Mobilité, expositions environnementaleset santé des populations:Méthodes et défisMobility, exposures and populationhealth:...
Spatial data collection forepidemiology• Environmental determinants increasingly at stake,both as a cause of disease, soci...
Spatial data collection forepidemiology• Tools to collect location information include:– Residential history questionnaire...
Spatial data used in health researchPlace ofresidence /Residentialhistory
Spatial data used in health researchRegular activityplaces
Spatial data used in health researchRoutes / GPStracks
Spatial data used in health researchPerceivedspaces
Spatial data used in health researchAttribute data:FrequencyAttachmentPerceptionTravel modeConstraintsWith whomEtc.
VERITAS, an online mappingquestionnaire• Uses an interactive map to collect spatial data• Can be administered or self-admi...
VERITASA series of questions which can be answered on a mapthrough creation of:– A point location (marker)– A line (polyli...
VERITASExample: Where do you shop for food most often?
VERITAS RECORD• Illustration: VERITAS in the RECORD Study• RECORD Study: Large Paris area cohort on Cardiovascularhealth (...
VERITAS
VERITAS RECORD• Rich spatial information on regular destinations which canserve to identify multiple environmental exposur...
A multisensor platform for real-timetracking• Self-reported locations vs. objective measures• Multisensor device for track...
Multisensor platformDATACAPTUREDATAPROCESSINGDATAUSAGE
Multisensor platformDATACAPTUREDATAPROCESSINGDATAUSAGE
Web serverAcquisition serverOutputs /ApplicationsEnd usersGISAlgorithmsGSM towerSensorsCAPTUREPROCESSINGUSAGE
Spatial data collection for healthCAPTUREPROCESSINGUSAGE
Central UnitGPS GPRSMemoryAccelerometerANT ModuleAcquisition serverSenseDoc multisensorwearable device125 g137 g96 * 80 mm...
Acquisition serverCentral UnitGPS GPRSMemoryAccelerometerANT ModuleGlucosemonitorGalvanic skinresponseAccele-rometerHRmoni...
SenseDoc Multisensor DeviceCAPTUREAcquisition serverGPS – SIRF IVGPS performance validationSpatial accuracyTime to First F...
CAPTUREAverage of dist_moy Column LabelsRow Labels Etrex HTC MS Qstarz Grand TotalIndoorcold 13,6 9,0 7,7 16,7 12,3Brick b...
CAPTUREAverage of ttff Column LabelsRow Labels Etrex HTC MS Qstarz Grand TotalIndoorcold 136,3 255,0 33,2 86,3 102,3Brick ...
SenseDoc Multisensor DeviceCAPTUREAccelerometerMarie-Lyse Bélanger, M.Sc. Student in kinesiologyAccelerometer validation u...
SenseDoc Multisensor DeviceCAPTUREBattery lifeStrong battery (3200 mAh)Axelle Chevallier, M.Sc. Student inElectrical Engin...
SenseDoc Multisensor DeviceCAPTUREAcquisition serverBattery life
SenseDoc Multisensor DeviceCAPTUREData transmissionGPS Data sent over the air (cellphone network) every 30 minutesPossible...
Issues in data processingPROCESSINGTransforming raw GPS data into meaningful and usefulinformation, combining with acceler...
Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)M...
Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)M...
Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)M...
UsageUsing GPS/Accel to locate behaviour and assess exposureImprove the understanding of mechanisms linkingenvironments to...
UsageUSAGERECORD GPS Study, Paris191 participants wearing GPS & Accelerometer for 7 daysEstimates of:• Number of steps wal...
UsageUSAGEDuring wear time, transportation was responsible for:• 39% of steps walked• 32% of total energy expenditure• 33%...
UsageUSAGEGeographic variations in contribution of transport to physical activity
UsageUSAGEDifferences in PA compared to car driving, per 10 min of trip(n=4,984 trips with unique mode)
Spherelab GPS studiesRECORD-GPS Study, Paris, Basile ChaixBIXI bikesharing study, Montreal, Lise GauvinSte-Justine CIRCUIT...
CURHA Project Develop an international platform and researchagenda to collect and analyse detailed data on dailymobility ...
Objectives Provide evidence about how characteristics of urbanenvironments relate to active mobility and socialparticipat...
Methods Trois cohortes, 450 participants par site: Montréal/Sherbrooke: Cohorte NuAge Paris: Cohorte RECORD Luxembourg...
MethodsVERITAS(Questionnaire onregular destinations)VERITAS(Questionnaire onregular destinations)Canada LuxembourgFranceEx...
Data Mobility assessment will resort to:• Activity space questionnaires• Continuous 7-days monitoring of location• Physic...
Data Behavioural outcomes of focus:• Active living (including active transportation, walkingand sedentary behaviour)• Soc...
Analyses Liens entre contextes urbains (SIG), mobilité, activitéphysique, participation sociale
Conclusion“Design for the young, and youexclude the old;design for the old and youinclude everyone”Bernard Isaacs, in G. M...
Thank you!www.SPHERE Lab .orgContact: yan.kestens@umontreal.ca
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Yan Kestens - GPS Seminar

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Seminar given at CEPS/INSTEAD, Luxembourg, May 23rd 2013 on use of GPS for studies on healthy aging.

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Yan Kestens - GPS Seminar

  1. 1. Mobilité, expositions environnementaleset santé des populations:Méthodes et défisMobility, exposures and populationhealth:Methods and challengesYan KestensMontreal University, Social and Preventive MedicineMontreal Hospital University Research Center (CRCHUM)SPHERE Lab .orgCEPS/INSTEAD, Luxembourg22th May 2013
  2. 2. Spatial data collection forepidemiology• Environmental determinants increasingly at stake,both as a cause of disease, social health inequalities,and as a target for intervention• Current shift to improve integration of daily mobilityand multiple exposures in epidemiological models
  3. 3. Spatial data collection forepidemiology• Tools to collect location information include:– Residential history questionnaires – lifecourse– Travel surveys – often one day of detailed mobility– Activity space questionnaires – asking people’sregular destinations– Real-time tracking using GPS receivers
  4. 4. Spatial data used in health researchPlace ofresidence /Residentialhistory
  5. 5. Spatial data used in health researchRegular activityplaces
  6. 6. Spatial data used in health researchRoutes / GPStracks
  7. 7. Spatial data used in health researchPerceivedspaces
  8. 8. Spatial data used in health researchAttribute data:FrequencyAttachmentPerceptionTravel modeConstraintsWith whomEtc.
  9. 9. VERITAS, an online mappingquestionnaire• Uses an interactive map to collect spatial data• Can be administered or self-administered• Flexible and scalable• Allows to collect information on locations, routes,spaces and related qualitative assessment• Is linked to mapping and search APIs to facilitate theprocess and increase validity (Openstreetmap,Google Map, etc.)
  10. 10. VERITASA series of questions which can be answered on a mapthrough creation of:– A point location (marker)– A line (polyline)– An area (polygon)Map searching capabilities / streetviewfunctionalities can help identifying knownlocations/destinations.
  11. 11. VERITASExample: Where do you shop for food most often?
  12. 12. VERITAS RECORD• Illustration: VERITAS in the RECORD Study• RECORD Study: Large Paris area cohort on Cardiovascularhealth (n = 8,000)• Wave 1 in 2007-2008, Wave 2 in 2012-2014• VERITAS RECORD administered to some 4,800 participants asof today• 27 spatial questions including destinations for food shopping,sport activities, leisure, friends, family, etc.• Over 65,000 locations collected – Median of 14 locationscollected per participant• Median completion time of 20 minutes
  13. 13. VERITAS
  14. 14. VERITAS RECORD• Rich spatial information on regular destinations which canserve to identify multiple environmental exposures andinequalities• Spatial information transformed into spatial indicators to feedepidemiological models (Activity space size, maximumdistance, concentration etc.) (Camille Perchoux, Ph.D.candidate)• Interesting information to monitor spatial health inequalities,mobility behaviour and guide intervention in the distributionof resources/infrastructures
  15. 15. A multisensor platform for real-timetracking• Self-reported locations vs. objective measures• Multisensor device for tracking of:– Mobility (GPS, RFID)– Physical activity (Accelerometer)– Physiology (Various sensors)
  16. 16. Multisensor platformDATACAPTUREDATAPROCESSINGDATAUSAGE
  17. 17. Multisensor platformDATACAPTUREDATAPROCESSINGDATAUSAGE
  18. 18. Web serverAcquisition serverOutputs /ApplicationsEnd usersGISAlgorithmsGSM towerSensorsCAPTUREPROCESSINGUSAGE
  19. 19. Spatial data collection for healthCAPTUREPROCESSINGUSAGE
  20. 20. Central UnitGPS GPRSMemoryAccelerometerANT ModuleAcquisition serverSenseDoc multisensorwearable device125 g137 g96 * 80 mm115 * 59 mm
  21. 21. Acquisition serverCentral UnitGPS GPRSMemoryAccelerometerANT ModuleGlucosemonitorGalvanic skinresponseAccele-rometerHRmonitorBloodpressureOtherSenseDoc multisensorwearable device
  22. 22. SenseDoc Multisensor DeviceCAPTUREAcquisition serverGPS – SIRF IVGPS performance validationSpatial accuracyTime to First Fix (TTFF)Indoor – OutdoorFixed - Moving
  23. 23. CAPTUREAverage of dist_moy Column LabelsRow Labels Etrex HTC MS Qstarz Grand TotalIndoorcold 13,6 9,0 7,7 16,7 12,3Brick building, hallway 14,1 5,7 4,1 15,4 10,4Brick building, window 14,4 12,4 7,6 15,5 12,5Concrete building, window 12,3 11,6 19,4 14,4hot 12,9 11,3 10,0 15,5 12,6Brick building, hallway 11,2 7,2 6,3 15,8 10,5Brick building, window 7,6 5,0 6,9 12,8 8,5Concrete building, window 19,9 21,8 16,9 17,9 18,7warm 14,0 13,5 20,3 15,8 16,1Brick building, hallway 10,4 15,6 22,1 11,1 14,8Brick building, window 7,8 10,4 21,7 13,2 13,7Concrete building, window 23,8 12,2 17,0 23,0 20,0Outdoorcold 7,8 16,6 11,0 17,6 13,0Narrow streets 21,4 20,0 16,2 35,3 23,2Open surroundings 2,8 12,0 1,4 1,1 4,3Residential areas 2,4 4,1 0,9 2,5Sky scrapers 4,7 17,8 22,2 33,0 19,4hot 5,5 10,6 3,4 4,8 6,1Narrow streets 12,9 18,6 4,9 9,5 11,5Open surroundings 1,5 1,8 2,2 1,8 1,8Residential areas 3,2 3,4 1,9 3,1 2,9Sky scrapers 4,4 18,4 4,6 4,8 8,5warm 8,6 9,1 6,5 10,0 8,5Narrow streets 26,7 21,9 16,2 20,5 21,3Open surroundings 3,0 5,4 3,3 4,1 3,9Residential areas 4,1 4,6 2,8 5,0 4,1Sky scrapers 5,0 8,9 7,4 15,2 9,1Grand Total 10,3 11,4 9,5 13,0 11,0
  24. 24. CAPTUREAverage of ttff Column LabelsRow Labels Etrex HTC MS Qstarz Grand TotalIndoorcold 136,3 255,0 33,2 86,3 102,3Brick building, hallway 68,0 104,0 12,5 23,0 44,4Brick building, window 252,0 406,0 9,5 193,0 187,9Concrete building, window 89,0 77,5 43,0 69,8hot 18,5 181,3 5,5 13,5 36,6Brick building, hallway 6,5 82,0 6,0 2,5 16,0Brick building, window 41,0 143,0 4,0 35,0 43,3Concrete building, window 8,0 319,0 6,5 3,0 50,6warm 101,7 293,3 46,5 204,7 149,5Brick building, hallway 27,0 563,5 0,0 69,0 164,9Brick building, window 107,0 26,0 84,5 191,0 113,0Concrete building, window 171,0 20,0 55,0 354,0 168,6Outdoorcold 37,8 171,7 26,0 40,5 62,1Narrow streets 44,0 247,0 36,0 40,0 91,8Open surroundings 39,0 104,0 37,0 57,0 59,3Residential areas 26,0 20,0 26,0 24,0Sky scrapers 42,0 164,0 11,0 39,0 64,0hot 16,5 36,1 21,9 10,1 21,5Narrow streets 11,5 110,0 29,0 12,5 40,8Open surroundings 10,5 15,0 4,5 1,0 7,8Residential areas 8,5 10,0 7,5 3,0 7,3Sky scrapers 35,5 9,5 46,5 38,0 31,6warm 26,4 46,8 39,4 31,6 36,1Narrow streets 40,0 45,0 45,0 40,0 42,5Open surroundings 21,0 36,0 45,0 35,0 34,3Residential areas 30,0 68,5 44,5 29,5 43,1Sky scrapers 11,0 16,0 18,0 24,0 17,3Grand Total 55,8 130,6 28,2 65,2 65,3
  25. 25. SenseDoc Multisensor DeviceCAPTUREAccelerometerMarie-Lyse Bélanger, M.Sc. Student in kinesiologyAccelerometer validation using indirect calorimetryLab – 14 controlled exercises from sedentary to vigouros PAEleven adult subjectsCalculation of Vertical Magnitude Acceleration (VMAG)Testing of various bandpass filtersComparison with Actigraph GT3X performenceBest results obtained with Bandpass filter 0.1 Hz – 3.5 HzModelling of Energy Expenditure: Adj. R-square of .79Use of Vector Body Dynamic Acceleration (VEDBA)
  26. 26. SenseDoc Multisensor DeviceCAPTUREBattery lifeStrong battery (3200 mAh)Axelle Chevallier, M.Sc. Student inElectrical EngineeringMohamad Sawan, Professor,Electrical EngineeringBattery optimisation algorithm- Movement- Location and movement
  27. 27. SenseDoc Multisensor DeviceCAPTUREAcquisition serverBattery life
  28. 28. SenseDoc Multisensor DeviceCAPTUREData transmissionGPS Data sent over the air (cellphone network) every 30 minutesPossible alerts depending on- Location- Activity- TimeConnection to other sensors (2.4 GHz ANT+) Heart rate monitor,footpod, RFID tags, etc.
  29. 29. Issues in data processingPROCESSINGTransforming raw GPS data into meaningful and usefulinformation, combining with accelerometry- ‘Putting things into context’- Activity locations- Trips between locationsSPHERELAB GPSARCTOOLBOXwww.spherelab.org/tools
  30. 30. Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)Meannumberofstopsfoundp*10m radius missing
  31. 31. Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)Meannumberofstopsfoundp*10m radius missing(a)Meannumberofstopsfou(b)Meandistancetotruestopo*10m radius missing*10m radius missing
  32. 32. Issues in data processingPROCESSINGActivity location detection kernel-based algorithmThierry et al. (2013) IJHGAft Akd(a)Meannumberofstopsfoundstop*10m radius missing(b)Meandistancetotru(c)Averagetimediff.relativetotruestopduration*10m radius missingNoise categories Noise categories
  33. 33. UsageUsing GPS/Accel to locate behaviour and assess exposureImprove the understanding of mechanisms linkingenvironments to health behaviours and profilesUse GPS to prompt recall and gain additional insightUse GPS to support qualitative studies (go-along, geo-ethnography, geo-tagged photos, environmentalperception, etc.)Use GPS/Accel data to assist clinical practice (mHealth)USAGE
  34. 34. UsageUSAGERECORD GPS Study, Paris191 participants wearing GPS & Accelerometer for 7 daysEstimates of:• Number of steps walked• Energy expenditure• Moderate to Vigorous physical activity• Sedentary timeAnalyses possible at the trip level and by travel mode
  35. 35. UsageUSAGEDuring wear time, transportation was responsible for:• 39% of steps walked• 32% of total energy expenditure• 33% of MVPA• 15% of sedentary time
  36. 36. UsageUSAGEGeographic variations in contribution of transport to physical activity
  37. 37. UsageUSAGEDifferences in PA compared to car driving, per 10 min of trip(n=4,984 trips with unique mode)
  38. 38. Spherelab GPS studiesRECORD-GPS Study, Paris, Basile ChaixBIXI bikesharing study, Montreal, Lise GauvinSte-Justine CIRCUIT Pediatric Intervention, Montréal, MélanieHendersonNovel Real-Time Measurement of Physical Activity Patterns in Type 2Diabetes and Hypertension through GPS Monitoring and Accelerometry,Kaberi DasguptaHealthy Aging in Urban Environments, Montreal, Paris, Luxembourg; YanKestens, Basile Chaix, Philippe Gerber
  39. 39. CURHA Project Develop an international platform and researchagenda to collect and analyse detailed data on dailymobility and health outcomes among older adultsliving in contrasted urban settings Use of novel methods to capture daily mobility tobetter understand interactions betweenenvironments, mobility and health
  40. 40. Objectives Provide evidence about how characteristics of urbanenvironments relate to active mobility and socialparticipation Disentangle the complex people-environmentinteractions that link urban local contexts healthyaging
  41. 41. Methods Trois cohortes, 450 participants par site: Montréal/Sherbrooke: Cohorte NuAge Paris: Cohorte RECORD Luxembourg: Nouvelle cohorte avec SHARE
  42. 42. MethodsVERITAS(Questionnaire onregular destinations)VERITAS(Questionnaire onregular destinations)Canada LuxembourgFranceExistingquestionnaires (ex:individual SES)Existingquestionnaires (ex:individual SES)Existingquestionnaires (ex:individual SES)Novel GPS/Accelerometry mobility protocolNovel qualitative assessment of place experienceExisting GIS Existing GIS Existing GISNOVEL PROCEDURES TO BESHARED AND APPLIED TOALL SETTINGS, DRAWINGON EXISTING EXPERTISE INDIFFERENT SETTINGSEXAMPLES OF EXISTINGCOMMON RESSOURCES INALL SETTINGS (Need forcross-validation of DB toensure comparability)VERITASQUESTIONNAIRE(Activity spaces)EXAMPLES OFEXPERTISE/TOOLS EXISTINGIN ONE SETTING TO BEEXTENDED TO OTHERSETTINGSMULTISENSORPLATFORMMULTISENSORPLATFORMMULTISENSOR DEVICEAND SERVERPLATFORMQUALITATIVEASSESSMENT OFMOBILITYQUALITATIVEASSESSMENT OFMOBILITYQUALITATIVEASSESSMENT OFMOBILITYTOOLS/PROCEDURES SHARING CONFIGURATIONSNovel spatio-temporal modelling
  43. 43. Data Mobility assessment will resort to:• Activity space questionnaires• Continuous 7-days monitoring of location• Physical activity using wearable sensors• Qualitative assessment of participants’ experiencesand meanings of his/her activity space, mobility, andhome territories.
  44. 44. Data Behavioural outcomes of focus:• Active living (including active transportation, walkingand sedentary behaviour)• Social participation• Spatial behaviour (activity space, modes oftransportation, relation to places) GIS for environmental exposure measures
  45. 45. Analyses Liens entre contextes urbains (SIG), mobilité, activitéphysique, participation sociale
  46. 46. Conclusion“Design for the young, and youexclude the old;design for the old and youinclude everyone”Bernard Isaacs, in G. Miller, G. Harris and I. Ferguson,“Mobility Under Attack”.
  47. 47. Thank you!www.SPHERE Lab .orgContact: yan.kestens@umontreal.ca

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