Rader Benjamin, Sehgal Neil K R, Michelman Julie, Mellem Stefan, Schultheiss Marinanicole D, Hoddes Tom, MacFarlane Jamie, Clark Geoff, O'Banion Shawn, Eastham Paul, Tuli Gaurav, Taylor James A, Brownstein John S
Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
NPJ Digit Med. 2024 Sep 10;7(1):241. doi: 10.1038/s41746-024-01223-4.
In pandemic mitigation, strategies such as social distancing and mask-wearing are vital to prevent disease resurgence. Yet, monitoring adherence is challenging, as individuals might be reluctant to share behavioral data with public health authorities. To address this challenge and demonstrate a framework for conducting observational research with sensitive data in a privacy-conscious manner, we employ a privacy-centric epidemiological study design: the federated cohort. This approach leverages recent computational advances to allow for distributed participants to contribute to a prospective, observational research study while maintaining full control of their data. We apply this strategy here to explore pandemic intervention adherence patterns. Participants (n = 3808) were enrolled in our federated cohort via the "Google Health Studies" mobile application. Participants completed weekly surveys and contributed empirically measured mobility data from their Android devices between November 2020 to August 2021. Using federated analytics, differential privacy, and secure aggregation, we analyzed data in five 6-week periods, encompassing the pre- and post-vaccination phases. Our results showed that participants largely utilized non-pharmaceutical intervention strategies until they were fully vaccinated against COVID-19, except for individuals without plans to become vaccinated. Furthermore, this project offers a blueprint for conducting a federated cohort study and engaging in privacy-preserving research during a public health emergency.
在疫情缓解过程中,社交距离和佩戴口罩等策略对于预防疾病卷土重来至关重要。然而,监测依从性具有挑战性,因为个人可能不愿与公共卫生当局分享行为数据。为应对这一挑战并展示一种在注重隐私的情况下对敏感数据进行观察性研究的框架,我们采用了以隐私为中心的流行病学研究设计:联合队列。这种方法利用了最近的计算进展,使分布式参与者能够为前瞻性观察性研究做出贡献,同时保持对其数据的完全控制。我们在此应用此策略来探索疫情干预的依从模式。参与者(n = 3808)通过“谷歌健康研究”移动应用程序加入我们的联合队列。参与者完成每周调查,并在2020年11月至2021年8月期间提供来自其安卓设备的实测移动性数据。使用联合分析、差分隐私和安全聚合,我们在五个为期6周的时间段内分析了数据,涵盖疫苗接种前和接种后阶段。我们的结果表明,参与者在完全接种新冠疫苗之前大多采用非药物干预策略,但未计划接种疫苗的个体除外。此外,该项目为在公共卫生紧急情况下开展联合队列研究和进行隐私保护研究提供了蓝图。