Addressing Data Quality Challenges in Observational Ambulatory Studies: Analysis, Methodologies and Practical Solutions for Wrist-worn Wearable Monitoring

Abstract

Chronic disease management and follow-up are vital for realizing sustained patient well-being and optimal health outcomes. Recent advancements in wearable sensing technologies, particularly wrist-worn devices, offer promising solutions for longitudinal patient follow-up by shifting from subjective, intermittent self-reporting to objective, continuous monitoring. However, collecting and analyzing wearable data presents unique challenges, such as data entry errors, non-wear periods, missing wearable data, and wearable artifacts. We therefore present an in-depth exploration of data analysis challenges tied to wrist-worn wearables and ambulatory label acquisition, using two real-world datasets (i.e., mBrain21 and ETRI lifelog2020). We introduce novel practical countermeasures, including participant compliance visualizations, interaction-triggered questionnaires to assess personal bias, and an optimized wearable non-wear detection pipeline. Further, we propose a visual analytics approach to validate processing pipelines using scalable tools such as tsflex and Plotly-Resampler. Lastly, we investigate the impact of missing wearable data on "window-of-interest" analysis methodologies. Prioritizing transparency and reproducibility, we offer open access to our detailed code examples, facilitating adaptation in future wearable research. In conclusion, our contributions provide actionable approaches for wearable data collection and analysis in chronic disease management.