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Song S, Ashton M, Yoo RH, Lkhagvajav Z, Wright R, Mathews DJH, Taylor CO. Participant Contributions to Person-Generated Health Data Research Using Mobile Devices: Scoping Review. J Med Internet Res 2025; 27:e51955. [PMID: 39832140 PMCID: PMC11791458 DOI: 10.2196/51955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 04/12/2024] [Accepted: 09/27/2024] [Indexed: 01/22/2025] Open
Abstract
BACKGROUND Mobile devices offer an emerging opportunity for research participants to contribute person-generated health data (PGHD). There is little guidance, however, on how to best report findings from studies leveraging those data. Thus, there is a need to characterize current reporting practices so as to better understand the potential implications for producing reproducible results. OBJECTIVE The primary objective of this scoping review was to characterize publications' reporting practices for research that collects PGHD using mobile devices. METHODS We comprehensively searched PubMed and screened the results. Qualifying publications were classified according to 6 dimensions-1 covering key bibliographic details (for all articles) and 5 covering reporting criteria considered necessary for reproducible and responsible research (ie, "participant," "data," "device," "study," and "ethics," for original research). For each of the 5 reporting dimensions, we also assessed reporting completeness. RESULTS Out of 3602 publications screened, 100 were included in this review. We observed a rapid increase in all publications from 2016 to 2021, with the largest contribution from US authors, with 1 exception, review articles. Few original research publications used crowdsourcing platforms (7%, 3/45). Among the original research publications that reported device ownership, most (75%, 21/28) reported using participant-owned devices for data collection (ie, a Bring-Your-Own-Device [BYOD] strategy). A significant deficiency in reporting completeness was observed for the "data" and "ethics" dimensions (5 reporting factors were missing in over half of the research publications). Reporting completeness for data ownership and participants' access to data after contribution worsened over time. CONCLUSIONS Our work depicts the reporting practices in publications about research involving PGHD from mobile devices. We found that very few papers reported crowdsourcing platforms for data collection. BYOD strategies are increasingly popular; this creates an opportunity for improved mechanisms to transfer data from device owners to researchers on crowdsourcing platforms. Given substantial reporting deficiencies, we recommend reaching a consensus on best practices for research collecting PGHD from mobile devices. Drawing from the 5 reporting dimensions in this scoping review, we share our recommendations and justifications for 9 items. These items require improved reporting to enhance data representativeness and quality and empower participants.
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Affiliation(s)
- Shanshan Song
- Biomedical Informatics & Data Science Section, The Johns Hopkins University School of Medicine, Baltimore, MD, United States
- Institute for Computational Medicine, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States
| | | | - Rebecca Hahn Yoo
- Institute for Computational Medicine, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States
- Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States
| | - Zoljargal Lkhagvajav
- Institute for Computational Medicine, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States
| | - Robert Wright
- Welch Medical Library, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Debra J H Mathews
- Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, United States
- Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Casey Overby Taylor
- Biomedical Informatics & Data Science Section, The Johns Hopkins University School of Medicine, Baltimore, MD, United States
- Institute for Computational Medicine, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States
- Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States
- Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States
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Schroeder T, Haug M, Gewald H. Data Privacy Concerns Using mHealth Apps and Smart Speakers: Comparative Interview Study Among Mature Adults. JMIR Form Res 2022; 6:e28025. [PMID: 35699993 PMCID: PMC9237761 DOI: 10.2196/28025] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 06/30/2021] [Accepted: 04/16/2022] [Indexed: 11/13/2022] Open
Abstract
Background New technologies such as mobile health (mHealth) apps and smart speakers make intensive use of sensitive personal data. Users are typically aware of this and express concerns about their data privacy. However, many people use these technologies although they think their data are not well protected. This raises specific concerns for sensitive health data. Objective This study aimed to contribute to a better understanding of data privacy concerns of mature adults using new technologies and provide insights into their data privacy expectations and associated risks and the corresponding actions of users in 2 different data contexts: mHealth apps and smart speakers. Methods This exploratory research adopted a qualitative approach, engaging with 20 mature adults (aged >45 years). In a 6-month test period, 10 (50%) participants used a smart speaker and 10 (50%) participants used an mHealth app. In interviews conducted before and after the test period, we assessed the influence of data privacy concerns on technology acceptance, use behavior, and continued use intention. Results Our results show that although participants are generally aware of the need to protect their data privacy, they accept the risk of misuse of their private data when using the technology. Surprisingly, the most frequently stated risk was not the misuse of personal health data but the fear of receiving more personalized advertisements. Similarly, surprisingly, our results indicate that participants value recorded verbal data higher than personal health data. Conclusions Older adults are initially concerned about risks to their data privacy associated with using data-intensive technologies, but those concerns diminish fairly quickly, culminating in resignation. We find that participants do not differentiate between risky behaviors, depending on the type of private data used by different technologies.
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Affiliation(s)
- Tanja Schroeder
- Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
- Center for Research on Service Sciences, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
| | - Maximilian Haug
- Center for Research on Service Sciences, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
| | - Heiko Gewald
- Center for Research on Service Sciences, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
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Saleheen N, Ullah MA, Chakraborty S, Ones DS, Srivastava M, Kumar S. WristPrint: Characterizing User Re-identification Risks from Wrist-worn Accelerometry Data. CONFERENCE ON COMPUTER AND COMMUNICATIONS SECURITY : PROCEEDINGS OF THE ... CONFERENCE ON COMPUTER AND COMMUNICATIONS SECURITY. ACM CONFERENCE ON COMPUTER AND COMMUNICATIONS SECURITY 2021; 2021:2807-2823. [PMID: 36883116 PMCID: PMC9988376 DOI: 10.1145/3460120.3484799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Public release of wrist-worn motion sensor data is growing. They enable and accelerate research in developing new algorithms to passively track daily activities, resulting in improved health and wellness utilities of smartwatches and activity trackers. But, when combined with sensitive attribute inference attack and linkage attack via re-identification of the same user in multiple datasets, undisclosed sensitive attributes can be revealed to unintended organizations with potentially adverse consequences for unsuspecting data contributing users. To guide both users and data collecting researchers, we characterize the re-identification risks inherent in motion sensor data collected from wrist-worn devices in users' natural environment. For this purpose, we use an open-set formulation, train a deep learning architecture with a new loss function, and apply our model to a new data set consisting of 10 weeks of daily sensor wearing by 353 users. We find that re-identification risk increases with an increase in the activity intensity. On average, such risk is 96% for a user when sharing a full day of sensor data.
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Hossain SM, Hnat T, Saleheen N, Nasrin NJ, Noor J, Ho BJ, Condie T, Srivastava M, Kumar S. mCerebrum: A Mobile Sensing Software Platform for Development and Validation of Digital Biomarkers and Interventions. PROCEEDINGS OF THE ... INTERNATIONAL CONFERENCE ON EMBEDDED NETWORKED SENSOR SYSTEMS. INTERNATIONAL CONFERENCE ON EMBEDDED NETWORKED SENSOR SYSTEMS 2017; 2017:7. [PMID: 30288504 PMCID: PMC6168216 DOI: 10.1145/3131672.3131694] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The development and validation studies of new multisensory biomarkers and sensor-triggered interventions requires collecting raw sensor data with associated labels in the natural field environment. Unlike platforms for traditional mHealth apps, a software platform for such studies needs to not only support high-rate data ingestion, but also share raw high-rate sensor data with researchers, while supporting high-rate sense-analyze-act functionality in real-time. We present mCerebrum, a realization of such a platform, which supports high-rate data collections from multiple sensors with realtime assessment of data quality. A scalable storage architecture (with near optimal performance) ensures quick response despite rapidly growing data volume. Micro-batching and efficient sharing of data among multiple source and sink apps allows reuse of computations to enable real-time computation of multiple biomarkers without saturating the CPU or memory. Finally, it has a reconfigurable scheduler which manages all prompts to participants that is burden- and context-aware. With a modular design currently spanning 23+ apps, mCerebrum provides a comprehensive ecosystem of system services and utility apps. The design of mCerebrum has evolved during its concurrent use in scientific field studies at ten sites spanning 106,806 person days. Evaluations show that compared with other platforms, mCerebrum's architecture and design choices support 1.5 times higher data rates and 4.3 times higher storage throughput, while causing 8.4 times lower CPU usage. CCS CONCEPTS • Human-centered computing → Ubiquitous and mobile computing; Ubiquitous and mobile computing systems and tools; • Computer systems organization → Embedded and cyber-physical systems. ACM REFERENCE FORMAT Syed Monowar Hossain, Timothy Hnat, Nazir Saleheen, Nusrat Jahan Nasrin, Joseph Noor, Bo-Jhang Ho, Tyson Condie, Mani Srivastava, and Santosh Kumar. 2017. mCerebrum: A Mobile Sensing Software Platform for Development and Validation of Digital Biomarkers and Interventions. In Proceedings of SenSys '17, Delft, Netherlands, November 6-8, 2017, 14 pages.
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