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Concepts...
Lack of interactive mapping tool to collect detailed information on activity locations, spatial behavior and perceived spaces
Meanwhile, increasing 'map-literacy'
Issues
1. Burden of multiple sensors
2. Battery life (GPS)
3. Ethical
4. Complexity of device manipulation (e.g. cellphone)
5. Real-time data transmission
6. Feedback
Basile Chaix, INSERM
Yan Kestens, Montreal University
1. Series of questions about 'where'
2. Answers provided through interactive map
French Cohort in Paris Region
N=7,290; 30-79 yo; 1915 neigbourhoods
ENVIRONMENT
HEALTH
Use of VERITAS to document perceived neighbourhood limits and network of regular destinations including:
Residence, work, food stores, press/tabaco store, bank, hairdresser, mass transit, sports, cultural, community activities, leisure, friend/family visit
MOBILITY
3. Can document points, lines, polygons
GPS trackers
(Life-space) questionnaires
Mobility surveys
Time use surveys
Standard deviation ellipse
A = 3.4 km²
Major to minor axis ratio: 2.2
Convex hull
A = 6.3 km²
P = 17.0 km
Characterization of spatial behavior
Mobility-based measures of exposure may increase stratification according to:
Shortest path network area
(estimated routes)
Buffers around activity places
Assessment of environmental exposures
= the "where" and "when" of exposure
Filtering based on activities:
related / unrelated to the outcome
Both with destination surveys and GPS tracking, it is critical to collect information on the activities practiced at the different places for filtering of exposure measures.
COMPONENT 1: Improvement of wearable device, real-time transmission
COMPONENT 3: Web applications, prompted recall, counseling
COMPONENT 2: Data processing, GPS algorithms, Accelerometer algorithms
Challenge...
Issues
1. Complex and technical instructions to deliver
2. Need to collect operational information
GPS – SiRFStar IV
Tri-axial accelerometer
Memory
3. Management of participants at
different stages of the study
4. Management of a pool of devices
ANT+ module
GPRS
GPRS module
Long lasting battery
Clothing store
- From 4:31 to à 4:36 pm
- Transport: walking
- Frequency: 0
Consumer panel
- From 3:01 to 4:20 pm
- Transport: bus 47
- Frequency: once per month
Clothing store (Phildar)
- From 4:56 to 5:22 pm
- Transport: metro
- Frequency: twice per year
Pharmacy (Place Monge)
- From 5:33 to 6:11 pm
- Transport: walking
- Frequency: twice per year
Supermarket (Monoprix)
- From 6:20 to 6:45 pm
- Transport: walking
- Frequency: once per month
GSM Network
5. Organize actions of follow-up
(phone calls, SMS, face-to-face meetings)
Residence
- From 0:00 am to 2:10 pm
- Transport: walking
- From 7:21 à 11:59 pm
- Transport : bus 27
GPS
GPRS
Accelerometer
1. Timetable with
activity places
and trips
2. Corrected
geographic file
of the trajectory
Memory
ANT Module
# of participants who carried a device:
Acceptance/completion rate (May 21 2012):
# of prompted recall surveys completed:
Processing time for survey per participant:
% of visits identified by the algorithm confirmed through survey:
# of visits added during the survey (missed by the GPS / the algorithm):
After processing, for each participant:
...integrating:
Improved consideration of place in health research through use of wearable sensors opens great possibilities while posing new challenges
Contact:
chaix@u707.jussieu.fr
yan.kestens@umontreal.ca