Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?

Wearable cameras combined with accelerometers have been used to estimate the accuracy of children’s self-report of physical activity, health-related behaviours, and the contexts in which they occur. There were two aims to this study; the first was to validate questions regarding self-repor...

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Main Authors: Bethan Everson, Kelly A. Mackintosh, Melitta A. McNarry, Charlotte Todd, Gareth Stratton
Format: Article
Language:English
Published: MDPI AG 2019-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/6/2/20
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author Bethan Everson
Kelly A. Mackintosh
Melitta A. McNarry
Charlotte Todd
Gareth Stratton
author_facet Bethan Everson
Kelly A. Mackintosh
Melitta A. McNarry
Charlotte Todd
Gareth Stratton
author_sort Bethan Everson
collection DOAJ
description Wearable cameras combined with accelerometers have been used to estimate the accuracy of children’s self-report of physical activity, health-related behaviours, and the contexts in which they occur. There were two aims to this study; the first was to validate questions regarding self-reported health and lifestyle behaviours in 9⁻11-year-old children using the child’s health and activity tool (CHAT), an accelerometer and a wearable camera. Second, the study sought to evaluate ethical challenges associated with taking regular photographs using a wearable camera through interviews with children and their families. Fourteen children wore an autographer and hip-worn triaxial accelerometer for the waking hours of one school and one weekend day. For both of these days, children self-reported their behaviours chronologically and sequentially using the CHAT. Data were examined using limits of agreement and percentage agreement to verify if reference methods aligned with self-reported behaviours. Six parent⁻child dyads participated in interviews. Seven, five, and nine items demonstrated good, acceptable, and poor validity, respectively. This demonstrates that the accuracy of children’s recall varies according to the behaviour or item being measured. This is the first study to trial the use of wearable cameras in assessing the concurrent validity of children’s physical activity and behaviour recall, as almost all other studies have used parent proxy reports alongside accelerometers. Wearable cameras carry some ethical and technical challenges, which were examined in this study. Parents and children reported that the autographer was burdensome and in a few cases invaded privacy. This study demonstrates the importance of adhering to an ethical framework.
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spelling doaj.art-1826565dd9ea4bfab98e2136be9d10e92022-12-21T21:31:49ZengMDPI AGChildren2227-90672019-02-01622010.3390/children6020020children6020020Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?Bethan Everson0Kelly A. Mackintosh1Melitta A. McNarry2Charlotte Todd3Gareth Stratton4MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UKApplied Sports Technology Exercise and Medicine (A-STEM) Research Centre, College of Engineering, Swansea University, Bay Campus, Fabian Way, Swansea SA1 8EN, UKApplied Sports Technology Exercise and Medicine (A-STEM) Research Centre, College of Engineering, Swansea University, Bay Campus, Fabian Way, Swansea SA1 8EN, UKCollege of Medicine, Data Science Building, Swansea University, Singleton Park, Swansea SA28PP, UKApplied Sports Technology Exercise and Medicine (A-STEM) Research Centre, College of Engineering, Swansea University, Bay Campus, Fabian Way, Swansea SA1 8EN, UKWearable cameras combined with accelerometers have been used to estimate the accuracy of children’s self-report of physical activity, health-related behaviours, and the contexts in which they occur. There were two aims to this study; the first was to validate questions regarding self-reported health and lifestyle behaviours in 9⁻11-year-old children using the child’s health and activity tool (CHAT), an accelerometer and a wearable camera. Second, the study sought to evaluate ethical challenges associated with taking regular photographs using a wearable camera through interviews with children and their families. Fourteen children wore an autographer and hip-worn triaxial accelerometer for the waking hours of one school and one weekend day. For both of these days, children self-reported their behaviours chronologically and sequentially using the CHAT. Data were examined using limits of agreement and percentage agreement to verify if reference methods aligned with self-reported behaviours. Six parent⁻child dyads participated in interviews. Seven, five, and nine items demonstrated good, acceptable, and poor validity, respectively. This demonstrates that the accuracy of children’s recall varies according to the behaviour or item being measured. This is the first study to trial the use of wearable cameras in assessing the concurrent validity of children’s physical activity and behaviour recall, as almost all other studies have used parent proxy reports alongside accelerometers. Wearable cameras carry some ethical and technical challenges, which were examined in this study. Parents and children reported that the autographer was burdensome and in a few cases invaded privacy. This study demonstrates the importance of adhering to an ethical framework.https://www.mdpi.com/2227-9067/6/2/20wearable camerasautographerchild’s health and activity tool (CHAT)health and lifestyle behavioursparent-child dyadobservationself-reportprevious day recall
spellingShingle Bethan Everson
Kelly A. Mackintosh
Melitta A. McNarry
Charlotte Todd
Gareth Stratton
Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
Children
wearable cameras
autographer
child’s health and activity tool (CHAT)
health and lifestyle behaviours
parent-child dyad
observation
self-report
previous day recall
title Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
title_full Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
title_fullStr Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
title_full_unstemmed Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
title_short Can Wearable Cameras Be Used to Validate School-Aged Children’s Lifestyle Behaviours?
title_sort can wearable cameras be used to validate school aged children s lifestyle behaviours
topic wearable cameras
autographer
child’s health and activity tool (CHAT)
health and lifestyle behaviours
parent-child dyad
observation
self-report
previous day recall
url https://www.mdpi.com/2227-9067/6/2/20
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