961 research outputs found

    Running to Your Own Beat:An Embodied Approach to Auditory Display Design

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    Personal fitness trackers represent a multi-billion-dollar industry, predicated on devices for assisting users in achieving their health goals. However, most current products only offer activity tracking and measurement of performance metrics, which do not ultimately address the need for technique related assistive feedback in a cost-effective way. Addressing this gap in the design space for assistive run training interfaces is also crucial in combating the negative effects of Forward Head Position, a condition resulting from mobile device use, with a rapid growth of incidence in the population. As such, Auditory Displays (AD) offer an innovative set of tools for creating such a device for runners. ADs present the opportunity to design interfaces which allow natural unencumbered motion, detached from the mobile or smartwatch screen, thus making them ideal for providing real-time assistive feedback for correcting head posture during running. However, issues with AD design have centred around overall usability and user-experience, therefore, in this thesis an ecological and embodied approach to AD design is presented as a vehicle for designing an assistive auditory interface for runners, which integrates seamlessly into their everyday environments

    Differences in well-being:the biological and environmental causes, related phenotypes, and real-time assessment

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    Well-being is a complex, and multifaceted construct that includes feeling good and functioning well. There is a growing global recognition of well-being as an important research topic and public policy goal. Well-being is related to less behavioral and emotional problems, and is associated with many positive aspects of daily life, including longevity, higher educational achievement, happier marriage, and more productivity at work. People differ in their levels of well-being, i.e., some people are in general happier or more satisfied with their lives than others. These individual differences in well-being can arise from many different factors, including biological (genetic) influences and environmental influences. To enhance the development of future mental health prevention and intervention strategies to increase well-being, more knowledge about these determinants and factors underlying well-being is needed. In this dissertation, I aimed to increase the understanding of the etiology in a series of studies using different methods, including systematic reviews, meta-analyses, twin designs, and molecular genetic designs. In part I, we brought together all published studies on the neural and physiological factors underlying well-being. This overview allowed us to critically investigate the claims made about the biology involved in well-being. The number of studies on the neural and physiological factors underlying well-being is increasing and the results point towards potential correlates of well-being. However, samples are often still small, and studies focus mostly on a single biomarker. Therefore, more well-powered, data-driven, and integrative studies across biological categories are needed to better understand the neural and physiological pathways that play a role in well-being. In part II, we investigated the overlap between well-being and a range of other phenotypes to learn more about the etiology of well-being. We report a large overlap with phenotypes including optimism, resilience, and depressive symptoms. Furthermore, when removing the genetic overlap between well-being and depressive symptoms, we showed that well-being has unique genetic associations with a range of phenotypes, independently from depressive symptoms. These results can be helpful in designing more effective interventions to increase well-being, taking into account the overlap and possible causality with other phenotypes. In part III, we used the extreme environmental change during the COVID-19 pandemic to investigate individual differences in the effects of such environmental changes on well-being. On average, we found a negative effect of the pandemic on different aspects of well-being, especially further into the pandemic. Whereas most previous studies only looked at this average negative effect of the pandemic on well-being, we focused on the individual differences as well. We reported large individual differences in the effects of the pandemic on well-being in both chapters. This indicates that one-size-fits-all preventions or interventions to maintain or increase well-being during the pandemic or lockdowns will not be successful for the whole population. Further research is needed for the identification of protective factors and resilience mechanisms to prevent further inequality during extreme environmental situations. In part IV, we looked at the real-time assessment of well-being, investigating the feasibility and results of previous studies. The real-time assessment of well-being, related variables, and the environment can lead to new insights about well-being, i.e., results that we cannot capture with traditional survey research. The real-time assessment of well-being is therefore a promising area for future research to unravel the dynamic nature of well-being fluctuations and the interaction with the environment in daily life. Integrating all results in this dissertation confirmed that well-being is a complex human trait that is influenced by many interrelated and interacting factors. Future directions to understand individual differences in well-being will be a data-driven approach to investigate the complex interplay of neural, physiological, genetic, and environmental factors in well-being

    The 2023 wearable photoplethysmography roadmap

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    Photoplethysmography is a key sensing technology which is used in wearable devices such as smartwatches and fitness trackers. Currently, photoplethysmography sensors are used to monitor physiological parameters including heart rate and heart rhythm, and to track activities like sleep and exercise. Yet, wearable photoplethysmography has potential to provide much more information on health and wellbeing, which could inform clinical decision making. This Roadmap outlines directions for research and development to realise the full potential of wearable photoplethysmography. Experts discuss key topics within the areas of sensor design, signal processing, clinical applications, and research directions. Their perspectives provide valuable guidance to researchers developing wearable photoplethysmography technology

    Autonomous Radar-based Gait Monitoring System

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    Features related to gait are fundamental metrics of human motion [1]. Human gait has been shown to be a valuable and feasible clinical marker to determine the risk of physical and mental functional decline [2], [3]. Technologies that detect changes in people’s gait patterns, especially older adults, could support the detection, evaluation, and monitoring of parameters related to changes in mobility, cognition, and frailty. Gait assessment has the potential to be leveraged as a clinical measurement as it is not limited to a specific health care discipline and is a consistent and sensitive test [4]. A wireless technology that uses electromagnetic waves (i.e., radar) to continually measure gait parameters at home or in a hospital without a clinician’s participation has been proposed as a suitable solution [3], [5]. This approach is based on the interaction between electromagnetic waves with humans and how their bodies impact the surrounding and scattered wireless signals. Since this approach uses wireless waves, people do not need to wear or carry a device on their bodies. Additionally, an electromagnetic wave wireless sensor has no privacy issues because there is no video-based camera. This thesis presents the design and testing of a radar-based contactless system that can monitor people’s gait patterns and recognize their activities in a range of indoor environments frequently and accurately. In this thesis, the use of commercially available radars for gait monitoring is investigated, which offers opportunities to implement unobtrusive and contactless gait monitoring and activity recognition. A novel fast and easy-to-implement gait extraction algorithm that enables an individual’s spatiotemporal gait parameter extraction at each gait cycle using a single FMCW (Frequency Modulated Continuous Wave) radar is proposed. The proposed system detects changes in gait that may be the signs of changes in mobility, cognition, and frailty, particularly for older adults in individual’s homes, retirement homes and long-term care facilities retirement homes. One of the straightforward applications for gait monitoring using radars is in corridors and hallways, which are commonly available in most residential homes, retirement, and long-term care homes. However, walls in the hallway have a strong “clutter” impact, creating multipath due to the wide beam of commercially available radar antennas. The multipath reflections could result in an inaccurate gait measurement because gait extraction algorithms employ the assumption that the maximum reflected signals come from the torso of the walking person (rather than indirect reflections or multipath) [6]. To address the challenges of hallway gait monitoring, two approaches were used: (1) a novel signal processing method and (2) modifying the radar antenna using a hyperbolic lens. For the first approach, a novel algorithm based on radar signal processing, unsupervised learning, and a subject detection, association and tracking method is proposed. This proposed algorithm could be paired with any type of multiple-input multiple-output (MIMO) or single-input multiple-output (SIMO) FMCW radar to capture human gait in a highly cluttered environment without needing radar antenna alteration. The algorithm functionality was validated by capturing spatiotemporal gait values (e.g., speed, step points, step time, step length, and step count) of people walking in a hallway. The preliminary results demonstrate the promising potential of the algorithm to accurately monitor gait in hallways, which increases opportunities for its applications in institutional and home environments. For the second approach, an in-package hyperbola-based lens antenna was designed that can be integrated with a radar module package empowered by the fast and easy-to-implement gait extraction method. The system functionality was successfully validated by capturing the spatiotemporal gait values of people walking in a hallway filled with metallic cabinets. The results achieved in this work pave the way to explore the use of stand-alone radar-based sensors in long hallways for day-to-day long-term monitoring of gait parameters of older adults or other populations. The possibility of the coexistence of multiple walking subjects is high, especially in long-term care facilities where other people, including older adults, might need assistance during walking. GaitRite and wearables are not able to assess multiple people’s gait at the same time using only one device [7], [8]. In this thesis, a novel radar-based algorithm is proposed that is capable of tracking multiple people or extracting walking speed of a participant with the coexistence of other people. To address the problem of tracking and monitoring multiple walking people in a cluttered environment, a novel iterative framework based on unsupervised learning and advanced signal processing was developed and tested to analyze the reflected radio signals and extract walking movements and trajectories in a hallway environment. Advanced algorithms were developed to remove multipath effects or ghosts created due to the interaction between walking subjects and stationary objects, to identify and separate reflected signals of two participants walking at a close distance, and to track multiple subjects over time. This method allows the extraction of walking speed in multiple closely-spaced subjects simultaneously, which is distinct from previous approaches where the speed of only one subject was obtained. The proposed multiple-people gait monitoring was assessed with 22 participants who participated in a bedrest (BR) study conducted at McGill University Health Centre (MUHC). The system functionality also was assessed for in-home applications. In this regard, a cloud-based system is proposed for non-contact, real-time recognition and monitoring of physical activities and walking periods within a domestic environment. The proposed system employs standalone Internet of Things (IoT)-based millimeter wave radar devices and deep learning models to enable autonomous, free-living activity recognition and gait analysis. Range-Doppler maps generated from a dataset of real-life in-home activities are used to train deep learning models. The performance of several deep learning models was evaluated based on accuracy and prediction time, with the gated recurrent network (GRU) model selected for real-time deployment due to its balance of speed and accuracy compared to 2D Convolutional Neural Network Long Short-Term Memory (2D-CNNLSTM) and Long Short-Term Memory (LSTM) models. In addition to recognizing and differentiating various activities and walking periods, the system also records the subject’s activity level over time, washroom use frequency, sleep/sedentary/active/out-of-home durations, current state, and gait parameters. Importantly, the system maintains privacy by not requiring the subject to wear or carry any additional devices

    Exploring Cognitive Biases in Pain: Investigating Attention, Interpretation and Memory Bias..

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    Cognitive-affective models posit that cognitive biases contribute to the aetiology and maintenance of chronic pain. In chronic pain, it is argued that cognitive biases encapsulate interpretation bias, attentional bias, and memory bias. These biases are suggested to exert their influence through the preferential processing of information pertaining to pain, bodily-threat, and harm. Research exploring multiple cognitive biases within the context of a single study is limited. Thus, the role, nature and interaction of these cognitive biases remains poorly understood. This programme of research aimed to address these limitations. Studies 1 and 2 progressed the development and validation of stimulus sets suitable for measuring pain-related attention and interpretation biases in adults. Study 3 then investigated whether a single experience of pain influences cognitive biases in a pain-free sample subjected to acute pain; and study 4 investigated the measurement of cognitive biases, in a chronic pain (vs. non-pain control) sample. Study 1 resulted in the development of two stimulus sets categorised via varying degrees of pain intensity (neutral, low, high) and threat (low, medium, high) to enable rigorous investigation of attentional bias. Study 2 resulted in the development and validation of two ambiguous scenario stimulus sets to enable rigorous investigation of interpretation (and subsequently memory) bias utilising i) forced-choice and ii) free-response paradigms. Supplementary analyses indicated that recent pain experiences positively correlated with the endorsement of pain/pain-illness interpretations of the ambiguous scenarios. Study 3 revealed that a single acute pain experience was not sufficient to influence cognitive biases. However, individuals subjected to a warm water control (as opposed to a cold-pressor task) showed increased attention towards pain-related information, increased recall of pain words immediately following the warm water control, and greater recognition of non-pain words. Additionally, in the acute pain group, measures of pain threshold and tolerance were associated with attention, interpretation, and memory biases. These results indicate a potentially pleasant experience can bias attention toward pain stimulus processing and the importance of pain sensitivity as an influencing cognitive bias factor. Consistent with Study 3, Study 4 provided no evidence of pain-related interpretation or recall biases. However, the chronic pain group exhibited poorer overall recognition performance, compared to their pain-free counterparts. Cross-bias correlations further revealed that as the number of ambiguous scenarios interpreted as pain/pain-illness related increased, so too did the number of pain/pain-illness solutions correctly recalled, irrespective of pain experience. However, correlations between cognitive biases for the non-pain/non-pain illness stimuli were exclusive to the pain-free group. This indicates that the chronic pain group processed scenarios interpreted in a pain/pain-illness manner differently than those they interpreted in a non-pain/non-pain illness manner. Overarching conclusions indicate that individuals with lower pain thresholds and tolerance are more likely to display biased attention, interpretation, and memory favouring pain/pain-illness information; and that individuals with chronic pain display impaired recognition for pain/pain-illness related information. A detailed discussion of these findings is presented in the final chapter, including the proposition of a Pain Sensitivity Model in understanding the role of cognitive biases in pain

    Sensing Collectives: Aesthetic and Political Practices Intertwined

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    Are aesthetics and politics really two different things? The book takes a new look at how they intertwine, by turning from theory to practice. Case studies trace how sensory experiences are created and how collective interests are shaped. They investigate how aesthetics and politics are entangled, both in building and disrupting collective orders, in governance and innovation. This ranges from populist rallies and artistic activism over alternative lifestyles and consumer culture to corporate PR and governmental policies. Authors are academics and artists. The result is a new mapping of the intermingling and co-constitution of aesthetics and politics in engagements with collective orders

    Automatic Generation of Personalized Recommendations in eCoaching

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    Denne avhandlingen omhandler eCoaching for personlig livsstilsstøtte i sanntid ved bruk av informasjons- og kommunikasjonsteknologi. Utfordringen er å designe, utvikle og teknisk evaluere en prototyp av en intelligent eCoach som automatisk genererer personlige og evidensbaserte anbefalinger til en bedre livsstil. Den utviklede løsningen er fokusert på forbedring av fysisk aktivitet. Prototypen bruker bærbare medisinske aktivitetssensorer. De innsamlede data blir semantisk representert og kunstig intelligente algoritmer genererer automatisk meningsfulle, personlige og kontekstbaserte anbefalinger for mindre stillesittende tid. Oppgaven bruker den veletablerte designvitenskapelige forskningsmetodikken for å utvikle teoretiske grunnlag og praktiske implementeringer. Samlet sett fokuserer denne forskningen på teknologisk verifisering snarere enn klinisk evaluering.publishedVersio

    Assessment of Physical Activity in Adults with Progressive Muscle Disease

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    Introduction: Insufficient physical activity is a major threat to global health. Physical activity benefits peoples’ physical and mental health. The general population, including people living with disabilities and muscle wasting conditions, are recommended to avoid excessive sedentary time and engage in daily activity. Adults with progressive muscle disease experience barriers to physical activity participation, including muscle weakness, fatigue, physical deconditioning, impairment, activity limitations and participation restrictions (including societal and environmental factors), and fear of symptom exacerbation. More research is required to understand the inter-relationship between health and physical activity for adults with progressive muscle disease, particularly non-ambulant people who are under-represented in the existing research literature. Accurate measurement of FITT (frequency, intensity, time, and type of physical activity) is vital for high-quality physical activity assessment. The aim of this thesis was to assess the physical activity of ambulant and non-ambulant adults with progressive muscle disease.Systematic review findings identified various measures used to assess physical activity in adults with muscular dystrophy, including accelerometers, direct observation, heart rate monitors, calorimetry, positioning systems, activity diaries, single scales, interviews and questionnaires. None of the measures identified in the systematic review had well established measurement properties for adults with muscular dystrophy.Patient and public involvement interviews highlighted the importance of inclusive, remote, and technology-facilitated research design, the potential intrusion of direct observations of physical activity, the familiarity of questionnaires for data collection, and practical considerations to ensure wearing an activity monitor was not too burdensome.A feasibility study using multiple methods in 20 ambulant and non-ambulant adults with progressive muscle disease revealed satisfactory acceptability, interpretability, and usability of Fitbit and activity questionnaires, in both paper and electronic formats. During supervised activity tasks, Fitbit was found to have satisfactory criterion validity, reliability, and responsiveness and measurement properties were strengthened using multisensory measurement.An observational, longitudinal study that included 111 ambulant and non-ambulant adults with progressive muscle disease showed that:Activity monitoring had satisfactory validity, reliability and responsiveness using Fitbit, but there was considerable measurement error between Fitbit and the research grade GENEActiv accelerometer. Fitbit thresholds and multiple metrics (including accelerometer and heart rate data extrapolations of FITT) were appropriate for physical activity assessment in ambulant and non-ambulant adults with progressive muscle disease.Activity self-report had unsatisfactory concurrent validity, test-retest reliability, and responsiveness with substantial activity overestimation using the modified International Physical Activity Questionnaire. However, self-report properties were improved when used concurrently with Fitbit.Observed physical activity in adults with progressive muscle disease was generally low with excessive daily sedentary time. Activity frequencies, intensities and durations were lower, and activity types were more domestic, for wheelchair users and during the COVID-19 lockdown. Lower physical activity was significantly associated with greater functional impairment, less cardiorespiratory fitness, worse metabolic health, and lower quality of life. Activity optimisation thresholds and minimal clinically important differences were established.Discussion: The implications of this thesis include guidance for selection of appropriate physical activity measures by clinicians and researchers working with adults with progressive muscle disease. Fitbit is suitable in clinical practice and research for interactive, weekly remote activity monitoring or to support activity self-management and may represent an appropriate compromise between potential underestimation by accelerometry alone, and overestimation by self-report alone. A draft conceptual framework for physical activity measurement was also proposed. It includes frequency, intensity, time, and type of physical activity, and incorporates wider aspects of the physical activity construct, including somatic factors (relating to progressive muscle disease and underlying fitness) and contextual factors (relating to personal, social, and environmental situations). Future research will build on the knowledge gained in this thesis, furthering understanding of the inter-relationships between physical activity, health and wider contexts. Implementation will include testing a remote physical activity optimisation intervention that is inclusive of ambulant and non-ambulant participants, featuring Fitbit self-monitoring with a focus on optimisation of daily activity frequency and regularly interrupting sedentary time.</div

    Moving usable security research out of the lab: evaluating the use of VR studies for real-world authentication research

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    Empirical evaluations of real-world research artefacts that derive results from observations and experiments are a core aspect of usable security research. Expert interviews as part of this thesis revealed that the costs associated with developing and maintaining physical research artefacts often amplify human-centred usability and security research challenges. On top of that, ethical and legal barriers often make usability and security research in the field infeasible. Researchers have begun simulating real-life conditions in the lab to contribute to ecological validity. However, studies of this type are still restricted to what can be replicated in physical laboratory settings. Furthermore, historically, user study subjects were mainly recruited from local areas only when evaluating hardware prototypes. The human-centred research communities have recognised and partially addressed these challenges using online studies such as surveys that allow for the recruitment of large and diverse samples as well as learning about user behaviour. However, human-centred security research involving hardware prototypes is often concerned with human factors and their impact on the prototypes’ usability and security, which cannot be studied using traditional online surveys. To work towards addressing the current challenges and facilitating research in this space, this thesis explores if – and how – virtual reality (VR) studies can be used for real-world usability and security research. It first validates the feasibility and then demonstrates the use of VR studies for human-centred usability and security research through six empirical studies, including remote and lab VR studies as well as video prototypes as part of online surveys. It was found that VR-based usability and security evaluations of authentication prototypes, where users provide touch, mid-air, and eye-gaze input, greatly match the findings from the original real-world evaluations. This thesis further investigated the effectiveness of VR studies by exploring three core topics in the authentication domain: First, the challenges around in-the-wild shoulder surfing studies were addressed. Two novel VR shoulder surfing methods were implemented to contribute towards realistic shoulder surfing research and explore the use of VR studies for security evaluations. This was found to allow researchers to provide a bridge over the methodological gap between lab and field studies. Second, the ethical and legal barriers when conducting in situ usability research on authentication systems were addressed. It was found that VR studies can represent plausible authentication environments and that a prototype’s in situ usability evaluation results deviate from traditional lab evaluations. Finally, this thesis contributes a novel evaluation method to remotely study interactive VR replicas of real-world prototypes, allowing researchers to move experiments that involve hardware prototypes out of physical laboratories and potentially increase a sample’s diversity and size. The thesis concludes by discussing the implications of using VR studies for prototype usability and security evaluations. It lays the foundation for establishing VR studies as a powerful, well-evaluated research method and unfolds its methodological advantages and disadvantages

    Classification of Frailty among Community Dwelling Older Adults Using Parameters of Physical Activity Obtained Independently and Unsupervised

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    The global population is ageing at an unprecedented rate, with the percentage of those aged over 65 years expected to double and those aged over 80 years expected to treble by the year 2050. With ageing comes biological and physiological changes that affect functional capacity. Frailty is a potentially avoidable, reversible biopsychosocial condition associated with biological but not chronological age, affecting a quarter of all community-dwelling older adults. Frailty results in disability, increased dependency and institutionalisation. Screening for frailty could help reduce its prevalence and mitigate the adverse outcomes however, traditional screening tools are time-consuming to perform, require clinician input and by their subjective nature are flawed. The use of wearable sensors has been proposed as a means of screening for frailty and parameters of mobility and physical activity have been identified as being associated with frailty. The goal of this thesis was to examine if community-dwelling older adults could capture parameters of mobility and physical activity independently in their own home and if these parameters could discriminate between frail and non-frail status. This work provides evidence that a single parameter of mobility and physical activity obtained from a single body-worn sensor correlates with frailty. It also provides evidence that community-dwelling older adults can independently capture parameters of mobility and physical activity, unsupervised in their own home using a consumer-grade wearable device, and that these data can predict pre-frailty and frailty with acceptable accuracy. Thresholds for parameters of physical activity predictive of frailty have been identified. The results of this thesis will guide future work to focus community-dwelling older adults on the importance of frailty screening and guide the development of a user-friendly device or sensor system suitable for use by older adults for continuous data collection relevant to frailty
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