Self-reports indicate that stress increases the risk for smoking; however, intensive data from sensors can provide a more nuanced understanding of stress in the moments leading up to and following smoking events. Identifying personalized dynamical models of stress-smoking responses can improve characterizations of smoking responses following stress, but techniques used to identify these models require intensive longitudinal data. This study leveraged advances in wearable sensing technology and digital markers of stress and smoking to identify person-specific models of stress and smoking system dynamics by considering stress immediately before, during, and after smoking events. Adult smokers (
Note: When clicking on a Digital Object Identifier (DOI) number, you will be taken to an external site maintained by the publisher.
Some full text articles may not yet be available without a charge during the embargo (administrative interval).
What is a DOI Number?
Some links on this page may take you to non-federal websites. Their policies may differ from this site.
-
Abstract n = 45) wore the AutoSense chestband (respiration-inductive plethysmograph, electrocardiogram, accelerometer) with MotionSense (accelerometers, gyroscopes) on each wrist for three days prior to a quit attempt. The odds of minute-level smoking events were regressed on minute-level stress probabilities to identify person-specific dynamic models of smoking responses to stress. Simulated pulse responses to a continuous stress episode revealed a consistent pattern of increased odds of smoking either shortly after the beginning of the simulated stress episode or with a delay, for all participants. This pattern is followed by a dramatic reduction in the probability of smoking thereafter, for about half of the participants (49%). Sensor-detected stress probabilities indicate a vulnerability for smoking that may be used as a tailoring variable for just-in-time interventions to support quit attempts. -
The development and validation studies of new multisensory biomarkers and sensor-triggered interventions requires collecting raw sensor data with associated labels in the natural field environment. Unlike platforms for traditional mHealth apps, a software platform for such studies needs to not only support high-rate data ingestion, but also share raw high-rate sensor data with researchers, while supporting high-rate sense-analyze-act functionality in real-time. We present mCerebrum, a realization of such a platform, which supports high-rate data collections from multiple sensors with realtime assessment of data quality. A scalable storage architecture (with near optimal performance) ensures quick response despite rapidly growing data volume. Micro-batching and efficient sharing of data among multiple source and sink apps allows reuse of computations to enable real-time computation of multiple biomarkers without saturating the CPU or memory. Finally, it has a reconfigurable scheduler which manages all prompts to participants that is burden- and context-aware. With a modular design currently spanning 23+ apps, mCerebrum provides a comprehensive ecosystem of system services and utility apps. The design of mCerebrum has evolved during its concurrent use in scientific field studies at ten sites spanning 106,806 person days. Evaluations show that compared with other platforms, mCerebrum's architecture and design choices support 1.5 times higher data rates and 4.3 times higher storage throughput, while causing 8.4 times lower CPU usage.more » « less
-
Differential privacy concepts have been successfully used to protect anonymity of individuals in population-scale analysis. Sharing of mobile sensor data, especially physiological data, raise different privacy challenges, that of protecting private behaviors that can be revealed from time series of sensor data. Existing privacy mechanisms rely on noise addition and data perturbation. But the accuracy requirement on inferences drawn from physiological data, together with well-established limits within which these data values occur, render traditional privacy mechanisms inapplicable. In this work, we define a new behavioral privacy metric based on differential privacy and propose a novel data substitution mechanism to protect behavioral privacy. We evaluate the efficacy of our scheme using 660 hours of ECG, respiration, and activity data collected from 43 participants and demonstrate that it is possible to retain meaningful utility, in terms of inference accuracy (90%), while simultaneously preserving the privacy of sensitive behaviors.more » « less