On June 9th, 2016 Fitabase had the pleasure of taking part in the annual Fitbit Captivate Summit, where founder and CEO, Aaron Coleman, was invited to share insights on using wearables sensors for health research. Aaron presented on the Fitabase platform and how it’s being used to understand participant activity, sleep, and overall health in over 150 research studies.
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HOW WEARABLE TECHNOLOGY HAS
REVOLUTIONIZED HEALTH RESEARCH
Aaron Coleman, Founder & CEO, Fitabase
June 9, 2016
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Wearable technology represents a
meaningful and critical new way to
measure, track, and engage with
research participants
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Hi, I’m Aaron
Obama
Technology
Field Team
S.M.A.R.T
Study
Center for
Wireless &
Population
Health
Systems
UCSD
Founded
Fitabase
Partnered w
Fitbit
1st Customer
3 months later
2008 2009 2012
Bootstrapped
to profitability,
proving robust
platform with
good
validation
papers in
literature.
2014
Still at it.
Learning from
research
community
and building
next gen data
tools.
2016
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1,900,000,000+
Minutes of Fitbit Data Collected
150+
Research Projects
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Research :: Measurement
“Accurate and minute
measurement seems to the non-
scientific imagination, a less lofty
and dignified work than looking for
something new. But nearly all the
grandest discoveries of science
have been but the rewards of
accurate measurement and patient
long-continued labour in the minute
sifting of numerical results.”
— Baron William Thomson Kelvin, 1871
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“manpo-kei”
万歩計
10,000 Steps?
Catrine Tudor-Locke (2003). Manpo-Kei: The Art and Science of Step Counting. Victoria, Canada: Trafford
Publishing. ISBN 1-55395-481-5.
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Health Is Social
Nicholas A. Christakis, M.D., Ph.D., M.P.H., and James H. Fowler, Ph.D.
N Engl J Med 2007; 357:370-379July 26, 2007DOI: 10.1056/NEJMsa066082
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Communicating Progress
Consolvo, S., Mcdonald, D. W., Toscos, T., Chen, M. Y., Froehlich, J., Harrison, B., … Landay, J. A. (2008). Activity Sensing in
the Wild : A Field Trial of UbiFit Garden. CHI 2008 Proceedings - Personal Health, 1797–1806.
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Physical Activity Guidelines
• Healthy Adult National Guidelines for Physical Activity
• Last revised 2008
• 62% of Americans are meeting guidelines!*
150min MVPA per week,
10min bouts
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Physical Activity in the US
• 2005 – 2006 (published 2008)
• 3,082 Adults
• Good data = 4 days,10hrs per day
• < 10% meet national guidelines
Tucker, J. M., Welk, G. J., & Beyler, N. K. (2011). Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for
Americans. American Journal of Preventive Medicine, 40(4), 454–61.
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Fitabase works with researchers and
organizations to take advantage of
the new tools of wellness.
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The New Tools
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Participant
DATA
FITABASE
Scalable cloud
technologies,
robust APIs, and
mobile connectivity
enable exciting new
models for health
research.
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Privacy
• What are identifiable / vs de-
identifiable data sets?
At what resolution?
• How immediate does data
flow? Are there moral
obligations to intervene if
something looks bad?
• How is the data capture
conveyed to participants?
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How it Works
• Give participants devices and create accounts
• Recruit current Fitbit users and authenticate
• View and Analyze Data
• Dashboard Monitoring
• Easy to Navigate Report Pages
• Reports Latest Sync & Battery Level
• Export Participant or Batch Data (.csv)
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Proudly Supporting
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Studies We Support
• Measurement
• Validity & Reliability
• Intervention Effects
• Post-Operative Care
• Pharma Trials
• Behavioral
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ClinicalTrials.gov / NIH
• 63 Currently open studies (101 registered)
o Diabetes
o Cancer
o Obesity
o Lupus
o Rehabilitation
o Osteoarthritis
o Cardiovascular Disease
o Peripheral Arterial Disease
o Weight Loss
o ….Many More!
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Yale: Fertility Study
Improving Reproductive Fitness with Pretreatment with Lifestyle
Modification in Obese Women with Unexplained Infertility: FIT-PLESE
• 7 sites around the US
• 350 Women
• Obese + Unexplained Infertility
• Effect of Exercise or Exercise + Weight Loss
• Fitbit ChargeHR + Aria Scale
• 16 Week Trial
PI: Richard S. Legro M.D.
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Harvard: Nurses Health Study 3
• Nurses Health Study
– Started in 1978; 200,000+ participants
• 500 participant subsample
• 7-days of monitoring, 4x per year
“Novel mobile technologies, such as global positioning systems (GPS) enabled
smartphones and consumer wearable accelerometry devices, can provide
efficient, rigorous, and objective measures of geographic context, physical
activity, and sleep with high spatio-temporal resolution.”
PIs: Jorge Chavarro, Peter James
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Sleep
• 32 Adolescents
• Comparing ChargeHR to Polysomnography
& Indirect Calorimetry
• Mean age: 17y/o
• Accurate for
– Total time asleep
– Time awake
– Sleep efficiency
– HR = ECG data (< 1bpm difference)
de Zambotti, M., Baker, F. C., Willoughby, A. R., Godino, J. G., Wing, D., Patrick, K., & Colrain, I.
M. (2016). Measures of sleep and cardiac functioning during sleep using a multi-sensory
commercially-available wristband in adolescents. Physiology & Behavior, 158, 143–9.
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Spine Surgery
• Post spine surgery
• Activity as measure of recovery
• Develop predictions for future patients
“We hope to integrate this into our practice so that it becomes a universal
and accepted means of evaluating patients and evaluating our outcomes
[…] we hope to make patients more involved in their own self-evaluation,
recovery and spinal health. I strongly believe that a motivated patient will
get better results.”
PIs: Zachary Smith, Christopher Ames
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Why Wearables? Why Now?
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Ernesto Ramirez, PhD
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Ernesto Ramirez, PhD
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Ernesto Ramirez, PhD
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Why Wearables? Why Now?
• Q: Why do we do what we do?
• Lack of data
• Huge Data Sample Size Potential
• 20+ million Fitbit Users
• Most existing studies < 10K
20000000
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Behavior Science + Machine Learning
Riley, Mar+n, Rivera, Hekler, et al. 2016; Mar+n, Riley, Rivera, Hekler, et al. 2014
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Future: Civic
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Future: Medical
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Future: Medical
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Precision Medicine
“Tonight, I'm launching a new
Precision Medicine Initiative to
bring us closer to curing
diseases like cancer and
diabetes — and to give all of us
access to the personalized
information we need to keep
ourselves and our families
healthier.”
President Barack Obama
State of the Union Address, 2015
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• $1 Billion in NIH funding from
2016-2020 ($210m FY2016)
• Bipartisan support
“Wearable devices can assess heart rate
and other physiological states as well as
physical activity levels. Smartphones also
could keep participants connected to the
study, providing feedback on the data they
provide as well as the aggregate data and
findings of the study."
Collins, F. S., & Varmus, H. (2015). A New Initiative on Precision
Medicine. The New England Journal of Medicine, 372, 793–795.
Precision Medicine
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We have the tools.
We have the people.
Now it’s time to turn that into GOOD.
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THANK YOU.
@aaronc aaron@fitabase.com
