Wild by Design: Workshop on Designing Ubiquitous Health Monitoring Technologies for Challenging Environments

Recent years have shown an emergence of ubiquitous technologies that aim to monitor a person’s health in their day to day. However, albeit focused at a real world setting and technically able, most research is still limited in its real-world coverage, suitability, and adoption. In this workshop, we will focus on the challenges of real world health monitoring deployments to produce forward-looking insights that can shape the way researchers and practitioners think about health monitoring, in platforms and systems that account for the complex environments where they are bound to be used

Designing gaze-based interaction for pervasive public displays

The last decade witnessed an increasing adoption of public interactive displays. Displays can now be seen in many public areas, such as shopping malls, and train stations. There is also a growing trend towards using large public displays especially in airports, urban areas, universities and libraries. Meanwhile, advances in eye tracking and visual computing promise straightforward integration of eye tracking on these displays for both: 1) monitoring the user's visual behavior to evaluate different aspects of the display, such as measuring the visual attention of passersby, and for 2) interaction purposes, such as allowing users to provide input, retrieve content, or transfer data using their eye movements. Gaze is particularly useful for pervasive public displays. In addition to being natural and intuitive, eye gaze can be detected from a distance, bringing interactivity to displays that are physically unreachable. Gaze reflects the user's intention and visual interests, and its subtle nature makes it well-suited for public interactions where social embarrassment and privacy concerns might hinder the experience. On the downside, eye tracking technologies have traditionally been developed for desktop settings, where a user interacts from a stationary position and for a relatively long period of time. Interaction with public displays is fundamentally different and hence poses unique challenges when employing eye tracking. First, users of public displays are dynamic; users could approach the display from different directions, and interact from different positions or even while moving. This means that gaze-enabled displays should not expect users to be stationary at a specific position, but instead adapt to users' ever-changing position in front of the display. Second, users of public displays typically interact for short durations, often for a few seconds only. This means that contrary to desktop settings, public displays cannot afford requiring users to perform time-consuming calibration prior to interaction. In this publications-based dissertation, we first report on a review of challenges of interactive public displays, and discuss the potential of gaze in addressing these challenges. We then showcase the implementation and in-depth evaluation of two applications where gaze is leveraged to address core problems in today's public displays. The first presents an eye-based solution, EyePACT, that tackles the parallax effect which is often experienced on today's touch-based public displays. We found that EyePACT significantly improves accuracy even with varying degrees of parallax. The second is a novel multimodal system, GTmoPass, that combines gaze and touch input for secure user authentication on public displays. GTmoPass was found to be highly resilient to shoulder surfing, thermal attacks and smudge attacks, thereby offering a secure solution to an important problem on public displays. The second part of the dissertation explores specific challenges of gaze-based interaction with public displays. First, we address the user positioning problem by means of active eye tracking. More specifically, we built a novel prototype, EyeScout, that dynamically moves the eye tracker based on the user's position without augmenting the user. This, in turn, allowed us to study and understand gaze-based interaction with public displays while walking, and when approaching the display from different positions. An evaluation revealed that EyeScout is well perceived by users, and improves the time needed to initiate gaze interaction by 62% compared to state-of-the-art. Second, we propose a system, Read2Calibrate, for calibrating eye trackers implicitly while users read text on displays. We found that although text-based calibration is less accurate than traditional methods, it integrates smoothly while reading and thereby more suitable for public displays. Finally, through our prototype system, EyeVote, we show how to allow users to select textual options on public displays via gaze without calibration. In a field deployment of EyeVote, we studied the trade-off between accuracy and selection speed when using calibration-free selection techniques. We found that users of public displays value faster interactions over accurate ones, and are willing to correct system errors in case of inaccuracies. We conclude by discussing the implications of our findings on the design of gaze-based interaction for public displays, and how our work can be adapted for other domains apart from public displays, such as on handheld mobile devices.In den letzten zehn Jahren wurden vermehrt interaktive Displays in öffentlichen Bereichen wie Einkaufszentren, Flughäfen und Bahnhöfen eingesetzt. Große öffentliche Displays finden sich zunehmend in städtischen Gebieten, beispielsweise in Universitäten und Bibliotheken. Fortschritte in der Eye-Tracking-Technologie und der Bildverarbeitung versprechen eine einfache Integration von Eye-Tracking auf diesen Displays. So kann zum einen das visuelle Verhalten der Benutzer verfolgt und damit ein Display nach verschiedenen Aspekten evaluiert werden. Zum anderen eröffnet Eye-Tracking auf öffentlichen Displays neue Interaktionsmöglichkeiten. Blickbasierte Interaktion ist besonders nützlich für Bildschirme im allgegenwärtigen öffentlichen Raum. Der Blick bietet mehr als eine natürliche und intuitive Interaktionsmethode: Blicke können aus der Ferne erkannt und somit für Interaktion mit sonst unerreichbaren Displays genutzt werden. Aus der Interaktion mit dem Blick (Gaze) lassen sich Absichten und visuelle Interessen der Benutzer ableiten. Dadurch eignet es sich besonders für den öffentlichen Raum, wo Nutzer möglicherweise Datenschutzbedenken haben könnten oder sich bei herkömmlichen Methoden gehemmt fühlen würden in der Öffentlichkeit mit den Displays zu interagieren. Dadurch wird ein uneingeschränktes Nutzererlebnis ermöglicht. Eye-Tracking-Technologien sind jedoch in erster Linie für Desktop-Szenarien entwickelt worden, bei denen ein Benutzer für eine relativ lange Zeitspanne in einer stationären Position mit dem System interagiert. Die Interaktion mit öffentlichen Displays ist jedoch grundlegend anders. Daher gilt es völlig neuartige Herausforderungen zu bewältigen, wenn Eye-Tracking eingesetzt wird. Da sich Nutzer von öffentlichen Displays bewegen, können sie sich dem Display aus verschiedenen Richtungen nähern und sogar währenddessen mit dem Display interagieren. Folglich sollten "Gaze-enabled Displays" nicht davon ausgehen, dass Nutzer sich stets an einer bestimmten Position befinden, sondern sollten sich an die ständig wechselnde Position des Nutzers anpassen können. Zum anderen interagieren Nutzer von öffentlichen Displays üblicherweise nur für eine kurze Zeitspannen von ein paar Sekunden. Eine zeitaufwändige Kalibrierung durch den Nutzer vor der eigentlichen Interaktion ist hier im Gegensatz zu Desktop-Szenarien also nicht adäquat. Diese kumulative Dissertation überprüft zunächst die Herausforderungen interaktiver öffentlicher Displays und diskutiert das Potenzial von blickbasierter Interaktion zu deren Bewältigung. Anschließend wird die Implementierung und eingehende Evaluierung von zwei beispielhaften Anwendungen vorgestellt, bei denen Nutzer durch den Blick mit öffentlichen Displays interagieren. Daraus ergeben sich weitere greifbare Vorteile der blickbasierten Interaktion für öffentliche Display-Kontexte. Bei der ersten Anwendung, EyePACT, steht der Parallaxeneffekt im Fokus, der heutzutage häufig ein Problem auf öffentlichen Displays darstellt, die über Berührung (Touch) gesteuert werden. Die zweite Anwendung ist ein neuartiges multimodales System, GTmoPass, das Gaze- und Touch-Eingabe zur sicheren Benutzerauthentifizierung auf öffentlichen Displays kombiniert. GTmoPass ist sehr widerstandsfähig sowohl gegenüber unerwünschten fremden Blicken als auch gegenüber sogenannten thermischen Angriffen und Schmierangriffen. Es bietet damit eine sichere Lösung für ein wichtiges Sicherheits- und Datenschutzproblem auf öffentlichen Displays. Der zweite Teil der Dissertation befasst sich mit spezifischen Herausforderungen der Gaze-Interaktion mit öffentlichen Displays. Zuerst wird der Aspekt der Benutzerpositionierung durch aktives Eye-Tracking adressiert. Der neuartige Prototyp EyeScout bewegt den Eye-Tracker passend zur Position des Nutzers, ohne dass dieser dafür mit weiteren Geräten oder Sensoren ausgestattet werden muss. Dies ermöglicht blickbasierte Interaktion mit öffentlichen Displays auch in jenen Situationen zu untersuchen und zu verstehen, in denen Nutzer in Bewegung sind und sich dem Display von verschiedenen Positionen aus nähern. Zweitens wird das System Read2Calibrate präsentiert, das Eye-Tracker implizit kalibriert, während Nutzer Texte auf Displays lesen. Der Prototyp EyeVote zeigt, wie man die Auswahl von Textantworten auf öffentlichen Displays per Blick ohne Kalibrierung ermöglichen kann. In einer Feldstudie mit EyeVote wird der Kompromiss zwischen Genauigkeit und Auswahlgeschwindigkeit unter der Verwendung kalibrierungsfreier Auswahltechniken untersucht. Die Implikationen der Ergebnisse für das Design von blickbasierter Interaktion öffentlicher Displays werden diskutiert. Abschließend wird erörtert wie die verwendete Methodik auf andere Bereiche, z.B. auf mobilie Geräte, angewendet werden kann

Sensing with Earables: A Systematic Literature Review and Taxonomy of Phenomena

Earables have emerged as a unique platform for ubiquitous computing by augmenting ear-worn devices with state-of-the-art sensing. This new platform has spurred a wealth of new research exploring what can be detected on a wearable, small form factor. As a sensing platform, the ears are less susceptible to motion artifacts and are located in close proximity to a number of important anatomical structures including the brain, blood vessels, and facial muscles which reveal a wealth of information. They can be easily reached by the hands and the ear canal itself is affected by mouth, face, and head movements. We have conducted a systematic literature review of 271 earable publications from the ACM and IEEE libraries. These were synthesized into an open-ended taxonomy of 47 different phenomena that can be sensed in, on, or around the ear. Through analysis, we identify 13 fundamental phenomena from which all other phenomena can be derived, and discuss the different sensors and sensing principles used to detect them. We comprehensively review the phenomena in four main areas of (i) physiological monitoring and health, (ii) movement and activity, (iii) interaction, and (iv) authentication and identification. This breadth highlights the potential that earables have to offer as a ubiquitous, general-purpose platform

Responsive and Emotive Wearable Technology: physiological data, devices and communication

My research practice and thesis investigates how wearable technology can be used to create new forms of nonverbal communication. Using devices developed through my practice, I explore how physiological data can be drawn from the body, then visualised and broadcast. I examine the opinions and requirements of potential users and observers of this technology, through qualitative responses in interviews and surveys from focus groups and field tests. I have analysed the resulting data to extract preferences and concerns, plus the requirements for the functionality and aesthetics of these devices. I discuss the social and cultural aspects of wearing such devices, as well as the issues, including how privacy may be affected and the implications of recording personal data. I examine my practice in the context of the work of the communities and practitioners in the field, and introduce two new terms to label two sub-sections of wearable technology. These are ‘responsive wearables’ and ‘emotive wearables’, and they form part of the distinctive contribution that I make. Reflecting on the evolution of my practice has led to other contributions regarding the development of wearable technology. Through this, I identify and share the insights into the disciplines and processes required for the fusion of technology and design successfully to evolve electronics, code and materials into research prototypes. I conclude by discussing findings from my practice, research and studies with potential users of emotive wearables. I comment on the impact that physiologically sensing wearable technology has on aspects of social interaction for the individual as well as for the wider community. I open the discussion on future research by revealing two new examples of emotive wearables — the AnemoneStarHeart and the ThinkerBelle EEG Amplifying Dress — which have evolved from pinpointing specific areas of the focus group and field test feedback that I undertook

Sensing with Earables: A Systematic Literature Review and Taxonomy of Phenomena

Earables have emerged as a unique platform for ubiquitous computing by augmenting ear-worn devices with state-of-the-art sensing. This new platform has spurred a wealth of new research exploring what can be detected on a wearable, small form factor. As a sensing platform, the ears are less susceptible to motion artifacts and are located in close proximity to a number of important anatomical structures including the brain, blood vessels, and facial muscles which reveal a wealth of information. They can be easily reached by the hands and the ear canal itself is affected by mouth, face, and head movements. We have conducted a systematic literature review of 271 earable publications from the ACM and IEEE libraries. These were synthesized into an open-ended taxonomy of 47 different phenomena that can be sensed in, on, or around the ear. Through analysis, we identify 13 fundamental phenomena from which all other phenomena can be derived, and discuss the different sensors and sensing principles used to detect them. We comprehensively review the phenomena in four main areas of (i) physiological monitoring and health, (ii) movement and activity, (iii) interaction, and (iv) authentication and identification. This breadth highlights the potential that earables have to offer as a ubiquitous, general-purpose platform

Tracking in the wild: exploring the everyday use of physical activity trackers

As the rates of chronical diseases, such as obesity, cardiovascular disease and diabetes continue to increase, the development of tools that support people in achieving healthier habits is becoming ever more important. Personal tracking systems, such as activity trackers, have emerged as a promising class of tools to support people in managing their everyday health. However, for this promise to be fulfilled, these systems need to be well designed, not only in terms of how they implement specific behavior change techniques, but also in how they integrate into people’s daily lives and address their daily needs. My dissertations provides evidence that accounting for people’s daily practices and needs can help to design activity tracking systems that help people get more value from their tracking practices. To understand how people derive value from their activity tracking practices, I have conducted two inquiries into people’s daily uses of activity tracking systems. In a fist attempt, I led a 10-month study of the adoption of Habito, our own activity tracking mobile app. Habito logged not only users’ physical activity, but also their interactions with the app. This data was used to acquire an estimate of the adoption rate of Habito, and understanding of how adoption is affected by users’ ‘readiness’, i.e., their attitude towards behavior change. In a follow-up study, I turned to the use of video methods and direct, in-situ observations of users’ interactions to understand what motivates people to engage with these tools in their everyday life, and how the surrounding environment shapes their use. These studies revealed some of the complexities of tracking, while extending some of the underlying ideas of behavior change. Among key results: (1) people’s use of activity trackers was found to be predominantly impulsive, where they simultaneously reflect, learn and change their behaviors as they collect data; (2) people’s use of trackers is deeply entangled with their daily routines and practices, and; (3) people use of trackers often is not in line with the traditional vision of these tools as mediators of change – trackers are also commonly used to simply learn about behaviors and engage in moments of self-discovery. Examining how to design activity tracking interfaces that best support people’s different needs , my dissertation further describes an inquiry into the design space of behavioral feedback interfaces. Through a iterative process of synthesis and analysis of research on activity tracking, I devise six design qualities for creating feedback that supports people in their interactions with physical activity data. Through the development and field deployment of four concepts in a field study, I show the potential of these displays for highlighting opportunities for action and learning.À medida que a prevalência de doenças crónicas como a obesidade, doenças cardiovasculares e diabetes continua a aumentar, o desenvolvimento de ferramentas que suportam pessoas a atingir mudanças de comportamento tem-se tornado essencial. Ferramentas de monitorização de comportamentos, tais como monitores de atividade física, têm surgido com a promessa de encorajar um dia a dia mais saudável. Contudo, para que essa promessa seja cumprida, torna-se essencial que estas ferramentas sejam bem concebidas, não só na forma como implementam determinadas estratégias de mudança de comportamento, mas também na forma como são integradas no dia-a-dia das pessoas. A minha dissertação demonstra a importância de considerar as necessidades e práticas diárias dos utilizadores destas ferramentas, de forma a ajudá-las a tirar melhor proveito da sua monitorização de atividade física. De modo a entender como é que os utilizadores destas ferramentas derivam valor das suas práticas de monitorização, a minha dissertação começa por explorar as práticas diárias associadas ao uso de monitores de atividade física. A minha dissertação contribui com duas investigações ao uso diário destas ferramentas. Primeiro, é apresentada uma investigação da adoção de Habito, uma aplicação para monitorização de atividade física. Habito não só registou as instâncias de atividade física dos seus utilizadores, mas também as suas interações com a própria aplicação. Estes dados foram utilizados para adquirir uma taxa de adopção de Habito e entender como é que essa adopção é afetada pela “prontidão” dos utilizadores, i.e., a sua atitude em relação à mudança de comportamento. Num segundo estudo, recorrendo a métodos de vídeo e observações diretas e in-situ da utilização de monitores de atividade física, explorei as motivações associadas ao uso diário destas ferramentas. Estes estudos expandiram algumas das ideias subjacentes ao uso das ferramentas para mudanças de comportamento. Entre resultados principais: (1) o uso de monitores de atividade física é predominantemente impulsivo, onde pessoas refletem, aprendem e alteram os seus comportamentos à medida que recolhem dados sobe estes mesmos comportamentos; (2) o uso de monitores de atividade física está profundamente interligado com as rotinas e práticas dos seus utilizadores, e; (3) o uso de monitores de atividade física nem sempre está ligado a mudanças de comportamento – estas ferramentas também são utilizadas para divertimento e aprendizagem. A minha dissertação contribui ainda com uma exploração do design de interfaces para a monitorização de atividade física. Através de um processo iterativo de síntese e análise de literatura, seis qualidades para a criação de interfaces são derivadas. Através de um estudo de campo, a minha dissertação demonstro o potencial dessas interfaces para ajudar pessoas a aprender e gerir a sua saúde diária

Complementing human behavior assessment by leveraging personal ubiquitous devices and social links:An evaluation of the peer-ceived momentary assessment method

Background: Ecological momentary assessment (EMA) enables individuals to self-report their subjective momentary physical and emotional states. However, certain conditions, including routine observable behaviors (e.g., moods, medication adherence) as well as behaviors that may suggest declines in physical or mental health (e.g., memory losses, compulsive disorders) cannot be easily and reliably measured via self-reports. Objective: This study aims to examine a method complementary to EMA, denoted as peer-ceived momentary assessment (PeerMA), which enables the involvement of peers (e.g., family members, friends) to report their perception of the individual's subjective physical and emotional states. In this paper, we aim to report the feasibility results and identified human factors influencing the acceptance and reliability of the PeerMA. Methods: We conducted two studies of 4 weeks each, collecting self-reports from 20 participants about their stress, fatigue, anxiety, and well-being, in addition to collecting peer-reported perceptions from 27 of their peers. Results: Preliminary results showed that some of the peers reported daily assessments for stress, fatigue, anxiety, and well-being statistically equal to those reported by the participant. We also showed how pairing assessments of participants and peers in time enables a qualitative and quantitative exploration of unique research questions not possible with EMA-only based assessments. We reported on the usability and implementation aspects based on the participants' experience to guide the use of the PeerMA to complement the information obtained via self-reports for observable behaviors and physical and emotional states among healthy individuals. Conclusions: It is possible to leverage the PeerMA method as a complement to EMA to assess constructs that fall in the realm of observable behaviors and states in healthy individuals

Candy crushing your sleep

National Research Foundation (NRF) Singapore under International Research Centre @ Singapore Funding Initiativ