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Yan Kestens - GPS Seminar
1. Mobilité, expositions environnementales
et santé des populations:
Méthodes et défis
Mobility, exposures and population
health:
Methods and challenges
Yan Kestens
Montreal University, Social and Preventive Medicine
Montreal Hospital University Research Center (CRCHUM)
SPHERE Lab .org
CEPS/INSTEAD, Luxembourg
22th May 2013
2. Spatial data collection for
epidemiology
• 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 mobility
and multiple exposures in epidemiological models
3. Spatial data collection for
epidemiology
• Tools to collect location information include:
– Residential history questionnaires – lifecourse
– Travel surveys – often one day of detailed mobility
– Activity space questionnaires – asking people’s
regular destinations
– Real-time tracking using GPS receivers
4. Spatial data used in health research
Place of
residence /
Residential
history
8. Spatial data used in health research
Attribute data:
Frequency
Attachment
Perception
Travel mode
Constraints
With whom
Etc.
9. VERITAS, an online mapping
questionnaire
• 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 the
process and increase validity (Openstreetmap,
Google Map, etc.)
10. VERITAS
A series of questions which can be answered on a map
through creation of:
– A point location (marker)
– A line (polyline)
– An area (polygon)
Map searching capabilities / streetview
functionalities can help identifying known
locations/destinations.
12. VERITAS RECORD
• Illustration: VERITAS in the RECORD Study
• RECORD Study: Large Paris area cohort on Cardiovascular
health (n = 8,000)
• Wave 1 in 2007-2008, Wave 2 in 2012-2014
• VERITAS RECORD administered to some 4,800 participants as
of today
• 27 spatial questions including destinations for food shopping,
sport activities, leisure, friends, family, etc.
• Over 65,000 locations collected – Median of 14 locations
collected per participant
• Median completion time of 20 minutes
14. VERITAS RECORD
• Rich spatial information on regular destinations which can
serve to identify multiple environmental exposures and
inequalities
• Spatial information transformed into spatial indicators to feed
epidemiological models (Activity space size, maximum
distance, concentration etc.) (Camille Perchoux, Ph.D.
candidate)
• Interesting information to monitor spatial health inequalities,
mobility behaviour and guide intervention in the distribution
of resources/infrastructures
15. A multisensor platform for real-time
tracking
• Self-reported locations vs. objective measures
• Multisensor device for tracking of:
– Mobility (GPS, RFID)
– Physical activity (Accelerometer)
– Physiology (Various sensors)
25. SenseDoc Multisensor Device
CAPTURE
Accelerometer
Marie-Lyse Bélanger, M.Sc. Student in kinesiology
Accelerometer validation using indirect calorimetry
Lab – 14 controlled exercises from sedentary to vigouros PA
Eleven adult subjects
Calculation of Vertical Magnitude Acceleration (VMAG)
Testing of various bandpass filters
Comparison with Actigraph GT3X performence
Best results obtained with Bandpass filter 0.1 Hz – 3.5 Hz
Modelling of Energy Expenditure: Adj. R-square of .79
Use of Vector Body Dynamic Acceleration (VEDBA)
26. SenseDoc Multisensor Device
CAPTURE
Battery life
Strong battery (3200 mAh)
Axelle Chevallier, M.Sc. Student in
Electrical Engineering
Mohamad Sawan, Professor,
Electrical Engineering
Battery optimisation algorithm
- Movement
- Location and movement
28. SenseDoc Multisensor Device
CAPTURE
Data transmission
GPS Data sent over the air (cellphone network) every 30 minutes
Possible alerts depending on
- Location
- Activity
- Time
Connection to other sensors (2.4 GHz ANT+) Heart rate monitor,
footpod, RFID tags, etc.
29. Issues in data processing
PROCES
SING
Transforming raw GPS data into meaningful and useful
information, combining with accelerometry
- ‘Putting things into context’
- Activity locations
- Trips between locations
SPHERELAB GPS
ARCTOOLBOX
www.spherelab.org/tools
30. Issues in data processing
PROCES
SING
Activity location detection kernel-based algorithm
Thierry et al. (2013) IJHG
Aft Akd
(a)Meannumberofstopsfoundp
*10m radius missing
31. Issues in data processing
PROCES
SING
Activity location detection kernel-based algorithm
Thierry et al. (2013) IJHG
Aft Akd
(a)Meannumberofstopsfoundp
*10m radius missing
(a)Meannumberofstopsfou(b)Meandistancetotruestop
o
*10m radius missing
*10m radius missing
32. Issues in data processing
PROCES
SING
Activity location detection kernel-based algorithm
Thierry et al. (2013) IJHG
Aft Akd
(a)Meannumberofstopsfoundstop
*10m radius missing
(b)Meandistancetotru
(c)Averagetimediff.relativeto
truestopduration
*10m radius missing
Noise categories Noise categories
33. Usage
Using GPS/Accel to locate behaviour and assess exposure
Improve the understanding of mechanisms linking
environments to health behaviours and profiles
Use GPS to prompt recall and gain additional insight
Use GPS to support qualitative studies (go-along, geo-
ethnography, geo-tagged photos, environmental
perception, etc.)
Use GPS/Accel data to assist clinical practice (mHealth)
USAGE
34. UsageUSAGE
RECORD GPS Study, Paris
191 participants wearing GPS & Accelerometer for 7 days
Estimates of:
• Number of steps walked
• Energy expenditure
• Moderate to Vigorous physical activity
• Sedentary time
Analyses possible at the trip level and by travel mode
35. UsageUSAGE
During wear time, transportation was responsible for:
• 39% of steps walked
• 32% of total energy expenditure
• 33% of MVPA
• 15% of sedentary time
38. Spherelab GPS studies
RECORD-GPS Study, Paris, Basile Chaix
BIXI bikesharing study, Montreal, Lise Gauvin
Ste-Justine CIRCUIT Pediatric Intervention, Montréal, Mélanie
Henderson
Novel Real-Time Measurement of Physical Activity Patterns in Type 2
Diabetes and Hypertension through GPS Monitoring and Accelerometry,
Kaberi Dasgupta
Healthy Aging in Urban Environments, Montreal, Paris, Luxembourg; Yan
Kestens, Basile Chaix, Philippe Gerber
39. CURHA Project
Develop an international platform and research
agenda to collect and analyse detailed data on daily
mobility and health outcomes among older adults
living in contrasted urban settings
Use of novel methods to capture daily mobility to
better understand interactions between
environments, mobility and health
40. Objectives
Provide evidence about how characteristics of urban
environments relate to active mobility and social
participation
Disentangle the complex people-environment
interactions that link urban local contexts healthy
aging
41. Methods
Trois cohortes, 450 participants par site:
Montréal/Sherbrooke: Cohorte NuAge
Paris: Cohorte RECORD
Luxembourg: Nouvelle cohorte avec SHARE
42. Methods
VERITAS
(Questionnaire on
regular destinations)
VERITAS
(Questionnaire on
regular destinations)
Canada LuxembourgFrance
Existing
questionnaires (ex:
individual SES)
Existing
questionnaires (ex:
individual SES)
Existing
questionnaires (ex:
individual SES)
Novel GPS/Accelerometry mobility protocol
Novel qualitative assessment of place experience
Existing GIS Existing GIS Existing GIS
NOVEL PROCEDURES TO BE
SHARED AND APPLIED TO
ALL SETTINGS, DRAWING
ON EXISTING EXPERTISE IN
DIFFERENT SETTINGS
EXAMPLES OF EXISTING
COMMON RESSOURCES IN
ALL SETTINGS (Need for
cross-validation of DB to
ensure comparability)
VERITAS
QUESTIONNAIRE
(Activity spaces)
EXAMPLES OF
EXPERTISE/TOOLS EXISTING
IN ONE SETTING TO BE
EXTENDED TO OTHER
SETTINGS
MULTISENSOR
PLATFORM
MULTISENSOR
PLATFORM
MULTISENSOR DEVICE
AND SERVER
PLATFORM
QUALITATIVE
ASSESSMENT OF
MOBILITY
QUALITATIVE
ASSESSMENT OF
MOBILITY
QUALITATIVE
ASSESSMENT OF
MOBILITY
TOOLS/PROCEDURES SHARING CONFIGURATIONS
Novel spatio-temporal modelling
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’ experiences
and meanings of his/her activity space, mobility, and
home territories.
44. Data
Behavioural outcomes of focus:
• Active living (including active transportation, walking
and sedentary behaviour)
• Social participation
• Spatial behaviour (activity space, modes of
transportation, relation to places)
GIS for environmental exposure measures
45. Analyses
Liens entre contextes urbains (SIG), mobilité, activité
physique, participation sociale
46. Conclusion
“Design for the young, and you
exclude the old;
design for the old and you
include everyone”
Bernard Isaacs, in G. Miller, G. Harris and I. Ferguson,
“Mobility Under Attack”.