This is a small prayer rope made into a bracelet that includes traditional knots, a couple of blue beads, and an additional large cross-shaped knot cluster. It comes from Mt Athos, a very powerful and significant place to the Eastern Orthodox Church.
The bracelet / prayer rope looks elegant but simple. It is high quality with the very intricate traditional prayer knots being made very precisely around this item. The inclusion of the colorful beads and the traditional knotted cross make this a perfect and highly usable prayer rope.
As a bracelet it is quite narrow. It can be stretched apart somewhat, which also helps separate the knots, but it will still be a very small bracelet. However it's a function as a prayer rope might be its best feature. The knots and beads can be used to count off prayers said during meditative prayer sessions typical with Orthodox and Catholic Christians.
Overall it is a beautiful, simple knotted bracelet from a very holy place. It can be worn by people with smaller wrists and it can be used by anyone to help focus during prayer time. It is perfect!