From Verbal Reports to Personalized Activity Trackers: Understanding the Challenges of Ground Truth Data Collection with Older Adults in the Wild

Tracking activities holds great potential to improve the well-being of older adults, yet the accuracy of activity trackers for this demographic remains in question. Evaluating this accuracy requires ground-truth data directly from older adults, which has largely been gathered in controlled laboratory settings or labeled by researchers. Moreover, considering the diversity in older adults' activity engagement and tracking preferences, personalized activity tracking appears necessary. We demonstrate that older adults can benefit from personalized activity trackers by showing that cadence thresholds for stepping intensities vary within this group. However, collecting ground-truth data from older adults in real-world settings poses unique challenges. This paper examines two sources of ground-truth labels for the smartwatch Inertial Measurement Unit (IMU) data collected with older adults. Using verbal self-reports and a thigh-worn activity tracker, we assess their viability as ground-truth sources in natural settings. Additionally, we evaluate the costs and benefits of triangulating these sources as a ground-truth proxy. Our findings reveal two main costs: data shrinkage and notable effort from both contributors and data stewards. Simultaneously, we observe improved data quality and a greater ability to identify error sources when evaluating a trained model.