Physical Sciences and Mathematics Commons^™

The Feasibility And Utility Of Harnessing Digital Health To Understand Clinical Trajectories In Medication Treatment For Opioid Use Disorder: D-Tect Study Design And Methodological Considerations, Lisa A. Marsch, Ching-Hua Chen, Sara R. Adams, Asma Asyyed, Monique B. Does, Saeed Hassanpour, Emily Hichborn, Melanie Jackson-Morris, Nicholas C. Jacobson, Heather K. Jones, David Kotz, Chantal A. Lambert-Harris, Zhiguo Li, Bethany Mcleman, Varun Mishra, Catherine Stanger, Geetha Subramaniam, Weiyi Wu, Cynthia I. Campbell

Dartmouth Scholarship

Introduction: Across the U.S., the prevalence of opioid use disorder (OUD) and the rates of opioid overdoses have risen precipitously in recent years. Several effective medications for OUD (MOUD) exist and have been shown to be life-saving. A large volume of research has identified a confluence of factors that predict attrition and continued substance use during substance use disorder treatment. However, much of this literature has examined a small set of potential moderators or mediators of outcomes in MOUD treatment and may lead to over-simplified accounts of treatment non-adherence. Digital health methodologies offer great promise for capturing intensive, longitudinal ecologically-valid …

Evaluating The Reproducibility Of Physiological Stress Detection Models, Varun Mishra, Sougata Sen, Grace Chen, Tian Hao, Jeffrey Rogers, Ching-Hua Chen, David Kotz

Dartmouth Scholarship

Recent advances in wearable sensor technologies have led to a variety of approaches for detecting physiological stress. Even with over a decade of research in the domain, there still exist many significant challenges, including a near-total lack of reproducibility across studies. Researchers often use some physiological sensors (custom-made or off-the-shelf), conduct a study to collect data, and build machine-learning models to detect stress. There is little effort to test the applicability of the model with similar physiological data collected from different devices, or the efficacy of the model on data collected from different studies, populations, or demographics.

This paper takes …

Barriers And Facilitators In Implementing A Pilot, Pragmatic, Telemedicine-Delivered Healthy Lifestyle Program For Obesity Management In A Rural, Academic Obesity Clinic, John A. Batsis, Auden C. Mcclure, Aaron B. Weintraub, Diane Sette, Sivan Rotenberg, Courtney J. Stevens, Diane Gilbert-Diamond, David Kotz, Stephen Bartels, Summer B. Cook, Richard I. Rothstein

Dartmouth Scholarship

Few evidence-based strategies are specifically tailored for disparity populations such as rural adults. Two-way video-conferencing using telemedicine can potentially surmount geographic barriers that impede participation in high-intensity treatment programs offering frequent visits to clinic facilities. We aimed to understand barriers and facilitators of implementing a telemedicine-delivered tertiary-care, rural academic weight-loss program for the management of obesity.

Using Natural Language Processing And Sentiment Analysis To Augment Traditional User-Centered Design: Development And Usability Study, Curtis L. Petersen, Ryan Halter, David Kotz, Lorie Loeb, Summer B. Cook, Dawna M. Pidgeon, Brock Christensen, John A. Batsis

Dartmouth Scholarship

Background: Sarcopenia, defined as the age-associated loss of muscle mass and strength, can be effectively mitigated through resistance-based physical activity. With compliance at approximately 40% for home-based exercise prescriptions, implementing a remote sensing system would help patients and clinicians to better understand treatment progress and increase compliance. The inclusion of end users in the development of mobile apps for remote-sensing systems can ensure that they are both user friendly and facilitate compliance. With advancements in natural language processing (NLP), there is potential for these methods to be used with data collected through the user-centered design process.

Objective: This study aims …

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 …

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 …

Indutivo: Contact-Based, Object-Driven Interactions With Inductive Sensing, Jun Gong, Xin Yang, Teddy Seyed, Josh Urban Davis, Xing-Dong Yang

Dartmouth Scholarship

We present Indutivo, a contact-based inductive sensing technique for contextual interactions. Our technique recognizes conductive objects (metallic primarily) that are commonly found in households and daily environments, as well as their individual movements when placed against the sensor. These movements include sliding, hinging, and rotation. We describe our sensing principle and how we designed the size, shape, and layout of our sensor coils to optimize sensitivity, sensing range, recognition and tracking accuracy. Through several studies, we also demonstrated the performance of our proposed sensing technique in environments with varying levels of noise and interference conditions. We conclude by presenting demo …

Saw: Wristband-Based Authentication For Desktop Computers, Shrirang Mare, Reza Rawassizadeh, Ronald Peterson, David Kotz

Dartmouth Scholarship

Token-based proximity authentication methods that authenticate users based on physical proximity are effortless, but lack explicit user intentionality, which may result in accidental logins. For example, a user may get logged in when she is near a computer or just passing by, even if she does not intend to use that computer. Lack of user intentionality in proximity-based methods makes them less suitable for multi-user shared computer environments, despite their desired usability benefits over passwords. \par We present an authentication method for desktops called Seamless Authentication using Wristbands (SAW), which addresses the lack of intentionality limitation of proximity-based methods. SAW …

Workshop On Emerging Technology And Data Analytics For Behavioral Health, David Kotz, Sarah E. Lord, A. James O'Malley, Luke Stark, Lisa Marsch

Dartmouth Scholarship

Wearable and portable digital devices can support self-monitoring for patients with chronic medical conditions, individuals seeking to reduce stress, and people seeking to modify health-related behaviors such as substance use or overeating. The resulting data may be used directly by a consumer, or shared with a clinician for treatment, a caregiver for assistance, or a health coach for support. The data can also be used by researchers to develop and evaluate just-in-time interventions that leverage mobile technology to help individuals manage their symptoms and behavior in real time and as needed. Such wearable systems have huge potential for promoting delivery …

Nocloud: Experimenting With Network Disconnection By Design, Reza Rawassizadeh, Timothy Pierson, Ronald Peterson, David Kotz

Dartmouth Scholarship

Application developers often advocate uploading data to the cloud for analysis or storage, primarily due to concerns about the limited computational capability of ubiquitous devices. Today, however, many such devices can still effectively operate and execute complex algorithms without reliance on the cloud. The authors recommend prioritizing on-device analysis over uploading the data to another host, and if on-device analysis is not possible, favoring local network services over a cloud service.

Toward Accurate And Efficient Feature Selection For Speaker Recognition On Wearables, Rui Liu, Reza Rawassizadeh, David Kotz

Dartmouth Scholarship

Due to the user-interface limitations of wearable devices, voice-based interfaces are becoming more common; speaker recognition may then address the authentication requirements of wearable applications. Wearable devices have small form factor, limited energy budget and limited computational capacity. In this paper, we examine the challenge of computing speaker recognition on small wearable platforms, and specifically, reducing resource use (energy use, response time) by trimming the input through careful feature selections. For our experiments, we analyze four different feature-selection algorithms and three different feature sets for speaker identification and speaker verification. Our results show that Principal Component Analysis (PCA) with frequency-domain …

Activityaware: An App For Real-Time Daily Activity Level Monitoring On The Amulet Wrist-Worn Device, George Boateng, Ryan Halter, John A. Batsis, David Kotz

Dartmouth Scholarship

Physical activity helps reduce the risk of cardiovascular disease, hypertension and obesity. The ability to monitor a person's daily activity level can inform self-management of physical activity and related interventions. For older adults with obesity, the importance of regular, physical activity is critical to reduce the risk of long-term disability. In this work, we present ActivityAware, an application on the Amulet wrist-worn device that measures daily activity levels (sedentary, moderate and vigorous) of individuals, continuously and in real-time. The app implements an activity-level detection model, continuously collects acceleration data on the Amulet, classifies the current activity level, updates the day's …

The Amulet Wearable Platform: Demo Abstract, Josiah Hester, Travis Peters, Tianlong Yun, Ronald Peterson, Joseph Skinner, Bhargav Golla, Kevin Storer, Steven Hearndon, Sarah Lord, Ryan Halter, David Kotz, Jacob Sorber

Dartmouth Scholarship

In this demonstration we present the Amulet Platform; a hardware and software platform for developing energy- and resource-efficient applications on multi-application wearable devices. This platform, which includes the Amulet Firmware Toolchain, the Amulet Runtime, the ARP-View graphical tool, and open reference hardware, efficiently protects applications from each other without MMU support, allows developers to interactively explore how their implementation decisions impact battery life without the need for hardware modeling and additional software development, and represents a new approach to developing long-lived wearable applications. We envision the Amulet Platform enabling long-duration experiments on human subjects in a wide variety of studies.

Amulet: A Secure Architecture For Mhealth Applications For Low-Power Wearable Devices, Andrés Molina-Markham, Ronald Peterson, Joseph Skinner, Tianlong Yun, Bhargav Golla, Kevin Freeman, Travis Peters, Jacob Sorber, Ryan Halter, David Kotz

Dartmouth Scholarship

Interest in using mobile technologies for health-related applications (mHealth) has increased. However, none of the available mobile platforms provide the essential properties that are needed by these applications. An mHealth platform must be (i) secure; (ii) provide high availability; and (iii) allow for the deployment of multiple third-party mHealth applications that share access to an individual's devices and data. Smartphones may not be able to provide property (ii) because there are activities and situations in which an individual may not be able to carry them (e.g., while in a contact sport). A low-power wearable device can provide higher availability, remaining …

A Wearable System That Knows Who Wears It, Cory Cornelius, Ronald Peterson, Joseph Skinner, Ryan Halter, David Kotz

Dartmouth Scholarship

Body-area networks of pervasive wearable devices are increasingly used for health monitoring, personal assistance, entertainment, and home automation. In an ideal world, a user would simply wear their desired set of devices with no configuration necessary: the devices would discover each other, recognize that they are on the same person, construct a secure communications channel, and recognize the user to which they are attached. In this paper we address a portion of this vision by offering a wearable system that unobtrusively recognizes the person wearing it. Because it can recognize the user, our system can properly label sensor data or …

Zebra: Zero-Effort Bilateral Recurring Authentication, Shrirang Mare, Andrés Molina-Markham, Cory Cornelius, Ronald Peterson, David Kotz

Dartmouth Scholarship

Common authentication methods based on passwords, tokens, or fingerprints perform one-time authentication and rely on users to log out from the computer terminal when they leave. Users often do not log out, however, which is a security risk. The most common solution, inactivity timeouts, inevitably fail security (too long a timeout) or usability (too short a timeout) goals. One solution is to authenticate users continuously while they are using the terminal and automatically log them out when they leave. Several solutions are based on user proximity, but these are not sufficient: they only confirm whether the user is nearby but …

Who Wears Me? Bioimpedance As A Passive Biometric, Cory Cornelius, Jacob Sorber, Ronald Peterson, Joe Skinner, Ryan Halter, David Kotz

Dartmouth Scholarship

Mobile and wearable systems for monitoring health are becoming common. If such an mHealth system knows the identity of its wearer, the system can properly label and store data collected by the system. Existing recognition schemes for such mobile applications and pervasive devices are not particularly usable – they require ıt active engagement with the person (e.g., the input of passwords), or they are too easy to fool (e.g., they depend on the presence of a device that is easily stolen or lost). \par We present a wearable sensor to passively recognize people. Our sensor uses the unique electrical properties …

An Amulet For Trustworthy Wearable Mhealth, Jacob Sorber, Minho Shin, Ronald Peterson, Cory Cornelius, Shrirang Mare, Aarathi Prasad, Zachary Marois, Emma N. Smithayer, David Kotz

Dartmouth Scholarship

Mobile technology has significant potential to help revolutionize personal wellness and the delivery of healthcare. Mobile phones, wearable sensors, and home-based tele-medicine devices can help caregivers and individuals themselves better monitor and manage their health. While the potential benefits of this “mHealth” technology include better health, more effective healthcare, and reduced cost, this technology also poses significant security and privacy challenges. In this paper we propose \emphAmulet, an mHealth architecture that provides strong security and privacy guarantees while remaining easy to use, and outline the research and engineering challenges required to realize the Amulet vision.