Public health surveillance of behavioural risk factors in Canada using big data from internet of things and artificial intelligence

Fitbit and iPhone

Public health surveillance has developed in recent years as technology has progressed to deliver the requirements of such a system. However, there is still room for innovation in the types of technologies that are developed, used, and implemented. The solutions provided in this study can expand beyond typically defined features and be used for more holistic health monitoring purposes at the population level.

The objective of this project is to validate our hypothesis that data from the internet of things e.g. remote motion sensors could be used to quantify and track an individual’s movements and sleep around the house.

Based upon our initial results, the next step is to determine if this could be a novel data collection method according to the national census level surveys administered by governmental bodies. The results will be used to inform a larger implementation study of similar smart home technologies to gather data for machine learning algorithms and to build upon pattern recognition and comprehensive public health surveillance. The whole project has been divided into three studies- in the first part of the study data was collected from a pilot study with a sample of eight to validate the use of data from remote motion sensors with fitness trackers to quantify movement in the home. A large database containing records from smart home thermostats was analyzed to compare the indicators of sleep, physical activity, and sedentary behaviour developed by the Public Health Agency of Canada and collected through traditional survey methods.

In the second part of the study, the plan is to recruit participants from the community and collect data from the smart thermostat, fitness tracker and other pre-designed tools. Followed by this from the population of ecobee thermostat users the plan is to collect additional demographic information to further analyze and improve the algorithm for sleep, indoor physical activity and sedentary behaviour.

The results from the first study showed that there was a significant Spearman correlation coefficient of 0.8, which indicates a positive linear association between the total number of sensors activated and the total number of indoor steps tracked by fitness tracker (Fitbit) travelled by study participants. Additionally, the indicators of sleep, physical activity, and sedentary behaviour were all found to be highly comparable to those attained by the Public Health Agency of Canada. The results demonstrate that remote motion sensors are a viable option compared to traditional survey data collection methods for health data collection and are also a form of zero-effort technology that can be used to monitor the occupants of a home.

Last updated: March 11, 2020