Discriminating cocaine use from other sympathomimetics using wearable electrocardiographic (ECG) sensors.

BACKGROUND: Our group has established the feasibility of using on-body electrocardiographic (ECG) sensors to detect cocaine use in the human laboratory. The purpose of the current study was to test whether ECG sensors and features are capable of discriminating cocaine use from other non-cocaine sympathomimetics. METHODS: Eleven subjects with cocaine use disorder wore the Zephyr BioHarness™ 3 chest band under six experimental (drug and non-drug) conditions, including 1) laboratory, intravenous cocaine self-administration, 2) after a single oral dose of methylphenidate, 3) during aerobic exercise, 4) during tobacco use (N=7 who smoked tobacco), and 5) during routine activities of daily inpatient living (unit activity). Three ECG-derived feature sets served as primary outcome measures, including 1) the RR interval (i.e., heart rate), 2) a group of ECG interval proxies (i.e., PR, QS, QT and QTc intervals), and 3) the full ECG waveform. Discriminatory power between cocaine and non-cocaine conditions for each of the three outcomes measures was expressed as the area under the receiver operating characteristics (AUROC) curve. RESULTS: All three outcomes successfully discriminated cocaine use from unit activity, exercise, tobacco, and methylphenidate conditions with a mean AUROC values ranging from 0.66 to 0.99 and with least squares means values all statistically different/higher than 0.5 among all subjects [F(3, 99) = 3.38, p =0.02] and among those with tobacco use [F(4, 84) = 5.39, p = 0.0007]. CONCLUSIONS: These preliminary results support discriminatory power of wearable ECG sensors for detecting cocaine use.

RisQ: Recognizing Smoking Gestures with Inertial Sensors on a Wristband.

Smoking-induced diseases are known to be the leading cause of death in the United States. In this work, we design RisQ, a mobile solution that leverages a wristband containing a 9-axis inertial measurement unit to capture changes in the orientation of a person's arm, and a machine learning pipeline that processes this data to accurately detect smoking gestures and sessions in real-time. Our key innovations are fourfold: a) an arm trajectory-based method that extracts candidate hand-to-mouth gestures, b) a set of trajectory-based features to distinguish smoking gestures from confounding gestures including eating and drinking, c) a probabilistic model that analyzes sequences of hand-to-mouth gestures and infers which gestures are part of individual smoking sessions, and d) a method that leverages multiple IMUs placed on a person's body together with 3D animation of a person's arm to reduce burden of self-reports for labeled data collection. Our experiments show that our gesture recognition algorithm can detect smoking gestures with high accuracy (95.7%), precision (91%) and recall (81%). We also report a user study that demonstrates that we can accurately detect the number of smoking sessions with very few false positives over the period of a day, and that we can reliably extract the beginning and end of smoking session periods.