Understanding Data Collection Mechanisms Used by Health and Wellness Applications (Preprint)

2021 ◽  
Author(s):  
Ben Philip ◽  
Mohamed Abdelrazek ◽  
Alessio Bonti ◽  
Scott Barnett ◽  
John Grundy

UNSTRUCTURED Our objective is to better understand health-related data collection across different mHealth app categories. This would help in developing a health domain model for mHealth apps to facilitate app development and data sharing between these apps to improve user experience and reduce redundancy in data collection. We identified app categories listed in a curated library which was then used to explore the Google Play Store for health/medical apps that were then filtered using our inclusion criteria. We downloaded and analysed these apps using a script we developed around the popular AndroGuard tool. We analysed the use of Bluetooth peripherals and built-in sensors to understand how a given app collects/generates health data. We retrieved 3,251 applications meeting our criteria, and our analysis showed that only 10.7% of these apps requested permission for Bluetooth access. We found 50.9% of the Bluetooth Service UUIDs to be known in these apps, with the remainder being vendor specific. The most common health-related services using the known UUIDs were Heart Rate, Glucose and Body Composition. App permissions show the most used device module/sensor to be the camera (20.57%), closely followed by GPS (18.39%). Our findings are consistent with previous studies in that not many health apps were found to use built-in sensors or peripherals for collecting health data. The use of more peripherals and automated data collection along with integration with other apps could increase usability and convenience which would eventually also improve user experience and data reliability.

Impact ◽  
2021 ◽  
Vol 2021 (8) ◽  
pp. 4-5
Author(s):  
Lucy Annette

Three expert roundtables took place as part of DigitalHealthEurope (DHE), with discussions surrounding health data sharing and use. In the first roundtable, the implementation of GDPR was explored and the experts delved into possible remaining challenges associated with understanding the way in which health related data may be used. Legal issues and the importance of data protection and citizen protection were discussed, as was the need for more human resources regarding data protection, which could be rectified by the provision of education in this area. The introduction of a new EU body responsible for data legislative needs was an idea that was put forward. Next, the law as an enabler of data use was discussed, along with the protection of citizens and data. It was highlighted that in order for the full potential of digital health to be realised, data literacy and skills are paramount. The experts also discussed how data can be used to protect citizens, without compromising a right to privacy, as well as the importance of generating the right data to ensure that it can be used to protect citizens' health and wellness. A further topic of discussion was how the development of a range of skills among data stakeholders would lead to the better use of data and that this would have a positive impact on health and wellness.


10.2196/16879 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16879 ◽  
Author(s):  
Christophe Olivier Schneble ◽  
Bernice Simone Elger ◽  
David Martin Shaw

Tremendous growth in the types of data that are collected and their interlinkage are enabling more predictions of individuals’ behavior, health status, and diseases. Legislation in many countries treats health-related data as a special sensitive kind of data. Today’s massive linkage of data, however, could transform “nonhealth” data into sensitive health data. In this paper, we argue that the notion of health data should be broadened and should also take into account past and future health data and indirect, inferred, and invisible health data. We also lay out the ethical and legal implications of our model.


2019 ◽  
Author(s):  
Xiaochen Zheng ◽  
Shengjing Sun ◽  
Raghava Rao Mukkamala ◽  
Ravi Vatrapu ◽  
Joaquín Ordieres-Meré

BACKGROUND Huge amounts of health-related data are generated every moment with the rapid development of Internet of Things (IoT) and wearable technologies. These big health data contain great value and can bring benefit to all stakeholders in the health care ecosystem. Currently, most of these data are siloed and fragmented in different health care systems or public and private databases. It prevents the fulfillment of intelligent health care inspired by these big data. Security and privacy concerns and the lack of ensured authenticity trails of data bring even more obstacles to health data sharing. With a decentralized and consensus-driven nature, distributed ledger technologies (DLTs) provide reliable solutions such as blockchain, Ethereum, and IOTA Tangle to facilitate the health care data sharing. OBJECTIVE This study aimed to develop a health-related data sharing system by integrating IoT and DLT to enable secure, fee-less, tamper-resistant, highly-scalable, and granularly-controllable health data exchange, as well as build a prototype and conduct experiments to verify the feasibility of the proposed solution. METHODS The health-related data are generated by 2 types of IoT devices: wearable devices and stationary air quality sensors. The data sharing mechanism is enabled by IOTA’s distributed ledger, the Tangle, which is a directed acyclic graph. Masked Authenticated Messaging (MAM) is adopted to facilitate data communications among different parties. Merkle Hash Tree is used for data encryption and verification. RESULTS A prototype system was built according to the proposed solution. It uses a smartwatch and multiple air sensors as the sensing layer; a smartphone and a single-board computer (Raspberry Pi) as the gateway; and a local server for data publishing. The prototype was applied to the remote diagnosis of tremor disease. The results proved that the solution could enable costless data integrity and flexible access management during data sharing. CONCLUSIONS DLT integrated with IoT technologies could greatly improve the health-related data sharing. The proposed solution based on IOTA Tangle and MAM could overcome many challenges faced by other traditional blockchain-based solutions in terms of cost, efficiency, scalability, and flexibility in data access management. This study also showed the possibility of fully decentralized health data sharing by replacing the local server with edge computing devices.


2017 ◽  
Author(s):  
Robab Abdolkhani ◽  
Kathleen Gray ◽  
Ann Borda

BACKGROUND PGHD (Patient Generated Health Data) are health-related data created or recorded by patients to inform their self-care. The availability of low-cost easy-to-use consumer wearable technologies has facilitated patients’ engagement in their self-care and increased production of PGHD but the uptake of this data in clinical environments has been slow. Studies showing opportunities and challenges affecting PGHD adoption and use in clinical care have not investigated these factors in detail during all stages of the PGHD life cycle. OBJECTIVE This study aims to provide deeper insight into various issues influencing the use of PGHD at each stage of its life cycle from the perspectives of key stakeholders including patients, healthcare professionals, and the health IT managers. METHODS A systematic review was undertaken on the scholarly and industry literature published from 2012 to 2017. Thematic analysis of content was applied to uncover perspectives of the key PGHD stakeholders on opportunities and challenges related to all life cycle stages of PGHD from consumer wearables. RESULTS Thirty-six papers were identified for detailed analysis. Challenges were discussed more frequently than opportunities. Most studies done in real-world settings were limited to the collection stage of PGHD life cycle that captured through consumer wearables. CONCLUSIONS There are many gaps in knowledge on opportunities and challenges affecting PGHD captured through consumer wearables in each stage of its life cycle. A conceptual framework involving all the stakeholders in overcoming various technical, clinical, cultural, and regulatory challenges affecting PGHD during its life cycle could help to advance the integration with and use of PGHD in clinical care.


Author(s):  
Christophe Olivier Schneble ◽  
Bernice Simone Elger ◽  
David Martin Shaw

UNSTRUCTURED Tremendous growth in the types of data that are collected and their interlinkage are enabling more predictions of individuals’ behavior, health status, and diseases. Legislation in many countries treats health-related data as a special sensitive kind of data. Today’s massive linkage of data, however, could transform “nonhealth” data into sensitive health data. In this paper, we argue that the notion of health data should be broadened and should also take into account past and future health data and indirect, inferred, and invisible health data. We also lay out the ethical and legal implications of our model.


2001 ◽  
Vol 17 (5) ◽  
pp. 1059-1071 ◽  
Author(s):  
Gilberto Câmara ◽  
Antônio Miguel Vieira Monteiro

Geocomputation is an emerging field of research that advocates the use of computationally intensive techniques such as neural networks, heuristic search, and cellular automata for spatial data analysis. Since increasing amounts of health-related data are collected within a geographical frame of reference, geocomputational methods show increasing potential for health data analysis. This paper presents a brief survey of the geocomputational field, including some typical applications and references for further reading.


2021 ◽  
pp. 104398622110279
Author(s):  
Danielle Wallace ◽  
Jason Walker ◽  
Jake Nelson ◽  
Sherry Towers ◽  
John Eason ◽  
...  

Public organizations, including institutions in the U.S. criminal justice (CJ) system, have been rapidly releasing information pertaining to COVID-19. Even CJ institutions typically reticent to share information, like private prisons, have released vital COVID-19 information. The boon of available pandemic-related data, however, is not without problems. Unclear conceptualizations, stakeholders’ influence on data collection and release, and a lack of experience creating public dashboards on health data are just a few of the issues plaguing CJ institutions surrounding releasing COVID-19 data. In this article, we detail issues that institutions in each arm of the CJ system face when releasing pandemic-related data. We conclude with a set of recommendations for researchers seeking to use the abundance of publicly available data on the effects of the pandemic.


2021 ◽  
Author(s):  
David Grande ◽  
Xochitl Luna Marti ◽  
Raina M Merchant ◽  
David A Asch ◽  
Abby Dolan ◽  
...  

BACKGROUND In 2020, the number of internet users surpassed 4.6 billion. Individuals who create and share digital data can leave a trail of information about their habits and preferences that collectively generate a digital footprint. Studies have shown that digital footprints can reveal important information regarding an individual’s health status, ranging from diet and exercise to depression. Uses of digital applications have accelerated during the COVID-19 pandemic where public health organizations have utilized technology to reduce the burden of transmission, ultimately leading to policy discussions about digital health privacy. Though US consumers report feeling concerned about the way their personal data is used, they continue to use digital technologies. OBJECTIVE This study aimed to understand the extent to which consumers recognize possible health applications of their digital data and identify their most salient concerns around digital health privacy. METHODS We conducted semistructured interviews with a diverse national sample of US adults from November 2018 to January 2019. Participants were recruited from the Ipsos KnowledgePanel, a nationally representative panel. Participants were asked to reflect on their own use of digital technology, rate various sources of digital information, and consider several hypothetical scenarios with varying sources and health-related applications of personal digital information. RESULTS The final cohort included a diverse national sample of 45 US consumers. Participants were generally unaware what consumer digital data might reveal about their health. They also revealed limited knowledge of current data collection and aggregation practices. When responding to specific scenarios with health-related applications of data, they had difficulty weighing the benefits and harms but expressed a desire for privacy protection. They saw benefits in using digital data to improve health, but wanted limits to health programs’ use of consumer digital data. CONCLUSIONS Current privacy restrictions on health-related data are premised on the notion that these data are derived only from medical encounters. Given that an increasing amount of health-related data is derived from digital footprints in consumer settings, our findings suggest the need for greater transparency of data collection and uses, and broader health privacy protections.


Author(s):  
Kerina Jones ◽  
Graeme Laurie ◽  
Leslie Stevens ◽  
Christine Dobbs ◽  
David Ford ◽  
...  

ABSTRACTObjectivesIt is widely acknowledged that breaches and misuses of health-related data can have serious implications and consequently they often carry penalties. However, harm due to the omission of health data usage, or data non use, is a subject that lacks attention. A better understanding of this other side of the coin is required before it can be addressed effectively. ApproachThis article uses an international case study approach to explore why data non use is difficult to ascertain, the sources and types of health-related data non-use, its implications for citizens and society and some of the reasons it occurs. It does this by focussing on issues with clinical care records, research data and governance frameworks and associated examples of non-use. ResultsThe non-use of health-related data is a complex issue with multiple sources and reasons contributing to it. Instances of data non-use can be associated with harm, but taken together they describe a trail of data non-use, and this may complicate and compound its impacts. Actual evidence of data non-use is sparse and harm due to data non use is difficult to prove. But although it can be nebulous, it is a real problem with largely unquantifiable consequences. There is ample indirect evidence that health data non-use is implicated in the deaths of many thousands of people and potentially £billions in financial burdens to societies.ConclusionThe most effective initiatives to address specific contexts of data non-use will be those that are cognisant of the multiple aspects to this complex issue, in order to move towards socially responsible reuse of data becoming the norm to save lives and resources.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S442-S442
Author(s):  
Yong K Choi ◽  
Hilaire J Thompson ◽  
George Demiris

Abstract Current tools for health management such as personal health records (PHR), mobile applications, and wearable devices rely on conventional interfaces such as keyboard and mouse with screens for reading information. More recently, Internet-of-things (IoT) voice-activated smart speakers and embedded Artificial Intelligence (AI) assistants have emerged that may provide an effective user interaction platform to support healthy aging, creating a hands-free, conversational way to access and share health related data. We conducted an exploratory study with nineteen older adults (65+) who chose to evaluate a smart speaker for a 2-month as part of a larger IoT feasibility study. Three interview sessions were conducted to gather attitudes towards this technology. Participants provided feedback on future improvements or desirable features for health maintenance. A content analysis was performed to extract common themes. In general, participants expressed a positive experience with the voice interface and discussed its potential as an integral tool for their home health management. Based on these findings, we propose a voice interaction smart home platform to support healthy aging. This platform provides an intuitive voice user interface to execute commands to access, record, and query data from IoT sensors, a PHR and a hospital EHR. For example, the voice interaction platform will help individuals to dynamically explore their own health data thus eliminating manual and tedious searching of PHR data. We demonstrate how this platform can potentially improve usability issues including difficulties navigating charts and entering or retrieving health data using conventional interfaces. Finally, we highlight ethical and technical considerations.


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