John Batsis et al. recently published a paper in Gerontechnology titled Usability evaluation for the Amulet Wearable Device in rural older adults with obesity:
Mobile health (mHealth) interventions hold the promise of augmenting existing health promotion interventions. Older adults present unique challenges in advancing new models of health promotion using technology including sensory limitations and less experience with mHealth, underscoring the need for specialized usability testing. We use an open-source mHealth device as a case example for its integration in a newly designed health services intervention. We performed a convergent, parallel mixed-methods study including semi-structured interviews, focus groups, and questionnaires, using purposive sampling of 29 older adults, 4 community leaders, and 7 clinicians in a rural setting. We transcribed the data, developed codes informed by thematic analysis using inductive and deductive methods, and assessed the quantitative data using descriptive statistics. Our results suggest the importance of end-users in user-centered design of mHealth devices and that aesthetics are critically important. The prototype could potentially be feasibly integrated within health behavior interventions. Centralized dashboards were desired by all participants and ecological momentary assessment could be an important part of monitoring. Concerns of mHealth, including the prototype device, include the device’s accuracy, its intrusiveness in daily life and privacy. Formative evaluations are critically important prior to deploying large-scale interventions.
PDF: 2018 Batsis et al Gerontechnology Amulet
The Amulet group has been developing sensors, apps, and algorithms for sensing stress, in the field. In one of the first papers to come out of that effort, presented today in a UbiComp workshop, we explore the potential for detecting stress using a single commodity wearable sensor.
Varun Mishra, Gunnar Pope, Sarah Lord, Stephanie Lewia, Byron Lowens, Kelly Caine, Sougata Sen, Ryan Halter, and David Kotz. The Case for a Commodity Hardware Solution for Stress Detection. In Workshop on Mental Health: Sensing & Intervention, pages 1717-1728, October 2018. ACM. DOI 10.1145/3267305.3267538.
Abstract: Timely detection of an individual’s stress level has the potential to expedite and improve stress management, thereby reducing the risk of adverse health consequences that may arise due to unawareness or mismanagement of stress. Recent advances in wearable sensing have resulted in multiple approaches to detect and monitor stress with varying levels of accuracy. The most accurate methods, however, rely on clinical grade sensors strapped to the user. These sensors measure physiological signals of a person and are often bulky, custom-made, expensive, and/or in limited supply, hence limiting their large-scale adoption by researchers and the general public. In this paper, we explore the viability of commercially available off-the-shelf sensors for stress monitoring. The idea is to be able to use cheap, non-clinical sensors to capture physiological signals, and make inferences about the wearer’s stress level based on that data. In this paper, we describe a system involving a popular off-the-shelf heart-rate monitor, the Polar H7; we evaluated our system in a lab setting with three well-validated stress-inducing stimuli with 26 participants. Our analysis shows that using the off-the-shelf sensor alone, we were able to detect stressful events with an F1 score of 0.81, on par with clinical-grade sensors.
This spring, with a stabilized design code-named “Kite.d”, the Amulet team specified a new board and case design for the latest Amulet revision. Team members Ron Peterson and Taylor Hardin delivered the designs to New Hampshire’s DataEd, and with their assistance facilitated the fabrication of 150 Amulet Kite.d main- and daughter-boards. DataEd facilitated basic electrical testing of the design before delivery, and now that we’ve received them, the team is busy assembling the latest round of Amulets for upcoming studies. Check out some on-site pictures below!
Parts being placed on 6 Amulet Kite.d boards
A technician tests assembled boards for electrical soundness
Amulet team member Taylor Hardin tests functional capabilities of a new unit
Last month in Boston at the annual USENIX conference, the Amulet team’s most recent paper was selected for presentation. Entitled “Application Memory Isolation on Ultra-Low-Power MCUs”, the paper explores increasing the security level of the Amulet platform, through novel uses of memory protection and isolation. To read more, click through to the PDF below.
PDF: Application Memory Isolation on Ultra-Low-Power MCUs
This week, Amulet researcher George Boateng was lauded in the Dartmouth News. George, who received both his masters and his undergrad degrees from Dartmouth, is now a staff researcher on the Amulet project. In addition to outlining George’s recent awards for his entrepreneurial efforts, the article also delves into his work with Amulet PI David Kotz, and how Amulet was a significant part of George’s academic career. To read more, click below.
Dartmouth News: Exploring Applications of Technology in Health and Wellness
This past week, some members of the Amulet team gathered at Dartmouth College in Hanover, NH for the annual Amulet retreat. Activities included brainstorming new Amulet applications, prioritizing tasks for the coming year, and finalizing the latest Amulet hardware revision. (From left: Gunnar Pope, Byron Lowens, Ryan Halter, Vivian Motti, Ryan Scott, Dave Kotz, Taylor Harding, George Boateng, Varun Mishra, John Batsis, Ron Peterson, Jacob Sorber, Patrick Proctor)
Equipped with sensors that are capable of collecting physiological and environmental data continuously, wearable technologies have the potential to become a valuable component of personalized healthcare and health management. However, in addition to the potential benefits of wearable devices, the widespread and continuous use of wearables also poses many privacy challenges. In some instances, users may not be aware of the risks associated with wearable devices, while in other cases, users may be aware of the privacy-related risks, but may be unable to negotiate complicated privacy settings to meet their needs and preferences. This lack of awareness could have an adverse impact on users in the future, even becoming a “skeleton in the closet.” In this work, we conducted 32 semi-structured interviews to understand how users perceive privacy in wearable computing. Results suggest that user concerns toward wearable privacy have different levels of variety ranging from no concern to highly concerned. In addition, while user concerns and benefits are similar among participants in our study, these variablesshould be investigated more extensively for the development of privacy enhanced wearable technologies.
- Byron Lowens, Vivian G. Motti, and Kelly E. Caine. Wearable Privacy: Skeletons in the Data Closet. Proceedings of IEEE International Conference on Healthcare Informatics (ICHI). Park City, UT, 2017, pp. 295-304. DOI: 10.1109/ICHI.2017.29
Byron presenting his paper, “Wearable Privacy: Skeletons in the Data Closet” at ICHI 2017
Abstract: In this work, we attempt to determine whether the contextual information of a participant can be used to predict whether the participant will respond to a particular EMA trigger. We use a publicly available dataset for our work, and find that by using basic contextual features about the participant’s activity, conversation status, audio, and location, we can predict if an EMA triggered at a particular time will be answered with a precision of 0.647, which is significantly higher than a baseline precision of 0.41. Using this knowledge, the researchers conducting field studies can efficiently schedule EMAs and achieve higher response rates.
Varun Mishra, Byron Lowens, Sarah Lord, Kelly Caine, and David Kotz. Investigating Contextual Cues As Indicators for EMA Delivery. In Proceedings of the International Workshop on Smart & Ambient Notification and Attention Management (UbiTtention), pages 935-940, September 2017. ACM. DOI 10.1145/3123024.3124571.
Taylor Hardin presented a poster at ACM MobiSys conference this week, about some clever new ideas for protecting the memory inside an MSP430 when mutually-untrusted apps have to share the same small memory. Abstract below.
Taylor Hardin explains his work to attendees at MobiSys.
We’ve just released a version 1.1 of the hardware, with many fixes and improvements; see our GitHub site.
- Changed from spring terminals to SPI-BI-WIRE POGO pin connector for programming both the MSP430 and nRF51822
- Repositioned the LCD screen to provide more room for the programmer ports and LEDs
- Broke out UART TX/RX lines for debugging the nRF51822
- Complete case redesign to better fit the mother-daughter boards, buttons, and LCD screen
- Replaced the 4 pin charging connector with a more sturdy USB charging port