Background Hand tremor typically has a negative impact on a person’s ability to complete many common daily activities. Previous research has investigated how to quantify hand tremor with smartphones and wearable sensors, mainly under controlled data collection conditions. Solutions for daily real-life settings remain largely underexplored. Objective Our objective was to monitor and assess hand tremor severity in patients with Parkinson disease (PD), and to better understand the effects of PD medications in a naturalistic environment. Methods Using the Welch method, we generated periodograms of accelerometer data and computed signal features to compare patients with varying degrees of PD symptoms. Results We introduced and empirically evaluated the tremor intensity parameter (TIP), an accelerometer-based metric to quantify hand tremor severity in PD using smartphones. There was a statistically significant correlation between the TIP and self-assessed Unified Parkinson Disease Rating Scale (UPDRS) II tremor scores (Kendall rank correlation test: z=30.521, P<.001, τ=0.5367379; n=11). An analysis of the “before” and “after” medication intake conditions identified a significant difference in accelerometer signal characteristics among participants with different levels of rigidity and bradykinesia (Wilcoxon rank sum test, P<.05). Conclusions Our work demonstrates the potential use of smartphone inertial sensors as a systematic symptom severity assessment mechanism to monitor PD symptoms and to assess medication effectiveness remotely. Our smartphone-based monitoring app may also be relevant for other conditions where hand tremor is a prevalent symptom.

The latest smartphones have advanced sensors that allow us to recognize human and environmental contexts. They operate primarily on Android and iOS, and can be used as sensing platforms for research in various fields owing to their ubiquity in society. Mobile sensing frameworks help to manage these sensors easily. However, Android and iOS are constructed following different policies, requiring developers and researchers to consider framework differences during research planning, application development, and data collection phases to ensure sustainable data collection. In particular, iOS imposes strict regulations on background data collection and application distribution. In this study, we design, implement, and evaluate a mobile sensing framework for iOS, namely AWARE-iOS, which is an iOS version of the AWARE Framework. Our performance evaluations and case studies measured over a duration of 288 h on four types of devices, show the risks of continuous data collection in the background and explore optimal practical sensor settings for improved data collection. Based on these results, we develop guidelines for sustainable data collection on iOS.

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Associate Professor Dorszewska has authored and co-authored about 100 papers mainly concerning the pathophysiology of Parkinson's and Alzheimer's diseases as well as epilepsy and migraine. She is a co-author and co-editor of books on genetic and biochemical factors in neurological diseases. She is a guest editor of two theme issue in Current Genomics (2014, 2013) and a member of editorial board in Advanced Alzheimer's Disease and Austin Alzheimer's and Parkinson's Disease (USA).

Recent technological trends in mobile/wearable devices and sensors have been enabling an increasing number of people to collect and store their "lifelog" easily in their daily lives. Beyond exercise behavior change of individual users, our research focus is on the behavior change of teams, based on lifelogging technologies and lifelog sharing. In this paper, we propose and evaluate six different types of lifelog sharing models among team members for their exercise promotion, leveraging the concepts of "competition" and "collaboration." According to our experimental mobile web application for exercise promotion and an extensive user study conducted with a total of 64 participants over a period of three weeks, the model with a "competition" technique resulted in the most effective performance for competitive teams, such as sports teams.