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.

Obstructive pulmonary diseases cause limited airflow from the lung and severely affect patients' quality of life. Wheeze is one of the most prominent symptoms for them. High requirements imposed by traditional diagnosis methods make regular monitoring of pulmonary obstruction challenging, which hinders the opportunity of early intervention and prevention of significant exacerbation. In this work, we explore the feasibility of developing a mobile sensor-based system as a convenient means of assessing the severity of pulmonary obstruction via respiration phase-based symptomatic wheeze sensing. We conduct a 131 subjects' (91 patients and 40 healthy) study for the detection (F1: 87.96%) and characterization (F1: 79.47%) of wheeze. Subsequently, we develop novel wheeze metrics, which show a significant correlation (Pearson's correlation: -0.22, p-value: 0.024) with standard spirometry measure of pulmonary obstruction severity. This work takes a principal step towards the unobtrusive assessment of pulmonary condition from mobile sensor interactions.

Chronic respiratory diseases refer to a group of lung diseases that affect the airways and cause difficulty in breathing. Respiratory diseases are one of the leading causes of death and negatively impact the patients’ quality of life. Early detection and regular monitoring of lung functions might reduce the risk of death; however, lung function assessment requires the active supervision of a medical professional in a clinical setting. To make lung function tests more accessible and ubiquitous, researchers started leveraging mobile devices, which still require active supervision and demand extraneous effort from the user. In this work, we propose a convenient mobile-based approach that uses a monosyllabic voice segment called ‘A-vowel’ sound or ‘Aaaa...’ sound to estimate lung function. We conducted two studies (a lab study and an in-clinic study) with 201 participants to develop a detection model detecting ‘A-vowel’ sound from other acoustic events and a prediction model to estimate the lung function using the detected A-vowel sound. Our study shows that A-vowel sounds can be detected with 93% accuracy, and A-vowel sounds can estimate lung functions with 7.4-11.35% mean absolute error. We also conducted a validation study with 10 participants in a noisy environment and able to detect A-vowel segments with 71% F1-Score. Our results show auspicious directions to expand the horizon of mobile-based lung assessment.

Smoking is one of the most challenging behavioral health problems. In the past, failed quit attempts have been attributed to factors including stress, presence of smoking cues, and negative affect – most of which were self-reported and prone to recall-bias. The first step in designing effective smoking cessation systems is to objectively identify factors that contribute to lapse. In our research, we collected physiological data utilizing wearable sensors from a four day pre-quit, post-quit study (N=55). We also collected self-report measures (n=3120), which offer rich contextual information about users' social, emotional, geographical, and physiological conditions. Analysis of collected data informed the design of MyQuitPal, a participant-centric cessation support system, which aims to assist individuals to better understand their smoking behavior. The design of MyQuitPal is also grounded on theories of long term health-behavior change. We believe our research advances understanding of complexities and opportunities surrounding the design of smoking cessation systems.

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.

Craving usually precedes a lapse for impulsive behaviors such as overeating, drinking, smoking, and drug use. Passive estimation of craving from sensor data in the natural environment can be used to assist users in coping with craving. In this paper, we take the first steps towards developing a computational model to estimate cigarette craving (during smoking abstinence) at the minute-level using mobile sensor data. We use 2,012 hours of sensor data and 1,812 craving self-reports from 61 participants in a smoking cessation study. To estimate craving, we first obtain a continuous measure of stress from sensor data. We find that during hours of day when craving is high, stress associated with self-reported high craving is greater than stress associated with low craving. We use this and other insights to develop feature functions, and encode them as pattern detectors in a Conditional Random Field (CRF) based model to infer craving probabilities.

Differential privacy concepts have been successfully used to protect anonymity of individuals in population-scale analysis. Sharing of mobile sensor data, especially physiological data, raise different privacy challenges, that of protecting private behaviors that can be revealed from time series of sensor data. Existing privacy mechanisms rely on noise addition and data perturbation. But the accuracy requirement on inferences drawn from physiological data, together with well-established limits within which these data values occur, render traditional privacy mechanisms inapplicable. In this work, we define a new behavioral privacy metric based on differential privacy and propose a novel data substitution mechanism to protect behavioral privacy. We evaluate the efficacy of our scheme using 660 hours of ECG, respiration, and activity data collected from 43 participants and demonstrate that it is possible to retain meaningful utility, in terms of inference accuracy (90%), while simultaneously preserving the privacy of sensitive behaviors.

The field of mobile health (mHealth) has the potential to yield new insights into health and behavior through the analysis of continuously recorded data from wearable health and activity sensors. In this paper, we present a hierarchical span-based conditional random field model for the key problem of jointly detecting discrete events in such sensor data streams and segmenting these events into high-level activity sessions. Our model includes higher-order cardinality factors and inter-event duration factors to capture domain-specific structure in the label space. We show that our model supports exact MAP inference in quadratic time via dynamic programming, which we leverage to perform learning in the structured support vector machine framework. We apply the model to the problems of smoking and eating detection using four real data sets. Our results show statistically significant improvements in segmentation performance relative to a hierarchical pairwise CRF.

Recent researches have demonstrated the feasibility of detecting smoking from wearable sensors, but their performance on real-life smoking lapse detection is unknown. In this paper, we propose a new model and evaluate its performance on 61 newly abstinent smokers for detecting a first lapse. We use two wearable sensors - breathing pattern from respiration and arm movements from 6-axis inertial sensors worn on wrists. In 10-fold cross-validation on 40 hours of training data from 6 daily smokers, our model achieves a recall rate of 96.9%, for a false positive rate of 1.1%. When our model is applied to 3 days of post-quit data from 32 lapsers, it correctly pinpoints the timing of first lapse in 28 participants. Only 2 false episodes are detected on 20 abstinent days of these participants. When tested on 84 abstinent days from 28 abstainers, the false episode per day is limited to 1/6.