Evaluating commercially available wireless cardiovascular monitors for measuring and transmitting real-time physiological responses in children with autism.
Evaluating commercially available wireless cardiovascular monitors for measuring and transmitting real-time physiological responses in children with autism.
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DOI：
10.1002/aur.2633
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发表时间：
2022-01
期刊：
影响因子：
4.7
通讯作者：
Herrington, John D.
中科院分区：
文献类型：
--
作者：
Nuske, Heather J.;Goodwin, Matthew S.;Kushleyeva, Yelena;Forsyth, Daniel;Pennington, Jeffrey W.;Masino, Aaron J.;Finkel, Emma;Bhattacharya, Anushua;Tan, Jessica;Tai, Hungtzu;Atkinson-Diaz, Zabryna;Bonafide, Christopher P.;Herrington, John D.
关键词：
商用可穿戴生物传感器有可能通过在自然环境中进行压力或唤醒监测来加强自闭症的心理生理学研究和数字健康技术。然而，由于感觉敏感性，这种监视器对于患有自闭症的儿童可能不舒服。为了确定可穿戴技术在8- 12岁自闭症儿童中的可行性，我们首先选择了6个消费级无线心血管监测器，并在23个典型发育成人的休息和运动条件下对其进行了测试。随后，在32名自闭症儿童和23名典型发育儿童中评估了表现最好的监测器（基于数据质量鲁棒性统计），Polar和Mio Round，为期两小时，包括休息和轻度压力诱导任务。使用定制软件在监护仪上同时记录心血管数据。我们对儿童进行了舒适度评定量表。虽然Polar显示器对自闭症儿童的舒适度低于正常发育的儿童，但绝对分数表明，平均而言，所有儿童都认为每个显示器都很舒适。对于大多数儿童，来自Mio ™（96-100%）和Polar（83-96%）的数据通过了数据稳健性的质量阈值。此外，在相对于休息条件的应激条件下，Polar的心率增加，F（1，53）=135.70，p<.001，ηp2=.78，Mio的心率增加，F（1，53）=71.98，p<.001，ηp2=.61，Polar的心率变异性降低，F（1，53）=13.41，p=.001，ηp2=.26，Mio和Mio，F（1，53）=8.89，p= 0.005，ηp2= 0.16。这项可行性研究表明，选择消费级可穿戴心血管监测器可用于自闭症儿童，并可能是一种有前途的手段，用于跟踪生理压力或唤醒反应在社区设置。商用心率追踪器有可能推进自闭症患者的压力研究。由于自闭症患者常见的感官敏感性，他们舒适地佩戴此类追踪器对于收集稳健且有效的数据至关重要。在评估了六个典型发育成人的跟踪器后，我们在典型发育儿童和自闭症儿童中测试了最好的跟踪器（基于数据质量），发现其中两个符合舒适性，鲁棒性和有效性的标准。
Commercially available wearable biosensors have the potential to enhance psychophysiology research and digital health technologies for autism by enabling stress or arousal monitoring in naturalistic settings. However, such monitors may not be comfortable for children with autism due to sensory sensitivities. To determine the feasibility of wearable technology in children with autism age 8–12yrs, we first selected six consumer-grade wireless cardiovascular monitors and tested them during rest and movement conditions in 23 typically developing adults. Subsequently, the best performing monitors (based on data quality robustness statistics), Polar and Mio Fuse, were evaluated in 32 children with autism and 23 typically developing children during a two-hour session, including rest and mild stress-inducing tasks. Cardiovascular data were recorded simultaneously across monitors using custom software. We administered the Comfort Rating Scales to children. Although the Polar monitor was less comfortable for children with autism than typically developing children, absolute scores demonstrated that, on average, all children found each monitor comfortable. For most children, data from the Mio Fuse (96–100%) and Polar (83–96%) passed quality thresholds of data robustness. Moreover, in the stress relative to rest condition, heart rate increased for the Polar, F(1,53)=135.70, p<.001, ηp2=.78, and Mio Fuse, F(1,53)=71.98, p<.001, ηp2=.61, respectively, and heart rate variability decreased for the Polar, F(1,53)=13.41, p=.001, ηp2=.26, and Mio Fuse, F(1,53)=8.89, p=.005, ηp2=.16, respectively. This feasibility study suggests that select consumer-grade wearable cardiovascular monitors can be used with children with autism and may be a promising means for tracking physiological stress or arousal responses in community settings. Commercially available heart rate trackers have the potential to advance stress research with individuals with autism. Due to sensory sensitivities common in autism, their comfort wearing such trackers is vital to gathering robust and valid data. After assessing six trackers with typically developing adults, we tested the best trackers (based on data quality) in typically developing children and children with autism and found that two of them met criteria for comfort, robustness, and validity.
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