1
|
Lee D, Frey GC, Cothran DJ, Harezlak J, Shih PC. Concordance Between Accelerometer-Measured and Self-Reported Physical Activity and Sedentary Time in Adults with Autism. J Autism Dev Disord 2024; 54:1517-1526. [PMID: 36637594 DOI: 10.1007/s10803-022-05862-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2022] [Indexed: 01/14/2023]
Abstract
This study examined the concordance between accelerometry-measured and self-reported physical activity (PA) and sedentary time in adults with autism. Twenty-four participants wore an ActiGraph GT3X + accelerometer for seven consecutive days and completed the International Physical Activity Questionnaire-Short Form (IPAQ-SF) on the last day of their study participation. Bland-Altman plots assessed the magnitude of agreement between the two measures. Nearly 80% of the participants accumulated the recommended ≥ 150 min of moderate to vigorous PA (MVPA)/week, but were also sedentary for over nine hours/day according to accelerometry data. Findings showed that adults with autism tended to overreport MVPA (b = 1.606, p < 0.01) and underreport sedentary time (b = 1.161, p = 0.03) via the IPAQ-SF, as compared to objective measurements.
Collapse
Affiliation(s)
- Daehyoung Lee
- Department of Applied Human Sciences, University of Minnesota Duluth, MN, Duluth, USA.
| | - Georgia C Frey
- Department of Kinesiology, Indiana University, Bloomington, IN, USA
| | | | - Jaroslaw Harezlak
- Department of Epidemiology and Biostatistics, Indiana University, Bloomington, IN, USA
| | - Patrick C Shih
- Department of Informatics, Indiana University, Bloomington, IN, USA
| |
Collapse
|
2
|
Hu YH, Seo DC, Huber L, Shih PC, Lin HC. Chronic Non-cancer Pain and Associated Risks of Incident Mild Cognitive Impairment and Alzheimer's Disease and Related Dementias in Middle-Aged and Older Adults. J Appl Gerontol 2024:7334648241237340. [PMID: 38451267 DOI: 10.1177/07334648241237340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024] Open
Abstract
The goal of this study is to investigate the association between chronic non-cancer pain (CNCP) and mild cognitive impairment (MCI)/Alzheimer's disease and related dementias (ADRDs) development among adults aged ≥50 using administrative claims data from a national commercial health insurance company during 2007-2017. To reduce selection bias, propensity-score matching was applied to select comparable CNCP and non-CNCP patients. Time-dependent Cox proportional-hazards regressions were conducted to estimate the hazard ratios (HRs) of incident MCI/ADRDs. Of 170,900 patients with/without CNCP, 0.61% developed MCI and 2.33% had been diagnosed with ADRDs during the follow-up period. Controlling for potential confounders, CNCP patients had a 123% increase in MCI risk (HR = 2.23; 95% CI = 1.92-2.58) and a 44% increase in ADRDs risk (HR = 1.44; 95% CI = 1.34-1.54) relative to non-CNCP patients. CNCP is a risk factor for MCI/ADRDs. Promoting awareness and improving early CNCP diagnosis in middle-aged and older adults should be incorporated into cognitive impairment and dementia prevention.
Collapse
Affiliation(s)
- Yi-Han Hu
- Indiana University, Bloomington, IN, USA
| | | | - Lesa Huber
- Indiana University, Bloomington, IN, USA
| | | | | |
Collapse
|
3
|
Jordan EJ, Shih PC, Nelson EJ, Carter SJ, Schootman M, Prather AA, Yao X, Peters CD, Perry CSE. Ecological Momentary Assessment of Midlife Adults' Daily Stress: Protocol for the Stress Reports in Variable Environments (STRIVE) App Study. JMIR Res Protoc 2023; 12:e51845. [PMID: 37796561 PMCID: PMC10587811 DOI: 10.2196/51845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 08/21/2023] [Accepted: 08/22/2023] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Daily stressors are associated with cognitive decline and increased risk of heart disease, depression, and other debilitating chronic illnesses in midlife adults. Daily stressors tend to occur at home or at work and are more frequent in urban versus rural settings. Conversely, spending time in natural environments such as parks or forests, or even viewing nature-themed images in a lab setting, is associated with lower levels of perceived stress and is hypothesized to be a strong stress "buffer," reducing perceived stress even after leaving the natural setting. However, many studies of daily stress have not captured environmental contexts and relied on end-of-day recall instead of in-the-moment data capture. With new technology, these limitations can be addressed to enhance knowledge of the daily stress experience. OBJECTIVE We propose to use our novel custom-built Stress Reports in Variable Environments (STRIVE) ecological momentary assessment mobile phone app to measure the experience of daily stress of midlife adults in free-living conditions. Using our app to capture data in real time will allow us to determine (1) where and when daily stress occurs for midlife adults, (2) whether midlife adults' daily stressors are linked to certain elements of the built and natural environment, and (3) how ecological momentary assessment measurement of daily stress is similar to and different from a modified version of the popular Daily Inventory of Stressful Events measurement tool that captures end-of-day stress reports (used in the Midlife in the United States [MIDUS] survey). METHODS We will enroll a total of 150 midlife adults living in greater Indianapolis, Indiana, in this study on a rolling basis for 3-week periods. As those in underrepresented minority groups and low-income areas have previously been found to experience greater levels of stress, we will use stratified sampling to ensure that half of our study sample is composed of underrepresented minorities (eg, Black, American Indian, Hispanic, or Native Pacific Islanders) and approximately one-third of our sample falls within low-, middle-, and high-income brackets. RESULTS This project is funded by the National Institute on Aging from December 2022 to November 2024. Participant enrollment began in August 2023 and is expected to finish in July 2024. Data will be spatiotemporally analyzed to determine where and when stress occurs for midlife adults. Pictures of stressful environments will be qualitatively analyzed to determine the common elements of stressful environments. Data collected by the STRIVE app will be compared with retrospective Daily Inventory of Stressful Events data. CONCLUSIONS Completing this study will expand our understanding of midlife adults' experience of stress in free-living conditions and pave the way for data-driven individual and community-based intervention designs to promote health and well-being in midlife adults. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/51845.
Collapse
Affiliation(s)
- Evan J Jordan
- Department of Health and Wellness Design, School of Public Health - Bloomington, Indiana University, Bloomington, IN, United States
| | - Patrick C Shih
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN, United States
| | - Erik J Nelson
- Department of Public Health, Brigham Young University, Provo, UT, United States
| | - Stephen J Carter
- Department of Kinesiology, School of Public Health - Bloomington, Indiana University, Bloomington, IN, United States
| | - Mario Schootman
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Aric A Prather
- Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States
| | - Xing Yao
- Department of Health and Wellness Design, School of Public Health - Bloomington, Indiana University, Bloomington, IN, United States
| | | | | |
Collapse
|
4
|
Rosenberg M, Kianersi S, Luetke M, Jozkowski K, Guerra-Reyes L, Shih PC, Finn P, Ludema C. Wearable alcohol monitors for alcohol use data collection among college students: Feasibility and acceptability. Alcohol 2023; 111:75-83. [PMID: 37295566 PMCID: PMC10527594 DOI: 10.1016/j.alcohol.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 05/17/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVE We assessed the feasibility and acceptability of using BACtrack Skyn wearable alcohol monitors for alcohol research in a college student population. METHODS We enrolled n = 5 (Sample 1) and n = 84 (Sample 2) Indiana University undergraduate students to wear BACtrack Skyn devices continuously over a 5-day to 7-day study period. We assessed feasibility in both samples by calculating compliance with study procedures, and by analyzing amount and distributions of device output [e.g., transdermal alcohol content (TAC), temperature, motion]. In Sample 1, we assessed feasibility and acceptability with the Feasibility of Intervention Measure (FIM) scale and the Acceptability of Intervention Measure (AIM) scale. RESULTS All participants were able to successfully use the alcohol monitors, producing a total of 11,504 h of TAC data. TAC data were produced on 567 days of the 602 total possible days of data collection. The distribution of the TAC data showed between-person variation, as would be expected with between-person differences in drinking patterns. Temperature and motion data were also produced as expected. Sample 1 participants (n = 5) reported high feasibility and acceptability of the wearable alcohol monitors in survey responses with a mean FIM score of 4.3 (of 5.0 possible score) and mean AIM score of 4.3 (of 5.0 possible score). CONCLUSIONS The high feasibility and acceptability we observed underscore the promise of using BACtrack Skyn wearable alcohol monitors to improve our understanding of alcohol consumption among college students, a population at particularly high risk for alcohol-related harms.
Collapse
Affiliation(s)
- Molly Rosenberg
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States.
| | - Sina Kianersi
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Maya Luetke
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States; University of Minnesota Institute for Social Research and Data Innovation, Minneapolis, MN, United States
| | - Kristen Jozkowski
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Lucia Guerra-Reyes
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Patrick C Shih
- Department of Informatics, Luddy School of Informatics, Computing, and Engineering, Indiana University-Bloomington, Bloomington, IN, United States
| | - Peter Finn
- Department of Psychological and Brain Sciences, Indiana University-Bloomington, Bloomington, IN, United States
| | - Christina Ludema
- Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| |
Collapse
|
5
|
Obi I, Paul LJ, Liao W, Loukil M, Hayashi S, Comer M, Rogers CO, Wild DJ, Shih PC. Project APRED: A web-based data analytics platform for supporting community disaster resilience. J Emerg Manag 2023; 21:399-419. [PMID: 37932944 DOI: 10.5055/jem.0735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
In this paper, we introduce the Analysis Platform for Risk, Resilience, and Expenditure in Disasters (APRED)-a disaster-analytic platform developed for crisis practitioners and economic developers across the United States (US). APRED provides practitioners with a centralized platform for exploring disaster resilience and vulnerability profiles of all counties across the US. The platform comprises five sections including: (1) Disaster Resilience Index, (2) Business Vulnerability Index, (3) Disaster Declaration History, (4) County Profile, and (5) Storm History sections. We further describe our end-to-end human-centered design and engineering process that involved contextual inquiry, community-based participatory design, and rapid prototyping with the support of US Economic Development Administration representatives and regional economic developers across the US. Findings from our study revealed that distributed cognition, content heuristic, shareability, and human-centered systems are crucial considerations for developing data-intensive visualization platforms for resilience planning. We discuss the implications of these findings and inform future research on developing sociotechnical visualization platforms to support resilience planning.
Collapse
Affiliation(s)
- Ike Obi
- Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | - Logan J Paul
- Informatives Scheduler, School Curriculum Committee, Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | | | - Mariem Loukil
- Research Assistant, Crisis Technologies Innovation Lab, Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | - Soichi Hayashi
- Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | - Max Comer
- Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | - Carol O Rogers
- Indiana Business Research Center, Kelley School of Business, Indiana University Bloomington, Bloomington, Indiana
| | - David J Wild
- Professor of Informatics and Computing, Crisis Informatics Track Director; Director, Crisis Technologies Innovation Lab (CTIL); Director, Integrative Data Science Lab, Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, Indiana
| | - Patrick C Shih
- Department of Informatics, Indiana University Bloomington, Bloomington, Indiana
| |
Collapse
|
6
|
Min A, Miller WR, Rocha LM, Börner K, Correia RB, Shih PC. Understanding Contexts and Challenges of Information Management for Epilepsy Care. Proc SIGCHI Conf Hum Factor Comput Syst 2023; 2023:328. [PMID: 37786774 PMCID: PMC10544776 DOI: 10.1145/3544548.3580949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
Epilepsy is a common chronic neurological disease. People with epilepsy (PWE) and their caregivers face several challenges related to their epilepsy management, including quality of care, care coordination, side effects, and stigma management. The sociotechnical issues of the information management contexts and challenges for epilepsy care may be mitigated through effective information management. We conducted 4 focus groups with 5 PWE and 7 caregivers to explore how they manage epilepsy-related information and the challenges they encountered. Primary issues include challenges of finding the right information, complexities of tracking and monitoring data, and limited information sharing. We provide a framework that encompasses three attributes - individual epilepsy symptoms and health conditions, information complexity, and circumstantial constraints. We suggest future design implications to mitigate these challenges and improve epilepsy information management and care coordination.
Collapse
Affiliation(s)
- Aehong Min
- Indiana University Bloomington, Bloomington, Indiana, USA
| | | | - Luis M Rocha
- Binghamton University, Binghamton, New York, USA
- Instituto Gulbenkian de Ciência, Oeiras, Portugal
| | - Katy Börner
- Indiana University Bloomington, Bloomington, Indiana, USA
| | - Rion Brattig Correia
- Instituto Gulbenkian de Ciência, Oeiras, Portugal
- Binghamton University, Binghamton, New York, USA
| | - Patrick C Shih
- Indiana University Bloomington, Bloomington, Indiana, USA
| |
Collapse
|
7
|
Lee D, Frey GC, Cothran DJ, Harezlak J, Shih PC. Effects of A Gamified, Behavior Change Techniques-Based Mobile Application on Increasing Physical Activity and Reducing Anxiety in Adults with Autism Spectrum Disorder: A Preliminary Study (Preprint). JMIR Form Res 2021; 6:e35701. [PMID: 35900808 PMCID: PMC9377470 DOI: 10.2196/35701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 05/23/2022] [Accepted: 05/29/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Daehyoung Lee
- Department of Applied Human Sciences, University of Minnesota Duluth, Duluth, MN, United States
| | - Georgia C Frey
- Department of Kinesiology, Indiana University, Bloomington, IN, United States
| | - Donetta J Cothran
- Department of Kinesiology, Indiana University, Bloomington, IN, United States
| | - Jaroslaw Harezlak
- Department of Epidemiology and Biostatistics, Indiana University, Bloomington, IN, United States
| | - Patrick C Shih
- Department of Informatics, Indiana University, Bloomington, IN, United States
| |
Collapse
|
8
|
Abstract
Working with organs and extracted tissue blocks is an essential task in many medical surgery and anatomy environments. In order to prepare specimens from human donors for further analysis, wet-bench workers must properly dissect human tissue and collect metadata for downstream analysis, including information about the spatial origin of tissue. The Registration User Interface (RUI) was developed to allow stakeholders in the Human Biomolecular Atlas Program (HuBMAP) to register tissue blocks-i.e., to record the size, position, and orientation of human tissue data with regard to reference organs. The RUI has been used by tissue mapping centers across the HuBMAP consortium to register a total of 45 kidney, spleen, and colon tissue blocks, with planned support for 17 organs in the near future. In this paper, we compare three setups for registering one 3D tissue block object to another 3D reference organ (target) object. The first setup is a 2D Desktop implementation featuring a traditional screen, mouse, and keyboard interface. The remaining setups are both virtual reality (VR) versions of the RUI: VR Tabletop, where users sit at a physical desk which is replicated in virtual space; VR Standup, where users stand upright while performing their tasks. All three setups were implemented using the Unity game engine. We then ran a user study for these three setups involving 42 human subjects completing 14 increasingly difficult and then 30 identical tasks in sequence and reporting position accuracy, rotation accuracy, completion time, and satisfaction. All study materials were made available in support of future study replication, alongside videos documenting our setups. We found that while VR Tabletop and VR Standup users are about three times as fast and about a third more accurate in terms of rotation than 2D Desktop users (for the sequence of 30 identical tasks), there are no significant differences between the three setups for position accuracy when normalized by the height of the virtual kidney across setups. When extrapolating from the 2D Desktop setup with a 113-mm-tall kidney, the absolute performance values for the 2D Desktop version (22.6 seconds per task, 5.88 degrees rotation, and 1.32 mm position accuracy after 8.3 tasks in the series of 30 identical tasks) confirm that the 2D Desktop interface is well-suited for allowing users in HuBMAP to register tissue blocks at a speed and accuracy that meets the needs of experts performing tissue dissection. In addition, the 2D Desktop setup is cheaper, easier to learn, and more practical for wet-bench environments than the VR setups.
Collapse
Affiliation(s)
- Andreas Bueckle
- Department of Intelligent Systems Engineering, Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana, United States of America
- * E-mail:
| | - Kilian Buehling
- Research Group Knowledge and Technology Transfer, Fakultät Wirtschaftswissenschaften, Technische Universität Dresden, Dresden, Germany
| | - Patrick C. Shih
- Department of Informatics, Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana, United States of America
| | - Katy Börner
- Department of Intelligent Systems Engineering, Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana, United States of America
- Department of Information and Library Science, Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana, United States of America
| |
Collapse
|
9
|
Lee D, Frey GC, Cothran DJ, Harezlak J, Shih PC. A Gamified Mobile App For Increasing Physical Activity And Reducing Anxiety In Adults With Autism. Med Sci Sports Exerc 2021. [DOI: 10.1249/01.mss.0000761740.96714.0e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
10
|
Frey GC, Lee D, Cothran DJ, Harezlak J, Shih PC. Concordance Between Accelerometer-derived And Self-reported Physical Activity And Sedentary Time In Adults With Autism. Med Sci Sports Exerc 2021. [DOI: 10.1249/01.mss.0000761492.33805.98] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
11
|
Wang Z, Buu A, Lohrmann DK, Shih PC, Lin HC. The role of family conflict in mediating impulsivity to early substance exposure among preteens. Addict Behav 2021; 115:106779. [PMID: 33360278 DOI: 10.1016/j.addbeh.2020.106779] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/16/2020] [Accepted: 12/05/2020] [Indexed: 12/29/2022]
Abstract
OBJECTIVES Preadolescence substance exposure, which increases the risk of regular substance use, has been a public health concern. Although studies found that impulsivity is a predisposing factor of early substance exposure, the pathways through which impulsivity is associated with early substance exposure remain unclear. This study examined how family conflict mediates this association among U.S. preteens as family environment plays an essential role in pre-adolescent development. METHODS Respondents (N = 11,800, 9-10 years old) from the Adolescent Brain Cognitive Development (ABCD) Study Release 2.01 (July 2019) were included in this study. Generalized structural equation modeling was performed to investigate the mediation effects of family conflict on the associations between childhood impulsivity and early exposure to alcohol and tobacco use, controlling for covariates based on the Problem Behavior Theory. RESULTS Pre-adolescents with high impulsivity levels (≥90th percentile) were more likely to report early alcohol and tobacco exposure (total effect: ORs = 1.49 and 1.70, respectively), where 4.13% and 12.41% of the associations, respectively, were meditated by family conflict (indirect effect: ORs = 1.02 and 1.07; Sobel test ps = 0.022 and 0.005, respectively). CONCLUSIONS Family conflict mediates the associations between childhood impulsivity and early substance exposure among preteens, with higher impulsivity leading to more severe family conflicts that are, in turn, associated with a higher likelihood of early substance exposure. To prevent preteens with high impulsivity level from early use of substances, interventions may focus on reducing family conflicts such as parenting counseling that guides parents to strengthen conflict-resolution skills and create a stable home environment for preteens.
Collapse
|
12
|
Min A, Miller W, Rocha LM, Börner K, Correia RB, Shih PC. Just In Time: Challenges and Opportunities of First Aid Care Information Sharing for Supporting Epileptic Seizure Response. Proc ACM Hum Comput Interact 2021; 5:113. [PMID: 34355131 PMCID: PMC8336724 DOI: 10.1145/3449187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
There are over three million people living with epilepsy in the U.S. People with epilepsy experience multiple daily challenges such as seizures, social isolation, social stigma, experience of physical and emotional symptoms, medication side effects, cognitive and memory deficits, care coordination difficulties, and risks of sudden unexpected death. In this work, we report findings collected from 3 focus groups of 11 people with epilepsy and caregivers and 10 follow-up questionnaires. We found that these participants feel that most people do not know how to deal with seizures. To improve others' abilities to respond safely and appropriately to someone having seizures, people with epilepsy and caregivers would like to share and educate the public about their epilepsy conditions, reduce common misconceptions about seizures and prevent associated stigma, and get first aid help from the public when needed. Considering social stigma, we propose design implications of future technologies for effective delivery of appropriate first aid care information to bystanders around individuals with epilepsy when they experience a seizure.
Collapse
Affiliation(s)
| | - Wendy Miller
- Indiana University-Purdue University Indianapolis, USA
| | - Luis M Rocha
- Indiana University Bloomington, USA and Instituto Gulbenkian de Ciência, Portugal
| | | | - Rion Brattig Correia
- Instituto Gulbenkian de Ciência, Portugal, CAPES Foundation, Ministry of Education of Brazil, Brazil, and Indiana University Bloomington, USA
| | | |
Collapse
|
13
|
Min A, Currin F, Razo G, Connelly K, Shih PC. Can I Take a Break? Facilitating In-Home Respite Care for Family Caregivers of Older Adults. AMIA Annu Symp Proc 2021; 2020:850-859. [PMID: 33936460 PMCID: PMC8075491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Respite care can provide a chance for family caregivers to take a temporary and flexible break from their long-term caregiving work. Despite its beneficial aspects and value, there is little research on how technology might mitigate barriers to using respite care. The purpose of this paper is to understand the current practices and challenges that people face within the ecosystem of respite care work in the context of in-home care. Based on an in-depth interview study of 18 primary family caregivers, respite family caregivers, and respite professional caregivers, we identified different relationships, phases, and needs of each stakeholder and issues of trust and information sharing that need improvement. We discuss design considerations on how future information and communication technologies (ICTs) could mitigate the barriers identified in this work.
Collapse
Affiliation(s)
- Aehong Min
- Indiana University Bloomington, Bloomington, IN, USA
| | | | | | - Kay Connelly
- Indiana University Bloomington, Bloomington, IN, USA
| | | |
Collapse
|
14
|
Lee D, Frey GC, Min A, Kim B, Cothran DJ, Bellini S, Han K, Shih PC. Usability inquiry of a gamified behavior change app for increasing physical activity and reducing sedentary behavior in adults with and without autism spectrum disorder. Health Informatics J 2020; 26:2992-3008. [PMID: 32951500 DOI: 10.1177/1460458220952909] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The purpose of this study was to conduct the first usability inquiry of a gamified, behavior change theory-guided mobile app PuzzleWalk for increasing physical activity and reducing sedentary behavior in adults with and without autism spectrum disorder (ASD). Eighteen adults with and without ASD participated in a mixed-methods study that consisted of cognitive walkthrough, system usability assessment, and qualitative interviews. The results of the system usability testing indicated satisfactory quality of the PuzzleWalk system that can be readily applicable to both adults with and without ASD. Several notable issues were identified from the qualitative interviews that address critical insights into unique health and social needs in adults with ASD. Future work is warranted to examine the long-term effects of the PuzzleWalk system on increasing physical activity and reducing sedentary behavior in adults with and without ASD in real-world settings.
Collapse
|
15
|
Kim B, Lee D, Min A, Paik S, Frey G, Bellini S, Han K, Shih PC. PuzzleWalk: A theory-driven iterative design inquiry of a mobile game for promoting physical activity in adults with autism spectrum disorder. PLoS One 2020; 15:e0237966. [PMID: 32911501 PMCID: PMC7482920 DOI: 10.1371/journal.pone.0237966] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 08/06/2020] [Indexed: 12/02/2022] Open
Abstract
Primary symptoms of adults with autism spectrum disorder (ASD), such as pervasive social deficits in social interaction and communication, cause adults with ASD to adopt a sedentary lifestyle. Meanwhile, gamified and behavioral theory-based interventions have been shown to improve physical activity in a fun and unobtrusive way. In this paper, we describe the iterative design inquiry process of PuzzleWalk, a gamified, physical activity-promoting mobile app designed for adults with ASD. We report the design rationales and lessons learned across four user-centered design phases with ASD experts and adults with ASD, including user requirement gathering, iterative participatory design, usability evaluation, and field deployment. The design insights generated from this work could inform future research focusing on designing sociotechnical systems, games, and interventions for people with ASD.
Collapse
Affiliation(s)
- Bogoan Kim
- Department of Software and Computer Engineering, Ajou University, Suwon, Republic of Korea
- Department of Artificial Intelligence, Ajou University, Suwon, Republic of Korea
| | - Daehyoung Lee
- Department of Applied Human Sciences, University of Minnesota Duluth, Duluth, Minnesota, United States of America
| | - Aehong Min
- Department of Informatics, Indiana University, Bloomington, Indiana, United States of America
| | - Seungwon Paik
- Department of Software and Computer Engineering, Ajou University, Suwon, Republic of Korea
- Department of Artificial Intelligence, Ajou University, Suwon, Republic of Korea
| | - Georgia Frey
- Department of Kinesiology, Indiana University, Bloomington, Indiana, United States of America
| | - Scott Bellini
- Department of Counseling and Educational Psychology, Indiana University, Bloomington, Indiana, United States of America
| | - Kyungsik Han
- Department of Software and Computer Engineering, Ajou University, Suwon, Republic of Korea
- Department of Artificial Intelligence, Ajou University, Suwon, Republic of Korea
| | - Patrick C. Shih
- Department of Informatics, Indiana University, Bloomington, Indiana, United States of America
| |
Collapse
|
16
|
Lee D, Shih PC, Kim B, Han K, Min A, Cothran DJ, Bellini S, Frey GC. Objectively Measured Physical Activity And Sedentary Time In Adults With Autism Spectrum Disorder. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000676752.92687.0f] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
17
|
|
18
|
Carroll JM, Shih PC, Kropczynski J, Cai G, Rosson MB, Han K. The Internet of Places at Community-Scale. Enriching Urban Spaces with Ambient Computing, the Internet of Things, and Smart City Design 2017. [DOI: 10.4018/978-1-5225-0827-4.ch001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
The Internet of Things integrates entities of the physical world by making them addressable through the Internet, and making the Internet accessible through physical objects. We draw on our own previous design research in community informatics to explore a critical elaboration of the Internet of Things: The Internet of Places (IoP). IoP seeks to support awareness, engagement, and interaction pertaining to individual and collective human experiences, meaning making, activity, intentions, and values by computationally leveraging and integrating a wide range of human data with places to which those data refer. We describe design scenarios, prototypes, and user research at the scale of local community. We identify a critical alternative for humankind of hyperlocal community, enabling greater citizen awareness, engagement, participation, and power. We suggest that the Internet of Places at community-scale is the next generation infrastructure for community networks in the 40-year tradition of the Berkeley Community Memory.
Collapse
|
19
|
Abstract
This chapter seeks to elaborate on two points. First, the authors would like to focus on the inverted (flipped) classroom, by providing a detailed understanding of it, as well as, current practices. Second, the authors want to propose that instructors become end-user developers, in other words, becoming content creators and designers of their technology usage in the inverted classroom. For instance, several issues arise when using this teaching approach, such as resources, costs, time constraints, and the process of learning new technology. The authors believe that allowing instructors to harness technical ability is beneficial and critical to their success in implementing the inverted classroom.
Collapse
|
20
|
Shih PC, Lee HH, Lai SC, Chen KM, Jiang ST, Chen YF, Shiow SJ. Efficacy of curcumin therapy against Angiostrongylus cantonensis-induced eosinophilic meningitis. J Helminthol 2007; 81:1-5. [PMID: 17381860 DOI: 10.1017/s0022149x07182353] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Angiostrongylus cantonensis can invade the central nervous system, leading to human eosinophilic meningitis or eosinophilic meningoencephalitis. Curcumin is a natural product which has the effects of anti-inflammation, anti-oxidation and anti-carcinogensis, while the administration of curcumin has been reported to possibly relieve the symptoms of meningitis. The present study tested the potential efficacy of curcumin in A. cantonensis-induced eosinophilic meningitis of BALB/c mice. Assay indicators for the therapeutic effect included the larvicidal effect, eosinophil counts and matrix metalloproteinase-9 (MMP-9) activity in angiostrongyliasis. Eosinophils were mildly reduced in treatment groups compared with infected-untreated mice. However, there were no significant differences in larvicidal effects or MMP-9 activity. This study suggests that anti-inflammatory treatment with curcumin alone has low efficacy, but the treatment does not interfere with MMP-9 expression and is not useful for larvicidal effects. The possible reasons include low curcumin across the blood-brain barrier and also those larvae that survive stimulate MMP-9 production, which promotes blood-brain barrier damage, with leukocytes then crossing the blood-brain barrier to cause meningitis. Further studies will be required to test these possibilities.
Collapse
Affiliation(s)
- P C Shih
- Department of Parasitology, Chung Shan Medical University, 110, Section 1, Chien-Kuo North Road, Taichung 402, Taiwan.
| | | | | | | | | | | | | |
Collapse
|
21
|
Wang MJ, Jeng KC, Shih PC. Differential expression and regulation of macrophage inflammatory protein (MIP)-1alpha and MIP-2 genes by alveolar and peritoneal macrophages in LPS-hyporesponsive C3H/HeJ mice. Cell Immunol 2000; 204:88-95. [PMID: 11069716 DOI: 10.1006/cimm.2000.1697] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A point mutation in Toll-like receptor 4 (Tlr4) gene in C3H/HeJ mice underlies a defect in LPS-induced cytokine production by peritoneal macrophages (PMphi;). Whether the C-C and the C-X-C chemokines are induced differently by LPS between alveolar macrophages (AMphi;) and PMphi; in this mice remains unclear. Thus, we examined the expression and regulation of macrophage inflammatory protein-1alpha (MIP-1alpha) and macrophage inflammatory protein-2 (MIP-2) in C3H/HeJ macrophages. These results showed that the accumulation of MIP-1alpha and MIP-2 mRNA increased dose dependently in response to LPS. PMphi; responded to LPS to produce significantly higher levels of both chemokine mRNA and protein than AMphi;. In addition, both macrophages produced much more MIP-2 than MIP-1alpha by the same doses of LPS stimulation. Moreover, the chemokine production by C3H/HeN macrophages was significantly higher than that of the C3H/HeJ macrophages. IFN-gamma suppressed the LPS-induced MIP-1alpha release but enhanced the LPS-induced MIP-2 secretion in both macrophages. These results show that the chemokine production was induced and regulated differentially in AMphi; and PMphi;.
Collapse
Affiliation(s)
- M J Wang
- Department of Education and Research, Taichung Veterans General Hospital, Taichung, Taiwan, 40705, Republic of China
| | | | | |
Collapse
|
22
|
Huang CT, Shih PC. Effects of quorum sensing signal molecules on the hydrogen peroxide resistance against planktonic Pseudomonas aeruginosa. J Microbiol Immunol Infect 2000; 33:154-8. [PMID: 11045377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
The effects of quorum sensing signal molecules in Pseudomonas aeruginosa, N-butanoyl-L-homoserinelactone (C4-HSL) and N-(3-oxododecanoyl)-L-homoserinelactone (3-oxo-C12-HSL) on planktonic cell resistance against hydrogen peroxide were studied. In P. aeruginosa JP2 cells with the deletion of lasI and rhlI, the viable cell concentration decreased with time and was reduced by about 4 log after 2 h of 7.5 mM H2O2 treatment, while only a 2-log reduction was found for the wild type P. aeruginosa PAO1 cells. When cultured with 20% PAO1 spent medium, P. aeruginosa JP2 showed similar hydrogen peroxide resistance to that seen in P aeruginosa PAO1. Culturing with 20% JP2 spent medium or with 10 microM C4-HSL and 20 microM 3-oxo-C12-HSL did not affect P aeruginosa JP2 cell susceptibility to hydrogen peroxide. Although both 20% PAO1 and JP2 spent media reacted with H2O2 and reduced H2O2 to 50% of the strength of the original concentration, the remaining H2O2 was still sufficient to kill P. aeruginosa JP2. These results indicate that the difference in cell resistance against H2O2 between P. aeruginosa PAO1 and JP2 was related to the existence of gene products of the lasI and rhlI systems. However, adding synthetic homoserine lactones alone did not increase P. aeruginosa JP2 cell resistance to H2O2 as seen in the experiments adding PAO1 spent medium. Determination of the detailed relation between cascade regulation in P. aeruginosa and its cell resistance to H2O2 will require further investigation.
Collapse
Affiliation(s)
- C T Huang
- Department of Agricultural Chemistry, National Taiwan University, Taipei, ROC
| | | |
Collapse
|
23
|
Wang MJ, Jeng KC, Shih PC. Differential expression of inducible nitric oxide synthase gene by alveolar and peritoneal macrophages in lipopolysaccharide-hyporesponsive C3H/HeJ mice. Immunology 1999; 98:497-503. [PMID: 10594680 PMCID: PMC2326973 DOI: 10.1046/j.1365-2567.1999.00908.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
In lipopolysaccharide (LPS)-hyporesponsive C3H/HeJ mice, alveolar macrophages (AMphi) produce much more tumour necrosis factor-alpha than peritoneal macrophages (PMphi) when stimulated with LPS (10 microgram/ml), but the induction of inducible nitric oxide synthase (iNOS) gene expression and production of nitric oxide (NO) in AMphi are not found. In the present study, we determined the induction of iNOS gene expression, using semi-quantitative reverse transcription-polymerase chain reaction, and the release of NO in AMphi and PMphi from C3H/HeJ and C3H/HeN mice. The results showed the induction of iNOS mRNA accumulation in a dose-dependent manner by LPS alone or in combination with interferon-gamma in both macrophages. The effects of the stimuli on iNOS gene expression and NO production were significantly higher in AMphi than in the PMphi of C3H/HeJ mice. The response of macrophages from C3H/HeN mice was similar to those from C3H/HeJ mice, but the difference of iNOS gene expression between AMphi and PMphi in C3H/HeN mice was not as striking as in C3H/HeJ mice. The results show that the iNOS gene expression and NO production were activated differently in AMphi and PMphi and suggest that the functional properties of macrophages isolated from distinct origins are different.
Collapse
Affiliation(s)
- M J Wang
- Department of Education, Taichung Veterans General Hospital, Tunghai University, Taiwan
| | | | | |
Collapse
|
24
|
Freerksen DL, Shih PC, Vasta-Russell JF, Horlick RA, Yau WW. Single-stranded RNA molecular weight and shape determination by differential pressure capillary viscometry, sedimentation velocity, and gel electrophoresis. Anal Biochem 1990; 189:163-8. [PMID: 1704198 DOI: 10.1016/0003-2697(90)90100-n] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Determination of the size of a population of nucleic acids can be achieved by several distinct methods. Most of these methods are cumbersome and require complicated equipment or techniques. We demonstrate here the use of a differential pressure capillary viscometer for the rapid and simple determination of RNA molecular weight. This highly sensitive viscometer allowed single viscosity determinations on dilute solutions of RNA, providing a direct measure of the intrinsic viscosity without the need to extrapolate from several concentrations. The molecular weights and conformations of the linear single-stranded RNA homopolymer poly(inosinic acid) (poly(I] and the single-stranded RNA (ssRNA) copolymer poly(cytidylic acid:uridylic acid, 12:1) (poly(C12,U], were determined. The ssRNAs were synthesized in a range of sizes (100 to 100,000 bases). They were widely polydisperse. The Mandelkern-Flory equation (1952, J. Chem. Phys. 20, 212-214), which requires both the intrinsic viscosity and sedimentation coefficient of a macromolecule, was used to calculate the molecular weights. The molecular weights determined by agarose gel electrophoresis were compared to those determined by intrinsic viscosity plus sedimentation coefficient. The correlation between the molecular weights determined by these two methods was good, at R2 greater than or equal to 0.92. The conformations of the RNAs were determined by application of the Mark-Houwink equation. The Mark-Houwink exponents for poly(I) and poly(C12,U) intrinsic viscosities were 0.90 and 0.84, respectively. When compared to other nucleic acid polymers, for which the conformations have been established by several methods, poly(I) and poly(C12,U) are rigid, extended random coils, in a low-salt buffer (15 mM).(ABSTRACT TRUNCATED AT 250 WORDS)
Collapse
Affiliation(s)
- D L Freerksen
- Medical Products Department, E.I. du Pont de Nemours & Company, Inc., Wilmington, Delaware 19880
| | | | | | | | | |
Collapse
|