CoCa – Comorbid Conditions of Attention Deficit/Hyperactive Disorders.

An m-health innovation enabled by movisens

The CoCa-Project involves the implementation and piloting of an "m-Health" (mobile-health) platform for participants with ADHD. It aims to observe and promote the chronobiological rhythm and physical activity levels in people with attention-deficit hyperactivity disorder (ADHD), and it's comorbid disease factors.

A European collaboration of researchers have set out to understand the associated diseases prevalent with ADHD. They're studying the features and physical functions in adolescents and young adults with ADHD to better understand it's associated diseases. They'll seek new ways to treat ADHD and help prevent these concomitant diseases.

In conjunction with movisens GmbH, KIT's Institute for Sport and Sports Science developed an m-Health system as part of the CoCA project. The system generates individualized feedback, sending daily reminders to the participants related to their treatment. The system also monitors and increases participant's adherence to their current treatment plan, motivating them to perform the intervention's exercises and the light therapy.

Incorporating Physiological Data

The m-Health system includes classic e-diary components, monitors the therapy delivery, and presents video clips as exercise modules. The study also tracks the physiological data, recorded via the wrist worn Light and activity sensor - LightMove 3. This sensor provides valuable objective data for analysis and assists in the interventions.

An m-health intervention

Incorporating the sensor allows for an innovative m-health intervention. Whilst the sensor records the data for future analysis, it simultaneously calculates and transmits physiological data via Bluetooth smart to the participants smartphone. From there, it's uploaded to a server and processed in real time. Through this innovation, the m-health system generates motivational feedback on the activities performed and transmits them to the participant's smartphone. An innovative ecological momentary assessment study, AND intervention.

The CoCA-Project provided movisens a unique opportunity to demonstrate the complex capabilities of our experience sampling platform. Enlisting movisens' experience with EMA study design, combined with their expertise in physiological sensors enabled the research team to focus on finding the answers that they seek.

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 667302.

Interactive Ambulatory Assessment – Project

Dr. Verkuil & Dr. Brosschot from Leiden University will use heart rate variability (HRV) to investigate the impact of psychological stress on physiological stress. It is therefore important to measure the psychological stress at moments when people are also likely to be physiologically stressed. In their project, all periods of HRV that are not explained by physical activity will be detected. Each non-metabolic induced HRV decrease period will trigger a smartphone app that asks subjects to indicate what they are currently thinking and doing and how they are currently feeling. The aim of this study is to test if stress cognition is increased during periods of HRV decrease compared to random neutral episodes. Leiden University realizes this highly innovative project using movisens ecgMove 3 and movisensXS.