TY  - JOUR
AU  - Brick, Timothy R
AU  - Mundie, James
AU  - Weaver, Jonathan
AU  - Fraleigh, Robert
AU  - Oravecz, Zita
PY  - 2020
DA  - 2020/6/17
TI  - Low-Burden Mobile Monitoring, Intervention, and Real-Time Analysis Using the Wear-IT Framework: Example and Usability Study
JO  - JMIR Form Res
SP  - e16072
VL  - 4
IS  - 6
KW  - smartphone apps
KW  - ecological momentary assessment
KW  - real-time analysis
KW  - behavior change
AB  - Background: Mobile health (mHealth) methods often rely on active input from participants, for example, in the form of self-report questionnaires delivered via web or smartphone, to measure health and behavioral indicators and deliver interventions in everyday life settings. For short-term studies or interventions, these techniques are deployed intensively, causing nontrivial participant burden. For cases where the goal is long-term maintenance, limited infrastructure exists to balance information needs with participant constraints. Yet, the increasing precision of passive sensors such as wearable physiology monitors, smartphone-based location history, and internet-of-things devices, in combination with statistical feature selection and adaptive interventions, have begun to make such things possible. Objective: In this paper, we introduced Wear-IT, a smartphone app and cloud framework intended to begin addressing current limitations by allowing researchers to leverage commodity electronics and real-time decision making to optimize the amount of useful data collected while minimizing participant burden. Methods: The Wear-IT framework uses real-time decision making to find more optimal tradeoffs between the utility of data collected and the burden placed on participants. Wear-IT integrates a variety of consumer-grade sensors and provides adaptive, personalized, and low-burden monitoring and intervention. Proof of concept examples are illustrated using artificial data. The results of qualitative interviews with users are provided. Results: Participants provided positive feedback about the ease of use of studies conducted using the Wear-IT framework. Users expressed positivity about their overall experience with the framework and its utility for balancing burden and excitement about future studies that real-time processing will enable. Conclusions: The Wear-IT framework uses a combination of passive monitoring, real-time processing, and adaptive assessment and intervention to provide a balance between high-quality data collection and low participant burden. The framework presents an opportunity to deploy adaptive assessment and intervention designs that use real-time processing and provides a platform to study and overcome the challenges of long-term mHealth intervention. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2020/6/e16072
UR  - https://doi.org/10.2196/16072
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32554373
DO  - 10.2196/16072
ID  - info:doi/10.2196/16072
ER  -