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Defining Adherence: Making Sense of Physical Activity Tracker Data

Published: 26 March 2018 Publication History
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  • Abstract

    Increasingly, people are collecting detailed personal activity data from commercial trackers. Such data should be able to give important insights about their activity levels. However, people do not wear or carry tracking devices all day, every day and this means that tracker data is typically incomplete. This paper aims to provide a systematic way to take account of this incompleteness, by defining adherence, a measure of data completeness, based on how much people wore their tracker. We show the impact of different adherence definitions on 12 diverse datasets, for 753 users, with over 77,000 days with data, interspersed with over 73,000 days without data. For example, in one data set, one adherence measure gives an average step count of 6,952 where another gives 9,423. Our results show the importance of adherence when analysing and reporting activity tracker data. We provide guidelines for defining adherence, analysing its impact and reporting it along with the results of the tracker data analysis. Our key contribution is the foundation for analysis of physical activity data, to take account of data incompleteness.

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    References

    [1]
    Laura Albert. 2017. The Surprising Potential Fitness Tracker Buyer. (Aug 2017). https://civicscience.com/surprising-potential-fitness-tracker-consumer/ {Online; posted 21-July-2016 CivicScience}.
    [2]
    Tim Althoff, Rok Sosič, Jennifer L. Hicks, Abby C. King, Scott L. Delp, and Jure Leskovec. 2017. Large-scale physical activity data reveal worldwide activity inequality. Nature (2017).
    [3]
    F Bentley, K Tollmar, and P Stephenson. 2013. Health Mashups: Presenting Statistical Patterns between Wellbeing Data and Context in Natural Language to Promote Behavior Change. Tochi 20, 5 (2013), 1---27.
    [4]
    Kevin Alexander Bragg. 2015. Does The Quantified Self Equal Quantified Health? Ph.D. Dissertation. University of Sydney.
    [5]
    Lisa Cadmus-Bertram, Bess H Marcus, Ruth E Patterson, Barbara A Parker, and Brittany L Morey. 2015. Use of the Fitbit to Measure Adherence to a Physical Activity Intervention Among Overweight or Obese, Postmenopausal Women: Self-Monitoring Trajectory During 16 Weeks. JMIR mHealth and uHealth 3, 4 (2015), e96.
    [6]
    Lisa A. Cadmus-Bertram, Bess H. Marcus, Ruth E. Patterson, Barbara A. Parker, and Brittany L. Morey. 2015. Randomized Trial of a Fitbit-Based Physical Activity Intervention for Women. American Journal of Preventive Medicine (2015).
    [7]
    Eun Kyoung Choe, Bongshin Lee, Haining Zhu, Nathalie Henry Riche, and Dominikus Baur. 2017. Understanding Self-Reflection: How People Reflect on Personal Data through Visual Data Exploration. In Proceedings of the 11th EAI International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth'17). ACM, New York, NY, USA, Vol. 10.
    [8]
    Eun Kyoung Choe, Nicole B Lee, Bongshin Lee, Wanda Pratt, and Julie A Kientz. 2014. Understanding quantifled-selfers' practices in collecting and exploring personal data. In Proceedings of the 32nd annual ACM conference on Human factors in computing systems. ACM, 1143---1152.
    [9]
    Sunny Consolvo, Predrag Klasnja, David W McDonald, James A Landay, et al. 2014. Designing for healthy lifestyles: Design considerations for mobile technologies to encourage consumer health and wellness. Foundations and Trends® in Human--Computer Interaction 6, 3---4 (2014), 167---315.
    [10]
    Nediyana Daskalova, Karthik Desingh, Alexandra Papoutsaki, Diane Schulze, Han Sha, and Jeff Huang. 2017. Lessons Learned from Two Cohorts of Personal Informatics Self-Experiments. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 1, 3 (2017), 46.
    [11]
    Aiden Doherty, Dan Jackson, Nils Hammerla, Thomas Plötz, Patrick Olivier, Malcolm H Granat, Tom White, Vincent T van Hees, Michael I Trenell, Christoper G Owen, et al. 2017. Large scale population assessment of physical activity using wrist worn accelerometers: The UK Biobank Study. PloS one 12, 2 (2017), e0169649.
    [12]
    Chris Elsden, David S Kirk, and Abigail C Durrant. 2015. A Quantified Past: Toward Design for Remembering With Personal Informatics. Human--Computer Interaction (2015), 1---40.
    [13]
    Daniel A Epstein, Monica Caraway, Chuck Johnston, An Ping, James Fogarty, and Sean A Munson. 2016. Beyond Abandonment to Next Steps: Understanding and Designing for Life After Personal Informatics Tool Use. Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems (2016), 1109---1113.
    [14]
    Daniel A. Epstein, Jennifer Kang, Laura R. Pina, James Fogarty, and Sean A. Munson. 2016. Reconsidering the Device in the Drawer: Lapses as a Design Opportunity in Personal Informatics. In Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 829---840.
    [15]
    Daniel A Epstein, An Ping, James Fogarty, and Sean A Munson. 2015. A lived informatics model of personal informatics. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 731--742.
    [16]
    Kelly R Evenson, Michelle M Goto, and Robert D Furberg. 2015. Systematic review of the validity and reliability of consumer-wearable activity trackers. The international journal of behavioral nutrition and physical activity 12, 1 (2015), 159.
    [17]
    B J Fogg. 2003. Persuasive Technology: Using Computers to Change What We Think and Do. The Morgan Kaufmann series in interactive technologies, Vol. 5. Morgan Kaufmann. 283 pages.
    [18]
    Thomas Fritz, Elaine M Huang, Gail C Murphy, and Thomas Zimmermann. 2014. Persuasive technology in the real world: a study of long-term use of activity sensing devices for fitness. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 487---496.
    [19]
    Rúben Gouveia, Evangelos Karapanos, and Marc Hassenzahl. 2015. How do we engage with activity trackers?: a longitudinal study of Habito. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 1305---1316.
    [20]
    William L Haskell, I Lee, Russell R Pate, Kenneth E Powell, Steven N Blair, Barry A Franklin, Caroline A Macera, Gregory W Heath, Paul D Thompson, Adrian Bauman, and Others. 2007. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and science in sports and exercise 39, 8 (2007), 1423.
    [21]
    IDC. 2017. Worldwide Quarterly Wearable Device Tracker. (Aug 2017). https://www.idc.com/tracker/showproductinfo.jsp?prod_id=962
    [22]
    Hayeon Jeong, Heepyung Kim, Rihun Kim, Uichin Lee, and Yong Jeong. 2017. Smartwatch Wearing Behavior Analysis: A Longitudinal Study. ACM Ubicomp 2017 / Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies (IMWUT) 1, 3 (2017).
    [23]
    Matthew Kay, Tara Kola, Jessica R Hullman, and Sean A Munson. 2016. When (ish) is My Bus? User-centered Visualizations of Uncertainty in Everyday, Mobile Predictive Systems. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems. ACM, 5092---5103.
    [24]
    K Konstabel, T Veidebaum, V Verbestel, L A Moreno, K Bammann, M Tornaritis, G Eiben, D Molnar, A Siani, O Sprengeler, N Wirsik, W Ahrens, and Y Pitsiladis. 2014. Objectively measured physical activity in European children: the IDEFICS study. Int J Obes (Lond) 38 Suppl 2, S2 (2014), S135--43.
    [25]
    Ian Li, Anind K. Dey, and Jodi Forlizzi. 2012. Using context to reveal factors that affect physical activity. ACM Transactions on Computer-Human Interaction 19, 1 (2012), 1--21.
    [26]
    Judy Tang Lie Ming and Kay. 2016. Daily 8 hourly adherence: towards understanding activity tracker accuracy. CHI '16 Extended Abstracts on Human Factors in Computing Systems (2016).
    [27]
    Charles E. Matthews, Kong Y. Chen, Patty S. Freedson, MacIej S. Buchowski, Bettina M. Beech, Russell R. Pate, and Richard P. Troiano. 2008. Amount of time spent in sedentary behaviors in the United States, 2003--2004. American Journal of Epidemiology 167, 7 (2008), 875--881.
    [28]
    Jochen Meyer, Wilko Heuten, and Susanne Boll. 2016. No Effects But Useful ? Long Term Use of Smart Health Devices. Ubicomp/ISWC'16 Adjunct (2016), 516--521.
    [29]
    Jochen Meyer, Jochen Schnauber, Wilko Heuten, Harm Wienbergen, Rainer Hambrecht, Hans-Jürgen Appelrath, and Susanne Boll. 2016. Exploring Longitudinal Use of Activity Trackers. Procedings of IEEE ICHI - International Conference on Healthcare Informatics (2016), 198--206.
    [30]
    Jochen Meyer, Merlin Wasmann, Wilko Heuten, Abdallah El Ali, and Susanne Boll. 2017. Identification and Classification of Usage Patterns in Long-Term Activity Tracking. CHI '17 Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (2017).
    [31]
    Jairo H. Migueles, Cristina Cadenas-Sanchez, Ulf Ekelund, Christine Delisle Nystrom, Jose Mora-Gonzalez, Marie Lof, Idoia Labayen, Jonatan R. Ruiz, and Francisco B. Ortega. 2017. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations. Sports Medicine (2017), 1--25.
    [32]
    Amon Rapp and Federica Cena. 2016. Personal Informatics for Everyday Life: How Users without Prior Self-Tracking Experience Engage with Personal Data. International Journal of Human-Computer Studies 94 (2016), 1--17.
    [33]
    John Rooksby, Mattias Rost, Alistair Morrison, and Matthew Chalmers Chalmers. 2014. Personal tracking as lived informatics. Proceedings of the 32nd annual ACM conference on Human factors in computing systems - CHI '14 (2014), 1163--1172.
    [34]
    Lie Ming Tang and Judy Kay. 2017. Harnessing Long Term Physical Activity Data: How Long-term Trackers Use Data and How an Adherence-based Interface Supports New Insights. Proc. ACM Interact. Mob. Wearable Ubiquitous Technol. 1, 2 (jun 2017), 26:1---26:28.
    [35]
    Anne Tiedemann, Leanne Hassett, and Catherine Sherrington. 2015. A novel approach to the issue of physical inactivity in older age. Preventive medicine reports 2 (2015), 595---597.
    [36]
    Fumiharu Togo, Eiji Watanabe, Hyuntae Park, Akitomo Yasunaga, Sungjin Park, Roy J. Shephard, and Yukitoshi Aoyagi. 2008. How many days of pedometer use predict the annual activity of the elderly Reliably? Medicine and Science in Sports and Exercise 40, 6 (2008), 1058--1064.
    [37]
    Stewart G. Trost, Kerry L. Mciver, and Russell R. Pate. 2005. Conducting accelerometer-based activity assessments in field-based research. Medicine and Science in Sports and Exercise 37, 11 SUPPL. (2005), 531---543.
    [38]
    Jared M. Tucker, Gregory J. Welk, and Nicholas K. Beyler. 2011. Physical activity in U.S. adults: Compliance with the physical activity guidelines for Americans. American Journal of Preventive Medicine 40, 4 (2011), 454---461.
    [39]
    Catrine Tudor-locke. 2016. The Objective Monitoring of Physical Activity: Contributions of Accelerometry to Epidemiology, Exercise Science and Rehabilitation. (2016).
    [40]
    C Tudor-Locke, D R Bassett, A M Swartz, S J Strath, B B Parr, J P Reis, K D Dubose, and B E Ainsworth. 2004. A preliminary study of one year of pedometer self-monitoring. Ann Behav Med 28 (2004).
    [41]
    Catrine Tudor-Locke, Cora L Craig, Wendy J Brown, Stacy A Clemes, Katrien De Cocker, Billie Giles-Corti, Yoshiro Hatano, Shigeru Inoue, Sandra M Matsudo, Nanette Mutrie, Jean-Michel Oppert, David A Rowe, Michael D Schmidt, Grant M Schofield, John C Spence, Pedro J Teixeira, Mark A Tully, and Steven N Blair. 2011. How many steps/day are enough? for adults. International Journal of Behavioral Nutrition and Physical Activity 8, 1 (jul 2011), 79.
    [42]
    Catrine Tudor-Locke, Yoshiro Hatano, Robert P. Pangrazi, and Minsoo Kang. 2008. Revisiting "how many steps are enough?". Medicine and Science in Sports and Exercise 40, 7 SUPPL.1 (2008).

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      cover image Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
      Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies  Volume 2, Issue 1
      March 2018
      1370 pages
      EISSN:2474-9567
      DOI:10.1145/3200905
      Issue’s Table of Contents
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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      Publication History

      Published: 26 March 2018
      Accepted: 01 January 2018
      Revised: 01 January 2018
      Received: 01 August 2017
      Published in IMWUT Volume 2, Issue 1

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      Author Tags

      1. adherence
      2. data completeness
      3. physical activity trackers
      4. wear-time

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