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Updated: Jun 12, 2025

Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
Remote data collection of infant activity and sleep patterns via wearable sensors in the HEALthy Brain and Child
Nicolò Pini1, William P Fifer2, Jinseok Oh3
1Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA; Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, NY, USA.
Insights
The HEALthy Brain and Child Development (HBCD) Study uses wearable sensors to remotely collect infant activity and sleep data. This approach enhances understanding of early experiences
Area of Science:
- Neuroscience and Developmental Psychology
- Human Development Research
- Biomedical Engineering and Health Technology
Background:
- The HEALthy Brain and Child Development (HBCD) Study is a large-scale, multi-site, prospective longitudinal cohort study.
- Advancements in wearable and remote sensing technologies offer new possibilities for data collection outside traditional laboratory settings.
- Understanding the impact of early life experiences on development is crucial for identifying potential health and social outcomes.
Purpose of the Study:
- To examine human brain, cognitive, behavioral, social, and emotional development from prenatal stages through early childhood.
- To leverage wearable technologies for remote data collection on infant activity and sleep patterns within natural environments.
- To detail the framework guiding the study's design, data collection protocols, and the development of publicly available data derivatives.
Main Methods:
- Utilized wearable sensors to remotely measure infant activity (leg movements) and sleep (heart rate and leg movements).
- Employed a decision-making framework to establish the study design, data collection protocol, and derivative data generation.
- Examined challenges related to technology adoption, data management, participant privacy, and participant burden.
Main Results:
- Successfully illustrated the collection of infant activity and sleep data using wearable technologies in a naturalistic setting.
- Developed a comprehensive data collection protocol and derivative datasets for public dissemination.
- Identified and discussed practical challenges and limitations in wearable sensor data collection and analysis.
Conclusions:
- Wearable technologies provide a viable method for remote, in-home data collection in large developmental studies.
- The HBCD Study's approach offers a robust framework for integrating novel technologies into developmental research.
- Further research is needed to address validation, device comparability, and the impact of evolving sensor technology.
Abstract:
The HEALthy Brain and Child Development (HBCD) Study, a multi-site prospective longitudinal cohort study, will examine human brain, cognitive, behavioral, social, and emotional development beginning prenatally and planned through early childhood. Wearable and remote sensing technologies have advanced data collection outside of laboratory settings to enable exploring, in more detail, the associations of early experiences with brain development and social and health outcomes. In the HBCD Study, the Novel Technology/Wearable Sensors Working Group (WG-NTW) identified two primary data types to be collected: infant activity (by measuring leg movements) and sleep (by measuring heart rate and leg movements). These wearable technologies allow for remote collection in the natural environment. This paper illustrates the collection of such data via wearable technologies and describes the decision-making framework, which led to the currently deployed study design, data collection protocol, and derivatives, which will be made publicly available. Moreover, considerations regarding actual and potential challenges to adoption and use, data management, privacy, and participant burden were examined. Lastly, the present limitations in the field of wearable sensor data collection and analysis will be discussed in terms of extant validation studies, the difficulties in comparing performance across different devices, and the impact of evolving hardware/software/firmware.
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