risks, uses and applications, and the matching course topic asks how wearable technology fits into the clinical experience. The scenario and rubric are posted in Canvas. Whatever device your scenario names, cover all three parts of the objective: what the device is used for, where it fits in care and what could go wrong. As with the telemedicine paper, close with a recommendation the people in the scenario could act on. Use the course materials on wearables as your framework and add peer-reviewed studies for evidence.
How this HCD 404 Module 2 example is built
Restating the scenario's two requests at the start, the sample evaluates each use against a major study: a large smartwatch study for rhythm notifications and a randomized trial for activity trackers in weight loss. Each evaluation reports the key numbers and explains what they mean for the practice. A table lists risks for patients and the practice, supported by a review of consumer wearables, and the recommendation gives a separate, practical response to each request. The paper stays within the evidence and notes that decisions should be revisited. The sample is careful to separate accuracy, how often a device is right, from benefit, whether using it improves health, a distinction graders look for.
HCD 404 Module 2 rubric: what earns full marks
The wearables paper earns up to 15 points on its Canvas rubric. Papers on wearable technology are generally credited for accurate descriptions of what devices can and cannot do, use of research evidence rather than marketing claims, attention to risks such as false alarms, privacy and equity, application to the clinical setting in the scenario and a clear, workable recommendation. Papers lose credit when they treat devices as diagnostic tools, when they ignore evidence of limited benefit and when the recommendation does not say who will review the data and when. Specific figures from studies, reported accurately with their limits, carry more weight than general claims about technology.
HCD 404 Module 2 help: mistakes that cost marks
Read beyond the headline of any study you cite; the smartwatch study, for example, gives the notification rate and, separately, the share later confirmed on a patch. Look for at least one randomized trial on outcomes, since device accuracy is not the same as patient benefit. Think about workflow: who sees the data, how often and what they do with it. Note whether consumer data fall under HIPAA. If your scenario uses a device you know little about, the desk can help you find trial evidence on it. Keep the recommendation realistic for a busy practice; a plan that requires constant monitoring is unlikely to be adopted.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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HCD 404 Module 2 questions, answered
Where can I find a free HCD 404 Module 2 sample paper?
A full HCD 404 Module 2 sample is on this page: a wearables scenario paper on smartwatch rhythm alerts and activity trackers in primary care.
Can a smartwatch detect atrial fibrillation?
It can flag an irregular pulse; in a study of over 400,000 users, 34% of notified participants who later wore an ECG patch had atrial fibrillation.
Do activity trackers help with weight loss?
In one two-year randomized trial, young adults given a wearable lost less weight than those who self-monitored online.
What are the risks of wearable health devices?
False alarms, unclear responsibility for monitoring data, privacy gaps outside HIPAA and unequal access.
How much is the HCD 404 wearables paper worth?
Fifteen points, matching the telemedicine paper; together the two papers make up 30 of 465.