Posts tagged with "Alexa"

The Halo effect: Amazon’s first health wearable, is no Fitbit or Apple Watch clone

August 31, 2020

Amazon is launching Halo, a minimalist $99 health sleek,wearable, companion to an app that measures your body fat and gauges your tone of voice. Executives who worked on the project told Fast Company last week that the offering is more about the app and its various features than the wearable itself.

Right now, consumers can preorder the Halo band for $65, which includes six months of access to the app. After the first six months, customers will have to pay $4 a month to continue using the app. Once it ships in a few weeks, Halo will be $99, also with the $4/month fee. The app and the band work with both iPhones and Android devices.

Though that pricing puts the Halo in competition with Fitbit’s fitness trackers, Amazon—which has also purchased online pharmacy PillPack, developed both virtual and in-clinic employee health centers, and sought out HIPPA compliance for its Alexa voice assistant—is taking a different approach to health than its competitors in wearables.

For one thing, the company thinks Halo’s real value is in the app. Data tracking is divided into four sections, Activity, Body, Sleep, and Tone. The app also offers Labs, a series of health challenges designed by a range of professionals and expert organizations. While Activity and Sleep offer standard health-tracking capabilities, Body, Tone, and Labs represent Halo’s distinguishing features, Fast Company reports..

The Halo tracker is extremely simple: just a piece of water-resistant fabric and a small sensor-laden bit of hardware that lays against the wrist. There’s no display, notifications, clock, or other features that have become standard fare on even basic fitness trackers from other companies. (Like other wrist wearables, it does offer band options in several colors and materials.)

Halo tracks movement, heart rate, skin temperature, and the tone of a person’s voice. Notably, it doesn’t track heart rate variability. Both the Apple Watch and Fitbit’s devices have added heart rate variability in recent versions of their wearables, seemingly as a test of their ability as a diagnostic tool.

Amazon’s tracker captures steps, duration, and intensity of activity, as well as sedentary time to generate an activity score. While any activity will raise your score, you’ll be awarded more points for running as opposed to walking. The band can detect the difference between walking and running, and you can manually mark if you swim, cycle, or perform some other form of exercise. Sedentary time can negatively impact your score if you sit for more than eight hours.

The app also measures activity on a weekly rather than daily basis. “It’s more aligned with the [CDC] guideline recommendations, which clearly state that people should get 150 minutes of moderate exercise on a weekly basis at a minimum,” says Dr. Maulik Majmudar, a cardiologist and Amazon’s chief medical officer. Before joining Amazon in 2018, he practiced at Massachusetts General Hospital.

Halo tracks sleep too. Like the Apple Watch, Fitbits, and the Oura Ring, Halo identifies sleep duration and how long you linger in light sleep, REM sleep, and deep sleep. It also measures and monitors skin temperature at the wrist, to see if how this changes over the course of the night correlates to your sleep quality. Skin temperature is not the same as internal temperature, so it would not be a sound way to determine if someone has a fever, for example.

However, Body is one of the most distinctive elements of the Halo app. Using a phone’s camera, it captures a three-dimensional model of a person’s body to help them track their body changes over time and to track its fat percentage.

“You’re probably wondering, why body fat?” Majmudar told Fast Company in an interview. “Body fat percentage is actually much better indicator of overall health than weight or body mass index [BMI] alone.” A recent meta-analysis, published in the journal, Nature, shows that BMI isn’t a great indicator for obesity, which doctors use to look out for obesity-related disease. However, getting a good reading on a person’s body fat has historically been cumbersome and expensive. Amazon now suggests it can make this determination using a phone camera.

To get their body fat percentage, people must wear “tight, minimal” clothing, such as bike shorts and a sports bra. Placing their phone 4-6 feet away, they then take capture photos or “body scans,” one front facing, one back, and one from each side. Artificial intelligence renders those photos into a 3D view of their body shape.

Once calculated, the body fat percentage number is presented alongside a corresponding national average based on a person’s gender, age, height, and weight. The body model can be morphed to show how a person might look if they gained or lost weight. The visualization is designed for those trying to work towards certain body goals.(However, it could also be dangerous fodder for anyone suffering from body dysmorphia, eating disorders, or compulsive exercising.)

Majmudar says that by default, the body-scan photos are processed in the cloud and then deleted after 12 hours. The body model is only stored locally on the phone.

Tone is by far the strangest of the app’s features. Using its embedded microphone, the band listens to your voice throughout the day and detects its tone—positive, sad, irritated, or otherwise. The idea is to address your social and emotional health.

To use Tone, you have to create a voice profile by reading a piece of text. That way, it can recognize and measure only your voice, not other ones it may pick up. When Tone is turned on, it runs passively and intermittently in the background, picking up on snippets of conversations throughout the day. It then tells you how you sounded to other people. Among the list of emotions is content, concerned, happy, and tired.

“This gives you a simple way to reflect on your communications and interactions throughout the day,” says Majmudar. This feature also gives you summaries of your mood throughout the day, highlighting when you were noticeably energetic, positive, or warm. It also notes outlier moments when you sound different than they ordinarily do.

For those that may be concerned about Amazon tracking their every word, the company says this audio never goes to the cloud. It’s processed on your phone, and isn’t stored. Amazon appears to be drawing a hard line on privacy here. In the past, its stance on

Amazon is balancing its consideration for privacy with a healthy amount of data sharing. In order to make the data Halo collects useful, it’s turning to partners. WW (Weight Watchers) users can link to the Halo app activity, so they can collect FitPoints. Cerner, the electronic health record provider, can also hook into Halo and transfer a persons health data over to his or her larger medical record.

The Labs feature—which provides activities that users can perform to change their health outlook—also draws on Amazon’s partners. For instance, the Mayo Clinic offers a pet-free bedroom Lab that is supposed to lower sleep interruptions from a restless pet. Weight loss program LifeSum, has an activity for reducing calorie intake. Other partners include Apptiv, Orange Theory, Harvard Medical, and the American Health Association. These activities provide one more way for users to put that wrist band to use (and perhaps ensure that it doesn’t get relegated to a drawer somewhere).

How well does Halo track and analyze the data it collects? For now, it’s anyone’s guess. Majmudar says that Amazon has done lots of internal testing, but has not yet published any studies verifying the Halo’s capabilities.

Indeed, Amazon has good reason to want to get this right. But we won’t know how well it’s done until Halo arrives and independent researchers put it to the test.

Research contact: @FastCompany

Cedars-Sinai taps Alexa for smart hospital room pilot

February 28, 2019

Patience is not a virtue when you are a hospital patient seeking medical assistance. In fact, waiting too long for a nurse to respond after you’ve pushed the “hot button” can, in the worst cases, be the death of you.

Now, a pilot program underway in more than 100 patient rooms at Cedars-Sinai Hospital in Los Angeles is enabling patients to use an Alexa-powered platform known as Aiva to interact hands-free with nurses. Aiva is described as “the world’s first patient-centered voice assistant platform for hospitals.”

In the pilot project, patient rooms are equipped with Amazon Echos and patients simply tell the device what they need. For example A patient who needs assistance getting out of bed might say, “Alexa, tell my nurse I need to get up to use the restroom.”

The patient’s request is routed to the mobile phone of the appropriate caregiver—a nurse, clinical partner, manager, or administrator. A pain medicine request would be routed to a registered nurse, for example, while a bathroom request would be routed to a clinical partner. If the request is not answered in a timely manner, the Aiva platform sends it up the chain of command.

In addition, patients can use the voice-powered assistant to turn the TV off and on, and change channels, by giving verbal commands such as, “Alexa, change the channel to ESPN.”

“Whereas previously nurses were frequently asked to help with the in-room television, Alexa does that job for us, allowing nurses to focus on providing the highest level of patient care,” said Golda Morales, assistant nurse manager of General Surgery.

In addition to interaction with the patient’s healthcare team, the devices at Cedars-Sinai include standard Alexa features, allowing patients to feel more connected to the outside world. Currently, the most common request is for the device to play music, followed by content like weather, sports and games.

Abdominal surgery patient Adrienne Edwards was one of the early users of Alexa. “It rocks,” Edwards said. “I was lonely in the hospital and I said, ‘Alexa, would you be my friend?’ The device responded, ‘Of course we could be friends. You seem very nice.'”

Peachy Hain, Cedars-Sinai’s executive director of Medical and Surgical Services, was one of the driving forces behind bringing Alexa to patient rooms.

“Patients young and old are now used to voice-activated devices in their homes. Since it’s familiar to them, it helps enhance their hospital experience,” said Hain. “In the hospital, patients have little to distract them from pain or loneliness.”

Cedars-Sinai and Aiva are moving patient interaction into the 21st century, when hospital rooms will need more intelligence and convenience to accommodate changing patient needs.

“Smart rooms are all about improving satisfaction for both patients and nurses,” said Aiva CEO Sumeet Bhatia. “Cedars-Sinai and Aiva are giving patients more entertainment options, more control over their environment, and closer communication with their care team.”

The Alexa program joins innovations such as the MyChart bedside app and Cedars-Sinai’s iPad project in modernizing patient communications at Cedars-Sinai. More than 250 tablets equipped with the MyChart bedside app are now available for hospitalized patients, who can use the app to check their medical record information, including lab results, as well as the names and photos of their care team.

Research contact: groupresearch@cshs.org

Amazon offers new Alexa household appliances for a hands-free habitat

September 24, 2018

You work hard all day. Why cook at night, when Alexa can do it for you? A microwave is just one of the 70 new products announced by Amazon during its product blitz on September 20.

In addition to new Echo speakers and an advanced Fire TV Recast. the tech and delivery giant is rolling out a number of state-of-the-art interface devices that will operate your habitat in a hands-off mode.

USA Today reported on the top picks this week—among them:

  • AmazonBasics Microwave: At $59.99, the news outlet says, the latest microwave under the company’s AmazonBasics brand could be cheaper than your current, non-smart-enabled appliances. It integrates with Alexa over Bluetooth, allowing you to tell a nearby Echo smart speaker to set a timer for tasks such as heating up a potato or reordering popcorn. A blue “Ask Alexa” button on the front of the microwave enables you to you summon the digital assistant on command. Available for preorder, the microwave is scheduled to ship later this year.
  • Echo Wall Clock: No need to watch the time, your new clock—featuring Bluetooth to connect to an existing Echo device—has timers, alarms, and reminders galore. Since it is Internet-connected, the $29.99 timepiece it will adjust itself automatically at the start and end of Daylight Savings Time. The clock will be released later this year.
  • Amazon Smart Plug: If controlling the microwave isn’t enough, USA Today reports that Amazon’s new plug control other traditionally non-smart devices such as lamps and coffee makers, enabling you to turn them on and off with your voice.The Smart Plug is scheduled to start  shipping next month, and it will be available for $24.99.
  • Echo Auto: And finally, the news outlet reports, now you can enjoy the convenience of Alexa on the road. The new device features eight microphones that can pick up commands while you are behind the wheel. It also has Bluetooth wireless technology to connect to your phone. Bluetooth or a 3.5mm auxiliary jack can be used to connect the device to your car. Once connected, you can ask Alexa for nearby destinations, directions—or to play music or audiobooks. Powered by either your car’s USB port or its 12V cigarette lighter outlet, Amazon says Echo Auto will be able to boot up within a “few seconds” after hitting the ignition.

Research contact: eblumenthal@usatoday.com