Webcam technology on neonatal wards-examining the objective and subjective workload of nurses: a combined observational and survey study.

BACKGROUND: This study was conducted to estimate the additional objective and perceived workload of nurses resulting from the use of webcams. The successful implementation of webcam technology into routine care requires an analysis to prevent adverse events of increased nursing workload. METHODS: The study took place on three neonatal wards in two University Hospitals in Germany. In the first Hospital, the study was conducted from February to July 2021; in the second one it was conducted between June and November 2021. Data were collected using a combined approach of a standardised diary questionnaire study and passive observations. The participants were accompanied in their daily work and their activities were recorded 65 nurses participated. RESULTS: 2,031 h were observed in 1,630 observation blocks. In 14.74% of the observation blocks webcam activities were detected. The extent to which the nurses had webcam-related additional workloads was rated as no additional workload in 82.16% of the daily questionnaires (n = 1,026). CONCLUSION: The observed low workload due to the webcams is in line with the nurses' perception. The observational data revealed, on a number of different analysis levels, that a limited additional workload was generated. There was no decrease in activity performance observed and no clear indication for interruptions due to the webcam-related activities for the nurses. However, it is important to raise awareness about the individual workload levels for the successful implementation. Additional education programs can be provided for nurses. TRIAL REGISTRATION: The Neo-CamCare study is registered at the German Clinical Trials Register. DRKS-ID: DRKS00017755 .

Exploration of factors affecting webcam-based automated gaze coding.

Online experiments have been transforming the field of behavioral research, enabling researchers to increase sample sizes, access diverse populations, lower the costs of data collection, and promote reproducibility. The field of developmental psychology increasingly exploits such online testing approaches. Since infants cannot give explicit behavioral responses, one key outcome measure is infants' gaze behavior. In the absence of automated eyetrackers in participants' homes, automatic gaze classification from webcam data would make it possible to avoid painstaking manual coding. However, the lack of a controlled experimental environment may lead to various noise factors impeding automatic face detection or gaze classification. We created an adult webcam dataset that systematically reproduced noise factors from infant webcam studies which might affect automated gaze coding accuracy. We varied participants' left-right offset, distance to the camera, facial rotation, and the direction of the lighting source. Running two state-of-the-art classification algorithms (iCatcher+ and OWLET) revealed that facial detection performance was particularly affected by the lighting source, while gaze coding accuracy was consistently affected by the distance to the camera and lighting source. Morphing participants' faces to be unidentifiable did not generally affect the results, suggesting facial anonymization could be used when making online video data publicly available, for purposes of further study and transparency. Our findings will guide improving study design for infant and adult participants during online experiments. Moreover, training algorithms using our dataset will allow researchers to improve robustness and allow developmental psychologists to leverage online testing more efficiently.

Development of webcam-collected and artificial-intelligence-derived social and cognitive performance measures for neurodevelopmental genetic syndromes.

This study focused on the development and initial psychometric evaluation of a set of online, webcam-collected, and artificial intelligence-derived patient performance measures for neurodevelopmental genetic syndromes (NDGS). Initial testing and qualitative input was used to develop four stimulus paradigms capturing social and cognitive processes, including social attention, receptive vocabulary, processing speed, and single-word reading. The paradigms were administered to a sample of 375 participants, including 163 with NDGS, 56 with idiopathic neurodevelopmental disability (NDD), and 156 neurotypical controls. Twelve measures were created from the four stimulus paradigms. Valid completion rates varied from 87 to 100% across measures, with lower but adequate completion rates in participants with intellectual disability. Adequate to excellent internal consistency reliability (α = 0.67 to 0.95) was observed across measures. Test-retest reproducibility at 1-month follow-up and stability at 4-month follow-up was fair to good (r = 0.40-0.73) for 8 of the 12 measures. All gaze-based measures showed evidence of convergent and discriminant validity with parent-report measures of other cognitive and behavioral constructs. Comparisons across NDGS groups revealed distinct patterns of social and cognitive functioning, including people with PTEN mutations showing a less impaired overall pattern and people with SYNGAP1 mutations showing more attentional, processing speed, and social processing difficulties relative to people with NFIX mutations. Webcam-collected performance measures appear to be a reliable and potentially useful method for objective characterization and monitoring of social and cognitive processes in NDGS and idiopathic NDD. Additional validation work, including more detailed convergent and discriminant validity analyses and examination of sensitivity to change, is needed to replicate and extend these observations.

How emotional are words ambiguous on the spaces of valence, origin and activation?

Not all of the stimuli that we encounter are unequivocal; some of them may be ambiguous. In a series of two experiments, we investigated how people perceive and assess the emotionality of the words ambiguous on three emotional spaces: valence (dimensions of positivity and negativity), origin (automaticity and reflectiveness), and activation (arousal and subjective significance). Using two types of measurement - behavioural and webcam-based eye tracking - we compared words of moderate and high ambiguity on each of those spaces with control (uniequivocal) words. The behavioural measurements indicated that reaction times were significantly longer for the control words than for all the ambiguous words; the emotionality of words of ambiguous valence and origin was rated as significantly lower than the control words and words of ambiguous activation. The eye-tracking measurements indicated that words of ambiguous valence and origin caused significantly more and longer eye fixations than control words and words of ambiguous activation. The results showed the visible distinctiveness of the ambiguous words compared with the control words; they also showed differences between words of various ambiguities, verifying the proposed new model for the emotional ambiguity and presenting the behavioral and eye tracking correlates for each of the three ambiguities.

Multifunctional Portable System Based on Digital Images for In-Situ Detecting of Environmental and Food Samples.

The development of a portable device created by 3D printing for colorimetric and fluorometric measurements is an efficient tool for analytical applications in situ or in the laboratory presenting a wide field of applications in the environmental and food field. This device uses a light-emitting diode (LED) as radiation source and a webcam as a detector. Digital images obtained by the interaction between the radiation source and the sample were analyzed using a programming language developed in Matlab (Mathworks Inc., Natick, MA, USA), which builds the calibration curves in real-time using the RGB colour model. In addition, the entire system is connected to a notebook which serves as an LED and detector power supply without the need for any additional power source. The proposed device was used for the determination in situ of norfloxacin, allura red, and quinine in water and beverages samples, respectively. For the validation of the developed system, the results obtained were compared with a conventional spectrophotometer and spectrofluorometer respectively with a t-test at a 95% confidence level, which provides satisfactory precision and accuracy values.

Webcam eye tracking close to laboratory standards: Comparing a new webcam-based system and the EyeLink 1000.

This paper aims to compare a new webcam-based eye-tracking system, integrated into the Labvanced platform for online experiments, to a "gold standard" lab-based eye tracker (EyeLink 1000 - SR Research). Specifically, we simultaneously recorded data with both eye trackers in five different tasks, analyzing their real-time performance. These tasks were a subset of a standardized test battery for eye trackers, including a Large Grid task, Smooth Pursuit eye movements, viewing natural images, and two Head Movements tasks (roll, yaw). The results show that the webcam-based system achieved an overall accuracy of 1.4°, and a precision of 1.1° (standard deviation (SD) across subjects), an error of about 0.5° larger than the EyeLink system. Interestingly, both accuracy (1.3°) and precision (0.9°) were slightly better for centrally presented targets, the region of interest in many psychophysical experiments. Remarkably, the correlation of raw gaze samples between the EyeLink and webcam-based was at about 90% for the Large Grid task and about 80% for Free View and Smooth Pursuit. Overall, these results put the performance of the webcam-based system roughly on par with mobile eye-tracking devices (Ehinger et al. PeerJ, 7, e7086, 2019; Tonsen et al., 2020) and demonstrate substantial improvement compared to existing webcam eye-tracking solutions (Papoutsaki et al., 2017).

OWLET: An automated, open-source method for infant gaze tracking using smartphone and webcam recordings.

Groundbreaking insights into the origins of the human mind have been garnered through the study of eye movements in preverbal subjects who are unable to explain their thought processes. Developmental research has largely relied on in-lab testing with trained experimenters. This constraint provides a narrow window into infant cognition and impedes large-scale data collection in families from diverse socioeconomic, geographic, and cultural backgrounds. Here we introduce a new open-source methodology for automatically analyzing infant eye-tracking data collected on personal devices in the home. Using algorithms from computer vision, machine learning, and ecological psychology, we develop an online webcam-linked eye tracker (OWLET) that provides robust estimation of infants' point of gaze from smartphone and webcam recordings of infant assessments in the home. We validate OWLET in a large sample of 7-month-old infants (N = 127) tested remotely, using an established visual attention task. We show that this new method reliably estimates infants' point-of-gaze across a variety of contexts, including testing on both computers and mobile devices, and exhibits excellent external validity with parental-report measures of attention. Our platform fills a significant gap in current tools available for rapid online data collection and large-scale assessments of cognitive processes in infants. Remote assessment addresses the need for greater diversity and accessibility in human studies and may support the ecological validity of behavioral experiments. This constitutes a critical and timely advance in a core domain of developmental research and in psychological science more broadly.

Online eye tracking and real-time sentence processing: On opportunities and efficacy for capturing psycholinguistic effects of different magnitudes and diversity.

Online research methods have the potential to facilitate equitable accessibility to otherwise-expensive research resources, as well as to more diverse populations and language combinations than currently populate our studies. In psycholinguistics specifically, webcam-based eye tracking is emerging as a powerful online tool capable of capturing sentence processing effects in real time. The present paper asks whether webcam-based eye tracking provides the necessary granularity to replicate effects-crucially both large and small-that tracker-based eye tracking has shown. Using the Gorilla Experiment Builder platform, this study set out to replicate two psycholinguistic effects: a robust one, the verb semantic constraint effect, first reported in Altmann and Kamide,  Cognition 73(3), 247-264 (1999), and a smaller one, the lexical interference effect, first examined by Kukona et al. Journal of Experimental Psychology: Learning, Memory, and Cognition, 40(2), 326 (2014). Webcam-based eye tracking was able to replicate both effects, thus showing that its functionality is not limited to large effects. Moreover, the paper also reports two approaches to computing statistical power and discusses the differences in their outputs. Beyond discussing several important methodological, theoretical, and practical implications, we offer some further technical details and advice on how to implement webcam-based eye-tracking studies. We believe that the advent of webcam-based eye tracking, at least in respect of the visual world paradigm, will kickstart a new wave of more diverse studies with more diverse populations.

Parental preference for webcams in neonatal intensive care units: an indicator of lacking trust?

BACKGROUND: Some neonatal intensive care units offer parents webcam systems for times when they cannot be in the ward. Leaving an infant in the ward can be challenging for parents, and trust in the neonatal healthcare professionals mitigates parents' worries of not knowing how their infant is doing while they are away. If parents lack trust in the neonatal healthcare professionals, they may attempt to compensate by using webcams. In this work, we examine whether an association exists between the parental preference to use a webcam and low trust in physicians and nursing staff. METHODS: In a nationwide, retrospective cross-sectional study, parents of infants with a birth weight below 1500 g were surveyed six to 18 months after their infant's birth. Parents who were not offered a webcam system in the ward were asked whether they would have opted for it. Trust was measured by the Trust in Physician and Trust in Nursing Staff scales. RESULTS: Of the parents who were not offered a webcam, 69% would have chosen to use a webcam if they had been granted the opportunity. The decision for or against a webcam was not significantly associated with either trust in physicians (OR = 0.654, 95% CI = 0.456, 0.937, p = .124) or trust in nursing staff (OR = 1.064, 95% CI = 0.783, 1.446, p = .932). CONCLUSIONS: While the majority of parents surveyed would opt for webcam usage, this preference should not be interpreted as an indicator of lacking trust in neonatal healthcare professionals.

Evaluation of a Reinforcement Contingency to Increase University Students' Webcam Usage During Online Classroom Instructions.

During the COVID-19 pandemic, in-person classroom instruction was placed on hold and university courses transitioned to online instruction. This transition resulted in novel challenges for instructors, including reduced professor-student interactions due to limited student webcam usage. The purpose of this study was to assess the impact of a reinforcement contingency on students' use of webcams during synchronous online instruction. An alternating treatments design was used to assess the impact of a reinforcement contingency consisting of 0.5 points contingent on daily webcam usage. We also assessed the results based on how the contingency was communicated to the students (a verbal statement on the daily quiz plus a reminder on lecture slides versus a statement on the lecture slide only). The reinforcement contingency reliably increased webcam usage, but there was not a significant difference in results as a function of how the presence of the reinforcement contingency was communicated. These findings suggest that the behavior of using webcams can change with a simple reinforcement contingency.

The webcam and student engagement in synchronous online learning: visually or verbally?

Given that video conferencing serves as a crucial means for remote teaching, the current study investigated higher education students' (non)use of webcams and engagement in synchronous online courses. Three phases were studied: (1) A state of engagement; (2) antecedents that influence it; and (3) consequences of engagement. The cross-sectional online survey encompassed 3,610 students. Results indicated that visual and verbal engagement were only slightly related to each other. Structural equation modelling revealed different direct and indirect influences on either visual or verbal engagement in synchronous online higher education courses. Due to the novelty of the research scope, results of this study provide a foundation for further investigation.

Attention Test Improvements from a Cluster Randomized Controlled Trial of Caregiver Training for HIV-Exposed/Uninfected Ugandan Preschool Children.

OBJECTIVE: To report vigilance attention outcomes from a cluster randomized controlled trial of early childhood development caregiver training for perinatally HIV-exposed/uninfected preschool-age children in rural Uganda. The Early Childhood Vigilance Test (ECVT) provides a webcam recording of proportion of time a child views an animation periodically moving across a computer screen. STUDY DESIGN: Sixty mothers/caregivers received biweekly year-long training sessions of the Mediational Intervention for Sensitizing Caregivers (MISC), and 59 mothers received biweekly training about nutrition, hygiene, and health care. Children were tested for attention at baseline, 6 months, and 12 months with the ECVT, in terms of proportion of time spent viewing a 6-minute animation of animals greeting the child and moving across the computer monitor screen. Time viewing the animation were scored by trained observers using ProCoder program for webcam scoring of proportion of time the child faced the animation. Mixed-effects modeling was used to compare ECVT outcomes for the 2 intervention groups. RESULTS: Unadjusted and adjusted (for age, sex, height, and ECVT at baseline) group differences on ECVT significantly favored the MISC arm at 6 months (P = .03; 95% CI (0.01, 0.11), effect size = 0.46) but not at 12 months. Both groups made significant gains in sustained attention across the year-long intervention (P = .021) with no significant interaction effects between time and treatment arms or sex. CONCLUSIONS: Caregiver early childhood development training enhanced attention in at-risk Ugandan children, which can be foundational to improved working memory and learning, and perhaps related to previous language benefits reported for this cohort. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00889395.

Webcam use in German neonatological intensive care units: an interview study on parental expectations and experiences.

BACKGROUND: To bridge the physical distance between parents and children during a neonatal intensive care unit (NICU) stay, webcams are used in few German NICUs. They allow parents to view their infant even when they cannot be present on the ward. The aim of the study was to explore the factors for and against webcam use that parents with or without webcam use encountered. METHODS: Guideline-based, semi-structured qualitative interviews were conducted in the period from September 2019 to August 2020. Interview transcripts were analysed using a category-based content analysis. The categories were generated in a combined deductive-inductive procedure. RESULTS: We interviewed 33 mothers and seven fathers. Parents with webcam experience emphasised positive aspects concerning their webcam use. Factors that increased webcam acceptance included feeling certain about the child's well-being and an increased sense of proximity. Only a few critical voices emerged from parents who had webcam experience, e.g. regarding privacy concerns. Parents who had no experience with webcam use showed ambivalence. On the one hand, they expressed a positive attitude towards the webcam system and acknowledged that webcam use could result in feelings of control. On the other hand, reservations emerged concerning an increase of mental stress or a negative influence on parental visitation behaviour. CONCLUSION: In addition to the parents' positive experiences with webcam use, results show a need within parents who lacked webcam experience. Despite some criticism, it was evident that webcam use was primarily seen as an opportunity to counteract the negative consequences of separation in the postnatal phase. TRIAL REGISTRATION: The Neo-CamCare study is registered at the German Clinical Trials Register. DRKS-ID: DRKS00017755 . Date of Registration in DRKS: 25-09-2019.

Sexual Offending Pathways and Chat Conversations in an Online Environment.

People from all over the world pay for live streaming video images of minors, also called webcam child sex tourism (WCST). Although there is an increase in research about online sexual offending, relatively few studies have investigated the approaches used by people who have committed WCST offenses (PWCST). In addition, these studies describe these approaches as active-orientated without mentioning an avoidant pathway. The aim of the study was to investigate whether PWCST use similar pathways as the four offending pathways identified by Ward and Hudson. Using qualitative thematic analysis, 195 cases of online chat conversations between PWCST and operators posing as a minor were analyzed. The Ward and Hudson pathways model was partially replicable. Evidence was found for an approach and avoidant pathway. The data also suggest three other sub-pathways and a mixed pathway. Most PWCST in this study used an approach pathway to immediately approach minors for sex, which provides important insight into the diverse nature of sexual grooming.

[A Light Adaptive Heart Rate Detection Method Based on Webcam].

In order to extract the pulse wave signal of blood volume effectively in the case of uneven light, a light-adaptive heart rate detection method based on webcam was proposed. In this method, adaptive gamma transform is applied to face image sequence to eliminate the influence of illumination. The pulse wave source signal was extracted from the forehead area and the blood volume pulse wave was obtained by wavelet filtering. The heart rate is estimated by Fourier transform analysis. The Bland-Altman analysis indicates that the method used in this paper is in good agreement with the measurement results of the electronic sphygmomanometer, and the adaptive gamma transformation used in this paper eliminates the influence of light interference, and the measurement error of heart rate is significantly reduced, which is completely able to meet the requirements of daily heart rate monitoring.

Instances of online suicide, the law and potential solutions.

To understand the social and legal issues posed by suicide-related communications over the Internet (messages of threatened suicide and advocated suicide), this article examines a selection of cases involving different types of online baiting and harassment that illustrate different legal and technological issues. The anonymity afforded by computer-mediated communication allows bullies to harass vulnerable individuals and leak (disclose) their personal information. Computer mediation of communication potentially diffuses responsibility; imposes a temporal asynchrony between signified intent and audience response; and reduces the empathy that might motivate observers or witnesses to intervene and render assistance, factors that make online baiting a serious social, legal and technological problem. Potential actions (both legal and technological) for addressing this problem are outlined.

Webcam-based gaze estimation for computer screen interaction.

This paper presents a novel webcam-based approach for gaze estimation on computer screens. Utilizing appearance based gaze estimation models, the system provides a method for mapping the gaze vector from the user's perspective onto the computer screen. Notably, it determines the user's 3D position in front of the screen, using only a 2D webcam without the need for additional markers or equipment. The study presents a comprehensive comparative analysis, assessing the performance of the proposed method against established eye tracking solutions. This includes a direct comparison with the purpose-built Tobii Eye Tracker 5, a high-end hardware solution, and the webcam-based GazeRecorder software. In experiments replicating head movements, especially those imitating yaw rotations, the study brings to light the inherent difficulties associated with tracking such motions using 2D webcams. This research introduces a solution by integrating Structure from Motion (SfM) into the Convolutional Neural Network (CNN) model. The study's accomplishments include showcasing the potential for accurate screen gaze tracking with a simple webcam, presenting a novel approach for physical distance computation, and proposing compensation for head movements, laying the groundwork for advancements in real-world gaze estimation scenarios.

A webcam in Bayer-mode as a light beam profiler for the near infra-red.

Beam profiles are commonly measured with complementary metal oxide semiconductors (CMOS) or charge coupled devices (CCD). The devices are fast and reliable but expensive. By making use of the fact that the Bayer-filter in commercial webcams is transparent in the near infra-red (>800 nm) and their CCD chips are sensitive up to about 1100 nm, we demonstrate a cheap and simple way to measure laser beam profiles with a resolution down to around ±1 µm, which is close to the resolution of the knife-edge technique.

Webcam-based eye-tracking to measure visual expertise of medical students during online histology training.

Objectives: Visual expertise is essential for image-based tasks that rely on visual cues, such as in radiology or histology. Studies suggest that eye movements are related to visual expertise and can be measured by near-infrared eye-tracking. With the popularity of device-embedded webcam eye-tracking technology, cost-effective use in educational contexts has recently become amenable. This study investigated the feasibility of such methodology in a curricular online-only histology course during the 2021 summer term. Methods: At two timepoints (t1 and t2), third-semester medical students were asked to diagnose a series of histological slides while their eye movements were recorded. Students' eye metrics, performance and behavioral measures were analyzed using variance analyses and multiple regression models. Results: First, webcam-eye tracking provided eye movement data with satisfactory quality (mean accuracy=115.7 px±31.1). Second, the eye movement metrics reflected the students' proficiency in finding relevant image sections (fixation count on relevant areas=6.96±1.56 vs. irrelevant areas=4.50±1.25). Third, students' eye movement metrics successfully predicted their performance (R2adj=0.39, p<0.001). Conclusion: This study supports the use of webcam-eye-tracking expanding the range of educational tools available in the (digital) classroom. As the students' interest in using the webcam eye-tracking was high, possible areas of implementation will be discussed.

Remote, tablet-based assessment of gaze following: a nationwide infant twin study.

Introduction: Much of our understanding of infant psychological development relies on an in-person, laboratory-based assessment. This limits research generalizability, scalability, and equity in access. One solution is the development of new, remotely deployed assessment tools that do not require real-time experimenter supervision. Methods: The current nationwide (Sweden) infant twin study assessed participants remotely via their caregiver's tablets (N = 104, ages 3 to 17 months). To anchor our findings in previous research, we used a gaze-following task where experimental and age effects are well established. Results: Closely mimicking results from conventional eye tracking, we found that a full head movement elicited more gaze following than isolated eye movements. Furthermore, predictably, we found that older infants followed gaze more frequently than younger infants. Finally, while we found no indication of genetic contributions to gaze-following accuracy, the latency to disengage from the gaze cue and orient toward a target was significantly more similar in monozygotic twins than in dizygotic twins, an indicative of heritability. Discussion: Together, these results highlight the potential of remote assessment of infants' psychological development, which can improve generalizability, inclusion, and scalability in developmental research.