Monthly Archives: September 2021

Study to Evaluate Apple Devices For Identifying Early Parkinson’s Disease

Apple Watch PD App

A recent study presented at the virtual International Congress of Parkinson’s Disease and Movement Disorders 2021, demonstrated that Apple Watches and iPhones can differentiate between individuals with early, untreated Parkinson’s disease (PD) and healthy controls.

The 12-month study included 132 individuals at 17 Parkinson’s Study Group sites, 82 with PD and 50 controls. Ages of the participants were approximately the same in the PD and control groups (63.3 years vs 60.2 years, respectively), but male to female ratios differed between the groups. There were more men in the PD cohort (56% men vs 44% women) and more women in the control cohort (36% vs 64%; P =.03).

Participants with PD were untreated, were no more than 2 years out from diagnosis (mean disease duration, 10.0 ±7.3 months), and were in Hoehn and Yahr stage 1 or 2. Apple Watches and iPhones were provided to participants, all of whom underwent in-clinic assessments at baseline and at months 1, 3, 6, 9, and 12. The assessments included motor and cognitive tasks using the devices, which contained motion sensors.

The phone also contained an app that could assess verbal, cognitive, and other abilities. Participants also wore a set of inertial sensors (APDM Mobility Lab) while performing the MDS-UPDRS Part III motor examination. In addition, there were bi-weekly at-home tasks. Questions and tests on the watch assessed symptoms of mood, fatigue, cognition, and falls as well as cognitive performance involving perceptual, verbal, visual spatial, and fine motor abilities. Both the watch and iPhone were used to gauge gait, balance, and tremor.

The authors concluded that “the WATCH-PD trial is one of the first multi-center, prospective, longitudinal digital markers studies in untreated early PD patients. Preliminary analyses show that devices can differentiate between individuals with early, untreated PD and controls. Further analyses of longitudinal data may provide additional insights including the utility of wearable and mobile devices for measuring functional outcomes in clinical trials.”


J. Adams, E. Dorsey, T. Ruiz Herrero, WATCH-PD: Wearable Assessments in the Clinic and Home in Parkinson’s Disease: Baseline Analyses [Abstract 364]. Mov Disord. 2021; 36 (suppl 1). Accessed September 25, 2021.

Instagram Use and Its Association With Self-Esteem and Well-Being

As the presence and use of social media grows, image-based sites have increased in popularity among adolescents and young adults. Research to date has suggested conflicting outcomes of social media use on individuals. A study by social media researchers at Boston University included a sample of 359 college-aged individuals from throughout the United States, sought to analyze the relationship between active social media use and its association with user self-esteem and well-being through data obtained through survey research from undergraduate college students. The hypothesis was that active Instagram use would be positively associated with user well-being and self-esteem.

This study demonstrated that “not only was this hypothesis supported, but our findings reveal that intensity of Instagram use serves as a mediating variable in the relationship between active Instagram use and well-being and self-esteem.” The study shows that “respondents who identified as more active Instagram users used social media more intensely, and those who used social media more intensely had higher self-esteem. Similarly, those who used social media more intensely reported higher levels of well-being.”

Specifically, respondents who identified as more active Instagram users used social media more intensely, and those who used social media more intensely had higher self-esteem. Similarly, those who used social media more intensely reported higher levels of well-being. While the correlations among these variables may be slight, we argue that they pose implications regarding how usage patterns impact user outcomes. These findings illustrate the role of intensity of Instagram usage on user outcomes and reveal a relationship among these variables, where more active Instagram use, coupled with more intense usage, ultimately corresponds to positive effects specifically elevated levels of self-esteem and well-being.

This is particularly interesting since a number of previous studies have correlated intensity of social media use with negative outcomes or consequences. Clearly, additional studies are needed to demonstrate and delineate both the assets and liabilities of social media use and misuse.


Active Instagram Use and Its Association With Self-Esteem and Well-Being, Trifiro BA and Prena K. Technology, Mind, and Behavior. Volume 2, Issue 3. DOI: 10.1037/tmb0000043.

FTC warns health apps to notify consumers impacted by data breaches


On Breaches by Health Apps and Other Connected Devices 

September 15, 2021 

“In recognition of the proliferation of apps and connected devices that capture sensitive health data, the Federal Trade Commission is providing this Policy Statement to offer guidance on the scope of the FTC’s Health Breach Notification Rule, 16 C.F.R. Part 318 (“the Rule”).1 

The FTC’s Health Breach Notification Rule helps to ensure that entities who are not covered by the Health Insurance Portability and Accountability Act (“HIPAA”) nevertheless face accountability when consumers’ sensitive health information is compromised. Under the Rule’s requirements, vendors of personal health records (“PHR”) and PHR-related entities must notify U.S. consumers and the FTC, and, in some cases, the media, if there has been a breach of unsecured identifiable health information, or face civil penalties for violations. The Rule also covers service providers to these entities.”

This new policy statement by the FTC is designed to update and clarify the agency’s 2009 Health Breach Notification Rule, which requires vendors handling health records to notify consumers if the data is accessed through a breach or other means without the individual’s authorization. This rule applies to health apps, such as those tracking fitness or menstrual cycles, which have been developed over the past decade. 

“As many Americans turn to apps and other technologies to track diseases, diagnoses, treatment, medications, fitness, fertility, sleep, mental health, diet, and other vital areas, this Rule is more important than ever,” the FTC stated and intends to enforce the new policy, with those in violation facing a financial penalty of over $43,000 per day.  



The Hill


AATP Back Online!

Welcome back to AATP Website.

It has been said that changing emails and website addresses is like changing diapers. It can be messy but necessary.

We needed to move our web hosting service and our previous host did not make it easy. Enough said.

We look forward to re-activating this AATP Blog to keep you informed, engaged and excited about the changes and progress in Technology in Psychiatry and Medicine.

Stay tuned.