Abstract:Abstract-Diabetes is both heavily affected by the patients' lifestyle, and it affects their lifestyle. Most diabetic patients can manage the disease without technological assistance, so we should not burden them with technology unnecessarily, but lifestylemonitoring technology can still be beneficial both for patients and their physicians. Because of that we developed an approach to lifestyle monitoring that uses the smartphone, which most patients already have. The approach consists of three steps. First, a n… Show more
“…In addition, 1 study tried to infer riding up and down an elevator [15], 1 assessed different activities including being stationary, limping, shuffling, and skipping [13], and 1 detected shopping and dining activities [14]. Physical activities were also explored in the sense of detecting and counting steps [26,27], distinguishing physical activity from lifestyle activities such as eating [28,29], assessing mobility in the elderly to avoid sedentary lives [30], studying its relationship with happiness including nonexercise activities [31-33], or even measuring and predicting the walking speed and distance of patients with pulmonary diseases [34].…”
Background
Technological advancements, together with the decrease in both price and size of a large variety of sensors, has expanded the role and capabilities of regular mobile phones, turning them into powerful yet ubiquitous monitoring systems. At present, smartphones have the potential to continuously collect information about the users, monitor their activities and behaviors in real time, and provide them with feedback and recommendations.
Objective
This systematic review aimed to identify recent scientific studies that explored the passive use of smartphones for generating health- and well-being–related outcomes. In addition, it explores users’ engagement and possible challenges in using such self-monitoring systems.
Methods
A systematic review was conducted, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to identify recent publications that explore the use of smartphones as ubiquitous health monitoring systems. We ran reproducible search queries on PubMed, IEEE Xplore, ACM Digital Library, and Scopus online databases and aimed to find answers to the following questions: (1) What is the study focus of the selected papers? (2) What smartphone sensing technologies and data are used to gather health-related input? (3) How are the developed systems validated? and (4) What are the limitations and challenges when using such sensing systems?
Results
Our bibliographic research returned 7404 unique publications. Of these, 118 met the predefined inclusion criteria, which considered publication dates from 2014 onward, English language, and relevance for the topic of this review. The selected papers highlight that smartphones are already being used in multiple health-related scenarios. Of those, physical activity (29.6%; 35/118) and mental health (27.9; 33/118) are 2 of the most studied applications. Accelerometers (57.7%; 67/118) and global positioning systems (GPS; 40.6%; 48/118) are 2 of the most used sensors in smartphones for collecting data from which the health status or well-being of its users can be inferred.
Conclusions
One relevant outcome of this systematic review is that although smartphones present many advantages for the passive monitoring of users’ health and well-being, there is a lack of correlation between smartphone-generated outcomes and clinical knowledge. Moreover, user engagement and motivation are not always modeled as prerequisites, which directly affects user adherence and full validation of such systems.
“…In addition, 1 study tried to infer riding up and down an elevator [15], 1 assessed different activities including being stationary, limping, shuffling, and skipping [13], and 1 detected shopping and dining activities [14]. Physical activities were also explored in the sense of detecting and counting steps [26,27], distinguishing physical activity from lifestyle activities such as eating [28,29], assessing mobility in the elderly to avoid sedentary lives [30], studying its relationship with happiness including nonexercise activities [31-33], or even measuring and predicting the walking speed and distance of patients with pulmonary diseases [34].…”
Background
Technological advancements, together with the decrease in both price and size of a large variety of sensors, has expanded the role and capabilities of regular mobile phones, turning them into powerful yet ubiquitous monitoring systems. At present, smartphones have the potential to continuously collect information about the users, monitor their activities and behaviors in real time, and provide them with feedback and recommendations.
Objective
This systematic review aimed to identify recent scientific studies that explored the passive use of smartphones for generating health- and well-being–related outcomes. In addition, it explores users’ engagement and possible challenges in using such self-monitoring systems.
Methods
A systematic review was conducted, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to identify recent publications that explore the use of smartphones as ubiquitous health monitoring systems. We ran reproducible search queries on PubMed, IEEE Xplore, ACM Digital Library, and Scopus online databases and aimed to find answers to the following questions: (1) What is the study focus of the selected papers? (2) What smartphone sensing technologies and data are used to gather health-related input? (3) How are the developed systems validated? and (4) What are the limitations and challenges when using such sensing systems?
Results
Our bibliographic research returned 7404 unique publications. Of these, 118 met the predefined inclusion criteria, which considered publication dates from 2014 onward, English language, and relevance for the topic of this review. The selected papers highlight that smartphones are already being used in multiple health-related scenarios. Of those, physical activity (29.6%; 35/118) and mental health (27.9; 33/118) are 2 of the most studied applications. Accelerometers (57.7%; 67/118) and global positioning systems (GPS; 40.6%; 48/118) are 2 of the most used sensors in smartphones for collecting data from which the health status or well-being of its users can be inferred.
Conclusions
One relevant outcome of this systematic review is that although smartphones present many advantages for the passive monitoring of users’ health and well-being, there is a lack of correlation between smartphone-generated outcomes and clinical knowledge. Moreover, user engagement and motivation are not always modeled as prerequisites, which directly affects user adherence and full validation of such systems.
“…In [ 5 ], physiological data, including respiratory rate, obtained from a wearable sensing device is used as auxiliary modality to discriminate between four activity classes, namely lie, sit, walk and jog. To recognize lifestyle activities of diabetic patients [ 8 ], WiFi, GPS, sound and acceleration data from a smartphone, as well as heart rate and respiratory rate from a ECG monitor are used to distinguish ten different classes. The effects of respiratory rate on classification accuracy for the latter two studies however was not evaluated.…”
Depth imaging has, through recent technological advances, become ubiquitous as products become smaller, more affordable, and more precise. Depth cameras have also emerged as a promising modality for activity recognition as they allow detection of users’ body joints and postures. Increased resolutions have now enabled a novel use of depth cameras that facilitate more fine-grained activity descriptors: The remote detection of a person’s breathing by picking up the small distance changes from the user’s chest over time. We propose in this work a novel method to model chest elevation to robustly monitor a user’s respiration, whenever users are sitting or standing, and facing the camera. The method is robust to users occasionally blocking their torso region and is able to provide meaningful breathing features to allow classification in activity recognition tasks. We illustrate that with this method, with specific activities such as paced-breathing meditating, performing breathing exercises, or post-exercise recovery, our model delivers a breathing accuracy that matches that of a commercial respiration chest monitor belt. Results show that the breathing rate can be detected with our method at an accuracy of 92 to 97% from a distance of two metres, outperforming state-of-the-art depth imagining methods especially for non-sedentary persons, and allowing separation of activities in respiration-derived features space.
“…In addition, 1 study tried to infer riding up and down an elevator [15], 1 assessed different activities including being stationary, limping, shuffling, and skipping [13], and 1 detected shopping and dining activities [14]. Physical activities were also explored in the sense of detecting and counting steps [26,27], distinguishing physical activity from lifestyle activities such as eating [28,29], assessing mobility in the elderly to avoid sedentary lives [30], studying its relationship with happiness including nonexercise activities [31][32][33], or even measuring and predicting the walking speed and distance of patients with pulmonary diseases [34].…”
Section: Focus and Target Population Of Included Studiesmentioning
BACKGROUND
Technological advancements, together with the decrease in both price and size of a large variety of sensors, has expanded the role and capabilities of regular mobile phones, turning them into powerful yet ubiquitous monitoring systems. At present, smartphones have the potential to continuously collect information about the users, monitor their activities and behaviors in real time, and provide them with feedback and recommendations.
OBJECTIVE
This systematic review aimed to identify recent scientific studies that explored the passive use of smartphones for generating health- and well-being–related outcomes. In addition, it explores users’ engagement and possible challenges in using such self-monitoring systems.
METHODS
A systematic review was conducted, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to identify recent publications that explore the use of smartphones as ubiquitous health monitoring systems. We ran reproducible search queries on PubMed, IEEE Xplore, ACM Digital Library, and Scopus online databases and aimed to find answers to the following questions: (1) What is the study focus of the selected papers? (2) What smartphone sensing technologies and data are used to gather health-related input? (3) How are the developed systems validated? and (4) What are the limitations and challenges when using such sensing systems?
RESULTS
Our bibliographic research returned 7404 unique publications. Of these, 118 met the predefined inclusion criteria, which considered publication dates from 2014 onward, English language, and relevance for the topic of this review. The selected papers highlight that smartphones are already being used in multiple health-related scenarios. Of those, physical activity (29.6%; 35/118) and mental health (27.9; 33/118) are 2 of the most studied applications. Accelerometers (57.7%; 67/118) and global positioning systems (GPS; 40.6%; 48/118) are 2 of the most used sensors in smartphones for collecting data from which the health status or well-being of its users can be inferred.
CONCLUSIONS
One relevant outcome of this systematic review is that although smartphones present many advantages for the passive monitoring of users’ health and well-being, there is a lack of correlation between smartphone-generated outcomes and clinical knowledge. Moreover, user engagement and motivation are not always modeled as prerequisites, which directly affects user adherence and full validation of such systems.
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