An Evaluation of the User Experience and Privacy Concerns of Individuals Misusing Opioids Using a Location Tracking Mobile Application

Opioid use disorder is a growing public health concern in the United States, causing economic burden and hindered by stigma. New forms of data, including location data, may improve the effectiveness of interventions for preventing and treating opioid use disorder and/or misuse, increase access to treatment and address racial and ethnic disparities. This qualitative study aimed to identify factors that contribute to users' experience with a publicly available location-tracking mobile app - and investigate their privacy and ethical concerns. The study was conducted through two 15-minute interviews within a 48-h time frame. Participants were recruited from a pool of past research participants, Facebook ads, and referrals, and had to meet certain inclusion criteria related to opioid use disorder and/or misuse. The study had a final sample of 30 participants, 15 male and 15 female. The study suggests that a simple onboarding process and convenient experience can enhance participant adherence to the study app and other similar location-based research apps. However, the study also found that participants had concerns about privacy and transparency about locational privacy when sharing their location data. To improve the app, researchers suggest incorporating user behavior earlier in the app development stage. The study also highlights the importance of addressing ethical and privacy concerns such as limiting the types of collected data, incorporating data encryption and retention strategies, giving access to research staff only, and not sharing the data with third-party companies or law enforcement agencies to increase user satisfaction.

Prediction of stroke patients' bedroom-stay duration: machine-learning approach using wearable sensor data

Background: The importance of being physically active and avoiding staying in bed has been recognized in stroke rehabilitation. However, studies have pointed out that stroke patients admitted to rehabilitation units often spend most of their day immobile and inactive, with limited opportunities for activity outside their bedrooms. To address this issue, it is necessary to record the duration of stroke patients staying in their bedrooms, but it is impractical for medical providers to do this manually during their daily work of providing care. Although an automated approach using wearable devices and access points is more practical, implementing these access points into medical facilities is costly. However, when combined with machine learning, predicting the duration of stroke patients staying in their bedrooms is possible with reduced cost. We assessed using machine learning to estimate bedroom-stay duration using activity data recorded with wearable devices. Method: We recruited 99 stroke hemiparesis inpatients and conducted 343 measurements. Data on electrocardiograms and chest acceleration were measured using a wearable device, and the location name of the access point that detected the signal of the device was recorded. We first investigated the correlation between bedroom-stay duration measured from the access point as the objective variable and activity data measured with a wearable device and demographic information as explanatory variables. To evaluate the duration predictability, we then compared machine-learning models commonly used in medical studies. Results: We conducted 228 measurements that surpassed a 90% data-acquisition rate using Bluetooth Low Energy. Among the explanatory variables, the period spent reclining and sitting/standing were correlated with bedroom-stay duration (Spearman's rank correlation coefficient (R) of 0.56 and -0.52, p < 0.001). Interestingly, the sum of the motor and cognitive categories of the functional independence measure, clinical indicators of the abilities of stroke patients, lacked correlation. The correlation between the actual bedroom-stay duration and predicted one using machine-learning models resulted in an R of 0.72 and p < 0.001, suggesting the possibility of predicting bedroom-stay duration from activity data and demographics. Conclusion: Wearable devices, coupled with machine learning, can predict the duration of patients staying in their bedrooms. Once trained, the machine-learning model can predict without continuously tracking the actual location, enabling more cost-effective and privacy-centric future measurements.

A System to Track Stent Location in the Human Body by Fusing Magnetometer and Accelerometer Measurements

This paper will introduce a simple locating system to track a stent when it is deployed into a human artery. The stent is proposed to achieve hemostasis for bleeding soldiers on the battlefield, where common surgical imaging equipment such as fluoroscopy systems are not available. In the application of interest, the stent must be guided to the right location to avoid serious complications. The most important features are its relative accuracy and the ease by which it may be quickly set up and used in a trauma situation. The locating approach in this paper utilizes a magnet outside the human body as the reference and a magnetometer that will be deployed inside the artery with the stent. The sensor can detect its location in a coordinate system centered with the reference magnet. In practice, the main challenge is that the locating accuracy will be deteriorated by external magnetic interference, rotation of the sensor, and random noise. These causes of error are addressed in the paper to improve the locating accuracy and repeatability under various conditions. Finally, the system's locating performance will be validated in benchtop experiments, where the effects of the disturbance-eliminating procedures will be addressed.

A Safety-Aware Location Privacy-Preserving IoV Scheme with Road Congestion-Estimation in Mobile Edge Computing

By leveraging the conventional Vehicular Ad-hoc Networks (VANETs), the Internet of Vehicles (IoV) paradigm has attracted the attention of different research and development bodies. However, IoV deployment is still at stake as many security and privacy issues are looming; location tracking using overheard safety messages is a good example of such issues. In the context of location privacy, many schemes have been deployed to mitigate the adversary's exploiting abilities. The most appealing schemes are those using the silent period feature, since they provide an acceptable level of privacy. Unfortunately, the cost of silent periods in most schemes is the trade-off between privacy and safety, as these schemes do not consider the timing of silent periods from the perspective of safety. In this paper, and by exploiting the nature of public transport and role vehicles (overseers), we propose a novel location privacy scheme, called OVR, that uses the silent period feature by letting the overseers ensure safety and allowing other vehicles to enter into silence mode, thus enhancing their location privacy. This scheme is inspired by the well-known war strategy "Give up a Pawn to Save a Chariot". Additionally, the scheme does support road congestion estimation in real time by enabling the estimation locally on their On-Board Units that act as mobile edge servers and deliver these data to a static edge server that is implemented at the cell tower or road-side unit level, which boosts the connectivity and reduces network latencies. When OVR is compared with other schemes in urban and highway models, the overall results show its beneficial use.

Community-dwelling older adults' acceptance of smartwatches for health and location tracking

BACKGROUND

Despite rapid growth in the popularity of smartwatches, evidence lacks regarding older adults' acceptance of smartwatches. Since most wearable sensors are not designed specifically for older adults, there is a need to examine wearability and usability challenges of wearable sensing devices faced by older adults to facilitate the use of objective measurements of health and mobility.

OBJECTIVES

We aimed to examine older adults' perceptions of GPS-enabled smartwatches and to identify potential barriers and facilitators of smartwatch and sensor data use.

METHODS

As part of a larger feasibility study, we conducted a mixed-methods study that included a descriptive content analysis of interviews and a brief usability survey with 30 participants aged 60 years and older after they had used a smartwatch for 3 days.

RESULTS

Most participants perceived wearable activity trackers including smartwatches and sensor-based data as useful for tracking health, finding activity patterns and promoting healthy behaviours. Privacy was of little concern, leading to willingness to share activity and location data with others. Participants identified barriers to usability as clumsy design, lack of aesthetic appeal, and difficulty reading the display and using the GPS tracking function. In contrast, identified facilitators of adoption included a big display, high-tech look, self-awareness and possible behaviour change.

CONCLUSIONS

Smartwatches have the potential of personalised detection of health deterioration and disability prevention, based on analysis of older adults' activities in free-living environments. The usefulness of this technology for older adults can be significantly increased by addressing usability issues and providing instructions on challenging features.

IMPLICATIONS FOR PRACTICE

To support sustained self-monitoring behaviours through wearable sensor devices in older adults, it is critical to examine how they perceive those devices and identify factors affecting technology acceptance that can maximise adoption.

COVID-19 surveillance in Israeli press: Spatiality, mobility, and control

In March 2020, Israel passed emergency regulations authorizing its internal security agency to track citizens' mobile phone geolocations in order to tackle the spread of COVID-19. This unprecedented surveillance enterprise attracted extensive media attention and sparked a vigorous public debate regarding technology and democratic values such as privacy, mobility, and control. This article examines press coverage of Israel's surveillance of its citizens during the COVID-19 pandemic by four leading news sites to identify and map the frames that informed their reports. Based on a thematic analysis, our findings point to supportive and critical constructions of mobile phone location-tracking and organize them within two scapes: personal; and international. These attest to the collective imagining of intimacies and public life, respectively. We draw on the case study to articulate mobile phones as devices that reduce movement into manageable mapped information and individuals into controllable data. Mobile phone location-tracking during the COVID-19 pandemic is understood as turning mobility into order and control.

Recent Development of Non-Contact Multi-Target Vital Sign Detection and Location Tracking Based on Metamaterial Leaky Wave Antennas

Microwave radar sensors have been developed for non-contact monitoring of the health condition and location of targets, which will cause minimal discomfort and eliminate sanitation issues, especially in a pandemic situation. To this end, several radar sensor architectures and algorithms have been proposed to detect multiple targets at different locations. Traditionally, beamforming techniques incorporating phase shifters or mechanical rotors are utilized, which is relatively complex and costly. On the other hand, metamaterial (MTM) leaky wave antennas (LWAs) have a unique property of launching waves of different spectral components in different directions. This feature can be utilized to detect multiple targets at different locations to obtain their healthcare and location information accurately, without complex structure and high cost. To this end, this paper reviews the recent development of MTM LWA-based radar sensor architectures for vital sign detection and location tracking. The experimental results demonstrate the effectiveness of MTM vital sign radar compared with different radar sensor architectures.

Would You Sacrifice Your Privacy to Protect Public Health? Prosocial Responsibility in a Pandemic Paves the Way for Digital Surveillance

Digital surveillance methods, such as location tracking apps on smartphones, have been implemented in many countries during the COVID-19 pandemic, but not much is known about predictors of their acceptance. Could it be that prosocial responsibility, to which authorities appealed in order to enhance compliance with quarantine measures, also increases acceptance of digital surveillance and restrictions of privacy? In their fight against the COVID-19 pandemic, governments around the world communicated that self-isolation and social distancing measures are every citizen’s duty in order to protect the health not only of oneself but also of vulnerable others. We suggest that prosocial responsibility besides motivating people to comply with anti-pandemic measures also undermines people’s valuation of privacy. In an online research conducted with US participants, we examined correlates of people’s willingness to sacrifice individual rights and succumb to surveillance with a particular focus on prosocial responsibility. First, replicating prior research, we found that perceived prosocial responsibility was a powerful predictor of compliance with self-isolation and social distancing measures. Second, going beyond prior research, we found that perceived prosocial responsibility also predicted willingness to accept restrictions of individual rights and privacy, as well as to accept digital surveillance for the sake of public health. While we identify a range of additional predictors, the effects of prosocial responsibility hold after controlling for alternative processes, such as perceived self-risk, impact of the pandemic on oneself, or personal value of freedom. These findings suggest that prosocial responsibility may act as a Trojan horse for privacy compromises.

Analyzing Gait in the Real World Using Wearable Movement Sensors and Frequently Repeated Movement Paths

Assessing interventions for mobility disorders using real-life movement remains an unsolved problem. We propose a new method combining the strengths of traditional laboratory studies where environment is strictly controlled, and field-based studies where subjects behave naturally. We use a foot-mounted inertial sensor, a GPS receiver and a barometric altitude sensor to reconstruct a subject's path and detailed foot movement, both indoors and outdoors, during days-long measurement using strapdown navigation and sensor fusion algorithms. We cluster repeated movement paths based on location, and propose that on these paths, most environmental and behavioral factors (e.g., terrain and motivation) are as repeatable as in a laboratory. During each bout of movement along a frequently repeated path, any synchronized measurement can be isolated for study, enabling focused statistical comparison of different interventions. We conducted a 10-day test on one subject wearing athletic shoes and sandals each for five days. The algorithm detected four frequently-repeated straight walking paths with at least 300 total steps and repetitions on at least three days for each condition. Results on these frequently-repeated paths indicated significantly lower foot clearance and shorter stride length and a trend toward decreased stride width when wearing athletic shoes vs. sandals. Comparisons based on all straight walking were similar, showing greater statistical power, but higher variability in the data. The proposed method offers a new way to evaluate how mobility interventions affect everyday movement behavior.

Ethical and regulatory challenges of research using pervasive sensing and other emerging technologies: IRB perspectives

Vast quantities of personal health information and private identifiable information are being created through mobile apps, wearable sensors, and social networks. While new strategies and tools for obtaining health data have expanded researchers' abilities to design and test personalized and adaptive health interventions, the deployment of pervasive sensing and computational techniques to gather research data is raising ethical challenges for Institutional Review Boards (IRBs) charged with protecting research participants. To explore experiences with, and perceptions about, technology-enabled research, and identify solutions for promoting responsible conduct of this research we conducted focus groups with human research protection program and IRB affiliates. Our findings outline the need for increased collaboration across stakeholders in terms of: (1) shared and dynamic resources that improve awareness of technologies and decrease potential threats to participant privacy and data confidentiality, and (2) development of appropriate and dynamic standards through collaboration with stakeholders in the research ethics community.

Human Behavior Analysis by Means of Multimodal Context Mining

There is sufficient evidence proving the impact that negative lifestyle choices have on people’s health and wellness. Changing unhealthy behaviours requires raising people’s self-awareness and also providing healthcare experts with a thorough and continuous description of the user’s conduct. Several monitoring techniques have been proposed in the past to track users’ behaviour; however, these approaches are either subjective and prone to misreporting, such as questionnaires, or only focus on a specific component of context, such as activity counters. This work presents an innovative multimodal context mining framework to inspect and infer human behaviour in a more holistic fashion. The proposed approach extends beyond the state-of-the-art, since it not only explores a sole type of context, but also combines diverse levels of context in an integral manner. Namely, low-level contexts, including activities, emotions and locations, are identified from heterogeneous sensory data through machine learning techniques. Low-level contexts are combined using ontological mechanisms to derive a more abstract representation of the user’s context, here referred to as high-level context. An initial implementation of the proposed framework supporting real-time context identification is also presented. The developed system is evaluated for various realistic scenarios making use of a novel multimodal context open dataset and data on-the-go, demonstrating prominent context-aware capabilities at both low and high levels.

A framework for UWB-based communication and location tracking systems for wireless sensor networks

Ultra wideband (UWB) radio technology is nowadays one of the most promising technologies for medium-short range communications. It has a wide range of applications including wireless sensor networks (WSN) with simultaneous data transmission and location tracking. The combination of location and data transmission is important in order to increase flexibility and reduce the cost and complexity of the system deployment. In this scenario, accuracy is not the only evaluation criteria, but also the amount of resources associated to the location service, as it has an impact not only on the location capacity of the system but also on the sensor data transmission capacity. Although several studies can be found in the literature addressing UWB-based localization, these studies mainly focus on distance estimation and position calculation algorithms. Practical aspects such as the design of the functional architecture, the procedure for the transmission of the associated information between the different elements of the system, and the need of tracking multiple terminals simultaneously in various application scenarios, are generally omitted. This paper provides a complete system level evaluation of a UWB-based communication and location system for Wireless Sensor Networks, including aspects such as UWB-based ranging, tracking algorithms, latency, target mobility and MAC layer design. With this purpose, a custom simulator has been developed, and results with real UWB equipment are presented too.