Exergaming as a tool to combat obesity yields an interesting take on the problem of design and implementation of activity recognition systems for truly mobile games that achieve moderate levels of intensity. This work presents SoccAR, a mobile, sensor-based wearable exergaming system with fine-grain activity recognition. The system in this paper presents a recognition algorithm for the appropriate classification of 26 movements by extracting a large number of features and selecting the most important, as well as developing a multiple model strategy to better classify movements. This movement strategy allows for a trade off of detailed classification versus classification speed. A metric to define the accuracy in terms of the importance of particular movements is defined. The scheme presented develops a framework for more accurately classifying movements with a smaller number of features for a large, multiclass real-time environment. This results in a more accurate classification of movements, with an F-score in cross-validation of .937 using a PUK-kernel based SVM and multiple models, to .755 using only a single RBF-based model and 20 features.

Remote health monitoring (RHM) has emerged as a solution to help reduce the cost burden of unhealthy lifestyles and aging populations. Enhancing compliance to prescribed medical regimens is an essential challenge to many systems, even those using smartphone technology. In this paper, we provide a technique to improve smartphone battery consumption and examine the effects of smartphone battery lifetime on compliance, in an attempt to enhance users' adherence to remote monitoring systems. We deploy WANDA-CVD, an RHM system for patients at risk of cardiovascular disease (CVD), using a wearable smartphone for detection of physical activity. We tested the battery optimization technique in an in-lab pilot study and validated its effects on compliance in the Women's Heart Health Study. The battery optimization technique enhanced the battery lifetime by 192% on average, resulting in a 53% increase in compliance in the study. A system like WANDA-CVD can help increase smartphone battery lifetime for RHM systems monitoring physical activity.

In remote health monitoring of patient's physical activity, ensuring correctness and authenticity of the received data is essential. Although many activity monitoring systems, devices and techniques have been developed, preventing patient cheating of an activity monitor has been a primarily unaddressed challenge across the board. Patients can manually shake an activity monitor device (sensor) with their hand and watch their physical activity points or rewards increase, we define this as "self-inflicted" cheating. A second type of cheating, "impersonator" cheating, is when subjects hand the activity sensor over to a friend or second party to wear and perform physical activity on their behalf. In this paper, we propose two novel methods based on classification algorithms to address the cheating problems. The first classification framework improves the correctness of our data by detecting self-inflicted cheatings. The second technique is an advanced classification scheme that extracts and learns unique patient-specific activity patterns from prior data collected on a patient to distinguish the true subject from an impersonator. We tested our proposed techniques on Wanda, a remote health monitoring system used in our Women's Heart Health study of 90 African American women at risk of cardiovascular disease. We were able to distinguish cheating from other physical activities such as walking and running, as well as other common activities of daily living such as driving and playing video games. The self-inflicted cheating classifier achieved an accuracy of above 90% and an AUC of 99%. The impersonator cheater framework results in an average accuracy of above 90% and an average AUC of 94%. Our results provide insight into the randomness of cheating activities, successfully detects cheaters, and attempts to build more context-aware remote activity monitors that more accurately capture patient activity.

Exergaming is expanding as an option for sedentary behavior in childhood/adult obesity and for extra exercise for gamers. This paper presents the development process for a mobile active sports exergame with near-realistic motions through the usage of body-wearable sensors. The process begins by collecting a dataset specifically targeted to mapping real-world activities directly to the games, then, developing the recognition system in a fashion to produce an enjoyable game. The classification algorithm in this paper has precision and recall of 77% and 77% respectively, compared with 40% and 19% precision and recall on current activity monitoring algorithms intended for general daily living activities. Aside from classification, the user experience must be strong enough to be a successful system for adoption. Indeed, fast and intense activities as well as competitive, multiplayer environments make for a successful, enjoyable exergame. This enjoyment is evaluated through a 30 person user study. Multiple aspects of the exergaming user experience trials have been merged into a comprehensive survey, called ExerSurvey. All but one user thought the motions in the game were realistic and difficult to cheat. Ultimately, a game with near-realistic motions was shown to be an enjoyable, active video exergame for any environment.