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Feasibility of Using Bluetooth Low Energy Beacon Sensors to Detect Magnifier Usage by Low Vision Patients

Bittner, Ava Katherine, OD, PhD, FAAO1*; Jacobson, Andrew J., BA2; Khan, Rakin, BS3

doi: 10.1097/OPX.0000000000001266
Original Investigations

SIGNIFICANCE We demonstrated proof of concept for the potential for Bluetooth low energy beacons to reliably collect data to serve as an indicator that low vision patients are using handheld magnifiers for reading, which might be used in the future to prevent the abandonment of magnification or other assistive devices.

PURPOSE Bluetooth low energy beacons are an emerging novel technology involving tiny sensors that collect real-time, continuous, objective data, which might help to ascertain the abandonment of low vision devices in a timely manner, thus prompting a follow-up evaluation to attempt to resolve issues. We evaluated whether Bluetooth beacon data could indicate when low vision patients used handheld optical magnifiers for reading.

METHODS We recorded temperature and/or relative humidity data from Estimote sticker and BlueMaestro Tempo Disc beacons attached to handles of optical magnifiers used for reading by low vision patients in clinic (n = 16) and at home (n = 3).

RESULTS In the clinic, patients whose hand/fingers made direct versus indirect contact with Estimote beacons had greater temperature increases on average from baseline after 30 seconds (0.73°C vs. 0.28°C), 60 seconds (1.04°C vs. 0.40°C), 90 seconds (1.39°C vs. 0.60°C), 105 to 120 seconds (1.59°C vs. 0.62°C), and 135 to 150 seconds (2.07°C vs. 0.97°C). During magnifier usage at home, BlueMaestro beacons measured rapidly increased temperature (5.6°C per minute on average; range 2.7 to 7.3°C) and relative humidity (19.4% per minute on average; range 8.7 to 34%). Humidity tended to reach its maximum increase and return back to baseline significantly more quickly than temperature (P = .007). All increases during magnifier usage were much greater than the maximum room fluctuations without use (clinic, 0.2°C over 120 seconds; home, 0.6°C and 2.4% over 1 minute). The beacons were nonintrusive and acceptable by patients.

CONCLUSIONS Estimote and BlueMaestro beacons can reliably detect temperature and/or humidity increases when held by low vision patients while reading with a magnifier.

1College of Optometry, Nova Southeastern University, Fort Lauderdale, Florida

2IT Consultant, Wilton Manors, Florida

3Halmos College of Natural Sciences and Oceanography, Nova Southeastern University, Fort Lauderdale, Florida *abittne1@jhmi.edu

Submitted: January 4, 2018

Accepted: May 22, 2018

Funding/Support: None of the authors have reported funding/support.

Conflict of Interest Disclosure: None of the authors have reported a financial conflict of interest in connection with the work.

Author Contributions and Acknowledgments: Conceptualization: AKB, AJJ; Data Curation: AKB, RK; Formal Analysis: AKB, RK; Investigation: AKB, RK; Methodology: AKB; Project Administration: AKB, RK; Resources: AKB; Software: AKB; Supervision: AKB; Validation: AKB, RK; Visualization: AKB, AJJ; Writing – Original Draft: AKB, RK; Writing – Review & Editing: AJJ, RK.

The authors wish to thank Drs. Katherine Green and Samantha Kayser for their assistance with recruiting patients from the clinical practice, as well as Anushka Mistry for her help with data collection from some of the clinic patients.

© 2018 American Academy of Optometry