Wearable Technologies

We present " Lightwear " , a series of garment-based, lightweight, light-emitting wearables designed to administer light therapy for on-the-go treatment of Seasonal Affective Disorder (SAD). Bright Light Therapy (BLT) has been used to treat SAD for more than 25 years. While light boxes continue to serve as the predominant method of treatment, it often requires a user to sit at a dedicated location for a sustained period of time (30-60 minutes), rendering therapy inconvenient and resulting in unsatisfactory compliance rates. To date, there have been few successful products developed for wearability and portability to ease the uncomfortable nature of light box treatment. However, new low-profile, light-emitting sources yield opportunities for less cumbersome textile integration and wearability. We explore the integration of light into textile substrates that focus on fashion-forward wearables which can, in turn, address BLT efficacy, usability, and convenience.

Back pain is one of the largest drivers of workplace injury and lost productivity in industries around the world. Back injuries were one of the leading reasons in resulting in days away from work at 38.5% across all occupations, increasing for manual laborers to 43%. While the cause of the back pain can vary across occupations, for materiel movers it is often caused from repetitive poor lifting. To reduce the issues, the Aerial Porter Exoskeleton (APEx) was created. The APEx uses a hip-mounted, powered exoskeleton attached to an adjustable vest. An onboard computer calculates the configuration of the user to determine when to activate. Lift form is assisted by using a novel lumbar brace mounted on the sides of the hips. Properly worn, the APEx holds the user upright while providing additional hip torque through a lift. This was tested by having participants complete a lifting test with the exoskeleton worn in the “on” configuration compared with the exoskeleton not worn. The APEx ha...

The development of systems capable of recognizing and categorising emotions is of interest to researchers in various scientific areas including artificial intelligence. The traditional notion that emotions and rationality are two separate realms has gradually been challenged. The work of neurologists has shown the strong relationship between emotional episodes and the way humans think and act. Furthermore, emotions not only regulate human decisions but could also contribute to a more satisfactory response to the environment, i.e., faster and more precise actions. In this paper an analysis of physiological signals employed in real-time emotion detection is presented in the context of Intelligent Inhabited Environments (IIE). Two studies were performed to investigate whether physical exertion has a significant effect on bodily signals stemming from emotional episodes with subjects having various degrees of affect intensity: 1) a statistical analysis using the Wilcoxon Test, and 2) a cluster analysis using the Davies- Bouldin Index. Preliminary results demonstrated that the heart rate and skin resistance consistently showed similar changes regardless of the physical stimuli while blood volume pressure did not show a significant change. It was also found that neither physical stress nor affect intensity played a role in the separation of neutral and non-neutral emotional states.

This paper presents a design study of the visualization interface to the Myant Skiin Connected Life App (Skiin), a family informatics application which will connect family members, friends, and caregivers, by engaging them together and enabling health and wellness related data sharing and support. It is based on Myant's highly accurate intelligent textiles garments which collect activity and related biomechanical data through knitted sensors on the garment. Our design seeks to deliver a seamless user experience between this complex of technologies through effective data presentation, visualization, and tool tips. One of Skiin's differentiators is the provision of a communication overlay (the Aura) which cues users to view metrics data and engage in dialogue around its meaning. We undertook a comprehensive literature review and examination of related work that included personal informatics, mHealth applications, and family informatics-motivation and social communication, wellness standards for older adults, technology adoption by older adults, effective design, and visualization strategies to support aging individuals, their family, friends, and support team, and issues of privacy. We used iterative prototyping to build and revise the visualization interface. We discuss our visualization methods, detail the resulting Skiin application, our usability testing strategy which combines personas, Talk Aloud and SUS approaches, research outcomes, and next steps.

We have conducted an observational study on persons participating passively in public lectures. During a lecture we were measuring the level of focus of listeners using the Muse EEG-headband as well as conducting an observational study of the usage of the device by experiment participants. The purpose was twofold: to understand to what extent commercially available portable EEG-devices can record synchronicity of experience among the audience and to check what kind of usage participants make of this multipurpose device. While we got some preliminary insights, we found that the usefulness in measuring EEG signal of consumer-grade devices such as Muse is extremely limited in non-laboratory conditions.

In this experiment, we operated within the novel research area of Informal Green Spaces (often called green wastelands), exploring emotional well-being with the employment of portable electroencephalography (EEG) devices. The apparatus (commercial EEG Muse headband) provided an opportunity to analyze states of calmness and alertness in n = 20 participants as they visited selected Informal Green Spaces in Warsaw, Poland. The article aims to test the hypothesis that passive recreation in Informal Green Spaces (IGSs) has a positive impact on emotional well-being and that there is a connection between the intensity of states of calmness and alertness and 1. the type of green space (IGS/GS), 2. the type of scenery and 3. the type of IGS. The preliminary experiment showed that there might be no substantial distinction in the users’ levels of emotional states when considering existing typologies. On the other hand, data-driven analysis suggests that there might be a connection between the state of alertness and some characteristics of specific areas. After carrying out the multivariate analyses of variance in the repeated measurement scheme and finding significant differences between oscillations in different areas, we conclude that there might be three possible sources of lower alertness and increased calmness in some areas. These are 1. the presence of “desirable” human intervention such as paths and urban furniture, 2. a lack of “undesirable” users and signs of their presence and 3. the presence of other “desirable” users.

This paper is presenting the findings of a student project that involved using an emerging technology of eye tracking to help handicapped people with mobility options. The designers' intention was to implement a prototype and test its feasibility for helping the poor and physically challenged people in Bangladesh. The working prototype has been designed with two versions. The first one is able to interface the video based eye tracking technology with a laptop so that the bedridden patient is able to control electrical appliances such as a robotic arm. The second version is tested for controlling the same robotic arm but with a standalone head unit with the intention to give the user a greater degree of freedom in mobility. Both versions are developed with the intention to help people with disabilities and improve their quality of life.

Objective: The purpose of this study was to investigate the effects of a physical activity intervention programme, named " Morning Blast " , on elementary school students' math learning and daily physical activity. The Morning Blast intervention programme was a 16-week cardiovascular endurance emphasized physical activity program that students voluntarily participated in before the school day. Participants that volunteered, did so for the duration of the program. Methods: This mixed-methods study included 7 educators and 83 students (n=90). The students were all children who were enrolled in Grades 3, 4, and 5 in a semi-rural elementary school in the United States. Data were collected through focus-group interviews, surveys, quantitative analysis of step counts, and from quasi-experimental research design. Results: Students in the experimental group were found to have: (1) increased scores on math standard score, (2) greater confidence in their academic ability, and (3) had more accumulated steps compared to students in the control group. Students in the experimental group also reported that they were more " ready to learn " after completing the physical activity intervention. This finding was also confirmed by their teachers. Conclusion: This study demonstrates how an increase in physical activity during the morning time has positive benefits for students throughout the school day.

Wearable technology, specifically e-textiles, offers the potential for interacting with electronic devices in a whole new manner. However, some may find the operation of a system that employs non-traditional on-body interactions uncomfortable to perform in a public setting, impacting how readily a new form of mobile technology may be received. Thus, it is important for interaction designers to take into consideration the implications of on-body gesture interactions when designing wearable interfaces. In this study, we explore the third-party perceptions of a user's interactions with a wearable e-textile interface. This two-prong evaluation examines the societal perceptions of a user interacting with the textile interface at different on-body locations, as well as the observer's attitudes toward on-body controller placement. We performed the study in the United States and South Korea to gain cultural insights into the perceptions of on-body technology usage.

This study is the first of its kind to apply the scenario technique approach to explore the future of wearable technologies in tourism. Focus groups were conducted to gain an understanding of the core factors that will determine the future use of wearable devices in an on-site tourism context. Software, Hardware, Network & Infrastructure, Comfort & Embodiment, Functions & Usages, Reliability and Third Party Access were identified as the most influential factors. Their future development will determine how tourists will employ wearable devices in their tourism experiences. The proposed future scenarios could serve as guidance for decision-makers in the organisational and destination management context. This research contributes to the theory on technology-mediated experiences in tourism and addresses the gap in literature regarding the tourist experience on-site whilst using wearable technology.

Background
Despite the increasing popularity of activity trackers, little evidence exists that they can improve health outcomes. We aimed to investigate whether use of activity trackers, alone or in combination with cash incentives or charitable donations, lead to increases in physical activity and improvements in health outcomes.

Methods
In this randomised controlled trial, employees from 13 organisations in Singapore were randomly assigned (1:1:1:1) with a computer generated assignment schedule to control (no tracker or incentives), Fitbit Zip activity tracker, tracker plus charity incentives, or tracker plus cash incentives. Participants had to be English speaking, full-time employees, aged 21–65 years, able to walk at least ten steps continuously, and non-pregnant. Incentives were tied to weekly steps, and the primary outcome, moderate-to-vigorous physical activity (MVPA) bout min per week, was measured via a sealed accelerometer and assessed on an intention-to-treat basis at 6 months (end of intervention) and 12 months (after a 6 month post-intervention follow-up period). Other outcome measures included steps, participants meeting 70 000 steps per week target, and health-related outcomes including weight, blood pressure, and quality-of-life measures. This trial is registered at ClinicalTrials.gov, number NCT01855776.

Findings
Between June 13, 2013, and Aug 15, 2014, 800 participants were recruited and randomly assigned to the control (n=201), Fitbit (n=203), charity (n=199), and cash (n=197) groups. At 6 months, compared with control, the cash group logged an additional 29 MVPA bout min per week (95% CI 10–47; p=0·0024) and the charity group an additional 21 MVPA bout min per week (2–39; p=0·0310); the difference between Fitbit only and control was not significant (16 MVPA bout min per week [–2 to 35; p=0·0854]). Increases in MVPA bout min per week in the cash and charity groups were not significantly greater than that of the Fitbit group. At 12 months, the Fitbit group logged an additional 37 MVPA bout min per week (19–56; p=0·0001) and the charity group an additional 32 MVPA bout min per week (12–51; p=0·0013) compared with control; the difference between cash and control was not significant (15 MVPA bout min per week [–5 to 34; p=0·1363]). A decrease in physical activity of −23 MVPA bout min per week (95% CI −42 to −4; p=0·0184) was seen when comparing the cash group with the Fitbit group. There were no improvements in any health outcomes (weight, blood pressure, etc) at either assessment.

Interpretation
The cash incentive was most effective at increasing MVPA bout min per week at 6 months, but this effect was not sustained 6 months after the incentives were discontinued. At 12 months, the activity tracker with or without charity incentives were effective at stemming the reduction in MVPA bout min per week seen in the control group, but we identified no evidence of improvements in health outcomes, either with or without incentives, calling into question the value of these devices for health promotion. Although other incentive strategies might generate greater increases in step activity and improvements in health outcomes, incentives would probably need to be in place long term to avoid any potential decrease in physical activity resulting from discontinuation.

Funding
Ministry of Health, Singapore.