Abstract

Remote in-home infant monitoring technologies hold great promise for increasing the scalability and safety of infant research (including in regard to the current Covid-19 pandemic), but remain rarely employed. These technologies hold a number of fundamental challenges and ethical concerns that need addressing to aid the success of this fast-growing field. In particular, the responsible development of such technologies requires caregiver input. We conducted a survey of the opinions of 410 caregivers on the viability, privacy and data access of remote in-home monitoring technologies and study designs. Infant-friendly wearable devices (such as sensing body suits) were viewed favourably. Caregivers were marginally more likely to accept video and audio recording in the home if data was anonymised (through automated processing) at point of collection, particularly when observations were lengthy. Caregivers were more open to international data sharing for anonymous data. Caregivers were interested in viewing all types of data, but were particularly keen to access video and audio recordings for censoring purposes (i.e., to delete data segments). Taken together, our results indicate generally positive attitudes to remote in-home monitoring technologies and studies for infant research but highlight specific considerations such as safety, privacy and family practicalities (e.g. multiple caregivers, visitors and varying schedules) that must be taken into account when developing future studies.

Highlights

  • Our burgeoning understanding of neurocognitive development has been made possible by the development of novel technologies [1,2,3]

  • Parent attitudes to remote in-home monitoring technologies for infant research europa.eu/programmes/horizon2020/en) under grant agreement n 642990 (EJ), and the Innovative Medicines Initiative Joint Undertaking under grant agreement n 115300 (EJ), resources of which are composed of financial contribution from the European Union’s Seventh Framework Programme (FP7/2007 - 2013) and EFPIA companies’ in kind contribution

  • The present study investigated opinions of a UK based cohort of caregivers on remote inhome monitoring technology and study designs with an overarching goal to provide guidance for future research with similar aims

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Summary

Introduction

Our burgeoning understanding of neurocognitive development has been made possible by the development of novel technologies [1,2,3]. There are a number of merits to lab-based experimental designs, such as the control of testing environments and structured assessments to elicit behaviours of interest [7,8]; there are broadening debates over the ecological validity of the measures. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

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