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Background: Emerging interventions that rely on and harness variability in behavior to adapt to individual performance over time may outperform interventions that prescribe static goals (e.g., 10,000 steps/day). The purpose of this factorial trial was to compare adaptive vs. static goal setting and immediate vs. delayed, non-contingent financial rewards for

Background: Emerging interventions that rely on and harness variability in behavior to adapt to individual performance over time may outperform interventions that prescribe static goals (e.g., 10,000 steps/day). The purpose of this factorial trial was to compare adaptive vs. static goal setting and immediate vs. delayed, non-contingent financial rewards for increasing free-living physical activity (PA).

Methods: A 4-month 2 × 2 factorial randomized controlled trial tested main effects for goal setting (adaptive vs. static goals) and rewards (immediate vs. delayed) and interactions between factors to increase steps/day as measured by a Fitbit Zip. Moderate-to-vigorous PA (MVPA) minutes/day was examined as a secondary outcome.

Results: Participants (N = 96) were mainly female (77%), aged 41 ± 9.5 years, and all were insufficiently active and overweight/obese (mean BMI = 34.1 ± 6.2). Participants across all groups increased by 2389 steps/day on average from baseline to intervention phase (p < .001). Participants receiving static goals showed a stronger increase in steps per day from baseline phase to intervention phase (2630 steps/day) than those receiving adaptive goals (2149 steps/day; difference = 482 steps/day, p = .095). Participants receiving immediate rewards showed stronger improvement (2762 step/day increase) from baseline to intervention phase than those receiving delayed rewards (2016 steps/day increase; difference = 746 steps/day, p = .009). However, the adaptive goals group showed a slower decrease in steps/day from the beginning of the intervention phase to the end of the intervention phase (i.e. less than half the rate) compared to the static goals group (−7.7 steps vs. -18.3 steps each day; difference = 10.7 steps/day, p < .001) resulting in better improvements for the adaptive goals group by study end. Rate of change over the intervention phase did not differ between reward groups. Significant goal phase x goal setting x reward interactions were observed.

Conclusions: Adaptive goals outperformed static goals (i.e., 10,000 steps) over a 4-month period. Small immediate rewards outperformed larger, delayed rewards. Adaptive goals with either immediate or delayed rewards should be preferred for promoting PA.

ContributorsAdams, Marc (Author) / Hurley, Jane (Author) / Todd, Michael (Author) / Bhuiyan, Nishat (Author) / Jarrett, Catherine (Author) / Tucker, Wesley (Author) / Hollingshead, Kevin (Author) / Angadi, Siddhartha (Author) / College of Health Solutions (Contributor)
Created2017-03-29
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Description

Periodicities (repeating patterns) are observed in many human behaviors. Their strength may capture untapped patterns that incorporate sleep, sedentary, and active behaviors into a single metric indicative of better health. We present a framework to detect periodicities from longitudinal wrist-worn accelerometry data. GENEActiv accelerometer data were collected from 20 participants

Periodicities (repeating patterns) are observed in many human behaviors. Their strength may capture untapped patterns that incorporate sleep, sedentary, and active behaviors into a single metric indicative of better health. We present a framework to detect periodicities from longitudinal wrist-worn accelerometry data. GENEActiv accelerometer data were collected from 20 participants (17 men, 3 women, aged 35–65) continuously for 64.4±26.2 (range: 13.9 to 102.0) consecutive days. Cardiometabolic risk biomarkers and health-related quality of life metrics were assessed at baseline. Periodograms were constructed to determine patterns emergent from the accelerometer data. Periodicity strength was calculated using circular autocorrelations for time-lagged windows. The most notable periodicity was at 24 h, indicating a circadian rest-activity cycle; however, its strength varied significantly across participants. Periodicity strength was most consistently associated with LDL-cholesterol (r’s = 0.40–0.79, P’s < 0.05) and triglycerides (r’s = 0.68–0.86, P’s < 0.05) but also associated with hs-CRP and health-related quality of life, even after adjusting for demographics and self-rated physical activity and insomnia symptoms. Our framework demonstrates a new method for characterizing behavior patterns longitudinally which captures relationships between 24 h accelerometry data and health outcomes.

ContributorsBuman, Matthew (Author) / Hu, Feiyan (Author) / Newman, Eamonn (Author) / Smeaton, Alan F. (Author) / Epstein, Dana R. (Author) / College of Health Solutions (Contributor)
Created2016-01-04
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Description

Background: Falls are a major public health concern in older adults. Recent fall prevention guidelines recommend the use of multifactorial fall prevention programs (FPPs) that include exercise for community-dwelling older adults; however, the availability of sustainable, community-based FPPs is limited.

Methods: We conducted a 24-week quasi-experimental study to evaluate the efficacy

Background: Falls are a major public health concern in older adults. Recent fall prevention guidelines recommend the use of multifactorial fall prevention programs (FPPs) that include exercise for community-dwelling older adults; however, the availability of sustainable, community-based FPPs is limited.

Methods: We conducted a 24-week quasi-experimental study to evaluate the efficacy of a community-based, multifactorial FPP [Stay in Balance (SIB)] on dynamic and functional balance and muscular strength. The SIB program was delivered by allied health students and included a health education program focused on fall risk factors and a progressive exercise program emphasizing lower-extremity strength and balance. All participants initially received the 12-week SIB program, and participants were non-randomly assigned at baseline to either continue the SIB exercise program at home or as a center-based program for an additional 12 weeks. Adults aged 60 and older (n = 69) who were at-risk of falling (fall history or 2+ fall risk factors) were recruited to participate. Mixed effects repeated measures using Statistical Application Software Proc Mixed were used to examine group, time, and group-by-time effects on dynamic balance (8-Foot Up and Go), functional balance (Berg Balance Scale), and muscular strength (30 s chair stands and 30 s arm curls). Non-normally distributed outcome variables were log-transformed.

Results: After adjusting for age, gender, and body mass index, 8-Foot Up and Go scores, improved significantly over time [F(2,173) = 8.92, p = 0.0; T0 − T2 diff = 1.2 (1.0)]. Berg Balance Scores [F(2,173) = 29.0, p < 0.0001; T0 − T2 diff = 4.96 (0.72)], chair stands [F(2,171) = 10.17, p < 0.0001; T0 − T2 diff = 3.1 (0.7)], and arm curls [F(2,171) = 12.7, p < 0.02; T0 − T2 diff = 2.7 (0.6)] also all improved significantly over time. There were no significant group-by-time effects observed for any of the outcomes.

Conclusion: The SIB program improved dynamic and functional balance and muscular strength in older adults at-risk for falling. Our findings indicate continuing home-based strength and balance exercises at home after completion of a center-based FPP program may be an effective and feasible way to maintain improvements in balance and strength parameters.

ContributorsDer Ananian, Cheryl (Author) / Mitros, Melanie (Author) / Buman, Matthew (Author) / College of Health Solutions (Contributor)
Created2017-02-27
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Description

The estimation of energy demand (by power plants) has traditionally relied on historical energy use data for the region(s) that a plant produces for. Regression analysis, artificial neural network and Bayesian theory are the most common approaches for analysing these data. Such data and techniques do not generate reliable results.

The estimation of energy demand (by power plants) has traditionally relied on historical energy use data for the region(s) that a plant produces for. Regression analysis, artificial neural network and Bayesian theory are the most common approaches for analysing these data. Such data and techniques do not generate reliable results. Consequently, excess energy has to be generated to prevent blackout; causes for energy surge are not easily determined; and potential energy use reduction from energy efficiency solutions is usually not translated into actual energy use reduction. The paper highlights the weaknesses of traditional techniques, and lays out a framework to improve the prediction of energy demand by combining energy use models of equipment, physical systems and buildings, with the proposed data mining algorithms for reverse engineering. The research team first analyses data samples from large complex energy data, and then, presents a set of computationally efficient data mining algorithms for reverse engineering. In order to develop a structural system model for reverse engineering, two focus groups are developed that has direct relation with cause and effect variables. The research findings of this paper includes testing out different sets of reverse engineering algorithms, understand their output patterns and modify algorithms to elevate accuracy of the outputs.

ContributorsNaganathan, Hariharan (Author) / Chong, Oswald (Author) / Ye, Long (Author) / Ira A. Fulton School of Engineering (Contributor)
Created2015-12-09
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Description

Small and medium office buildings consume a significant parcel of the U.S. building stock energy consumption. Still, owners lack resources and experience to conduct detailed energy audits and retrofit analysis. We present an eight-steps framework for an energy retrofit assessment in small and medium office buildings. Through a bottom-up approach

Small and medium office buildings consume a significant parcel of the U.S. building stock energy consumption. Still, owners lack resources and experience to conduct detailed energy audits and retrofit analysis. We present an eight-steps framework for an energy retrofit assessment in small and medium office buildings. Through a bottom-up approach and a web-based retrofit toolkit tested on a case study in Arizona, this methodology was able to save about 50% of the total energy consumed by the case study building, depending on the adopted measures and invested capital. While the case study presented is a deep energy retrofit, the proposed framework is effective in guiding the decision-making process that precedes any energy retrofit, deep or light.

ContributorsRios, Fernanda (Author) / Parrish, Kristen (Author) / Chong, Oswald (Author) / Ira A. Fulton School of Engineering (Contributor)
Created2016-05-20
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Description

Commercial buildings’ consumption is driven by multiple factors that include occupancy, system and equipment efficiency, thermal heat transfer, equipment plug loads, maintenance and operational procedures, and outdoor and indoor temperatures. A modern building energy system can be viewed as a complex dynamical system that is interconnected and influenced by external

Commercial buildings’ consumption is driven by multiple factors that include occupancy, system and equipment efficiency, thermal heat transfer, equipment plug loads, maintenance and operational procedures, and outdoor and indoor temperatures. A modern building energy system can be viewed as a complex dynamical system that is interconnected and influenced by external and internal factors. Modern large scale sensor measures some physical signals to monitor real-time system behaviors. Such data has the potentials to detect anomalies, identify consumption patterns, and analyze peak loads. The paper proposes a novel method to detect hidden anomalies in commercial building energy consumption system. The framework is based on Hilbert-Huang transform and instantaneous frequency analysis. The objectives are to develop an automated data pre-processing system that can detect anomalies and provide solutions with real-time consumption database using Ensemble Empirical Mode Decomposition (EEMD) method. The finding of this paper will also include the comparisons of Empirical mode decomposition and Ensemble empirical mode decomposition of three important type of institutional buildings.

ContributorsNaganathan, Hariharan (Author) / Chong, Oswald (Author) / Huang, Zigang (Author) / Cheng, Ying (Author) / Ira A. Fulton School of Engineering (Contributor)
Created2016-05-20
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Description

There are many data mining and machine learning techniques to manage large sets of complex energy supply and demand data for building, organization and city. As the amount of data continues to grow, new data analysis methods are needed to address the increasing complexity. Using data from the energy loss

There are many data mining and machine learning techniques to manage large sets of complex energy supply and demand data for building, organization and city. As the amount of data continues to grow, new data analysis methods are needed to address the increasing complexity. Using data from the energy loss between the supply (energy production sources) and demand (buildings and cities consumption), this paper proposes a Semi-Supervised Energy Model (SSEM) to analyse different loss factors for a building cluster. This is done by deep machine learning by training machines to semi-supervise the learning, understanding and manage the process of energy losses. Semi-Supervised Energy Model (SSEM) aims at understanding the demand-supply characteristics of a building cluster and utilizes the confident unlabelled data (loss factors) using deep machine learning techniques. The research findings involves sample data from one of the university campuses and presents the output, which provides an estimate of losses that can be reduced. The paper also provides a list of loss factors that contributes to the total losses and suggests a threshold value for each loss factor, which is determined through real time experiments. The conclusion of this paper provides a proposed energy model that can provide accurate numbers on energy demand, which in turn helps the suppliers to adopt such a model to optimize their supply strategies.

ContributorsNaganathan, Hariharan (Author) / Chong, Oswald (Author) / Chen, Xue-wen (Author) / Ira A. Fulton Schools of Engineering (Contributor)
Created2015-09-14
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Description

Mobile devices are a promising channel for delivering just-in-time guidance and support for improving key daily health behaviors. Despite an explosion of mobile phone applications aimed at physical activity and other health behaviors, few have been based on theoretically derived constructs and empirical evidence. Eighty adults ages 45 years and

Mobile devices are a promising channel for delivering just-in-time guidance and support for improving key daily health behaviors. Despite an explosion of mobile phone applications aimed at physical activity and other health behaviors, few have been based on theoretically derived constructs and empirical evidence. Eighty adults ages 45 years and older who were insufficiently physically active, engaged in prolonged daily sitting, and were new to smartphone technology, participated in iterative design development and feasibility testing of three daily activity smartphone applications based on motivational frames drawn from behavioral science theory and evidence. An “analytically” framed custom application focused on personalized goal setting, self-monitoring, and active problem solving around barriers to behavior change. A “socially” framed custom application focused on social comparisons, norms, and support.

An “affectively” framed custom application focused on operant conditioning principles of reinforcement scheduling and emotional transference to an avatar, whose movements and behaviors reflected the physical activity and sedentary levels of the user. To explore the applications' initial efficacy in changing regular physical activity and leisure-time sitting, behavioral changes were assessed across eight weeks in 68 participants using the CHAMPS physical activity questionnaire and the Australian sedentary behavior questionnaire. User acceptability of and satisfaction with the applications was explored via a post-intervention user survey. The results indicated that the three applications were sufficiently robust to significantly improve regular moderate-to-vigorous intensity physical activity and decrease leisure-time sitting during the 8-week behavioral adoption period. Acceptability of the applications was confirmed in the post-intervention surveys for this sample of midlife and older adults new to smartphone technology. Preliminary data exploring sustained use of the applications across a longer time period yielded promising results. The results support further systematic investigation of the efficacy of the applications for changing these key health-promoting behaviors.

ContributorsKing, Abby C. (Author) / Hekler, Eric (Author) / Greico, Lauren A. (Author) / Winter, Sandra J. (Author) / Sheats, Jylana L. (Author) / Buman, Matthew (Author) / Banerjee, Banny (Author) / Robinson, Thomas N. (Author) / Cirimele, Jesse (Author) / College of Health Solutions (Contributor)
Created2013-04-25
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Description

Background: Advancements in geographic information systems over the past two decades have increased the specificity by which an individual’s neighborhood environment may be spatially defined for physical activity and health research. This study investigated how different types of street network buffering methods compared in measuring a set of commonly used built

Background: Advancements in geographic information systems over the past two decades have increased the specificity by which an individual’s neighborhood environment may be spatially defined for physical activity and health research. This study investigated how different types of street network buffering methods compared in measuring a set of commonly used built environment measures (BEMs) and tested their performance on associations with physical activity outcomes.

Methods: An internationally-developed set of objective BEMs using three different spatial buffering techniques were used to evaluate the relative differences in resulting explanatory power on self-reported physical activity outcomes. BEMs were developed in five countries using ‘sausage,’ ‘detailed-trimmed,’ and ‘detailed,’ network buffers at a distance of 1 km around participant household addresses (n = 5883).

Results: BEM values were significantly different (p < 0.05) for 96% of sausage versus detailed-trimmed buffer comparisons and 89% of sausage versus detailed network buffer comparisons. Results showed that BEM coefficients in physical activity models did not differ significantly across buffering methods, and in most cases BEM associations with physical activity outcomes had the same level of statistical significance across buffer types. However, BEM coefficients differed in significance for 9% of the sausage versus detailed models, which may warrant further investigation.

Conclusions: Results of this study inform the selection of spatial buffering methods to estimate physical activity outcomes using an internationally consistent set of BEMs. Using three different network-based buffering methods, the findings indicate significant variation among BEM values, however associations with physical activity outcomes were similar across each buffering technique. The study advances knowledge by presenting consistently assessed relationships between three different network buffer types and utilitarian travel, sedentary behavior, and leisure-oriented physical activity outcomes.

ContributorsFrank, Lawrence D. (Author) / Fox, Eric H. (Author) / Ulmer, Jared M. (Author) / Chapman, James E. (Author) / Kershaw, Suzanne E. (Author) / Sallis, James F. (Author) / Conway, Terry L. (Author) / Cerin, Ester (Author) / Cain, Kelli L. (Author) / Adams, Marc (Author) / Smith, Graham R. (Author) / Hinckson, Erica (Author) / Mavoa, Suzanne (Author) / Christiansen, Lars B. (Author) / Hino, Adriano Akira F. (Author) / Lopes, Adalberto A. S. (Author) / Schipperijn, Jasper (Author) / College of Health Solutions (Contributor)
Created2017-01-23
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Description

Background: The World Health Organization recommends strategies to improve urban design, public transportation, and recreation facilities to facilitate physical activity for non-communicable disease prevention for an increasingly urbanized global population. Most evidence supporting environmental associations with physical activity comes from single countries or regions with limited variation in urban form. This

Background: The World Health Organization recommends strategies to improve urban design, public transportation, and recreation facilities to facilitate physical activity for non-communicable disease prevention for an increasingly urbanized global population. Most evidence supporting environmental associations with physical activity comes from single countries or regions with limited variation in urban form. This paper documents variation in comparable built environment features across countries from diverse regions.

Methods: The International Physical Activity and the Environment Network (IPEN) study of adults aimed to measure the full range of variation in the built environment using geographic information systems (GIS) across 12 countries on 5 continents. Investigators in Australia, Belgium, Brazil, Colombia, the Czech Republic, Denmark, China, Mexico, New Zealand, Spain, the United Kingdom, and the United States followed a common research protocol to develop internationally comparable measures. Using detailed instructions, GIS-based measures included features such as walkability (i.e., residential density, street connectivity, mix of land uses), and access to public transit, parks, and private recreation facilities around each participant’s residential address using 1-km and 500-m street network buffers.

Results: Eleven of 12 countries and 15 cities had objective GIS data on built environment features. We observed a 38-fold difference in median residential densities, a 5-fold difference in median intersection densities and an 18-fold difference in median park densities. Hong Kong had the highest and North Shore, New Zealand had the lowest median walkability index values, representing a difference of 9 standard deviations in GIS-measured walkability.

Conclusions: Results show that comparable measures can be created across a range of cultural settings revealing profound global differences in urban form relevant to physical activity. These measures allow cities to be ranked more precisely than previously possible. The highly variable measures of urban form will be used to explain individuals’ physical activity, sedentary behaviors, body mass index, and other health outcomes on an international basis. Present measures provide the ability to estimate dose–response relationships from projected changes to the built environment that would otherwise be impossible.

ContributorsAdams, Marc (Author) / Frank, Lawrence D. (Author) / Schipperijn, Jasper (Author) / Smith, Graham (Author) / Chapman, James (Author) / Christiansen, Lars B. (Author) / Coffee, Neil (Author) / Salvo, Deborah (Author) / du Toit, Lorinne (Author) / Dygryn, Jan (Author) / Hino, Adriano Akira Ferreira (Author) / Lai, Poh-chin (Author) / Mavoa, Suzanne (Author) / Pinzon, Jose David (Author) / Van de Weghe, Nico (Author) / Cerin, Ester (Author) / Davey, Rachel (Author) / Macfarlane, Duncan (Author) / Owen, Neville (Author) / Sallis, James F. (Author) / College of Health Solutions (Contributor)
Created2014-10-25