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ActiLife 6 User`s Manual

1. 2 2 Activation over the THEBETIBE oce coste pei DER UP eR DA Ue 3 Activation without an Internet Connection nnne nennen nnne sss nane ns 4 ActiLife New Feature Overview 4 ActiLife DETaUIt UNITS SELECTION m 5 PULTE ROM WANS D T T EE 6 alm T 6 WODO NT T TENTER 6 34619 Eile VIENE T 8 m m 10 1 2 Orea 11 WO CS NGO i 11 MR RERO 11 61 14 10 1 91611 6 cee ee ee m c m 11 VF CO FCS TO E 12 01 16 IN MU CRIME 12 UMEVNO ION oom 13 Pss 13 gt RETE NITE 14 Soll dT TE 14 Celerant lal ciate oiii ior e 14 Show Download Folder
2. 67 20015 67 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL d PME HH 68 Moac ONS Te 68 AACS nce iiie 69 NE TOTO Omm 69 Creating an Inclinometer 71 Data COMM AMIS Ol Tm m mm 72 0461 Dala ets TOF mute udacatiadiden mmis yee cas ac t feted 72 Selecting NHANES Comparisons 73 Exporting Data Comparison ReSUlES iss 74 74 Adding Files to the Data 75 SUF OIG Gi NT ETT E E E 76 Sharing Data with Colleagues License GrOUPING ccccceseccccessececeesececcesecccseusecesaeeceeseaeceeseusecetsunesss 76 De NR ETT 76 Viewing Upload Progreso 76 FET mU 77 Downloading Files from the Data 77 Purchasing More SD Ce eabdessseseE pe aeu
3. 22 A elc TIT Tm 22 71 ado 22 Current Data MT UU Utm 22 Foo avast Iun Olam RE TO E TOT TT T 22 CINE 22 M Rm 22 510001 Umm 22 dl 22 22 222228 22 More 23 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Setting Device ParaMetels ccsccssccsseccseceseceseccseccseccscesseccsectseeteesaeeseeseesseesseesseusseussesssesseeseceseeeaes 24 SU e M 0 RR NK 25 GT3X Biometric 1116 51 25 DEVICES TET 26 mi ueh p E E ease E E E E E E E 26 Downloading GT1M GT3X ASM and or ActiTrainer 26 D wnloadine GT3 X DEVICES 30 Scanning of GT3X Data during 30 JoCo SENE AUS 45 RE T Em 31 21811011 81 4 18168 Using a Maie Mem ined ME E IEEE CMM 33 Dataset Analysis 37 We 1111 21 16 MT 38 D fine a
4. xx 0000 Ax x Xxx x 4 TABLE 6 MODE WORD DEFINITIONS Page 81 Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 USER S MANUAL APPENDIX B VECTOR MAGNITUDE The term Vector Magnitude is used frequently throughout this manual and often when working with ActiGraph devices Vector Magnitude refers to the magnitude of the resulting vector that forms when combining the sampled acceleration from all three axes on any device Figure 77 illustrates the axes orientation for all ActiGraph devices Axis 1 Axis 1 Ax 3 FIGURE 77 AXIS DEFINITIONS FOR ACTIGRAPH DEVICES When looking at epoch level data post filtered and accumulated data the Vector Magnitude or VM can be defined as Vector Magnitude VM 4 Axis 1 Axis 2 Axis 3 This value can be calculated on a per epoch basis or as a sum for all axes over time Page 82 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904
5. PME UU 53 Manually Entenne 54 Automatically EMEC 0112 518 8 11 5 55 55 Editing Auto Scored 55 56 rc 57 Chone Graph 57 B0 cm 57 Sleep Scoring E 58 elg 59 Sadeh Algorithm Summary ccccsssccscssssccccussecconesscueusssceecusseceouessencussscseousreceousssencussscssoussessenssseneuss 59 Custom Sleep 59 11 10 ee 62 ACOGEN d 62 Saving the IE DES 63 MON EDDCIIS oiim 63 SWE 64 PUM ANIIS REM 65 Initializing Devices for PLM Analysis nennen nenne nnne nennen rennen nenne renard erede dene 65 DownlbadIBE DEV BS enti sce ed idibdctidas xr aside 65 SCOPING the PLM Dal RT mm 66 Interpreting the Periodic Limb Movement 67 m
6. Birth 3 characters 3 characters 205 9 23 1955 White Caucasian Anke Right 4 Dominant 6 23 1972 Latino Hispanic Waist H Dominant 12 15 1976 White Caucasian Ankle 1 2 1987 Black African Americani Wrist FIGURE 36 CUSTOM FIELDS AS THEY APPEAR AFTER CLICKING DOWNLOAD DOWNLOAD SETTINGS Use the Download Settings in the download section of the template builder to force template users to utilize a specific file download location and or a specific file naming convention By checking the Force Download Location and selecting a directory template users will be forced to use the specific location Template builders can type in network URLs or any local directory address that may be applicable for the end users specific sites Note If the selected directory does not exist ActiLife will attempt to create the directory e g C PatientDownloads If the user does not have administrative permissions or otherwise cannot create the directory this feature will automatically disable itself thus allowing the user to select the directory of their choice Page 36 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL To force a file naming convention for template users check the Force Naming Convention option and select the desired naming convention During the download proce
7. 77 Appendix A File Types 78 Comparison of GI SXF and GT3X DeVICBS 2 78 SELOX FIG cle 4 0 78 FOr UR 79 apd Data TsO WG 80 E E A E Omm 80 Appendix B Vector 82 a em UsER S MANUAL GETTING STARTED DOWNLOADING AND INSTALLING Download ActiLife 6 from http www theactigraph com actilife to a known location Double click the icon to start the installer After running the ActiLife5 installer follow the installation instructions in the on screen prompts actilife 0 0se FIGURE 1 ACTILIFES SETUP ICON IMPORTANT Please be sure to remove any ActiGraph devices that you have connected to your computer during installation Failure to do so could result in a faulty installation of your ActiLife software NOTE Older versions of ActiLife 4 and 5 willbe removed whenever ActiLife 6 is installed After installing ActiLife an icon similar to the one shown here will appear on your desktop Double click the icon to start ActiLife 6 ActiLife FIGURE 2 ACTILIFE 6 PROGRAM DESKTOP SHORTCUT LICENSING ActiLife software is a licensed program and requires users to obtain a product key before the software can be activated If you have not purchased an ActiLife
8. 0 0 9 20 29 40 49 60 69 80 89 30 39 50 59 70 79 Double click on graphs to enlarge or shrink 10 19 Select Graphs W Counts Energy Expenditure 7 Gender W Age W Weight 4 Height 4 BMI 90 90 I 100 109 Export FIGURE 71 ENLARGED AGE COMPARISON GRAPH EXPORTING DATA COMPARISON RESULTS To export the graphical results of the comparisons click the Export button in the lower right hand corner of the Data Comparison tool Select a location and a file name and click Save This will generate a printable shareable PDF document of the Data Comparison tool s graphic results DATA VAULT The Data Vault tool is a secure cloud based storage system integrated into the ActiLife program that allows users to quickly and securely save files into their own personal cloud to share with others There are many immediate benefits to the Data Vault system including e Simplified Data Sharing e Reduced IT costs e Built in data backup and retention e Fast storage 49 Chase St Pensacola FL 32502 Page 74 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software ActiLife 8 Devices Connected File Edit Communication Tools Help Devices Wear Time Validation DataScoring Sleep Analysis PLM Analysis Graphing Data Comparison ActiGraph Data Vault Your Vault Plan Use the Data Vault to store and protect your collected data 1TB Ul
9. period 39 Optional screening Pal di BEB Suo 40 Viewing Details of Wear Time Validation 40 sif c M o 42 DEON SCV o MIR ENT T Em 42 DIA 43 Dare ana me FIKO E UU UT 43 Data Scoring Parameters and Algorithms eror eben ax abeo pe IX UM 45 2316 1016 E TER 45 45 CUPON 45 vie Pd 46 ane NER 46 46 S 46 DOP 46 BOULE INDIE E 47 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL xz Ac f T 48 Use Validated Data if 48 Daa carne rU nr mim thoi uas 48 uo dolo gU TN T mm 52 oss TRE Re Pu
10. ison Data Vault 15 Use Validated Data if Available Average Average Average Average Calendar Day Total Days Hourly Total Hourly El i E kcals kCals kCals kcas Activity Time i FIGURE 15 TEMPLATE IN USE INFORMATION Page 10 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL REMOVE TEMPLATE The Remove Template option simply disables any active template that ActiLife is using The current template information as shown in Figure 15 will disappear after using this option For more information about the template feature see Building and Using a Template TEMPLATE EDITOR The template editor loads the template editor form which can be used to create new or modify existing templates for use with all versions of ActiLife For more information see Building and Using a Template Note The template editor is not available in ActiLife LITE EDIT MENU FIGURE 16 EDIT MENU The Copy and Select All options in the Edit menu allow users to select and copy elements in the selected grid so that they may be pasted into a text or spreadsheet editor These apply to any tab within ActiLife The Options menu item allows ActiLife users to set system options that control how ActiLife functions To change any option make the change then click Apply in the Options panel
11. FIGURE 10 ACTILIFE IMPORT EXPORT MENU OPTION Page 7 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL CONVERTING TO A DATA TABLE VS STANDARD CSV A data table csv file contains separate columns with corresponding headers for each data type collected by the device and also includes the Vector Magnitude sum of each axis if data is collected for all three axes A standard csv file produced during conversion simply exports the data into csv format Column headers are not included unless that option is by checking Add Column Headers to CSV in the options menu MATLAB EXPORT OPTION Users can export native AGD files to MAT format for easy importing into MathWorks Matlab mathematical software platform RE INTEGRATING The Re Integrate AGD File option allows users to integrate AGD files to larger epoch periods e g 1 second epoch data collection reintegrated to 60 second epoch periods for Sleep Analysis or Data Scoring After selecting the file to be reintegrated selected the desired epoch length as shown and click OK The new file will be saved in the same directory as the existing file with an appended file name indicating the new epoch length Select Reintegrate Epoch Length Please select the epoch length you would like to reintegrate to If the files you selected cannot be reintegrated into the selected e
12. single export Acti ife 6 Expanded Data Vault Data Ana lys is 5 oftwa The Data Vault platfarm introduced in 5 10 will be expanded allowing users to improve collaboration perform online data processing and increase security and integrity Learn at www theactigraph com actilife FIGURE 6 ACTILIFE WELCOME SCREEN To view this welcome screen again at any time select the Help tab in the menu bar and then select ActiLife Tour as shown in Figure 7 Online Support 4 View Welcome Tour mia Activation Details Deactivate Check For Updates jress 0 About ActiLife FIGURE 7 RUN TOUR FROM HELP MENU AcTILIFE DEFAULT UNITS SELECTION On first load ActiLife gives users the option to choose which default units of measurement time display format and download directory they wish to use see Figure 8 These settings can be changed at any time from the Options menu Page 5 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 UsER S MANUAL 4 Select Defaults Enter Options to Use in ActiLife Units of Measurement English inches and pounds Inches Feet and Inches Timespan Display Default Days Hours Minutes Seconds Show text for H M and or 5 Download Directory C WUsers DocumentsyActiGraphVActiLife Downloads FIGURE 8 DEFAULT UNITS SETTINGS ON FIRST LOAD DATA FO
13. 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 97 58 60 61 62 By A ctiGraph USER 5 MANUAL Heart Rate Delta The difference between Average Active Heart Rate and ADL Heart Rate Average Active Caloric Expenditure Average amount of calories burned above light activity Calibration Ratio Ratio of Average Active Caloric Expenditure divided by Heart Rate Delta Light Length of time in Light in minutes Moderate Length of time in Moderate in minutes Vigorous Length of time in Vigorous in minutes Very Vigorous Length of time in Very Vigorous in minutes Axis 1 Counts Scored Sum of counts for Axis 1 Y Axis during scored time Axis 2 Counts Scored Sum of counts for Axis 2 X Axis during scored time Axis 3 Counts Scored Sum of counts for Axis 3 Z Axis during scored time Axis 1 Counts Non Scored Sum of counts for Axis 1 Y Axis during non scored time Axis 2 Counts Non Scored Sum of counts for Axis 2 X Axis during non scored time Axis 3 Counts Non Scored Sum of counts for Axis 3 Z Axis during non scored time Axis 1 Counts Total Sum of counts for Axis 1 Y Axis during scored and non scored time Axis 2 Counts Total Sum of counts for Axis 2 X Axis during scor
14. ada e pau guid bn Uno ross uM Eri pe PM EMI TUE 14 sre Reds C 14 Ujde Firmware OM TIO aid ce ace e es patronage aaa betes 14 TOO 15 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL SCD ia uu 15 TTC AN UNTER 16 COS 11 52 clus aD m 17 PV GD c 17 FHS Tal 18 ONNE 18 vew VV Gl 88 11 18 18 eee emer eres 18 FSI 410188 66 48 ier soaps ae 18 20001201 cT P 19 Device Initialization and Download 20 ETE EROR 21 ck 21 514111 C 21 dispo t E 21 3811 E T
15. Hour Ticks Ticks Per Page ei 2 view view Epochs Report FIGURE 60 ACTOGRAM VIEW SAVING THE ACTOGRAM The ActoGram can be saved as a sharable image by clicking Save ActoGram at the bottom of the graph This option will give the user the option to export the ActoGram to a jpg image for sharing Important The ActoGram view can only be used with data collected from ActiSleep devices The feature can be enabled for data collected from other ActiGraph devices for small fee Contact for more information SHOW SLEEP EPOCHS Clicking the Show Sleep Epochs button will load a matrix of each epoch in the dataset with details about whether the epoch was scored as a Sleep Epoch indicated by an S or a Wake Epoch indicated by W This list Page 63 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 UsER S MANUAL can be exported to CSV by clicking Save at the bottom of the form or by copying and pasting the values In addition the entire list can be copied to the clipboard by clicking the corresponding button the list can then be pasted into any text editor SAVE SLEEP REPORT Sleep scores produced in the Sleep Scoring tab can be exported to either a CSV or PDF file by clicking the Save Sleep Report option at the bottom right hand side of the screen Select the desired output from the options dialog that appears Browse
16. In the example shown in Figure 68 the user shown in red will be compared on all parameters except for weight That is three females and three males will appear in the gender comparison but only five users will be compared in the weight category Data Comparison AGD Files More information needed for complete comparison Filename Gender Age e LYN1A38050006 agd Male 32 165 M LYN1A3805000660sec agd Male 32 165 LYN2AEN090005 agd Female 45 132 M 4 LYN2AEN09000560sec agd Female 45 132 LYN2B29062554 agd Male 34 165 5 10 1 7 1 BSD eo 1 1 1 1 23 7 i Tf BMI is left blank and a height and weight are entered ActiLife will automatically calculate BMI with the standard formula Add Dataset Add Directory e Remove All Files FIGURE 68 DATA COMPARISON SUBJECT FORM Page 72 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Once all edits are complete click Save and Close from the subject form SELECTING NHANES COMPARISONS The NHANES Data Filter allows the user to set comparison parameters To compare the user dataset to only males in the NHANES data population select Male from the Gender dropdown To set a custom
17. Location ID Blood Pressure 2 characters 10 characters Side Dominance 7 Left Non Dominant FIGURE 29 CUSTOM FIELDS IN THE BIOMETRIC AND USER INFORMATION GRID Clicking Download All Devices from the form will download the data from the selected units and store the data in SQLite format stored with agd file extension See Appendix A File Types in ActiLife5 ActiLife no longer stores data in DAT CSV format To convert data into one of those formats select File tab then the Import Export option as shown in Figure 10 Page 29 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL can automatically create csv files on download by setting this the edit menu Note that this only works for GT3X devices if an agd file is created during the download process DOWNLOADING GT3X4 DEVICES Downloading data from GT3X devices is very similar to download from other devices It is important to understand the difference in the file handling for this device In order to increase the efficiency of the download process data from GT3X1 devices is downloaded in raw binary format with file extension gt3x see Appendix A File Types in ActiLife which explains the gt3x format This binary format mirrors the proprietary compressed raw data format stored on the device itself and is unreadable b
18. Template Editor Clicking this option will load a form similar to the one shown in Figure 35 Use this form to setup the desired default initialization and download parameters defined below in Template Parameters Page 33 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 UsER S MANUAL D Initialize Download Template Initialization Download Template Name University Lab Template Custom Fields zZ Enable Custom Fields on Download 1M GT3X GT3X ActiTrainer ActiSleep No Title Max Characters 1 Location ID Sample Rate 60 Hz M 2 Blood Pressure o V Enable Template for GT3X Flash LED Download Settings 1 Force Download Location 4 o Force Naming Convention Start Stop Settings Start Date Time ANY day s at 12 00AM Stop Date Time day s after start time at Serial Number Download Date gt Subject Name Settings Serial Number Start Date v Force Subject Name Subject Name Download Date 9 Current Device Serial Number Subject Name Start Date Serial Numb Current Device Subject Name up md l Subject Name Start Date Time Prompt for Each Download Static 9 Concatenate Custom Fields SS 223 FIGURE 35 INITIALIZATION DOWNLOAD TEMPLATE EDITOR TEMPLATE PARAMETERS INITIALIZATION TEMPLATE OPTIONS Use the initiali
19. can also be calculated from within the Data Scoring tool Multiple algorithms are available When calculating Children s METS Using the Children Freedson equation an age must be entered for each file If the device was worn on the wrist the subject s gender is required CUT POINTS Cut point data scoring option allows users to break out the proportion of time total epochs within each dataset the subject spent in different categories of activity intensity Multiple validated cut point sets are available by default from within ActiLife Users can create their own cut point set by clicking the edit link to the right of the Cut Point dropdown and clicking the icon at the bottom of the list as shown in Figure 43 Enter a Set Name for the new cut point set and type in the maximum values for each level click the icon to create new Cut Points Once complete click Save When the Cut Points based on Vector Magnitude box is checked ActiLife will look at the Vector Magnitude count levels for each epoch When left unchecked the cut points apply only to the Axis 1 values for each epoch Details about the default Cut Point algorithms in ActiLife can be found by clicking the icon next to the Cut Points option Page 45 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 E ae USER S MANUAL 4 Cut Point Sets 1 ESI Cut Point Sets Set Name Delete Set Name Set Name Delet
20. gt 10 5 2009 10 7 2009 11 34 to 10 8 2009 6 00 10 9 2009 11 04 PM to 10 10 2009 7 57 10 10 2009 10 59 PM to 10 11 2009 5 10 11 2009 11 47 PM to 10 12 2009 7 5 10 13 2009 10 59 to 10 13 2009 7 Tuesday 10 14 2009 9 23 to 10 14 2009 5 5 _ 10 6 2009 10 15 2009 4 06 to 10 15 2009 8 51 4 Add Sleep Period Remove Sleep Wednesday Sleep Score Information 10 7 2009 In Bed 10 5 2009 10 11 PM Out Bed 10 6 2009 6 16 AM Sleep Onset 10 5 2009 10 12 PM Latency 1 min 10 8 2009 Total Sleep Time TST 6h 35m 395m Wake After Sleep Onset WASO 89 min Awakenings 19 Details Ava Awakening 4 74 min ur 8 Total Counts 47638 Efficiency 81 4 above 85 is normal Period Color NI V Score Color 7 n _ Normal ActoGram Show Sleep Save Sleep Activity Scale 4000 gt M Lux m Lux Scale 50 gt Lux Info y 9 View View Epochs Report FIGURE 47 SLEEP SCORING Areas on the graphs can be magnified by dragging the mouse pointer over the area of interest as shown in Figure 48 To return to the normal view click the small circle in the bottom left hand corner of the graph Page 53 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 USER S MANUAL Monday 10 5 2009 FIGURE 48 GRAPHING MANUALLY ENTERING SLEEP TIMES Sleep times time in or out of bed can be man
21. the Add File s button Browse to the file location and select the files you wish to upload Multiple files may be added by holding the Shift key on the keyboard while selecting files Click Open to start the upload process Page 75 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software USER S MANUAL SUB FOLDERS Sub folder organization in the Data Vault is available in ActiLife version 6 0 and later To add sub folders click the New Folder button in the Data Vault view Users who are sharing license groups between ActiLife 5 and ActiLife 6 should be aware that ActiLife 5 users can only upload to the root directory and cannot see or utilize any subfolders that were created by ActiLife 6 users SHARING DATA WITH COLLEAGUES LICENSE GROUPING License grouping allows dispersed Data Vault users to share their valuable data quickly and easily ActiLife Full and Lite licenses are automatically grouped together A Lite user who uploads files using their Data Vault tab will automatically see any files that a Full user uploads and vice versa This ensures centralization of important actigraphy data when that data is being collected across multiple study sites Institutions and Universities can also be grouped together under a single License Group for collaboration on studies For information on License Grouping contact ActiGraph support at support theactigraph com MULTIPART U
22. 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL OPTIONAL SCREENING PARAMETERS Ignore wear periods less than minutes epochs Because of the WTV algorithms used some wear periods may be very short shorter than the spike tolerance Use this option to set the minimum length of an acceptable wear period Flag entire day as invalid if wear time less than minutes epochs Use this setting to flag an entire 24 hour day as invalid if there are less than the selected amount of valid wear time minutes or epochs in the day Change Wear Time Validation Algorithm This shortcut opens the Wear Time Validation options settings also accessible from the Edit gt Options menu and allows the user to choose between the Floating Window and Daily WTV algorithm Once these settings are adjusted press the Run Selected button to run the Wear Time Validation algorithm on the selected files Clicking the Save Settings as Default button will save the settings ActiLife will remember them and use them each time the Wear Time Validation tool is opened VIEWING DETAILS OF WEAR TIME VALIDATION RESULTS Summary level results of the Wear Time Validation process are available in the main grid immediately after the process has completed The following parameters are available e Wear Periods The number of wear bouts detected by the algorithm for the entire data set Non Wear Periods The
23. Click to close the panel GENERAL OPTIONS UPDATE OPTIONS Checking Check for Program Updates enables ActiLife s auto update feature and allows ActiLife to check for program updates via the Internet when the program starts up If an Internet connection is unavailable ActiLife automatically skips this step Important It is strongly recommended that this option remain checked Doing so ensures that the user has the latest version of ActiLife Older versions of ActiLife may have bugs or issues which could affect data collection and or device interaction ActiGraph makes every effort to ensure that data collection and download are unaffected during program updates Each time a device is initialized ActiLife checks the firmware version on the device If it is not the latest version available from ActiGraph it is automatically loaded onto the device prior to re initialization Because all data ona Page 11 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL device is deleted prior to flashing firmware firmware updates are only performed just prior to re initialization during which time the device is fully erased The Update Firmware on Initialization option allows the user to disable this feature However in order to guarantee that all devices remain up to date this feature is permanently checked and enabled and cannot be
24. Counts during non scored time Steps Average Counts Total Average Step Counts during scored and non scored time Steps Max Counts Scored Maximum Step Counts during scored time Steps Max Counts Non Scored Maximum Step Counts during non scored time Steps Max Counts Total Maximum Step Counts during scored and non scored time Steps Per Minute Scored Steps Per Minute during scored time Steps Per Minute Non Scored Steps Per Minute during non scored time Steps Per Minute Total Steps Per Minute during scored and non scored time Lux Average Counts Scored Average Lux Value during scored time Lux Average Counts Non Scored Average Lux Value during non scored time Lux Average Counts Total Average Lux Value during scored and non scored time Lux Max Counts Scored Maximum Lux Value during scored time Lux Max Counts Non Scored Maximum Lux Value during non scored time Lux Max Counts Total Maximum Lux Value during scored and non scored time Number of Epochs Scored Number of epochs during scored time Number of Epochs Non Scored Number of epochs during non scored time Number of Epochs Total Number of epochs during scored and non scored time Time Scored Length of scored time Time Non Scored Length of non scored time Page 51 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER 5 MANUAL 100 Time Total Length of scored and non sco
25. DATASET Page 41 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL EXPORT REPORT The Export Report option exports the information in the Wear Time Validation grid to a comma separated value file for sharing and manipulation Detailed data can be exported to CSV format from the Details view of each dataset SCORE SELECTED This option pushes the selected files into the Data Scoring tab This is typically the next step after Wear Time Validation This button speeds up the process by eliminating the need to manually search for the files from the Data Scoring file importer Page 42 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL DATA SCORING Data Scoring in ActiLife allows users to analyze the details of their dataset s by examining Energy Expenditure Activity Cut Points Activity Bouts and Heart Rate Energy Expenditure Figure 41 illustrates the Data Scoring tool in action f 1 ActiLife No Devices Connected File Edit Communication Tools Help le eR elem Data Scoring UE TESTER IR rl MnCl LLL BRE LEE 0 lee Algorithms Add Dataset s Remove Selected Edit Columns V Use Validated Data if Available V Energy Expenditure 6 E z Average Average Average Freedson Combination v Data Set Subject Name Details yy enden g
26. Data Table CSV files Use these options to simply switch file types file extensions Imported files in this category contain raw 30Hz data or contain binary compressed data gt3x format Note 12Hz import files are not allowed See Uncompressing gt3x Files for details DAT files are file types used in ActiLife version 4 Raw to Epoch P Exported files in this category contain epoch level data e g 1s 5s 10s 30s 60s epochs Exported files are first filtered then accumulated Supported export file formats include CSV AGD DAT Used to export binary gt3x files directly to csv format Raw to Raw Both import and export file formats contain raw data at whatever frequency was used to produce the gt3x file A This feature is used to reintegrate epoch level post filtered post accumulated agd files into larger epoch buckets Re Integrate E g reintegrating 10s epoch file into 60s epoch file Files cannot be reintegrated into smaller epoch lengths e g 15s gt 10s QU v6 0 0 No Devices Connected Edit Communication Tools Help Epoch to Epoch AGD File Viewer gt AGD Load Template CSV gt AGD Remove Template AWC gt AGD Template Editor AWF gt AGD AGD gt DAT AGD gt AGD gt Data Table CSV AGD gt MATLAB 8 Exit Alt F4 Raw to Epoch CSV GT3X Raw to Raw GT3X gt CSV Re Integrate AGD gt AGD
27. Devices Connected File Edit Communication Tools Help 97 11 18 Sleep Analysis MEE 10111121 Select Dataset actifs Software OLD OLD OLD Files AGD HkAtlanta agd Algorithm My Custom Sleep Algo edit 0 00 Sleep Algorithm Information 10 9 2009 11 04 PM to 10 10 2009 7 5 10 10 2009 10 59 PM to 10 11 2009 5 5 10 11 2009 11 47 PM to 10 12 2009 7 5 __ 10 13 2009 10 59 to 10 13 2009 7 10 14 2009 9 23 AM to 10 14 2009 5 5 n 132709 4 06 EE 8 51 10 16 2009 8 19 to 10 16 2009 4 1488 Thu 10 8 2009 10 17 2009 8 13 PM to 10 18 2009 3 2 10 19 2009 10 05 PM to 10 20 2009 4 7 7 Fri 10 9 2009 4 10 5 2009 Tue 10 6 2009 Wed 10 7 2009 Sat 10 10 2009 Sun 10 11 2009 Sleep Score Information Mon 10 12 2009 In Bed 10 16 2009 8 19 AM Out Bed 10 16 2009 4 14 PM Wed 10 14 2009 Sleep Onset 10 16 2009 8 22 AM Tue 10 13 2009 Thu 10 15 2009 Total Sleep Time TST 6h 38m 398m Wake After Sleep Onset WASO 74 min Awakenings 19 Details Fri 10 16 2009 Sat 10 17 2009 Sun 10 18 2009 Avg Awakening 4 05 min Mon 10 19 2009 Total Counts 182765 Efficiency 83 8 above 85 is normal Tue 10 20 2009 Period Color BI 7 Score Color IIl Show 6 Show Hourly Graphs T a Normal ActoGram Show Sleep Save Sleep
28. Flash LED Mode Enabled LED flashes periodically to indicate device is active See Recharging and LED Decoding for more details Step counting enabled Indicates that the device is recording step counts per epoch See Steps for more details Inclinometer enabled Indicates that the device is recording orientation data which will later be interpreted as sitting standing lying or off See Inclinometer for more details Lux ambient light sensor enabled Indicates that the device is collecting light data See Lux Ambient Light for more details TABLE 1 MODE CHANNEL ICON DEFINITIONS MORE INFO The button in the More Info column is for debug purposes by ActiGraph support and should not be required to operate the device s The data in the Devices grid can be copied and pasted into any text editor by clicking on a cell pressing and holding the Shift key and clicking on another cell to select a group of cells then pressing Ctrl C to copy the data to the PC clipboard This can be useful for studies in which device data must be logged IMPORTANT Device drivers must load the first time device is connected to USB port Devices may take a few seconds to load during device driver enumeration GT3X and ActiSleep devices may cause Windows to display the AutoRun prompt asking the user to choose a default action upon opening The ActiGraph software development team is working on eliminating this action INITIAL
29. Folder Show CSV Folder Advanced Device Serial Status Progress Firmware FIGURE 17 COMMUNICATION MENU SHOW DOWNLOAD FOLDER The Show Download Folder simply opens ActiLife s default download folder This option is useful for locating files downloaded from devices in the Devices tab SHOW CSV FOLDER The Show CSV Folder opens the default CSV conversion download folder UPDATE FIRMWARE FROM FILE Within the Advanced menu the Update Firmware from File option allows users to manually upgrade or downgrade device firmware From the Devices tab select the devices that need to be upgraded then select the Update Firmware from File option A dialog box will allow the user to select a firmware file for each of the connected devices types After the file has been selected click OK to update the firmware Page 14 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 QD dm UsER S MANUAL Important Manually upgrading or downgrading firmware is not could void the product s warranty Contact ActiGraph support prior to automatically update the devices firmware recommended Doing so could render your ActiGraph device unusable and manually changing the firmware Under normal circumstances ActiLife will TOOLS MENU Print Sleep Diary Generate Clinical Report PDF Correlate GPS Data Merge AGD Initialize Total Current Device Serial Sta
30. S MANUAL DATA COMPARISON The Data Comparison tool allows users to compare ambulatory activity data collected during private studies with other public activity datasets that were generated from ActiGraph devices At the time of this writing data comparison cam be made against public dataset the 2002 2003 and 2003 2004 National Health and Nutrition Examination Survey NHANES collected by the Center for Disease Control and Prevention More information about this dataset can be found at http www cdc gov nchs nhanes about nhanes htm The goal of the data comparison tool is to provide ActiLife users with the ability to objectively compare their own actigraphy data with that of national or world wide standards in an effort to understand correlations among the datasets As more datasets become available ActiLife will continue to expand this offering eventually providing various disease research study information and chronic illness baseline data LOADING DATASETS FOR COMPARISON As datasets are added to the Wear Time Validation and Data Scoring tools they are automatically loaded into the Data Comparison tool To view these datasets or to load more click the Load Edit Subjects button at the top of the Data Comparison grid A form similar to the one shown in Figure 68 will appear Rows highlighted in red indicate that more metadata information is required in order to fully compare this user to the other users in the baselines database s
31. Side N A Dominance N A 1 AGD File Viewer 1101 agd Basic AGD Information Device Type GT3XPlus Serial Number NEO Epoch Count 20173 Firmware 2 4 0 Battery 3 89V Modes 1 Axis2 Axis3 Steps Filter Normal Address Pointer 0 Export Data To Subject Biometric Information Edit Subject Name 1101 Gender N A Height N A Weight 165lbs Date of Birth N A Age N A Race N A Select Graph Daily Counts Axis 7 Axis2 Axis3 Total Counts Very Vigorous Vigorous 8 2 2011 Show Data gt FIGURE 12 AGD FILE VIEWER SHOWING CUT POINTS OR DAILY COUNTS Limb N A Side N A Dominance N A 8 7 2011 Epoch Length 60 seconds First Epoch 7 29 2011 9 39 AM Last Epoch 8 12 2011 9 51 AM Software ActiLife 6 0 0 8 12 2011 Show Data gt Click Edit near the Subject Biometric Information section to edit the stored biometric variables associated with the agd file Click Save to instantly update the file with these changes Name Height Weight Race DOB Age 1101 Gender Female 165 lbs Side ur MM dd yyyy Years FIGURE 13 EDIT SUBJECT BIOMETRICS FROM AGD VIEWER Clicking Show Data the AGD viewer will display hour long previews of the data in a grid format The hourly view can be changed by clicking the desired date hour or by clicking Next Hour gt to proceed sequentially through the hourly vie
32. Standing 8D 13H 19M 05 Standing Sitting Sitting 15 Lying 4D 23H 16M 0S off 21 Sitting 3D 6H 23M 05 Off 4D 13H 27M 0S August 2011 Hourly Inclinometer Graphs 8 1 2011 Sun Mon 2 7 8 9 10 1 12 14 15 16 1 18 19 21 22 23 8 1 2011 5 00 PM Notes written here can be exported as part of the report or stored with the subject s file 8 1 2011 6 00 PM 6 00 6 15 PM i Standing 20M 0 Save Notes 1 7111 Lying 214 05 7 Notes FIGURE 67 INCLINOMETER OUTPUT Note that the graph colors can be changed by using the color palette on the right hand side as well CREATING AN INCLINOMETER REPORT A PDF report of the Inclinometer output can be created by clicking the Export to PDF button Users will be given the option to choose which days to export to the report Important The inclinometer feature was designed by the ActiGraph engineering team as a viable way to detect user positional trends over a period of time The thigh worn algorithm is best suited for positional detection as it is difficult to algorithmically determine the difference between sitting and standing for waist worn devices For more information about the waist worn inclinometer algorithm see our Page 71 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 E Aese UsER
33. Template agt FIGURE 37 TEMPLATE FILE SAVED TO A USER S DESKTOP LOADING TEMPLATES Once the agt template file has been shared ActiLife Full or Lite users can simply download the file to their local machine anywhere and double click on the file Doing so will launch ActiLife and load the template When done correctly the template name and Last Modified time will appear in the upper right hand corner of the ActiLife software as shown in Figure 15 on page 10 Once the template has been loaded once the agt file can be removed from the end user s computer It is not necessary that the file remain on the user s computer An alternative way of loading a template file in ActiLife is to use the Load Template option in the File menu Browse to the template file location and click Open to load the template When a template is loaded in ActiLife the template will remain present even after the software has been closed and re opened This ensures that the template settings remain unchanged when the host computer is shut down and restarted To remove a template click Remove Template from the file menu DATASET ANALYSIS OVERVIEW Page 37 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL To improve the efficiency of our customers research and to reduce the time spent in post data collection analysis the full vers
34. age range for comparison choose Custom from the Age dropdown and type in a custom age range to compare against Use this process for all of the filter parameters until the desired comparisons are set To apply the same filter parameters to the user dataset check the box Apply Filter to Your AGD Files This will force ActiLife to use only those datasets that meet the filter qualifications from both the NHANES data and the user s local data NHANES Data Filter Gender Male Only Age Weight Custom 165 Ib to 205 lb Height ALL BMI ALL Apply Filter to Your AGD Files FIGURE 69 NHANES AND SUBJECT DATA FILTER The results of the filter will be summarized below the Data Filter section as shown in Figure 70 of Subjects that match the filter Your Subjects 12 NHANES 2058 FIGURE 70 FILTER RESULTS Click Calculate to run the comparison Once the calculation is complete the resultant graphs will appear on the right hand side Use the Select Graphs options to turn specific graphs on or off Double click on any graph to make it larger These graphs show comparison between the user s data and the NHANES data set Double click the graph again to return to the normal view Page 73 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER 5 MANUAL NHANES Data Subject Data 40 20
35. averaged over the entire sleep period e Minutes of PLM Kicks The total number of minutes of kicks or activity spikes that exceed the onset threshold AND the total minutes of consecutive kicks thereafter that exceed the decay threshold e Number of PLM Kicks The number of kicks or activity spikes that exceed the onset threshold AND the number of consecutive kicks that exceed the decay threshold Number of PLM Bouts A count of the number of bouts of PLM that occurred during the selected sleep period e Average PLM Bout Length min The average length in minutes of all of the PLM bouts for the selected sleep period e Minutes of PLM Bouts The total time in minutes of PLM bouts This time is different from the PLM kicks because kicks do not necessarily qualify as valid PLM e Avg PLMS Intensity The average intensity of the PLM during Sleep of all of the PLM bouts Essentially this is the duty cycle of all PLM bouts Avg PLMS Intensity total minutes of valid PLM total PLM bout length For more information regarding the source of our PLM calculations see our online FAQ How were the Periodic Leg Movement algorithms derived Page 67 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software USER S MANUAL GRAPHING ActiLife s graphing tab allows users to quickly see graphs of each day in a given dataset Click Select Dataset and browse to a
36. color palette beside the corresponding item and choosing a different color as shown in Figure 53 Note that the Period Color is translucent and may appear slightly lighter than its selected color 8 Add Bed Time Sleep Score Infort In Bed 9 24 2010 Out Bed 9 25 20 Sleep Onset 9 24 SERRE EMEN IEEE a H H H Latency 0 min Total Sleep Time Wake After Sleep Awakenings 4 Avg Awakening 4 Total Counts 702 Efficiency 96 6 Period Color FIGURE 53 COLOR PALETTE FOR SLEEP SCORING GRAPH LUX Lux or ambient light is measured by ActiGraph s ActiSleep monitor the ActiTrainer and the GT3X devices Ambient light may affect subject sleeping habits and thus is a useful tool in analyzing circadian rhythms and sleeping patterns If lux data was recorded by the ActiGraph device it will appear in yellow on the sleep graphs as shown below in Figure 54 The lux data can be hidden by deselecting the Show LUX data option at the bottom of the screen Details regarding the significance of the lux values are revealed by hovering the mouse pointer over the Lux Info link at the bottom of the screen as shown in Figure 55 Note that these levels are only estimates and are not meant for exact interpretation of the light detected by the device Page 57 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiL
37. ils ri 17H 37M 225 2H 34M 385 15H 2M 445 22M 5S 2H 8M 575 14 6 85 4 1H 17M 05 7H 31M 0S HKAtlanta aad ils 8 14D 18H 23M 05 13D 13H 19M 05 1D 5H 4M 0S 1D 12H 8M 465 38M 05 91 8 8 2 20 20 05 1 49 05 V 2308090106 2010 02 08 9 ils 10 4D 6H 36M 245 1H 0M 325 4D 5H 35M 525 6M 435 10H 9M 355 1 99 20M 0S 1D 9H 52M 0S MAT2A08090106 2010 02 08 60sec aad Details 9 4D 6H 37M 0S 3H 7M 0S 4D 3H 30M 0S 20M 465 11H 3M 205 3 97 1H 2M 05 1D 9H 10M 05 V 0100028 2011 06 16 10sec aad Details 3 21D 8H 25M 105 34M 05 210 7H 51M 105 11M 205 7D 2H 37M 35 99 9 11M 05 7D 2H 37M 05 Add Dataset s Remove Selected Run Selected Data Screening Criteria Learn more about these parameters Define a non wear period Export Report Begin non wear bout after 60 2 of consecutive zeros 0 V Use Vector Magnitude Score Selected E Use an activity threshold of 10 counts per minute F Spike Tolerance 2 Optional Screening Parameters Ignore wear periods less than 0 minutes E Flag entire day as invalid if wear time less than 0 21 minutes Save Settings as Default Check this option to set a minimum non zero activity threshold for non wear bouts Where did we get our defaults Set this value to ignore spikes above zero or above the activity threshold during a non wear bout Change Wear Time Validation Algorithm FIGU
38. number of non wear bouts detected by the algorithm for the entire data set e Wear Length Total time the device was worn e Non Wear Length Total time the device was not worn e Avg Length Wear Period Average length of the wear periods or bouts e Avg Length Non Wear Period Average length of the non wear periods or bouts e Wear 9 Percentage of wear time for the entire data set e Non Wear 9 Percentage of non wear time for the entire data set e Avg Wear Time per Total Days All Days Total wear time divided by the total number of days in the dataset Avg Wear Time per Days with Wear Time Total wear time divided by the total number of days in the dataset that have gt 0 wear time Avg Non Wear Time per Total Days Total non wear time divided by the total number of days in the dataset that have gt 0 wear time e Avg Non Wear Time per Days with Wear Time Total non wear time divided by the total number of days in the dataset that have gt 0 wear time After the wear time has been calculated details of each wear and non wear bout can be viewed by clicking the Details button to the right of each dataset file name as shown in Figure 39 Page 40 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLite 6 Data Analysis Software Total Valid Days Days USER S MANUAL FIGURE 39 DETAILS VIEW SHOWS EPOCH BY EPOCH VALIDATION Details about which days are considered valid
39. of logged axes Page 24 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL GT3X devices collect data from all channels regardless of initialization settings The only settings available for the GT3X are the raw Sample Rate and the Flash LED options as shown in Figure 25 After data collection parameters have been set up for each model select the Enter Subject Info button SUBJECT INFO The Subject Name screen allows users to enter a unique subject name for the attached devices This data will be stored on the device and will be available at download and can help with file naming when data is downloaded from the device To add or change a name highlight the subject name cell Note that GT3X devices devices with serial numbers beginning with will store more information QU Enter Subject Information Enter subject information for initialization Height Weight Date of Serial Number Subject Name Gender ir lbs irt 0 10100016 0 10100016 70 165 12 15 1976 White Caucasian e wrist Left Non Dominant mid2bo6110030 mid2bO56110030 mat2c45099701 2 45099791 matec32100146 mat2c32100146 mat2a0gD80334 mat2a09090334 mat2a08090106 mat2a08090106 2524061682 24061682 Subject Name Options Serial Number Use Device Info Required Information I
40. onset occurred Awakenings The number of different awakening episodes as scored by the algorithm This is sometimes referred to as Frequency of Awakenings shown as the number of awakenings per night Avg Awakening The average length in minutes of all awakening episodes Total Counts The total actigraphy counts summed together for the entire sleep period Efficiency Number of sleep minutes divided by the total number of minutes the subject was in bed i e the difference between the In Bed and Out Bed time ACTOGRAM VIEW The ActoGram view option provides ActiSleep users with the ability to quickly discern circadian patterns in sleep behavior by scaling and compressing the sleep graphs Enable the ActoGram view by choosing the radio button corresponding to this view at the bottom of the Sleep Scoring tool Figure 60 illustrates an ActoGram view Several options exist for editing the ActoGram view Show 6 Hour Ticks This option will toggle the periodic 6 hour hash marks on the ActoGram graph Show Hourly Ticks This option will toggle the periodic hourly hash marks on the ActoGram graph Graphs Per Page Use this option to compress or expand the ActoGram view vertically Page 62 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL Lux This check box toggles the ambient light data on the ActoGram view in yellow ActiLife 8
41. shown in Figure 24 device status information will appear in the Devices tab as devices are connected to the computer Device status information is provided in the Devices grid Q ActiLife 8 Devices Connected JL 2 File Edit Communication Tools Help Wear Time Validation Data Scoring Sleep Analysis PLM Analysis Graphing Data Comparison Data Vault as gt Initialize Device Serial Status Progress Firmware Battery Total Current Data Epoch Subject Start Date Stop Date Memory Recorded Sample Rate Name amp Time amp Time ActiSleep mid2b06110030 ready 3 4 2 4 05 7895 4 16H 31M 245 2 sec Device 3 2 9 2012 3 51 PM Normal Filter GT1M lyn2b24061682 ready 7 5 0 4 199 100 1 41D 218 2 05 60sec LYN2B24061682 2 9 2012 11 50 Normal NEOO410100016 ready 02 03 00 4 22 100 256 21D8H25M175 30Hz d judge 1 25 2012 2 41 PM GT3X mat2a08090106 ready 4 4 0 4 224 100 4 MB 41D 21H2M 05 60sec MAT2A08090106 2 9 2012 11 50 AM Normal GT3X mat2c32100145 ready 4 4 0 3 754 20 16 MB 41D17H2M0S 60sec Device 6 2 9 2012 3 51 PM Normal GT3X mat2a09090334 ready 4 3 83 35 4 41D17H1M 05 60sec Device 4 2 9 2012 3 51 PM Normal GT3X mat2c32100146 ready 44 3 9V 49 16MB 41D17H2M05 60sec Device 2 2 9 2012 3 51 PM Normal GT3X mat2c45099791 ready 4 3 834 35 16MB 410 17 1 05 60sec Device 1 2 9 2012 3 51 PM Nor
42. this directory the default download directory check the box below the download location in the Download Options prompt This can also be changed by selecting the directory from the Edit gt Options gt Directories setting in the program s main menu SAVING BIOMETRIC DATA DURING DOWNLOAD During the download process ActiLife gives the user the option to store metadata information associated with each device and corresponding device wearer After clicking Download from the devices grid check the box entitled Add biometric and user information to expand the details grid below the download form This form is shown in Figure 28 All of the fields shown here are optional Page 27 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL Q Download Options E Select Download Location C Users Documents ActiGraph Downloads Use as Default Download Directory Download Naming Convention Create Clinical Report on Download for ActiSleep Monitor s Serial Number Download Date Serial Number Start Date GT3X Download Options Subject Name Download Date gt Create AGD Subject Name Start Date te Epoch 10 seconds 2 Serial Number of Axis 2 Subject Name oa A Prompt for Each Download Steps V Lux v Inclinometer Low Frequency Extension a Download All Dev
43. 04 ActiLife 6 Data Analysis Software By ctiGraph UsER S MANUAL DEVICE INITIALIZATION AND DOWNLOAD Once ActiLife is properly installed and licensed users will be presented with the Devices screen similar to the one shown in Figure 23 ActiLife is capable of initializing or downloading multiple devices simultaneously Devices can be connected either before or after ActiLife is launched 1 ActiLife No Devices Connected File Edit Communication Tools Help Wear Time Validation Data Scoring Sleep Analysis PLM Analysis Graphing Data Comparison Data Vault Initialize Download Refresh Refresh All Identify Total Current Data Epoch Subject Start Date Stop Date Axis V Device Serial Status Progress Firmware Battery Memory Recorded SampleRate Name amp Time Filter Enabled Mode s More Info FIGURE 23 OPENING SCREEN Page 20 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL Important Attempting to communicate with multiple GT1M and GT3X devices has been known to problematic Users may see error similar to the one shown To remedy the problem ensure that the USB hub in use is a powered hub ActiGraph recommends the 7 port ConnectLand sold on the theactigraph com store Sometimes a retry will fix the issue but not always Read more about the problem on our FAQ page As
44. 2 7900 fax 850 332 7904 a UA a em UsER S MANUAL DATA SCORING PARAMETERS AND ALGORITHMS There are five optional parameters that can be calculated from within the Data Scoring tool Energy Expenditure METs Cut Points Bouts and Heart Rate Energy Expenditure HREE Each parameter has multiple algorithms from which to choose Each algorithm has been derived by independent researchers from around the world using ActiGraph devices To view details about the origin of each algorithm click the icon to the right of each scoring parameter Check the checkbox next to each parameter you wish to calculate for your dataset s Unchecked parameters will not be calculated displayed or exported ENERGY EXPENDITURE To calculate energy expenditure check the box next to the Energy Expenditure parameter in the Data Scoring tool Each dataset in the Data Scoring grid must have an associated body Weights can be added by clicking on the Weight box in the Data Scoring grid and typing in the subject s weight Select Worn on Wrist if the device was worn on the wrist to apply the appropriate scaling Important The Worn On Wrist option scales down the activity counts based an internally developed algorithm At this time there are validated energy expenditure algorithms for wrist worn actigraphy Validated energy expenditure can only be estimated from waist worn devices 5 or metabolic equivalent of task
45. 6091096 2010 01 29 csv 1 29 2010 2 07 PM Microsoft Excel C 24 KB GE PULTBO3080224 2010 03 09 csv 7 6 2010 12 44 PM Microsoft Excel 271 KB NEO1B34100029 2010 09 06 9 13 2010 4 34 PM Microsoft Excel C 1 2 10100024 2010 07 13 7 13 2010 214 PM Microsoft Excel C 825 KB GL YN2B51065828 csv 9 15 2010 1 03 PM Microsoft Excel C 9 KB PULTB03080224 2010 03 09 dat 7 6 2010 12 44 PM DAT File 987 KB NEO1B34100029 2010 09 09 qt3x 9 9 2010 4 17 PM ActiLife qt3x 211 NEO1B32103031 2010 09 20 9 20 2010 12 50 ActiLife gt3x 192 214 NEO1B32103031 2010 09 17 gt3x 9 17 2010 11 14 ActiLife qt3x 74133 KB 0100031 2010 08 04 gt3x 8 4 2010 1 53 PM ActiLife gt3x 151 076 KB NEOQA30100029 2010 08 04 gt3x 8 4 2010 1 57 PM ActiLife qt3x 151 068 KB 10100024 2010 07 13 gt3x 7 13 2010 1 38 ActiLife qt3x 251 KB NEO0A10100020 2010 07 13 gt3x 7 13 2010 1 38 PM ActiLife qt3x 251 KB 10100001 2010 07 13 gt3x 7 13 2010 1 38 ActiLife qt3x 251 FIGURE 30 GT3X FILES UNCOMPRESSING GT3X FILES Binary gt3x files can be uncompressed to agd for use in ActiLife csv or dat file format Users have the option of creating agd files during the download process by checking Create AGD File from within the download prompt see Figure 31 Because GT3X devices record raw a
46. 7 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL HEART RATE EE The Heart Rate EE option calculates the following variables from any datasets that are loaded in the Data Scoring tab ADL Heart Rate Average Daily Living Heart Rate This is the average base resting heart rate of all ADL qualified epochs in the dataset In order to qualify as ADL heart rate an epoch must contain heart rate data below 79 beats per minute and one minute activity data above 100 counts per epoch Avg Active Heart Rate The average active heart rate in a given dataset In order to qualify as active heart rate epoch activity must exceed 1951 counts per minute epoch and heart rate must exceed 80 beats per minute HR Delta The difference between the Average Active Heart Rate and the Average Daily Living Heart Rate fora given dataset Avg Active Caloric Expenditure The average minute by minute caloric expenditure kcal for all epochs that match the Active Heart Rate qualifier used to calculate Average Active Heart Rate Calories are calculated using the Freedson Equation 1997 Calibration Ratio Average Active Caloric Expenditure HR Delta This value is used to determine calories per BPM or calories that should be associated with the subject s BPM rate Active Heart Rate when activity counts are not reliable The HREE algorithm should not be used as a s
47. ANUAL Adjust In Bed Time poch Information 10 16 2009 4 09 0 counts Delete All Sleep Periods In This Day Delete All Sleep Periods For the Dataset atic Finished Entering Bed Times 12 00 FIGURE 52 ADJUSTING BED TIMES Important The Auto Score can only be used with data collected from ActiSleep devices The feature can be enabled for data collected from other ActiGraph devices for small fee Contact for more information REMOVING SLEEP TIMES Sleep periods can be removed by right clicking on them on the graph and choosing Delete Current Sleep Period To delete all of the sleep periods for a particular day or for the entire dataset choose the proper corresponding option Delete All Sleep Periods in this Day or Delete All Sleep Periods for the Dataset Sleep periods can also be removed by selecting the sleep period in the list to the right and clicking the Remove button below the list Page 56 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 E UsER S MANUAL ACTIVITY AND LUX SCALE The Activity Scale and Lux Scale settings below the sleep graphs adjust the maximum scale shown for Activity and Lux counts on the sleep graphs Changing the value scales all of the graphs simultaneously CHANGING GRAPH COLORS Graph colors for activity lux the sleep score period and the score indicator can be changed easily by clicking the
48. ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL ActiLife 6 User s Manual Document Number SFT12DOC13 Revision A Release Date 04 03 2012 Prepared By ActiGraph Software Department U S federal law restricts this device to sale by or on the order of a physician ActiLife 6 Data Analysis Software 2 A ctiGraph USER S MANUAL CHANGE PAGE ABOUT THE CHANGE PAGE The following table describes the changes that have been made to this document since its original baseline Documents affected by the changes made need to be listed and updated to keep procedures up to date This table shall be maintained as long as this document is active Revision 000 Description of Changes Date of Approval Initial release internally ctitife 6 UsER S MANUAL SIGNATURE PAGE Document Creator or Editor s Signature lApprove Printed Name Jeremy Wyatt Date 4 3 12 Department Manager Signature lApprove Printed Name Click here to enter text Date Click here to enter text Quality Manager Signature lApprove Printed Name Click here to enter text Date Click here to enter text Hard copies of the title page change page and signature page are to be printed and kept on file with the Quality Manager ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL CONTENTS SOU Ce gta EE 2 Downloading and 418
49. DATA VAULT To download files stored in the Data Vault simply click the Download link to the right of the file you wish to download Multi file downloads are not supported as of version 6 1 but are coming soon PURCHASING MORE SPACE Various data plans are available for a monthly or yearly fee Contact ActiGraph sales to inquire about more space for your organization at sales theactigraph com or 1 877 497 6996 Page 77 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 kaufe c UsER S MANUAL APPENDIX A FILE TYPES IN ACTILIFE COMPARISON OF GT3X4 AND GT3X DEVICES Before explaining the difference between the gt3x and agd files it would be useful to explain the paradigm differences between the GT3X and GT3X device platforms GT3X devices sample accelerometer data 30Hz only This data is then filtered and accumulated into user selected epoch sizes 60s for instance inside of the device Because this data is being processed and accumulated into epoch size chunks on board storage requirements are relatively small Whenever ActiLife downloads data from these devices it produces an agd file epoch level file which can then be processed inside of ActiLife GT3X platform devices are different in that the user selects the rate at which raw data is sampled from the accelerometer the user can choose any frequency between 30 100Hz in 10Hz increments The GT3X then stores every sample making the da
50. ETAILS Click this option to view the ActiLife product key the edition type and the maintenance expiration date DEACTIVATE ActiLife licenses are node locked to the machine on which the software is installed Users are allotted a specific number of activations on various machines In order to prevent losing an activation ActiLife should be deactivated before it is uninstalled and removed from its host computer To deactivate ActiLife and reclaim the activation select the Deactivate option and click Deactivate ActiLife ActiLife Deactivation Deactivate Deactivating will allow you to install and activate ActiLife on another computer Re activation will be required to run ActiLife on this computer Deactivate ActiLife FIGURE 22 DEACTIVATE DIALOG CHECK FOR UPDATES Clicking this option will force ActiLife to check for any maintenance updates This action is done automatically each time ActiLife is loaded but may be manually done via this method Page 18 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 2 A ctiGraph USER S MANUAL ABOUT ACTILIFE The About ActiLife option displays information about the ActiLife program including the software version number also available in the main dialog frame copyright information and a link to ActiGraph s corporate website Page 19 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 79
51. ITH DROP TIME 2 09 01 00 09 09 00 09 10 00 2540 6000 TABLE 5 EXAMPLE OF AN INVALID BOUT WITH DROP TIME 2 Once a bout is detected the bout does not end until the drop time tolerance is exceeded Suppose the epoch string in Table 4 continued as follows 06 10 4305 06 11 3390 06 12 5530 06 13 9930 06 14 100 The epoch at 06 14 would mark the end of the bout which would be 14 minutes long BOUT EXAMPLE Minimum Bout Length 10 minutes Minimum Count Level to be considered a Bout 1953 Maximum Count Level to be considered a Bout 5724 Tolerance Drop Time in minutes 2 Dataset collected in one minute epoch lengths Astring of epoch values from the dataset 1805 2048 3159 4651 4216 4673 5531 1846 2615 2648 3894 4869 5201 5756 6165 This string contains one bout 2048 3159 4651 4216 4673 5531 1846 2615 2648 3894 4869 5201 The value 1846 is considered the first drop time The value 5756 is considered the second drop time The value 6165 is considered the third and final drop time ActiLife regresses the dataset once 6165 is detected to find the last good value This defines the end of the dataset The Use Vector Magnitude option within the bout parameter settings forces ActiLife to use the Vector Magnitude combination of all three axes for each epoch when making bout level determinations With this option unchecked ActiLife only uses Axis 1 Page 4
52. IZING DEVICES Select a check box corresponding to the devices to be initialized or select all devices and click Initialize A dialog similar to Figure 25 will appear Page 23 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL QU Initialize Device s Ey Initialize Dievicets Initialize Devices Initialize Devices Actisleep GT1M SS ns Axis 1 Epoch 60 sec Sample Rate 130 a Zt of Axis 3 Noma e Ax xis 2 Filter 4 Flash LED during delay mode C Flash LED during data collection 4 Steps W Inclinometer W Flash LED during data collection Max Recording Time Recording Time 212 MB 42D 16H 48M 05 16176 1274D 7H 27M 05 256 MB 21D 25M 175 4MB 3180 13H 51 05 Start Date Thursday March 22 2012 Today start Date Thursday March 22 2012 Today Start Time 10 05 Default Start Time 10 05 AM Default W Use Stop Time 4 Use Stop Time Stop Date Thursday March 22 2012 stop Date Thursday March 22 2012 P Stop Time 10 05 Stop Time 10 05 Enter Subject Info Enter Subject Info FIGURE 25 INITIALIZATION DIALOG FOR GT3X VS GT3
53. PLOADS The ActiLife Data Vault takes advantage of a technology known as multipart uploads This technique delineates the files into multiple parts and uploads each part to the Data Vault This technique results in much faster uploads over slow connections and increases reliability since failed uploads can be restarted where they left off For this reason the Data Vault tool is superior to other methods of file sharing such as FTP email and network sharing VIEWING UPLOAD PROGRESS To view the upload progress for the queued files click on the hyperlink below the progress indicator This will open the Data Vault Transfers window From there file transfers can be cancelled and status information can be viewed Data Vault Transfers 2 5 4 25 Data Vault is currently uploading 1 files Filename Size Computer Type Date Sent Status MAT2E0809EN03 agd 7346 MB Manual 3 23 2012 12 02 PM Uploading Cancel FIGURE 73 DATA VAULT TRANSFERS WINDOW Page 76 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 USER 5 MANUAL FILE TYPES Any type of file can be uploaded to the Data Vault Simply change the file type to All Files in the File Upload dialog as shown in Figure 74 L All Files ActiLife Data Files qt3x agd dat csv gt3x agd dat csv FIGURE 74 CHANGING THE DATA VAULT FILE TYPE DOWNLOADING FILES FROM THE
54. RE 38 WEAR TIME VALIDATION DEFINE A NON WEAR PERIOD This section provides options for defining the non wear period ActiLife will use this information to scan the data for non wear bouts Begin non wear bout after minutes epochs of consecutive zeros After scanning the data and detecting the selected number of consecutive zeros ActiLife will begin flagging data as non wear time The leading zeros detected during this process will be flagged retroactively after they have been initially scanned Data will be flagged as non wear time until the Spike Tolerance is exceeded Use Vector Magnitude When checked ActiLife scans the vector magnitude of three axis data when available to detect wear or non wear time When unchecked ActiLife scans only Axis 1 the vertical axis see users manual for details to detect wear non wear times Use an activity threshold of counts per minute epoch Instead of looking for zeros to qualify non wear time this option allows the user to set a non zero activity threshold requirement for wear time Data below this value will be qualified as zero Spike Tolerance minutes epochs This option allows the user to set a spurious count tolerance ActiLife will continue scoring a non wear bout as non wear until it detects more than the Spike Tolerance number of minutes epochs above zero or above the activity threshold if that option is enabled Page 39 49 E Chase St Pensacola FL 32502 tel
55. RMATS ActiLife stores and uses data from native agd files which are produced during the download or export process for all devices These files are in SQLite Format which is essentially a small database ActiLife can import data from any legacy file formats by selecting File gt Import Export and selecting the appropriate action from the menu see the ActiLife Main Menu discussion section in this manual Multiple files can be imported simultaneously MAIN MENU FILE MENU The file menu in ActiLife contains options related to file manipulation AGD file analysis and template loading and editing Import Export i AGD File Viewer Load Template Remove Template Template Editor A2 Exit Alt F4 FIGURE 9 ACTILIFE FILE MENU IMPORT EXPORT As discussed previously users can import and export file formats to various formats to meet nearly any need For details about the various file formats see details in Appendix A File Types in ActiLife5 The table below explains the Import Export options that are shown in Figure 10 Page 6 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Imported files in this category contain epoch level data e g 1s 5s 10s 30s 60s epochs Epoch to Epoch Exported files also contain epoch level data in the new file format CSV gt AGD conversion will convert both regular CSV files and
56. SLEEP SCORING DESIGN FORM This tool will allow users to customize the following settings ALGORITHM NAME The Algorithm Name is the name that will appear in the drop down menu after the algorithm design is complete EPOCH WINDOW The sliding window technique works as follows All epochs in a given dataset are scanned Each epoch of data receives a sleep or a wake score based on its count level as well as the count levels of other epochs before and after itself This window of epochs and surrounding epochs then slides to the next epoch and surrounding epochs and the process repeats The Epoch Window defines the sliding window and the weighting which is given to the current and surrounding epochs in order to determine whether to score the current epoch as sleep or wake To increase the size of the window adjust the Epochs to use before current and Epochs to use after current options the graphic will increase or decrease in width automatically Page 60 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER 5 MANUAL Epoch Window Epochs to use before current 4 Epochs to use after current 4 noch 4 epoch 3 sepoch 2 1 aepoch 0 1 epoch 2 epoch 3 1 01 0 03 0 05 0 25 1 0 25 0 05 0 03 0 01 4 FIGURE 58 CUSTOM SLEEP SCORE EPOCH WINDOW Adjust the numbers below the surrounding epochs to change
57. Serial Status Progress Firmware MAT2A16099993 data to download 1 2 0 4 23 2 0809 finished downloading PLUL1BO01080088 No data to download 1 38050006 finished downloading 4 19 4 1 0 4 14 7 10 4 19 2 090005 finished downloading 17 34 4 24 LYN2B51065828 finished downloading 73 0 421 2 0809 05 finished downloading 4 0 0 4 06 FIGURE 34 FINISHED DOWNLOADING LINK IN STATUS LINKS AGD VIEWER FOR GT3X AND ACTISLEEP DEVICES BUILDING AND USING A TEMPLATE Templates were created to assist customers who deploy ActiGraph devices using remote distribution centers or who need to ensure consistency in the initialization and or download process when multiple people e g lab assistants are distributing devices to patients Templates can be created only from within the full version of ActiLife ActiLife Lite does not support template creation only template usage Once a template is created the template can be saved as an agt file This file can then be shared via email jump drive or any other means to various distribution centers or lab partners Opening this file will force ActiLife to use the settings defined in the template editor to initialize and download devices thus ensuring data collection consistency TEMPLATE EDITOR ActiLife Full users will find an option in the File menu entitled
58. X SETTING DEVICE PARAMETERS The Initialize Device s screen contains a separate tab for each type of ActiGraph device connected to the PC and appears after clicking the Initialize button at the top of the Devices screen Tabs across the top represent the types of devices to be initialized If multiple devices of each type are selected the tab group applies to all devices of that type Select the tab for the type of device you wish to configure and set the specific data collection parameters Filter information can also be set at the time of initialization For more details about the low frequency extension see Low Frequency Extension All ActiGraph devices of the same type that are initialized simultaneously will be initialized with the same data collection parameters Start Date and Time and Stop Date and Time apply to all devices and cannot be unique for each device group Stop time is optional The Max Recording Time for each device is shown in the Initialization screen This number will change depending upon the number of axes selected the epoch length and the number of active channels see Available Channels Modes for details of the meaning of each setting Most devices Max Recording Time will far exceed the battery life of the device The icon in the top right corner of the initialization screen indicates which axes are selected As the of Axis dropdown box is increased so too are the number
59. a steps optional Total steps per epoch hr optional Heart beats per epoch This data is only gathered by ActiTrainer devices when those devices are initialized to collect heart rate data AND when the Polar Heart Monitor wireless heart strap is worn by the user Lux optional Ambient light sampled once per second on and ASM devices only and averaged over the length of the selected epoch e g for 60s epochs this would be the light values summed once per second and divided by 60 Inclinometer optional Device orientation information This is calculated by sampling the angle of the device over the entire length of the epoch 30 times per second and selecting the predominant angle i e the angle range that appeared the majority of the time over the epoch For details about inclinometer functionality see the Inclinometer Whitepaper DAT FILE FORMAT Older versions of ActiLife produced dat files when downloading data from devices These files consist of ten 10 lines of header data meta information about the content followed by epoch accumulated filtered data This DAT file stores all of the activity 1 to 3 axis pedometer Inclinometer and or heart rate data in ASCII format This file also contains the Serial Number Start Time Start Date Epoch Period Download Time Download Date Current Memory Address Pointer Current Battery Voltage Mode and First Start Time used to build the DAT file as par
60. ace Asian Pacific Islander Black African American White Caucasian Latino Hispanic Other Limb limb on which the device is worn Wrist Waist Ankle Upper Arm e Side The side of the body that the patient is wearing the device Left or Right e Dominance Dominant or Non Dominant This allows the researcher to store whether or not the wear location is on the subject s dominant or non dominant side This data is stored in the info txt file as part of the gt3x zip file when data is downloaded from the GT3X device When all names have been entered select the Initialize All button and the progress is displayed in the Status column refer to Figure 24 When the initialization is complete the devices are ready to be removed DOWNLOADING DEVICES FILE FORMAT Downloading data from the actigraph device is a simple process It is important to understand how the data on the device is formatted and what is contained in the file Except for devices ActiLife stores data from the devices into the agd file format upon download This file format is compatible with the popular open source database SQLite http www sglite org The agd file schema can be found in Appendix A of this users guide DOWNLOADING GT1M GT3X ASM AND OR ACTITRAINER DEVICES To download data from GT1M GT3X ASM or ActiTrainer devices connect your device s to the computer ActiLife will detect those devices and they will appe
61. ar in the Devices grid Select check the box the devices that you wish to download and click Download at the top of the screen The Download Options screen will appear allowing you to select the type of file naming convention you would like The names can always be changed later or you can select Prompt for Each Download to enter unique names for each downloaded device These options help to prevent name duplication during batch downloading Page 26 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Gy Download Options Select Download Location 5 ocuments Downloads Use as Default Download Directory Download Naming Convention 22 l Create Clinical Report on Download for Monitor s amp lt Serial Number lt Download Date gt 5 Serial Numbers Start Date Download Options 2 Subject Name Download Dates Create AGD File 2 Subject Name Start Dates Epach 10 seconds 5 Serial Number of Axis 2 Subject Mame a 2 Prompt for Each Download 4 Steps W Lux W Inclinometer Low Frequency Extension Download All Devices 1 Add biometric and user information FIGURE 27 DOWNLOAD OPTIONS WINDOW To select a different download location select Select Download Location and browse to the desired download directory To make
62. ary gt3x files can be uncompressed at a later time if desired e g after emailing or sharing the files To uncompress these files at a later time select File gt Import Export gt Create AGD CSV DAT from Raw GT3X from the ActiLife main menu An export window similar to the one shown in Figure 32 will appear Individual gt3x files can be added by selecting the Add GT3X Files s option All of the gt3x files in a directory can be added by selecting Add Directory Once files are added the desired file type s epoch length and parameters can be selected within the export tool Select Create File s to export these files to the default download directory Open Data Set Epoch Length Create AGD Create CSV Create DAT of Axis Steps Lux Inclinometer a Extension 0110100 1 2010 06 28 gt3x open folder 10 sec On Waist NEO0A10100008 2010 07 10 gt3x folder 10 sec On Waist NEO0A10100009 2010 07 10 gt3x open folder 10 sec On Waist NEO0A10100020 2010 07 10 gt3x open folder 10 sec On Waist NEO0A10100023 2010 07 10 gt3x open folder 10 sec On Waist Add Raw Data File s Remove Selected File s Files in Grid 5 Create File s Create Sub Folders for Exported AGD CSV DAT files Epoch Length The post accumulated
63. can be seen in the details view An example is shown in Figure 40 The Days section details out the number of Wear Time and Non Wear Time in minutes per calendar day The percentages of wear and non wear for each day are also available here The VM column represents the total Total Vector Magnitude Counts for that day see Appendix B Vector Magnitude for more details This number can be used to gauge relative activity from day to day The Wear Time and Non Wear Time Periods section details the wear and non wear bouts as detected by the Wear Time Validation tool The Use column indicates whether or not that particular bout will be considered or excluded when calculating output scores in the Data Scoring tool Non wear periods are never used and wear periods are always used by default This can be changed by checking or un checking the bout of interest Clicking Save and Close will store those changes in the agd file Clicking the More button next to a wear or non wear bout will reveal the epoch level breakdown for that particular bout on the right hand side All data in this view can be copied pasted by selecting the columns rows of interest pressing Ctrl C on the keyboard to copy then pressing Ctrl V to paste the data into a spreadsheet or text editor Use the individual export links to export a wear or non wear period into a csv file Days Epoch Breakdow
64. ccelerometer data see Appendix A File Types in ActiLife for details the parameters for the uncompressed file must be set at the time of download if the Create AGD File option is checked These parameters include the uncompressed epoch length the number of axes step counting lux light data inclinometer standing sitting lying or off detection and or low frequency extension For an explanation of these parameters see Available Channels Modes for details H Download Options Select Download Location C Users Documents ActiGraph Downloads Use as Default Download Directory Download Naming Convention M Create Clinical Report on Download for ActiSleep Monitor s Serial Number Download Date Serial Number Start Date GT3X4 Download Options 5 Subject Name Download Date 4 Create AGD File D Subject Name Start Date Serial Number is O Subject Name of Axis O Prompt for Each Download Steps V Lux Incinometer Low Frequency Extension Add biometric and user information Download Al Devices 3 FIGURE 31 CREATING AN AGD FILE ON DOWNLOAD Page 31 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife UsER S MANUAL Important Creating AGD file during the download process will increase the download time significantly depending upon the size of the download Bin
65. ct Dataset C Users Desktop ActiLife Testing LYN2AEN09000560sec aqd Daily Graphs Inclinometer Inclinometer Data is not available for this dataset AGD files must contain inclinometer data Enable inclinometer data during File Export for GT3X devices Initialization for GT3X ActiSleep and ActiTrainer devices FIGURE 66 FILE WITH NO INCLINOMETER DATA Once an appropriate file has been loaded the Inclinometer tool will display a breakdown of hourly positional information as shown in Figure 67 The calendar on the right can be used to navigate among days in the dataset to quickly jump to an area of interest Any notes written in the Notes area will be stored with the agd file and will be available in the PDF report and in any subsequent interaction with the Inclinometer tool for that particular file Page 70 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 Data Analysis Software By A ctiGraph UsER S MANUAL Q ActiLife 8 Devices Connected File Edit Communication Tools Help 97 19 18 UT TELLURE IET lee Beet Sr eerie Graphing Select Dataset C Users Yesktop ActiLife Testing daniel full device 360sec agd Daily Graphs Inclinometer Overall Statistics Export to PDF 2 Inclinometer Graph Colors Standing 40 Worn Not Worn Time in Position m off Bi Lying Bl Lying 23
66. ction starts e Decay Threshold The threshold in counts per epoch at which PLM movement detection ends Onset and decay thresholds are available to introduce hysteresis into the movement detection Page 66 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL INTERPRETING THE PERIODIC LIMB MOVEMENT OUTPUT After scoring files for Periodic Leg Movement click on the different sleep periods to view the graph and PLM stats for each sleep period GRAPHS Clicking on a sleep period will load a PLM score graph The green background represents the total time in bed sleep period as logged by the user The graph will automatically show data 1 hour before the time in bed and 1 hour after the time out of bed The blue horizontal line represents the onset threshold and the red horizontal line represents the decay threshold The bar graph below the main activity graph gives users a quick reference to PLM bouts bouts of activity that meet the qualifications of Periodic Leg Movement Both graphs can be zoomed in or out simultaneously by dragging the mouse over the area of interest To zoom back out click the small circle in the lower left hand corner of the graph until the desired zoom level is achieved STATS PLMI per hour stands for Periodic Leg Movement Indices This value represents the number of qualifying periodic leg movements per hour
67. e Set Name My Cut Points Adult Freedson N A Cut Point Min Max Delete Adult Freedson N Cut Point Min Max Delete Adult VM3 Freedson Sedentary 0 149 Adult Freedson N Low 0 Light 150 499 N A Children FreedsonjJanz N Preschool Pate McIver N A Moderate 500 3999 Preschool Pate McIver Toddler Trost Vigorous 4000 7 Toddler Trost High Moderate 151 NNNM Counts are based on 60 second epochs Counts are based on 60 second epochs and are linearly scaled based on epoch and are linearly scaled based on epoch Cut Points based on Vector Magnitude Cut Points based on Vector Magnitude Where did we get our defaults Where did we get our defaults 1 Becca eat mamas ee FIGURE 43 CUSTOM AND DEFAULT CUT POINTS BOUTS Bouts of activity can be detected within each data set in the Data Scoring tab Use the Bouts option to define a bout length the minimum per epoch count level the maximum per epoch count level and the drop time MIN LENGTH This option tells ActiLife the minimum bout length to look for MIN COUNTS This option tells ActiLife the minimum count value for each consecutive epoch in the bout MAX COUNTS This option tells ActiLife the maximum count value for each consecutive epoch in the bout DROP TIME The drop time setting acts as a tolerance for bout detection and is best explained through an example Suppose the bout detection settings above are
68. e AGD File from the download prompt see Downloading GT3X Devices for more information AGD FiLE FORMAT The agd file format is ActiLife s native file format and is the desired file type for all ActiLife operations and tools such as Wear Time Validation Data Scoring Sleep Scoring and Graphing These agd files are database files formatted for use with the popular SQLite architecture www sglite org These files can be viewed in the ActiLife AGD viewer available from the File menu Alternatively the SQLite browser publically available on the SQLite website can be used to browse the details of the agd files A file schema is provided in Figure A1 settingName setting value settinglD filterStopTimestamp optio axis3 option hr optional lux optional inclinometer optional FIGURE 76 AGD FILE SCHEMA agd files are created in ActiLife immediately when data from a GT1M ActiTrainer or ActiSleep device 15 downloaded through the Devices tab These agd files typically contain post filtered and accumulated data as this is the only type of data that ActiLife can properly handle The rows in the database represent whole number epoch summations 15 5s 10s 305 60s etc However at the time of this writing all GT1M GT3X ActiTrainer and ASM products that have been initialized to collect raw data 12Hz 30Hz will produce an agd file on download Although the file cannot b
69. e processed in ActiLife the agd format can be exported to csv or dat through ActiLife s import export tool or AGD viewer tool both accessible from the File menu GT3X and ActiSleep devices produce a gt3x file on download see gt3x File Format In order to process in ActiLife the file must be exported to agd format This can be done at the time of download by checking Create AGD File from the download dialog box or by using ActiLife s built in import export tool available from the File menu Page 79 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Q AGD DATA TABLE FORMAT The data table in the agd database consist of the following parameters Their calculations are explained dataTimeStamp a measure of total Ticks A single tick represents one hundred nanoseconds or one ten millionth of a second There are 10 000 ticks in a millisecond The value of this property represents the number of 100 nanosecond intervals that have elapsed since 12 00 00 midnight January 1 0001 More information available at http msdn microsoft com en us library system datetime ticks aspx axis 1 Post filtered and accumulated per epoch vertical activity data axis 2 optional Post filtered and accumulated per epoch horizontal activity data axis 3 optional Post filtered and accumulated per epoch perpendicular activity dat
70. e representative will provide a confirmation code Type or copy paste the confirmation code into the box provided Click Next to activate ActiLife 4 ActiLife Offline Activation Offline Activation ActiLife was unable to automatically activate your software online If you would like to try again please make sure you are connected to the internet and restart ActiLife Contact ActiGraph Toll free number 1 877 497 6996 Activate Online Toll number 1 850 332 7900 Activate By Phone Provide customer service with the following installation code Type the confirmation code that customer service qave you FIGURE 5 NON INTERNET ACTIVATION AcriLiFE NEW FEATURE OVERVIEW Each release update of ActiLife provides users with a new feature overview This screen or similar will appear immediately after loading ActiLife 6 for the first time Note that this screen will change with each release to quickly illustrate the new features Page 4 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 Data Analysis Software By A ctiGraph UsER S MANUAL 4 Welcome to ActiLife 6 What s New Welcome to Consolidated Data Scoring No need to process energy expenditure cut points METs and Bouts separately Get your results in location Batch Data Exports The ActiLife amp platform introduces batch exports which consolidate patients daily and hourly data inta
71. eakdown and Summary The clinical report can be used to quickly generate a report on an individual in a clinical environment without running through all of the tools in ActiLife Page 16 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGrap h UsER S MANUAL GENERATING A CLINICAL REPORT When downloading data from an ActiSleep or ActiSleep device users can generate a Clinical Report by simply checking the box Create Clinical Report on Download as shown in Figure 20 QU Download Options Select Download Location C Users Documents ActiGraph ActiLife Downloads Use as Default Download Directory Download Naming Convention 8 Serial Number gt lt Download Date gt Serial Number gt lt Start Date gt Create Clinical Report on Download for ActiSleep Monitor s 5 Subject Name Download Date gt Subject Name Start Date gt Serial Number Subject Name Prompt for Each Download Add biometric and user information FIGURE 20 CLINICAL REPORT ON DOWNLOAD The report can also be generated after a data download through the tools menu Select the agd file that was generated from an ActiSleep or ActiSleep device and click Open CLINICAL REPORT DEFAULT VALUES The Clinical Report generator uses the default values stored in the Wear Time Validation tool to calculate wear and non wear time Similarly the tool a
72. ed and non scored time Axis 3 Counts Total Sum of counts for Axis 3 Z Axis during scored and non scored time Axis 1 Average Counts Scored Average of counts for Axis 1 Y Axis during scored time Axis 2 Average Counts Scored Average of counts for Axis 2 X Axis during scored time Axis 3 Average Counts Scored Average of counts for Axis 3 Z Axis during scored time Axis 1 Average Counts Non Scored Average of counts for Axis 1 Y Axis during non scored time Axis 2 Average Counts Non Scored Average of counts for Axis 2 X Axis during non scored time Axis 3 Average Counts Non Scored Average of counts for Axis 3 Z Axis during non scored time Axis 1 Average Counts Total Average of counts for Axis 1 Y Axis during scored and non scored time Axis 2 Average Counts Total Average of counts for Axis 2 X Axis during scored and non scored time Axis 3 Average Counts Total Average of counts for Axis 3 Z Axis during scored and non scored time Axis 1 Max Counts Scored Maximum count value for Axis 1 Y Axis during scored time Axis 2 Max Counts Scored Maximum count value for Axis 2 X Axis during scored time Axis 3 Max Counts Scored Maximum count value for Axis 3 Z Axis during scored time Axis 1 Max Counts Non Scored Maximum count value for Axis 1 Y Axis during non scored time Axis 2 Max Counts Non Scored Maximum count value for Axis 2 X Axis during non scored time Axis 3 Max Counts Non Scored Maximum count value for Axi
73. end Calendar Day Total Days Hourly Tq kCals kCals kCals v HKAtlanta agd HKAtlanta yes 163 V 21545 2 1346 6 1589 5 64 7 64 Adult Freedson EE v V Cut Points BeckPhenotype op 2010 02 19 605 4 BeckPhenotype 2010 02 19 60sec yes 170 5743 522 1 796 4 27 31 7 ist night Kurt Leftlsec aad ist night Kurt Leftisec yes 190 49 7 24 8 505 6 5 5 Adult Freedson T edit V 1st night Kurt Right sec agd 1st night Kurt Rightisec yes 190 288 144 267 9 2 9 Bouts V 2 08090106 2010 02 08 9 MAT2A08090106 2010 02 08 yes 149 Min Length 10 minutes v MAT2A08090106 2010 02 08 60sec aad 2308090106 2010 02 08 605 yes 149 Min Counts 1953 per min 0 0100028 2011 06 16 10sec aad 0100028 2011 06 16 10sec yes 165 Max Counts 50000 per min DropTime 2 2 minutes E Use Vector Magnitude if available V HRE Date and Time Filters Start Stop Name Date Time Time Calculate Calculating File 5 of 7 Cancel FIGURE 41 DATA SCORING DATE AND TIME FILTERS Date and time filtering allows users to isolate the data scoring to specific dates or times of interest The results shown in the Data Scoring tool only apply to the date and time filters shown in the Date and Time Filters grid If no filters are present the Data Scoring results are not limited to any dates or
74. ers from typing too many characters in this field The fields entered here will appear in the download grid as shown Figure 36 after clicking Download from the devices grid Note that these fields must be populated before users can proceed with the download In most cases without a template in use the Add biometric and user information check box can be de selected all of the biometric data is optional see Saving Biometric Data during Download for details However when custom fields are enabled in the template this is required and users are forced to enter values for the custom field parameters Note that the custom fields are always on the right hand side of the grid Users may need to scroll to the right to enter the fields Custom fields are stored with the gt3x files and or agd files at download time When exporting gt3x files to agd format for analysis in ActiLife the custom fields will be included as part of the export and will be contained in the agd file For details about the agd schema see Appendix A File Types in ActiLife In ActiLife version 5 6 0 or later custom fields appear in the AGD File Viewer Page 35 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 kaufe s dem UsER S MANUAL Download Options Use as Default Download Directory GT3X Download Options Create AGD File Custom Fields Weight Date of am Limb Side EE Visit Location Code visit Number
75. et the default directories for data downloads firmware storage and CSV file creation DOWNLOADING DOWNLOAD NAMING CONVENTION These options set the default naming convention for downloaded files During the download process users have the option to change this option CREATE FILE OPTIONS CREATE DAT AND CSV WITH AGD DOWNLOAD Use these options to create a dat or csv file at the time of download Important These options only work whenever an AGD file is created Hence when downloading a GT3X device dat and csv files will not be created when these options are checked unless the Create AGD File is checked during the download process see Downloading Devices for details on creating an AGD file on download Page 12 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 2 A ctiGraph UsER S MANUAL ADD COLUMN HEADERS TO CSV Checking this option will add column header labels to the columns in CSV like Axis 1 Axis 2 Axis 3 Steps etc files when those files are created via export COMPRESS FILES This option will apply maximum file compression to gt3x files when they are downloaded from GT3X devices This compression can greatly reduce the file size of the gt3x zip files but can double the post processing time i e the time it takes to create an agd file from a gt3x file For details on post processing see Uncompressing gt3
76. gd file containing data The graphs will load vertically and will be ordered from latest to most recent date ascending downward Zooming is accomplished by dragging the mouse over the area of interest as shown in Figure 48 Graphs can be reset by clicking the small icon in the bottom left hand corner of the graph which is also illustrated in Figure 48 EXPORTING Graphs can be exported to a PDF by clicking Export to PDF in the top right corner of the Graphing tab Selecting Keep any zoom information will output the graph with the current zoom view if any Individual days can be exported to pdf by checking or unchecking the days in the Export dialog Export to PDF Options Select the days to graph v 6 1 2009 v 6 2 2009 v 6 3 2009 v 6 4 2009 W 6 5 2009 v 6 6 2009 v 6 7 2009 v 6 8 2009 Keep any zoom information Create PDF Close FIGURE 64 GRAPHING EXPORT DIALOG MODE OPTIONS The Mode Options section to the right of the graphs gives users the ability to add or remove data items and change the color of various items on the graphs If a dataset contains three axis activity information i e if the device was set to collect three axis data upon initialization all three axes will be available for selection not disabled in the Mode Options section Deselecting any axis will remove it from the graph view Multiple axes can be enabled simultaneou
77. gives users the option to print a sleep diary The sleep diary can be used by patients who choose to wear the devices for several nights in their own homes or for doctors who are logging multiple patients sleep behaviors Patients should be instructed to use the sleep diary to keep track of the time in bed TIB and time out of bed TOB for purposes of analysis Attach the ActiSleep monitor to the top interior of the patient s left and right feet around the ball of the foot as shown in the image below This can be accomplished with bandage wrapping or with straps available from ActiGraph Patients should wear the device during the entire duration of their total time in bed FIGURE 62 WEAR LOCATION FOR PLM ANALYSIS DOWNLOADING DEVICES After patients have worn the devices for the desired number of sleep periods collect the devices and download them using the Devices tab Legacy ActiSleep monitors will produce an agd file on download This file can be used for scoring PLM in the PLM tab ActiSleep devices will create a gt3x file on download This file contains Page 65 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL the raw acceleration data collected by the devices and needs to be post processed i e converted to agd format prior to PLM scoring This can be accomplished by choosing Create AGD File from the download dialog as sh
78. ices v Add biometric and user information t ecd Et Race Limb Side Dominance 70 182 1 7 1952 Black African American v wrist i Dominant v 67 111 8 1 1972 White Caucasian Waist Non Dominant 72 9 29 1988 Latino Hispanic v wrist Non Dominant v mat2a09090334 Bob Jones Male 79 3 8 1961 White Caucasian Thigh Non Dominant Serial Number Subject Name Gender mid2b06110030 Male lyn2b24061682 Jane Doe Female mat2a08090106 Smith Male mat2c32100146 Fred Stephens Male 71 4 2 1977 Asian Pacific Islander Thigh Dominant mat2c45099791 David Zimmerman Male 70 10 21 1970 Latino Hispanic Waist Non Dominant 69 9 20 1978 Other Wrist Dominant 10100016 Daniel Judge Male FIGURE 28 DOWNLOAD OPTIONS WITH BIOMETRIC INFORMATION SUBJECT NAME Unless it is changed the Subject will default to the subject name used to initialize the device Even if the biometric and user information grid is not expanded for population the Subject will be stored with the gt3x or agd file upon download From this grid the Subject Name can be changed prior to downloading GENDER Click the Gender column to reveal a dropdown menu Select Male or Female HEIGHT Use the Height column to enter the subject s height in inches centimeters or feet inches Select a different format by changing the Units of Measurement in the O
79. iety Page 58 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL COLE KRIPKE ALGORITHM The Cole Kripke algorithm is considered appropriate for use with adult populations because it was developed using subjects ranging from 35 to 65 years of age Roger J Cole and Daniel F Kripke adapted a scoring method developed by J B Webster with an experimental wrist actigraph for the AMI actigraph in 1992 It was developed using 10 30 and 60 epochs with the highest level of accuracy resulting from data collected at 10 second epoch periods The algorithm was adapted to the ActiGraph ActiSleep monitor by performing a side by side test using the AMI device and the ActiSleep monitor worn together The data were scaled then put through the algorithms until the ActiSleep monitor sleep score matched that from the AMI device SADEH ALGORITHM SUMMARY The Sadeh algorithm was developed by Dr Avi Sadeh from Tel Aviv University in Israel and is considered appropriate for younger populations because it was developed using subjects ranging from 10 to 25 years of age He used the same device that Cole Kripke used to develop their algorithm and ActiGraph therefore adapted it in the same way by scaling our data until it matched up with the scoring results of the AMI device In general terms this algorithm determines a subject s sleep state by examining the ActiGraph acti
80. ife 6 Data Analysis Software By A ctiGraph USER S MANUAL 1 3 2010 Activity Counts 4000 Lux Levels 1 Twilight 5 Minimal Street Light 12 00 10 Sunset 50 Family Living Room 80 Hallway 100 Very dark overcast day 320 500 Office Lighting 400 Sunrise Sunset 12 1 000 Overcast Day 10 000 25 000 Full Daylight Lux Info 32 000 130 000 Direct Sunlight 2 FIGURE 55 LUX THRESHOLDS SLEEP SCORING ALGORITHMS The Sleep Analysis tool comes standard with two validated algorithms Sadeh lor Cole Kripke to determine minute by minute asleep awake status These algorithms are selectable by the user and can be changed instantly for comparison purposes The algorithms are described below Select the desired algorithm by choosing it from the Algorithm drop down menu at the top right hand corner of the Sleep Analysis tool More information is available about the origin of the algorithms by clicking Sleep Algorithm Information link below the algorithm dropdown menu t Automatic Sleep Wake Identification From Wrist Activity Roger J Cole Daniel F Kripke etal Sleep 12 5 461 469 1992 American Sleep Disorders Association and Sleep Research Society Activity Based Sleep Wake Identification An Emprical Test of Methodological Issues Avi Sadeh K M Sharkey and M A Carskadoon Sleep17 3 201 207 1994 American Sleep Disorders Association and Sleep Research Soc
81. ime in Bed TOB and Time Out of Bed TOB in ActiLife by pressing the Auto Score button ActiLife will estimate bed times for the current data set and apply the selected algorithm to those bed times EUN X MIB Sleep Analysis PLM Analysis Graphing Data Comparison Data Vault OLD OLD Files AGD HKAtlanta agd Algorithm Custom Sleep edit Sleep Algorithm Information 50 25 xn 0 FIGURE 50 AUTO SCORE SLEEP TIMES The Auto Score feature will not ignore non wear times as estimated by the Wear Time Validation tool but the algorithm is designed to ignore gaps in the sleep data as shown in Figure 51 Counts xm 12 00 12 00 12 00 12 00 Counts xm Counts xm 0 12 00 12 00 12 00 12 00 Device was removed Auto Score ignores this period FIGURE 51 AUTO SCORE IGNORES PERIODS WHEN DEVICE WAS REMOVED EDITING AUTO SCORED TIMES The bed times estimated by the Auto Score feature can be easily adjusted by right clicking on the sleep period of interest choosing Adjust Out Bed Time or Adjust In Bed Time using the left or right arrow keys on the keyboard to adjust the time then right clicking anywhere on the graph and selecting Finished Entering Bed Times This is illustrated in Figure 52 Page 55 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 UsER S M
82. ion of ActiLife includes several Dataset Analysis tools These include the Wear Time Validation tool which can be used to filter out intervals of time within the dataset or entire datasets that do not meet patient wear criteria Data Scoring which can be used to estimate energy expenditure bouts and more in one or more datasets a Sleep Scoring tool which is used to generate sleep statistics and a Graphing tool which can be used to look at detailed epoch by epoch graphs of a dataset WEAR TIME VALIDATION The Wear Time Validation WTV tool in ActiLife allows users to easily flag invalid data or data collected when a device was not worn for exclusion from further analysis WTV also provides a summary of the wear time and non wear time results from the datasets The Data Screening Criteria allow users to define non wear periods Data flagged as non wear is not removed from the agd file it is simply flagged within the file as Wear time or time The default Wear Time Validation algorithm uses the floating window technique This algorithm does not define wear or non wear time from calendar hours but rather looks at contiguous time and discerns how many total hours and or minutes of non wear time are in the file without regard for breaks in the calendar day hour Conversely the deprecated Daily Algorithm looks at calendar hours e g 9 00am 10 00am and days March 2 March 3 to determine whether or not that hou
83. lated Sleep Score Worksheets Export Data Scoring Grid to csv file FIGURE 46 DATA SCORING EXPORT OPTIONS Depending on the number of variables and files the export process could take anywhere from 10 seconds to 2 hours Page 52 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software UsER S MANUAL SLEEP ANALYSIS Sleep analysis can be performed on any dataset to determine sleep efficiency and other sleep statistics that may indicate sleep problems Any combinations of the various initialization modes are allowed for a given dataset file activity dual axis steps and heart rate ActiLife will attempt to re integrate data collected at epoch intervals less than 60 seconds as all scoring is performed using 60 second epoch cycles To begin scoring a dataset click the Select Dataset option from the top of the Sleep Scoring tool and browse to an agd file that contains data collected during sleep episodes Graphs of each day in the dataset will appear in the Sleep Scoring view 4 ActiLife No Devices Connected File Edit Communication Tools Help Devices Wear Time Validation Data Scoring PLM Analysis Graphing Data Comparison Data Vault Select Dataset C Users jeremy wyatt Documents My Dropbox HKAtlanta agd Auto Score Algorithm Cole Kripke A Sleep Algorithm Information Mond T 10 6 2009 11 11 to 10 7 2009 6 38
84. license you may do so by visiting the ActiGraph store at www theactigraph com store If you have misplaced your product key contact ActiGraph sales support at support theactigraph com in order to proceed Once ActiLife 6 has been purchased or upgraded from a previous version users are entitled to free updates for 12 months After that period an optional maintenance plan may be purchased It is highly recommended that users purchase the maintenance plan in order to guarantee access to the newest updates features and bug fixes Page 2 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 y nme Data Analysis Software UsER S MANUAL ACTIVATION OVER THE INTERNET The first time the program is launched users will be presented with a screen similar to that shown in Figure 3 If you have already received a product key for your ActiLife Pro or ActiLife Lite software type that product key in the box provided If the license formatting is correct a green check mark will appear to the right of the license box Click Activate ActiLife will connect to ActiGraph s license server to confirm that the product key is correct and that it has indeed been purchased or upgraded After activation a screen similar to the one shown in Figure 4 will be displayed This screen summarizes the product type and the number of activations used and available as well as the name and contact information of the person to whom the license is regi
85. lso uses the default algorithms selected in Data Scoring on last program close to calculate Energy Expenditure To change the algorithms open ActiLife navigate to the Data Scoring tab switch to a new energy expenditure algorithm and close the program If sleep times have already been entered via the Sleep Analysis tool the Clinical Report tool will use those times to calculate the sleep score and graph information in the report If not the Auto Score feature will be utilized Note The Clinical Report tool is only available for data collected using the ActiSleep or ActiSleep devices This feature can be enabled for non ActiSleep devices for a small fee Contact ActiGraph support at for more information CORRELATE GPS DATA More info coming soon MERGE AGD More info coming soon Page 17 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL HELP MENU File Edit Communication Tools Online Support Wear Time Validation View Welcome Tour Initialize Activation Details Deactivate Check For Updates Device Serial Status Progress About ActiLife FIGURE 21 HELP MENU ONLINE SUPPORT Click this option to access our online support system VIEW WELCOME TOUR This option launches the ActiLife introduction dialog that outlines what s new in the current release ACTIVATION D
86. mal FIGURE 24 ACTILIFE DEVICES TOOL DEVICE The Device column describes the type of ActiGraph device s connected to the PC Mixing devices is allowed SERIAL The Serial column displays the serial number of the device connected STATUS The Status column displays the current status of the attached device The status could be Ready Idle t Initializing Finished Initializing Updating Downloading Finished Downloading or Finished Creating Clinical Report PROGRESS The Progress column contains the progress bar indicating the progress toward completion of the status indicated in the Status column Page 21 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL FIRMWARE The Firmware column displays the current firmware version on the device Firmware is automatically updated during initialization See Update Options for more details BATTERY VOLTAGE This column displays the device battery voltage and charge percentage For more information see device owners manual TOTAL MEMORY The Total Memory column displays the total memory available on the device MB Megabyte or 1048576 bytes CURRENT DATA RECORDED This column displays the current number of days hours minutes and seconds of recorded data on the device To adjust how this appears see Timespan Di
87. n Date Non Wear VM Day Epoch 51 52 Axis3 VM 10 6 2009 04 00 00 879 803 846 1460 5 iR iain a 1 10 6 2009 04 01 00 1880 2691 2400 4066 4 10 6 2009 1378 62 95 7 43 2223773 7 10 6 2009 04 02 00 0 0 0 0 10 7 2009 1378 62 95 7 43 2470233 1 10 6 2009 04 03 00 12 0 15 10 8 2009 1314 126 91 2 8 8 2259798 4 10 6 2009 04 04 00 0 0 0 0 10 9 2009 1027 71 3 28 7 2059471 9 10 6 2009 04 05 00 366 10 10 2009 1440 0 100 0 2434605 3 10 6 2009 04 06 00 299 49 10 11 2009 1346 94 93 5 6 5 2206379 8 10 6 2009 04 07 00 0 0 0 10 6 2009 04 08 00 0 0 0 Wear Time and Non Wear Time Periods 10 6 2009 04 09 00 0 0 0 Date Time Start Date Time End Tir nal em Use Epochs Export 10 6 2009 04 10 00 65 29 127 7 10 6 2009 04 11 00 12 175 1 10 5 2009 11 00 00 AM 10 6 2009 2 57 00 AM Wear 958 V more export 10 6 2009 04 12 00 0 10 6 2009 2 58 00 10 6 2009 3 59 00 Non Wear 62 more export 10 6 2009 04 13 00 4009 1 10 6 2009 4 00 00 AM 10 7 2009 1 03 00 AM Wear 1264 10 6 2009 10 6 2009 04 14 00 04 15 00 0 0 10 7 2009 1 04 00 AM 10 7 2009 2 05 00 AM Non Wear 62 more 04 16 00 0 10 7 2009 2 06 00 AM 10 8 2009 9 53 00 PM Wear 2628 more export 49 Chase St Pensacola FL 32502 tel 850 332 7900 10 6 2009 04 00 00 10 6 2009 20 39 00 Page 1 of 2 FIGURE 40 DETAIL BREAKDOWN OF WEAR AND NON WEAR TIME FOR A
88. nitialize All Race Limb Side Dominance FIGURE 26 SUBJECT NAME ENTRY FORM If desired the Use Serial Number button will populate the Subject Name column with the serial number of the device Similarly the Use Device Info button will automatically populate the Subject Name column with the Subject Name currently stored on the device The Clear button will erase the fields for easier editing Important If any devices have a voltage less than 4 1 volts we recommend leaving them connected allowing them to charge fully if time allows Updated voltage can be viewed by selecting the Refresh All tab or F5 from the devices screen GT3X BIOMETRIC INFO STORAGE GT3X Devices can optionally store extra biometric information during initialization which can be used for post processing after downloading data from the device see Figure 26 for details GT3X devices can store the following information in addition to the Subject Name which is standard on all devices Page 25 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER 5 MANUAL Gender Male or Female Height Subject height in inches or ft inches depending upon the settings e Weight Subject weight in lbs or kg depending upon the settings e Date of Birth Subject s date of birth mm dd yyyy e Subject r
89. nnot be used ActiLife will automatically attempt to reintegrate lesser epoch sized datasets up to the required epoch length PORTABILITY OF THE CUSTOM SLEEP ALGORITHM Once the custom algorithm has been written it can be shared with other ActiLife users Simply run the custom algorithm against an agd dataset to produce the Sleep Score Information for that dataset That agd will then Page 61 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 at ik a em UsER S MANUAL contain the custom sleep score algorithm Whenever the agd file is shared with other users this algorithm will automatically appear in their algorithm dropdown menu in the Sleep Analysis tool Important The Custom Sleep Algorithm tool can only be used with data collected from ActiSleep devices The feature can be enabled for data collected from other ActiGraph devices for a small fee Contact for more information SLEEP SCORE INFORMATION Both algorithms will yield the following information within ActiLife s Sleep Scoring tool for each sleep period Sleep period scores can be seen by clicking on the sleep period of interest on the right hand side of the screen see Figure 47 for an illustration Sleep Onset The first minute that the algorithm scores asleep Total Sleep Time TST The total number of minutes scored as asleep Wake after Sleep Onset WASO The total number of minutes the subject was awake after sleep
90. own in the figure below Select 1s epoch and 3 axes The other options are optional but Low Frequency Extension should not be selected ActiSleep Download Options Create AGD File of Axis ik Steps Lux C Inclinometer Low Frequency Extension FIGURE 63 DOWNLOAD SETTINGS FOR PLM ANALYSIS After download an AGD file will be created in the download folder which is also selected at the time of download SCORING THE PLM DATA To score periodic leg movements open the PLM tab and select the left and right leg agd files Click the Add Sleep Periods button and select the entry method e Add Period Using Bed Times Use this option to manually enter in times as recorded by the doctor patient on the sleep diary Import from Separate AGD File Use this option to import sleep times from another AGD file that already contains the same sleep times e Enter Period Graphically Coming soon Select which axis or axes to use to score the PLM data The Vector Magnitude option combines all three axes using the vector magnitude formula See Appendix B Vector Magnitude for more information Select the thresholds for detecting legitimate movement Note these thresholds only set the level at which PLM activity occurs ActiLife s built in algorithm determines whether or not the movement qualifies as PLM e Onset Threshold The threshold in counts per epoch at which PLM movement dete
91. pecified each day shown in the graphing area is scaled individually according to the maximum values collected on that day By checking the Equal Scales option on the right all activity graphs will be scaled evenly according to the number in the scale box These scale boxes can be seen in Figure 65 INCLINOMETER The inclinometer tool can be used to detect positional information when any 3 axis device is worn on the waist or thigh Thigh worn devices are inherently better at detecting sedentary sitting lying versus non sedentary standing stepping than are waist worn devices If an agd dataset contains no inclinometer data a message similar to the one shown in Figure 66 will appear To utilize the inclinometer tool select Inclinometer when initializing a GT3X or when creating an agd file from a GT3X device It is important that the device wear location be specified for any agd file To edit the wear location open the agd file in the AGD File Viewer and edit the biometric information update the Limb to be either Waist or Thigh Page 69 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL Note Only Waist and Thigh worn devices can be used with the Inclinometer 100 QU ActiLife 8 Devices Connected File Edit Communication Tools Help Graphing imeem Sele
92. poch length you will be notified FIGURE 11 RE INTEGRATION OPTION AGD FILE VIEWER The AGD File Viewer can be accessed from the File menu by clicking finished downloading from the Devices grid after a download or by double clicking on an agd file from within Windows Explorer Using the AGD viewer users can instantly view the data they ve just downloaded With ActiLife 6 1 and later the AGD viewer provides a graphical summary view of both activity cut points according to the stored cut points in ActiLife or daily activity counts which allow users to make quick observations about the subject s compliance level see Figure 12Figure 12 Page 8 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 Data Analysis Software UsER S MANUAL 1 AGD File Viewer 1101 Basic AGD Information Device Type GT3XPlus Serial Number NEO Epoch Count 20173 Firmware 2 4 0 Battery 3 89V Modes 1 Axis2 Axis3 Steps Filter Normal Subject Biometric Information Edit Subject Name 1101 Gender N A Height N A Weight 165lbs Age N A Race N A Select Graph 21224115 Cut Point 96 Light Sedentary Epoch Length 60 seconds First Epoch 7 29 2011 9 39 AM Last Epoch 8 12 2011 9 51 AM Software ActiLife 6 0 0 Address Pointer 0 Export Data To Date of Birth N A Moderate Lifestyle Breakdown shown above includes non wear time Limb N A
93. ptions menu WEIGHT Use the Weight column to enter the subject s weight in Ibs or kg Select a different format by changing the Units of Measurement in the Options menu Page 28 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By fActiGrap h UsER S MANUAL DATE OF BIRTH Use the Date of Birth column to edit the subject s date of birth A calendar picker is provided but it may be more convenient to simply type in the subject s birthday The date format is mm dd yyyy RACE Use the Race column to select the subject s race Select White Caucasian Black African American Latino Hispanic Pacific Islander or Other LIMB Use the Limb column to select where the device was worn Options include Wrist Waist Ankle and Thigh SIDE Use the Side column to specify the device wear location left or right side of the body DOMINANCE The Dominance option allows users to specify whether the wear location side was the subject s dominant or non dominant side CUSTOM FIELDS When custom fields are collected as part of a template see Building and Using a Template for more details those custom fields will appear in the metadata grid as shown in Figure 29 Additionally the Add Biometric and User Information check box option will be permanently selected and entry of the custom fields will be required Custom Fields
94. r or day is valid or not The floating window algorithm allows users to the same thing by using the Flag Entire Day as Invalid option in the Optional Screening Parameters section The defaults defined for Wear Time screening 60 minutes of consecutive zeros with a 2 minute spike tolerance were loosely derived from the research note Identification of accelerometer non wear time and sedentary behavior published in the Research Quarterly for Exercise and Sport submitted to the journal on June 1 2010 Permission to share this article publically has been requested by ActiGraph to the managing editor of Research Quarterly for Exercise and Sport Page 38 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 1 ActiLife No Devices Connected File Edit Communication Tools Help 077 9 Wear Time Validation MEL CMC TEIL RETE Avg Wear Avg Non Wear 9e Non Wear 95 Time Time Per Day Per Day Wear Non Wear Total Dataset Non Wear Avg Length Avg Length Data Set Details Periods Periods Length Wear Length Length Wear Period Non Wear Period Wear BeckPhenotype op 2010 02 19 60sec aad Details 39 38 9D 9H 45M 05 7D 5H 4M 0S 2D 4H 41M 05 4H 26M 155 1H 23M 115 76 7 23 3 15H 44M 05 4H 47M 05 151 night Kurt Leftisec aad Details 6 17H 37M 215 2H 21M 285 15H 15M 535 23M 345 2H 32M 395 13 4 86 6 1H 11M 05 7H 38M 05 151 night Kurt Right1sec agd
95. red Axis 2 Average Counts Scored Axis 3 Average Counts Scored O Axis 1 Average Counts Non Scored Axis 2 Average Counts Non Scored Axis 3 Average Counts Non Scored Select All Select None Z2 FIGURE 45 DATA SCORING COLUMNS The following parameters can be extracted from user datasets in the Data Scoring tab f eo E de e et NN PP RP H RP RP HH B e O OONO BWN PRP OO Subject Name of the subject Filename Filename of the subject Epoch Epoch length in seconds Weight The weight of the subject in Ibs Age The age of the subject in years Gender The gender of the subject Date Date in local format Hour Hour in local format Day of Week Day of the week name in local format Day of Week Num Day of the week number 1 Monday 2 Tuesday etc 5 kcals during this hour METs MET rate for a period of time Bouts Number of Bouts starting in a period of time Total Time in Bouts Time of bouts during a period of time Avg Time per Bout Average length of time in minutes of bouts during a period of time Total Counts in Bouts Total counts in bouts during a period of time Bout Start The date and time of the start of a bout Bout End The date and time of the end of a bout Time in Bout The time of a bout in minutes ADL Heart Rate Average Non Sedentary HR between 41 and 79 Average Active Heart Rate Average HR during active activity above light Page 49
96. red time 101 Calendar Days Scored Number of Calendar Days during scored time 102 Calendar Days Non Scored Number of Calendar Days during non scored time 103 Calendar Days Total Number of Calendar Days during scored and non scored time 104 Wear Time Start The start of a wear time 105 Wear Time End The end of a wear time BATCH EXPORTING Results from the Data Scoring tool can be batch exported to a Microsoft Excel spreadsheet The resulting export will contain a full list of all subjects with corresponding Data Scoring results broken down by hours days and Summary Bout details and Wear Time Validation can also be exported along with a separate sheet showing which algorithms were used to produce the results and a Definitions sheet which defines all of the exported parameters To begin the export click the Export button after performing a calculation in the Data Scoring tab Check the Create Batch View option as shown in Figure 46 Select any of the desired export options and click Export v 7 7 v 7 7 7 r Data Scoring Export Options Select Export Options v Create Batch View file with hourly daily summary details Add Summary Breakdown Worksheet Add Daily Breakdown Worksheet Add Hourly Breakdown Worksheet Add Wear Time Validation Worksheet Add Header Definition Worksheet Add Header Definitions as Comments Show Non Wear Hours and Days Add Calcu
97. s 3 Z Axis during non scored time Axis 1 Max Counts Total Maximum count value for Axis 1 Y Axis during scored and non scored time Axis 2 Max Counts Total Maximum count value for Axis 2 X Axis during scored and non scored time Axis 3 Max Counts Total Maximum count value for Axis 3 Z Axis during scored and non scored time Axis 1 CPM Scored Counts Per Minute for Axis 1 Y Axis during scored time Axis 2 CPM Scored Counts Per Minute for Axis 2 X Axis during scored time Axis 3 CPM Scored Counts Per Minute for Axis 3 Z Axis during scored time Axis 1 CPM Non Scored Counts Per Minute for Axis 1 Y Axis during non scored time Axis 2 CPM Non Scored Counts Per Minute for Axis 2 X Axis during non scored time Axis 3 CPM Non Scored Counts Per Minute for Axis 3 Z Axis during non scored time Axis 1 CPM Total Counts Per Minute for Axis 1 Y Axis during scored and non scored time Page 50 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 A ctiGraph USER S MANUAL Axis 2 CPM Total Counts Per Minute for Axis 2 X Axis during scored and non scored time Axis 3 CPM Total Counts Per Minute for Axis 3 Z Axis during scored and non scored time Vector Magnitude Count
98. s Scored Vector Magnitude of all 3 Axis during scored time Vector Magnitude Counts Non Scored Vector Magnitude of all 3 Axis during non scored time Vector Magnitude Counts Total Vector Magnitude of all 3 Axis during scored and non scored time Vector Magnitude Average Counts Scored Average Vector Magnitude of all 3 Axis during scored time Vector Magnitude Average Counts Non Scored Average Vector Magnitude of all 3 Axis during non scored time Vector Magnitude Average Counts Total Average Vector Magnitude of all 3 Axis during scored and non scored time Vector Magnitude Max Counts Scored Maximum Vector Magnitude of all 3 Axis during scored time Vector Magnitude Max Counts Non Scored Maximum Vector Magnitude of all 3 Axis during non scored time Vector Magnitude Max Counts Total Maximum Vector Magnitude of all 3 Axis during scored and non scored time Vector Magnitude CPM Scored Vector Magnitude Counts Per Minute during scored time Vector Magnitude CPM Non Scored Vector Magnitude Counts Per Minute during non scored time Vector Magnitude CPM Total Vector Magnitude Counts Per Minute during scored and non scored time Steps Counts Scored Sum of Step Counts during scored time Steps Counts Non Scored Sum of Step Counts during non scored time Steps Counts Total Sum of Step Counts during scored and non scored time Steps Average Counts Scored Average Step Counts during scored time Steps Average Counts Non Scored Average Step
99. sed to set default values for the algorithms available in the Data Scoring tool in ActiLife Whenever the Data Scoring tab is opened the default values set in this options dialog will be used however they can be changed directly from within the Data Scoring tool Note that clicking the icons to the right of each algorithm option will open the ActiGraph support website and reveal the origin of each of the algorithms Reference abstracts are available from the support site Page 13 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL BOUTS USE VECTOR MAGNITUDE When this option is checked the vector magnitude of 3 axis devices will be used to calculate bout levels SLEEP SCORING The Sleep Scoring option allows the user to set the default Sleep Scoring Formula for the Sleep Scoring Tool See Sleep Scoring Algorithms for more information Checking the Create Clinical Report on Download will cause ActiLife to automatically create a clinical PDF report immediately after download See Clinical Report for details COLORS The Colors option allows the user to set the default colors for all graphing items in ActiLife The Multiple Colors checkbox in the Progress Bar section will cause ActiLife to use multi colored progress bars in the Devices tab when interacting with multiple devices COMMUNICATION MENU 177 Show Download
100. set to Min Length 10 Min Counts 1953 and Max Counts 50000 With the spike tolerance set to O the Bout tool will only identify a bout of activity as 10 consecutive epochs of data with a minimum activity count of 1953 and a maximum activity count of 50000 Table 2 illustrates a valid bout while Table 3 illustrates an invalid bout when Drop Time 0 Because the value 1500 that occurs at 09 03 in Table 3 is below the Minimum Count Level and because there is no allowable tolerance these epochs fail to register as a legitimate bout The epoch string in Table 3 would however qualify as a valid bout if Drop Time were set to 1 or higher since the highlighted cell would actually count as a valid bout epoch Page 46 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL TABLE 2 EXAMPLE OF A VALID BOUT WITH DROP TIME 0 TABLE 3 EXAMPLE OF AN INVALID BOUT WITH DROP TIME 0 With a Drop Time 2 the epoch string in Table 4 would be considered a valid bout since there are exactly 2 epochs that are outside of the min max epoch levels they count as valid epochs If the epoch value at 06 10 were outside of the min max range that epoch would mark the end of the bout it would be 10 epochs long The epoch string in Table 5 would not qualify as a valid bout under these conditions 06 02 00 2540 6000 TABLE 4 EXAMPLE OF A VALID BOUT W
101. sly however in order to avoid cluttering the graph view only one alternative data point can be shown simultaneously with activity data To enable Steps Heart Rate Lux or Inclination select the radio button corresponding to the correct data point A legend explaining the meaning of each data point will appear below the Mode Option section when a given data point is selected as shown in Figure 65 Axis values can be scaled by entering new values into the activity scale boxes to the right of the graphs Page 68 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL Parameter graph colors can be selected by clicking the palette icon to the right of the variable of interest and choosing the desired color The graph will immediately update with the new color Export to PDF Mode Options W Axis 1 BN Steps E v Axis 2 Heart Rate NN v Axis 3 Bi Lux E vm m Inclinometer Nl 2 None J Show Cut Point Lines 7 Equal Activity Scales 17000 E Equal Lux Scales 6000 Lux Levels 1 Twilight 5 Minimal Street Light 50 Family Living Room 80 Hallway 100 Very dark overcast day 320 500 Office Lighting 400 Sunrise Sunset 1 000 Overcast Day 10 000 25 000 Full Daylight 32 000 130 000 Direct Sunlight FIGURE 65 GRAPH LEGENDS AXES SCALING Unless s
102. splay EPOCH SAMPLE RATE For non GT3X devices this column represents the accumulation epoch length For GT3X devices and non GT3X devices in raw data collection mode this column represents the sample store rate SUBJECT NAME This column displays the subject name currently stored on the device START DATE amp TIME This column displays the start date and time programmed on the device STOP DATE amp TIME This column displays the stop date and time programmed on the device This option can be set during initialization and is used to align the file lengths for multiple devices during large longitudinal studies FILTER The Filter column displays the on board accelerometer filter setting for initialized devices Normal or Low Frequency Extension See Setting Device Parameters for details This column is not applicable for GT3X devices as no on board filtering is performed AXIS ENABLED The Axis Enabled column indicates which axes are being sampled and stored 1 vertical axis only Axis 1 2 vertical and horizontal Axes 1 and 2 3 vertical horizontal and lateral Axes 1 2 and 3 MODES The Modes column displays icons representing the data channels that the device is set to log if initialized The icons and their meanings are interpreted in Table 1 Page 22 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 RE a em UsER S MANUAL Mode Channel Interpretation Icon
103. ss file names will be of the same format selected here for those users using the template The Concatenate Custom Fields option will concatenate the custom field characters entered by the user during download time Multiple custom fields will be concatenated with no dashes or separation punctuation At this time there are no options for reordering or hyphenating the file name parameters when using the custom field naming convention These features will be added in later versions of ActiLife SAVING AND SHARING TEMPLATES Once the template parameters are set as desired the template can be saved as a file and shared with other users Users can click the Save button in the bottom right hand corner of the template editor or use the File menu to save the template file From the file menu a template can be opened to make modifications click Open then browse to the template file In addition the template can be saved and immediately put into use by clicking Save and Use This option is helpful when testing the newly created template before emailing or sharing the template file Once the template is saved a new file with an agt file extension will be created similar to the one shown in Figure 37 This file can be emailed to distribution centers or shared over local networks within organizations Users who load this template will be forced to use the parameters as they were defined in the template editor AGT University
104. stered Name Email and Organization fields must be populated in order to continue This activation process is required for each computer on which ActiLife is running ActiLife 6 5 Data Analysis Software Welcome to ActiLife To continue please type in the product key provided Don t have product key FIGURE 3 ACTILIFE ACTIVATION SCREEN Q ActiLife Registration ActiLife 6 Data Analysis Software Enter the active user for this installation of ActiLife Name Serial Number Product Version ActiLife Full Edition Used Max Activations 16 out of 9999999 Email Organization Phone How do I increase my max activations Need help Contact ActiGraph FIGURE 4 ACTILIFE REGISTRATION CONFIRMATION Page 3 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL ACTIVATION WITHOUT AN INTERNET CONNECTION For users without an internet connection ActiLife can be activated by contacting our technical support staff either via email support theactigraph com or by phone 1 877 497 6996 option 1 Similar to the Internet activation enter the ActiLife product key in the first box that appears after launching the program After clicking Continue a screen similar to Figure 5 will appear Provide the 24 character product key to ActiGraph customer service representative After validating the product key th
105. t of its ten 10 line header information The file can be viewed with any standard text editor such as MS Notepad The Mode value given in the header of the DAT file outlines which features were active during data collection for the file Error Reference source not found Table 6 outlines the values of the Mode variable Page 80 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 Data Analysis Software USER S MANUAL Mode Made Activity Dum 3rd Axis Steps Heart Lux Incline 1 binary 7 Activity M Paramete 0 1 2 000010 3 4 5 6 T 12 13 14 15 16 17 18 19 20 21 22 23 28 29 30 31 32 33 34 35 36 100100 x 37 10001 X 38 1001010 39 45 101101 X 46 10110 47 011 48 49 110001 X 50 110000 x 51 110011 52 53 54 55 61 62 63 49 E Chase St BEER Rik he 5 2 S je FIO 4 i Xxx Xxx Xxx 4 x x x x x x x 01001 0101 0111 011101 011110 011111 5 1000 H lt lt
106. ta storage requirement for this device type much greater Upon download the GT3X device produces a gt3x file raw data The ActiLife software can then be used to band pass filter and accumulate that raw data into epoch level data thus producing an agd file that is equivalent to the one produced from the GT3X device as described above The benefit of the GT3X device is that the user can produce any epoch level output from the raw data In addition the raw data is available to perform other analyses outside of the scope of this discussion Figure 75 graphically explains the difference between the GT3X and GT3X devices GT3X agd file BandpassFilter Accumulator Epoch Counts agd file 30 100Hz Sampling Bandpass Filter Accumulator FIGURE 75 COMPARISON OF THE GT3X AND GT3X DEVICES AND ACTILIFE S ROLE GT3X FILE FORMAT GT3X devices produce an interim compressed file with file extension gt3x This is a compressed file and must be extracted to a usable format using ActiLife s import export tool which is accessible from the File menu in ActiLife Page 78 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 UsER S MANUAL The file can be exported to agd format for processing in ActiLife or csv dat format for processing using third party tools The gt3x file can also be exported directly to agd format during the download process by checking Creat
107. tandard for measuring activity energy expenditure and is only an estimate of overall energy expenditure when ambulatory movement is not reliable For example HREE may be used when a user is riding a bicycle or lifting weights USE VALIDATED DATA IF AVAILABLE The Use Validated Data if Available checkbox option shown in Figure 44 tells ActiLife whether to use only the wear time as calculated by the Wear Time Validation tool checked or whether to use all epochs within the file unchecked to perform the Data Scoring omparison Data Vault W Use Validated Data if Available Lug deii nasa Validated Weight We FIGURE 44 USE VALIDATED DATA IF AVAILABLE DATA SCORING COLUMNS There are 75 columns of possible optional calculations that can be made within the Data Scoring tool Select the Edit Columns option to view the selected columns and to enable disable columns Enabling more columns will extend the time required for ActiLife to perform the calculations and the batch data export if used Page 48 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 ae USER 5 MANUAL ey Select Columns To Display Select Columns To Display Axis 1 Counts Scored Axis 2 Counts Scored v Axis 3 Counts Scored Axis 1 Counts Non Scored Axis 2 Counts Non Scored Axis 3 Counts Non Scored Axis 1 Counts Total Axis 2 Counts Total Axis 3 Counts Total Axis 1 Average Counts Sco
108. tart time will default the next day at 3 00pm The Stop Date Time option allows the template builder to set how many days the device should collect data before stopping Note that the Day setting refers to the number of days AFTER the start time Again use Any in this field to give the user the flexibility of choosing the stop date but the rigidity of using a specific stop time Be sure to keep the battery life and memory limitation considerations in mind For more details about battery life refer to the specific product manual for the ActiGraph device you are using Leaving either or both of the Start Stop Settings unchecked will allow the user to select whether or not the start stop times are used during the initialization process SUBJECT NAME SETTINGS Checking this option will force template users to use a certain convention when setting Subject Names for devices during the initialization process These options are self explanatory with the exception of the Static option This option will force all Subject Names to exactly match the phrase typed here DOWNLOAD TEMPLATE OPTIONS Use the download options to force template users to use specific settings during the download process CUSTOM FIELDS Enable the Custom Fields option to force users to enter more information during the download process Use the Max Characters dropdown box to select the maximum number of characters allowed for this field This will prevent us
109. the weighting Change the Wake Threshold in the Count Parameters section to adjust the comparison level The Sleep Wake formula at the bottom of the Custom Sleep Algorithm tool shows the formula used to determine whether the current epoch 0 is scored as wake or sleep In the formula show in Figure 59 the current epoch will be scored as wake if the formula is greater than or equal to 10 Sleep Wake Formula wake epoch 4 0 01 epoch 3 0 03 epoch 2 0 05 epoch 1 0 3 epoch 0 1 epoch 1 0 25 epoch 2 0 05 epoch 3 0 03 epoch 4 0 01 gt 10 FIGURE 59 SLEEP WAKE FORMULA COUNT PARAMETERS Wake Threshold This is the value which the sliding window is compared to in order to determine sleep or wake status for 0 Data to Use Users have the option of using Axis 1 Axis 2 or Axis 3 data to calculate the custom sleep score Alternatively the Vector Magnitude VM of all 3 axes can be used Set Maximum Value of Count Use this option to put a limit on the maximum weight a particular epoch can have on the sleep wake formula For instance if epoch 2 0 05 500 see Figure 59 setting the Maximum Value of Count to 300 would actually limit that epoch s contribution to 300 rather than 500 Epoch Length Required This option allows users to specify a required epoch length for datasets using the new customized formula Datasets that do not meet this requirement ca
110. timate Online Storage La Retrieve files from your Data Vault at any time Only members of Member since 12 12 2011 999 75 GB free of 1 000 GB your group have access to your Data Vault 1 Go Up A Folder Fe NewFolder 2 Move File s Filename Computer Date Sent Demo Folder t 3 12 2012 8 11 Sub Folder McGill University Data i 2 29 2012 12 09 Sub Folder webinar 2 28 2012 8 25 Sub Folder ActiGraph Conference i 2 16 2012 5 00 Sub Folder 5 Miller Test 2 15 2012 3 32 PM Sub Folder New Folder H 2 8 2012 1 39 Sub Folder testing from home 2 1 2012 8 40 Sub Folder 1st night Kurt Rightisec6 sec agd 58 i Manual 3 16 2012 1 55 Download 1st night Kurt Rightisec agd 2 55 MB Manual 3 16 2012 1 55 PM Download ist night Kurt Leftisec agd 2 53 MB i Manual 3 16 2012 1 55 Download big merge agd 4 71 MB Manual 3 12 2012 12 31 PM Download test3 csv 1 13 KB Manual 3 12 2012 8 11 Download test 2 103 57 3 12 2012 8 11 Download NEOO410100004 2010 07 10 gt3x 15 21 MB t Manual 3 12 2012 6 11 Download 2 08090106 2010 02 08 15 7 MB Manual 3 12 2012 8 11 AM Download jas0104105sec agd 13 66 MB T Manual 3 12 2012 8 11 Download FIGURE 72 ACTILIFE DATA VAULT ADDING FILES TO THE DATA VAULT ActiLife 6 users receive 4GB of free space To add files to the Data Vault navigate to the Data Vault tab and click
111. time interval Create AGD Exports raw data to ActiGraph Data file format by applying a data filter into the selected epoch length Create CSV Exports raw data to a Comma Seperated Value file format by applying a data filter into the selected epoch length Create DAT Exports raw data to ActiGraph s Legacy file format by applying a data filter into the selected epoch length of Axis The number of axis to export Steps Calculates steps from the raw data Lux Calculates light level from the raw data Inclinometer Caclulates the position of the subject based on the angle of the device Low Frequency Extension Extends the lower end baseband of the filter cutoff Used for subject who move slowly or take light steps FIGURE 32 GT3X EXPORT TOOL The GT3X export tool can also be accessed by clicking finished downloading hyperlink from the devices grid after downloading as shown in Figure 33 Device Serial Status Progress NEO1B32103031 finished downloading EJ FIGURE 33 FINISHED DOWNLOADING HYPERLINK IN DEVICES GRID Clicking this link for GT3X or legacy ActiSleep devices as shown in Figure 34 will launch the AGD viewer since these downloads produce an agd file by default see Appendix A File Types in ActiLife for more information Page 32 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software 2 A ctiGraph USER 5 MANUAL
112. times but include the entire scope of the datasets Multiple filters can be added simultaneously to specifically target certain days or times To add a filter click the button from within the Date and Time Filters grid as shown in Figure 42 Only checked filters will be applied during data scoring Multiple filters can be checked which forces the Data Scoring tool to generate results for two different time periods For example creating a Weekend Mornings filter for Weekends from 6am 10am and then a Weekend Afternoons filter for Weekends from 3pm 6pm would produce data scoring results for both of those time periods only Page 43 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 6 Data Analysis Software By A ctiGraph UsER S MANUAL Data Scoring Filter Select Filter Options Filter Name Weekends Mornings Date Options D All Days 2 Weekdays Weekends D Day of Week Sunday Date and Time Filters 2 Specific Date 3 22 2012 Start Stop Name Date Time Time Start Time 6 00 AM Stop Time 9 59 TT Accept Calculate FIGURE 42 DATE TIME FILTER ENTRY Date and time filters can be removed by clicking the X icon to the right of the filter Remove all filters by clicking the X at the top of the grid Date and Time Filters persist in ActiLife even if the program is closed and re opened Page 44 49 E Chase St Pensacola FL 32502 tel 850 33
113. to the export location type a file name and click Save to begin the export 49 E Chase St Report Options Create Sleep Report Create CSV Sleep Summary with all sleep scores V Create PDF with all sleep period graphs and sleep score summary Show All Graphs On One Create FIGURE 61 SAVE SLEEP REPORT DIALOG Page 64 Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife UsER S MANUAL PLM ANALYSIS The Periodic Leg Movement PLM tool allows users to detect and score periodic leg movements in patients with PLM disorder or restless leg syndrome Note The PLM tool is only compatible with data collected from the legacy ActiSleep or the new ActiSleep monitor devices This analysis serves as a cost effective alternative to polysomnography PSG analysis Note ActiGraph is working with leading sleep institutions to obtain research backed validation on the PLM Analysis tool However at this time the PLM analysis uses existing research to make estimates on the presence of PLM in patients INITIALIZING DEVICES FOR PLM ANALYSIS To use the tool initialize an ActiSleep monitor through the devices tab to start collecting data at the desired time Info about ActiSleep battery life ActiSleep devices only have one option for initialization 30Hz Legacy ActiSleep devices should be initialized to collect data at 1s epochs During initialization ActiLife
114. tus Progress Firmware Battery Memory Record FIGURE 18 TOOLS MENU The Tools menu contains options for printing a sleep diary creating a clinical report correlating GPS data with data from ActiGraph devices and merging multiple AGD files together PRINT SLEEP DIARY Many times it is useful to provide patients with a sleep log for making subjective logs of time in bed TIB and time out of bed TOB times so that sleep analyses can be properly performed The Print Sleep Diary option in the Tools menu allows users to export a printable sleep diary for patients to use while they are wearing a device Click the option and select a location to store the log diary PDF format A screenshot of the log diary is shown in Figure 19 49 E Chase St Pensacola FL 32502 tel 850 332 7900 Page 15 fax 850 332 7904 ctitife 6 E ae USER S MANUAL Name OB Comments Acti Graph Sleep Log oon 8 9 10 2 3 5 Comments Previous Day ht Comments ime Comments ima 1 2 4 5 6 2 gm o LL Iii SS 10 15PM eg ANT Map 4 00 PMI Legen FIGURE 19 SLEEP LOG DIARY CLINICAL REPORT ActiLife can create a clinical report which contains the following information e Subject and Device Information Name Weight Device Serial Number Start End Time e Wear Time Information e Energy Expenditure e Cut Points e Sleep Graphs e Sleep Period Br
115. ually entered into the Sleep Analysis tool using two different techniques To key in sleep times select the Add Bed Time button on the right of the Sleep Scoring tool Enter the subject s exact time in bed and time out of bed and click ok The selected time slot will be highlighted in translucent red on the graph Sleep times can also be added directly on the graph itself by clicking anywhere on the graph and using the arrow keys to navigate to the sleep episode start time Once a suitable start time is located right click anywhere on the graph and choose Add New In Bed Time Here This will mark the start of the sleep episode Repeat this process and choose Accept Out Of Bed Time to mark the end of the sleep episode Figure 49 illustrates this process Epoch Information 10 5 2009 10 28 PM 0 counts 0 lux t Files test AGD files HKAtlanta agd 4110 502 10 E 10 251 c 0 Add New In Bed Time Here 0 Delete All Sleep Periods In This Day ni Delete All Sleep Periods For the Dataset Epoch Information 10 5 2009 6 08 AM Delete All Sleep Periods In This Day Delete All Sleep Periods For the Dataset Page 54 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph UsER S MANUAL FIGURE 49 MARKING SLEEP EPISODES GRAPHICALLY AUTOMATICALLY ENTERING SLEEP TIMES ActiSleep users can automatically estimate bed times T
116. unchecked In order to disable this feature contact ActiGraph support at support theactigraph com It should be noted that ActiLife automatically downloads the latest version of firmware for all ActiGraph devices each time the program loads In this way ActiLife makes every effort to keep users updated with the latest firmware for their devices The latest firmware files can be found in the C Users lt user name gt Documents ActiGraph ActiLife FirmwareFiles directory ActiLife ships with the latest versions of firmware available in an effort to ensure that our offline customers remain updated UNITS OF MEASUREMENT Use these options to select the desired units of measurement throughout the ActiLife software in all grids and in all exports If English is selected users have the option to display subject height information in inches or Ft Inches TIMESPAN DISPLAY The Timespan Display settings set the default view for the Current Data Recorded display in the Devices grid Selecting the default Days Hours Minutes Seconds breaks the display of time parameters in ActiLife s grids into four parts days hours minutes and seconds Checking Show text for D H M and or S annotates the time with letters corresponding to hours minutes or seconds e g 820m versus 820 useful for copy pasting into a text or spreadsheet editor that may not use the h m s notation DIRECTORIES Use this option to s
117. vity over an 11 minute sliding window For any given window a Sleep Score whether the person is asleep or not can be determined by applying this formula After selecting a sleep time Time In Bed TIB and Time Out of Bed TOB each minute of sleep data is analyzed this way CUSTOM SLEEP ALGORITHMS ActiSleep customers can create their own custom sleep scoring algorithm that uses the same sliding window concept as the Sadeh and Cole Kripke algorithms To get started choose Create New from the Algorithm dropdown menu Sl Sade 10 9 2009 Cole Kripk EE 10 10 200 94 40 i434 PIA 1 477 DEA te 411734 FIGURE 56 CUSTOM SLEEP ALGORITHM The Custom Sleep Scoring Parameters form shown in will load Page 59 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 USER 5 MANUAL Q Custom Sleep Scoring Parameters Edit Sleep Parameters Algorithm Name My Custom Sleep Algorithm Epoch Window Epochs to use before current 2 Epochs to use after current 1 epod Epoch Weight 0 05 Count Parameters Wake Threshold 10 Data to use V Set Maximum Value of Count 300 Epoch Length Required 60 seconds Sleep Wake Formula wake epoch 2 0 05 epoch 1 0 25 epoch 0 1 epoch 1 0 25 epoch 2 0 05 gt 10 FIGURE 57 CUSTOM
118. w Data can be copied from the grid by selecting the data and pressing Ctrl C Data can then be pasted by pressing Ctrl V in MS Excel or any text editor 49 E Chase St Pensacola FL 32502 tel 850 332 7900 Page 9 fax 850 332 7904 6 Data Analysis Software UsER S MANUAL Data can be exported to any format directly from the AGD file viewer by clicking on Export Data To above the data graph This is equivalent to selecting Export from the File menu Select specific hour July 2011 Sun Mon Tue Wed Thu Fri Sat 14 00 00 0 14 01 00 0 14 02 00 0 14 03 00 0 14 04 00 0 14 05 00 0 14 06 00 0 14 07 00 0 14 08 00 0 14 09 00 0 14 10 00 0 14 11 00 0 14 12 00 0 14 13 00 0 14 14 00 0 14 15 00 0 14 16 00 0 14 17 00 0 Number of Axis Enabled 3 WN FIGURE 14 AGD FILE VIEWER LOAD TEMPLATE The Load Template option allows users to browse and locate an ActiLife template file agt which forces ActiLife to pre defined initialization and or download parameters to ensure consistency among all sites For details on using the template editor see Building and Using a Template Once a template is loaded details about the template including the template name and last modified date will appear in the upper right hand corner of the ActiLife tool as shown in Figure 15
119. x Files CREATE SUB FOLDERS WHEN EXPORTING RAW TO EPOCH Check this option to create sub folders for agd dat and or csv files created when exporting from Raw to Epoch files from the Import Export menu CREATE AGD DURING DOWNLOAD OF GT3X OR ACTISLEEP When checked this option tells ActiLife to automatically create an agd file immediately after downloading gt3x files from ActiSleep GT3X or wGT3X devices For more information on these file types see Appendix A File Types in ActiLife SCAN OF GT3X4 DOWNLOADS When downloading ActiSleep or wGT3X data this option allows users to be notified of large gaps null data or Os in the data which may indicate either a problem with the device itself or non compliance with the device end user Setting this option to a certain percentage will prompt the user if there are more than that percentage of the data contains Os For example setting to 1096 will cause notifications to appear when 1096 or more of the data on the device contains null data 05 Set this option to 10096 to disable notifications WEAR TIME VALIDATION Wear Time Validation options are used to set the default values for the dataset filters in the Wear Time Validation tool The user also has the option to switch between the Floating Window or Daily Wear Time Validation algorithms Note The daily algorithm has been deprecated and should be avoided DATA SCORING The Data Scoring options are u
120. y standard text editors In order to read the data or process the data with ActiLife the gt3x files need to be uncompressed i e exported to agd format using ActiLife This can occur either during download or later when processing files To download data from a select the device s from the grid in the Devices tab and click Download A prompt similar to Figure 28 will appear Clicking Download All Devices will immediately download all of the data from the GT3X into the user s default download directory SCANNING OF GT3X4 DATA DURING DOWNLOAD Data downloaded from devices can be scanned for problems at the time of download At this time ActiLife can scan for null data 05 which may indicate issues with the device accelerometer or non compliance by the end user To enable this scanning open the Edit gt Options menu and choose the Downloading submenu In the Scan of GT3X Download section select the warning threshold Doing so will warn the user during the download process if the number of Os within the file exceed the threshold To disable this feature set the threshold to 10096 To view the gt3x files select Communication Show Download Folder from the main menu in ActiLife5 Files will appear in this folder as shown in Figure 30 Page 30 49 E Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ctitife 6 UsER S MANUAL Name Date modified Type Size Eh PUL3F4
121. zation options on the left side of the template editor to force template users to use specific settings during the initialization process Template Name required The name of the template that will appear at the top of ActiLife once the template is loaded An illustration is shown in Figure 15 This is a required field DEVICE SELECTION Selecting Enable Template for within one or more of the device tabs will force ActiLife to use device level settings during the initialization process for that particular device START STOP SETTINGS Check either Start Date Time or Stop Date Time to force template users to use a Start or Stop time during the initialization process Use the Day selection box to choose a forced start time offset e g 0 day 1 day 2 days etc and use the time selection box to set the start time Use Any in the Day selection box to give the user the flexibility to choose which day the device should start collecting data but the rigidity to force a start time for data collection If the template start time has already passed ActiLife will automatically default to the next day with the Page 34 49 Chase St Pensacola FL 32502 tel 850 332 7900 fax 850 332 7904 ActiLife 6 Data Analysis Software By A ctiGraph USER S MANUAL same Start time For example suppose the template is set to force users to start collecting data at 0 day s at 3 00pm If a user initializes a device at 4 00pm the s

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