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Reveal: Empowered Care for Autism

A wearable that tracks anxiety for better care and self regulation

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Reveal: Empowered Care for Autism

Reveal: Empowered Care for Autism

Reveal: Empowered Care for Autism

Reveal: Empowered Care for Autism

Reveal: Empowered Care for Autism

A wearable that tracks anxiety for better care and self regulation

A wearable that tracks anxiety for better care and self regulation

A wearable that tracks anxiety for better care and self regulation

A wearable that tracks anxiety for better care and self regulation

Awake Labs
Awake Labs
Awake Labs
Awake Labs
1 Campaign |
Vancouver, Canada
$25,806 USD $25,806 USD 198 backers
74% of $34,629 Flexible Goal Flexible Goal
Concept
The project team has not yet produced a working demo for their concept. Their ability to successfully produce a prototype may be affected by product development or financial challenges.
Lightbulb Wrench Warehouse Truck
Concept Prototype Production Shipping

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Reveal is a wearable device that will measure and track anxiety in real time to:

Help you better understand behaviour
Provide insight into care
Notify you of an oncoming meltdown
Use as a tool for self regulation  

This shockproof, waterproof and very durable wearable is being designed to be small enough for kids and comfortable enough for individuals with sensory issues. 

DESIGN  -  TEAM  -  PRESS  -  FAQs  -  HOW IT WORKS  - ORDER 

 People with Anxiety
Parents
Caregivers
Clinicians & OTs
Teachers and EAs 






Links to recent articles: Forbes - Digital Trends - The Mighty - CKNW



We're putting a lot of work into how Reveal will look and feel, constantly making progress and improving. We have spoken to hundreds of parents, caregivers, and care experts to help us understand how to design a band that will work best. 
 




We have been working directly with families since the beginning and know how important this is to you. We know it’s hard to wait, but we promise to work as hard as we can to make this happen and we hope it will be worth the wait!

We understand the importance of providing quantified care that is reliable, accurate, and effective. We want to provide care that is reflective of every individual’s uniqueness.

That being said, Reveal will be a complicated machine. The device requires hardware, software, and data analytics. All of this will interact with you through a simple and clear interface, and a comfortable, durable form factor. And that’s not going to be easy.

We still have a lot to do, from choosing the final material, designing the clasp, to making sure the readings are accurate.

We are working tirelessly to bring all of these pieces together. We are finalizing our app and form factor prototypes by engaging directly with families so we can better understand how to make Reveal right for you.

Our development team is hard at work and focused on optimizing our machine-learning algorithm and building out the app, and we are working on a licensing agreement with the top developer of physiological measurement hardware.

So far, we have been operating on a shoestring budget and still have made significant progress. The next step is to go from a working prototype to testing it and making sure it does exactly what it needs. After that, we need to go through manufacturing and then finally the distribution, which means Reveal in your hands.

We have support from experienced mentors who are helping us guide the development of Reveal. We are involved in the Coast Capital Savings Innovation Hub and the Next36 Accelerator to help us ensure that the transition from concept to finish product happens smoothly.

We are working to confirm our entire supply chain by the end of 2016. Our goal is to ship Reveal Version 1.0 to you by May of 2017.





Our body’s nervous system automatically responds to physical, emotional, and cognitive stressors. For example, knowing you have a big test coming up, or hearing a loud noise can evoke nervous system reactions.

The autonomic nervous system responds to these stressors by activating the sympathetic nervous system, which results in a number of physiological and behavioural changes.

Reveal will measure and track a combination of the three leading physiological indicators of changes in anxiety as a result of these stressors.

These indicators are:

So, how exactly does this work?

When alerted, your sympathetic nervous system can activate certain sweat glands, resulting in “emotional sweat”. Electrodermal activity is a measure of change in skin conductance as a result of this “emotional sweat”. We will measure EDA through small electrical changes in the skin using two dry electrodes - a painless way of measuring EDA.

Your sympathetic nervous system also affects your circulatory system. When alerted by external stress, your heart rate will increase, and the diameter of your blood vessels will decrease. We can measure heart rate by shining a light on the skin and measuring the change in the light reflected as the blood pumps in and out of peripheral arteries. We can indirectly measure changes in blood vessel diameter by observing changes in skin temperature, which are tracked with a sensitive thermistor.

All of these sensors will be powered by a rechargeable Lithium-ion battery.

Reveal will identify the physiological patterns that relate to anxiety to give you more insight into what is happening internally.

Kushki et. al. (2013). Investigating the Autonomic Nervous System Response to Anxiety in Children with Autism Spectrum Disorders. PLoS ONE 8(4)

Fletcher et. al. (2010). iCalm: Wearable Sensor and Network Architecture for Wirelessly Communicating and Logging Autonomic Activity. IEEE Transactions on Information Technology in Biomedicine, Vol. 14(2)

Poh et. al. (2010). A Wearable Sensor for Unobtrusive, Long-Term Assessment of Electrodermal Activity. IEEE Transaction on Biomedical Engineering, Vol. 57(5)

Liu et. al. (2008). Physiology-based affect recognition for computer-assisted intervention of children with Autism Spectrum Disorder. International Journal of Human-Computer Studies, 66.



Reveal will go beyond physiological tracking - we are working with families to help us identify how to best track other types of behaviours, activities, and other useful information to provide a complete and individualized profile to better understand your child.

Is Reveal made just for autism?

Reveal is not limited to ASDs. We're starting with the autism community to focus our initial design and data collection efforts. Once we get the wearable working well for this community we would love to use it for the variety of other purposes for which it could help provide insights. Other possible applications can include measuring stress for PTSD, generalized anxiety disorders, or for people with dementia.

Can Reveal work without the Reveal + subscription?

Yes, we will have a free version of the app available so that you can use Reveal at no monthly cost. The unlimited version will be available for only 9.99$/mo.

Who can use Reveal?

Right now, we’re designing Reveal for children with an ASD, their parents, caregivers and behavioural consultants because they are the ones already tracking and gathering the data we need to make Reveal most effective. That being said, Reveal will ultimately be used for self-regulation for autistic children, teenagers, and adults alike.  In the long term, we want this to be available to all those who need it, but we need to start in the right place.


How will Reveal help me identify what triggers anxiety for me/my child?

Identifying triggers of anxiety is a complicated process. We are starting this process in our current study by measuring physiological data and matching the recorded patterns to observed behaviours.

When Reveal becomes available, you will be able to go onto the app and tell it what’s happening in real time. As you are recording, you can go into the app and let it know where you are/what you’re doing, and provide details of the situation. Is your child laughing? Playing? Screaming?  What happened before? What is happening as a result? This way when you look back at the data, you will have access to all this information.

But, as you use Reveal, it will get to know you and get smarter. So the next time it notices anxiety levels rise distinctly above the baseline you will get a notification with a simple prompt such as, “hey, I just noticed a spike, what’s up?” This will allow you to notice and contextualize each rise in anxiety the moment it happens.

Are you doing trials for Reveal? Can I/my child participate?

Yes, we are conducting trials. The eligibility requirements for the current study are as follows:

  • Must be located in the lower mainland of British Columbia, Canada.

  • Must have an ASD diagnosis

  • Must not taking medication for anxiety regulation. Send a message to igg@awakelabs.com if you meet the above criteria. If you are interested in being considered for future studies, sign up for our mailing list through www.awakelabs.com

Why, “autistic person” rather than “person with autism” or “person with an ASD”?

We understand that this is a recurring topic of debate and in fact, we started this campaign using person first language. Since the launch we’ve received a number of emails from autistic individuals asking us about our choice in language and in light of these, we have changed it. We are constantly learning new things and are actively working to be the best possible allies to the community so if you have a concern please speak up!


For those who are a bit more curious, here are some fantastic blogs that have delved a little bit further into this discussion:

https://crackedmirrorinshalott.wordpress.com/2013/04/12/autistic-allistic-neurodiverse-and-neurotypical-say-what/

http://www.autistichoya.com/2011/08/significance-of-semantics-person-first.html

Is the device communicating only with the app or does it give any physical response directly?

Currently it will be communicating only with the app.  As we continue to develop Reveal as a tool for self-regulation, we will have a feature that gives the wearer an indication of heightened anxiety. This functionality will not be included in the first version of Reveal.

Is this device being marketed in different channels other than autism?

Currently, no. We want to focus first on building this for the autistic community. Once it is working well,  we plan on scaling to other markets, such as dementia, PTSD and general anxiety.

Is there currently any testing being done in schools?

Not specifically. A few trials have taken place with a child’s EA at school as it was the location indicated by certain participants to be the most familiar and comfortable to conduct the trials. So far, none of the testing has been specific to Reveal’s use in a school setting.

Are there any plans to expand capability to include GPS?

Yes we will investigate the feasibility integrating GPS capabilities as it is a request we have gotten many times.

How does the device distinguish between excited and anxious as the two are physiologically very similar?

Through the app you will be able to tag data with contextual information (example: is your child laughing or crying? Running and happy stimming, or quiet and withdrawn?) in order to help distinguish between the two. As Reveal gets more sophisticated and learns each individual user's patterns over time, it could differentiate between the two states.

Do you see this device being useful as a self-regulation tool?

Yes definitely! Our ultimate goal is for this to be a tool for self regulation and to promote independence.

Will you be able to use autism funding to purchase the device?

This is something we are working on. We are looking to make Reveal as accessible as possible to those who need it. If you have any suggestions, contacts or if your country/state has any specific requirements please let us know!


When an event occurs, do you have to be trained how to read it or how to use the app?

We are designing it to be as simple and as comprehensible as possible. We will also provide access to tutorials and out-of-box instructions to teach you how to use some of the basic functions.


What technology is currently being used in the field?


Some behavioural consultants use things like Fitbits and Mios to help track anxiety. These products were not designed to be used for these purposes and tend to break easily. They also don’t provide an accurate quantified measure of anxiety using multiple physiological indicators - they simply use heart rate. They are a good start, but there is still a long way to go, which is why we are developing Reveal.


What technology is currently being used in the field?


Some behavioural consultants use things like Fitbits and Mios to help track anxiety. These products were not designed to be used for these purposes and tend to break easily. They also don’t provide an accurate quantified measure of anxiety using multiple physiological indicators - they simply use heart rate. They are a good start, but there is still a long way to go, which is why we are developing Reveal.
 

 

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