Physical Sciences and Mathematics Commons^™

Feasibility And Acceptability Of A Rural, Pragmatic, Telemedicine‐ Delivered Healthy Lifestyle Programme, John A. Batsis, Auden C. Mcclure, Aaron B. Weintraub, David F. Kotz, Sivan Rotenberg, Summer B. Cook, Diane Gilbert-Diamond, Kevin Curtis, Courtney J. Stevens, Diane Sette, Richard I. Rothstein

Dartmouth Scholarship

Background: The public health crisis of obesity leads to increasing morbidity that are even more profound in certain populations such as rural adults. Live, two‐way video‐conferencing is a modality that can potentially surmount geographic barriers and staffing shortages. Methods: Patients from the Dartmouth‐Hitchcock Weight and Wellness Center were recruited into a pragmatic, single‐arm, nonrandomized study of a remotely delivered 16‐week evidence‐based healthy lifestyle programme. Patients were provided hardware and appropriate software allowing for remote participation in all sessions, outside of the clinic setting. Our primary outcomes were feasibility and acceptability of the telemedicine intervention, as well as potential effectiveness on …

Exploring The State-Of-Receptivity For Mhealth Interventions, Florian Künzler, Varun Mishra, Jan-Niklas Kramer, David Kotz, Elgar Fleisch, Tobias Kowatsch

Dartmouth Scholarship

Recent advancements in sensing techniques for mHealth applications have led to successful development and deployments of several mHealth intervention designs, including Just-In-Time Adaptive Interventions (JITAI). JITAIs show great potential because they aim to provide the right type and amount of support, at the right time. Timing the delivery of a JITAI such as the user is receptive and available to engage with the intervention is crucial for a JITAI to succeed. Although previous research has extensively explored the role of context in users’ responsiveness towards generic phone notiications, it has not been thoroughly explored for actual mHealth interventions. In this …

Proximity Detection With Single-Antenna Iot Devices, Timothy J. Pierson, Travis Peters, Ronald Peterson, David Kotz

Dartmouth Scholarship

Providing secure communications between wireless devices that encounter each other on an ad-hoc basis is a challenge that has not yet been fully addressed. In these cases, close physical proximity among devices that have never shared a secret key is sometimes used as a basis of trust; devices in close proximity are deemed trustworthy while more distant devices are viewed as potential adversaries. Because radio waves are invisible, however, a user may believe a wireless device is communicating with a nearby device when in fact the user’s device is communicating with a distant adversary. Researchers have previously proposed methods for …

Using Vibrations From A Smartring As An Out-Of-Band Channel For Sharing Secret Keys, Sougata Sen, Varun Mishra, David Kotz

Dartmouth Scholarship

With the rapid growth in the number of Internet of Things (IoT) devices with wireless communication capabilities, and sensitive information collection capabilities, it is becoming increasingly necessary to ensure that these devices communicate securely with only authorized devices. A major requirement of this secure communication is to ensure that both the devices share a secret, which can be used for secure pairing and encrypted communication. Manually imparting this secret to these devices becomes an unnecessary overhead, especially when the device interaction is transient. In this work, we empirically investigate the possibility of using an out-of-band communication channel – vibration, generated …

Use Of Amulet In Behavioral Change For Geriatric Obesity Management, John A. Batsis, Alexandra B. Zagaria, Ryan J. Halter, George G. Boateng, Patrick Proctor, Stephen J. Bartels, David Kotz

Dartmouth Scholarship

Background: Obesity in older adults is a significant public health concern. Weight-loss interventions are known to improve physical function but risk the development of sarcopenia. Mobile health devices have the potential to augment existing interventions and, if designed accordingly, could improve one’s physical activity and strength in routine physical activity interventions.

Methods and results: We present Amulet, a mobile health device that has the capability of engaging patients in physical activity. The purpose of this article is to discuss the development of applications that are tailored to older adults with obesity, with the intention to engage and improve their health. …

Development And Usability Assessment Of A Connected Resistance Exercise Band Application For Strength-Monitoring, John A. Batsis, George G. Boateng, Lillian M. Seo, Curtis L. Petersen, Karen L. Fortuna, Emily V. Wechsler, Ronald J. Peterson, Summer B. Cook, Dawna Pidgeon, Rachel S. Dokko, Ryan J. Halter, David F. Kotz

Dartmouth Scholarship

Resistance exercise bands are a core component of any physical activity strengthening program. Strength training can mitigate the development of sarcopenia, the loss of muscle mass or strength and function with aging. Yet, the adherence of such behavioral exercise strategies in a home-based setting are fraught with issues of monitoring and compliance. Our group developed a Bluetooth-enabled resistance exercise band capable of transmitting data to an open-source platform. In this work, we developed an application to capture this information in real-time, and conducted three usability studies in two mixed-aged groups of participants (n=6 each) and a group of older adults …

Closetalker: Secure, Short-Range Ad Hoc Wireless Communication, Timothy J. Pierson, Travis Peters, Ronald Peterson, David Kotz

Dartmouth Scholarship

Secure communication is difficult to arrange between devices that have not previously shared a secret. Previous solutions to the problem are susceptible to man-in-the-middle attacks, require additional hardware for out-of-band communication, or require an extensive public-key infrastructure. Furthermore, as the number of wireless devices explodes with the advent of the Internet of Things, it will be impractical to manually configure each device to communicate with its neighbors. Our system, CloseTalker, allows simple, secure, ad hoc communication between devices in close physical proximity, while jamming the signal so it is unintelligible to any receivers more than a few centimeters away. CloseTalker …

Technology For Behavioral Change In Rural Older Adults With Obesity, John A. Batsis, John A. Naslund, Alexandra B. Zagaria, David Kotz, Rachel Dokko, Stephen J. Bartels, Elizabeth Carpenter-Song

Dartmouth Scholarship

Background: Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population.

Methods: We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting. We developed codes informed by thematic analysis and assessed the quantitative data using descriptive statistics.

Results: All groups expressed that mHealth could improve health behaviors. Older adults were optimistic that mHealth …

Continuous Smartphone Authentication Using Wristbands, Shrirang Mare, Reza Rawassizadeh, Ronald Peterson, David Kotz

Dartmouth Scholarship

Many users find current smartphone authentication methods (PINs, swipe patterns) to be burdensome, leading them to weaken or disable the authentication. Although some phones support methods to ease the burden (such as fingerprint readers), these methods require active participation by the user and do not verify the user’s identity after the phone is unlocked. We propose CSAW, a continuous smartphone authentication method that leverages wristbands to verify that the phone is in the hands of its owner. In CSAW, users wear a wristband (a smartwatch or a fitness band) with built-in motion sensors, and by comparing the wristband’s motion with …