Assessing and Maximizing the Acceptability of Global Positioning System Device Use for Studying the Role of Human Movement in Dengue Virus Transmission in Iquitos, Peru

Valerie A. Paz-Soldan International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Steven T. Stoddard International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Gonzalo Vazquez-Prokopec International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Amy C. Morrison International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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John P. Elder International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Uriel Kitron International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Tadeusz J. Kochel International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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Thomas W. Scott International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Entomology, University of California, Davis, California; Department of Environmental Studies, Emory University, Atlanta, Georgia; U.S. Navy Medical Research Center Detachment, Iquitos, Peru; Graduate School of Public Health, San Diego State University, San Diego, California

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As use of global positioning system (GPS) technology to study disease transmission increases, it is important to assess possible barriers to its use from the perspective of potential study participants. Fifteen focus group discussions stratified by sex, age, and motherhood status were conducted in 2008 in Iquitos, Peru. All participants said they would accept using a GPS unit for study purposes for 2–4 weeks. Participants' main concerns included caring properly for the unit, whether the unit would audio/videotape them, health effects of prolonged use, responsibility for units, and confidentiality of information. A pilot study was then conducted in which 126 persons were asked to carry GPS units for 2–4 weeks; 98% provided consent. All persons used the units expressing minimal concerns, although 44% reported forgetting the device at least once. Our study is the first to highlight participant concerns related to use of GPS for long-term monitoring of individual behavior in a resource-limited setting.

Author Notes

*Address correspondence to Valerie A. Paz-Soldan, International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2200, New Orleans, LA 70112. E-mail: vpazsold@tulane.edu

Financial support: This study was supported by grant R01 AI069341-01 from the U.S. National Institutes of Health/National Institute of Allergy and Infectious Diseases; the Research and Policy in Infectious Disease Dynamics Program of the Science and Technology Directorate, Department of Homeland Security; and the Fogarty International Center, National Institutes of Health.

Disclosure: None of the authors has a financial or personal conflict of interest related to this study. The corresponding author had full access to all data in the study and final responsibility for the decision to submit this publication.

Copyright statement: Author Tadeusz J. Kochel is a U.S. military service member. This work was prepared as part of his official duties. Title 17 U.S.C. §105 provides that copyright protection under this title is not available for any work of the United States Government. Title 17 U.S.C. §101 defines a U.S. Government work as a work prepared by a military service members or employees of the U.S. Government as part of those person's official duties.

Authors' addresses: Valerie A. Paz-Soldan, International Health and Development Department, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Steven T. Stoddard, Amy C. Morrison, and Thomas W. Scott, Department of Entomology, University of California, Davis, CA. Gonzalo Vazquez-Prokopec and Uriel Kitron, Math and Science Center, Emory UInversity, Atlanta, GA. John P. Elder, School of Public Health, San Diego State University, San Diego, CA. Tadeusz J. Kochel, U.S. Naval Medical Research Center Detachment, Washington, DC.

  • 1.

    Stoddard ST, Morrison AC, Vazquez-Prokopec GM, Paz Soldan V, Kochel TJ, Kitron U, Elder JP, Scott TW, 2009. The role of human movement in the transmission of vector-borne pathogens. PLoS Negl Trop Dis 3: e481.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Kuno G, 1995. Review of the factors modulating dengue transmission. Epidemiol Rev 17: 321335.

  • 3.

    Gonzalez MC, Hidalgo CA, Barabasi A-L, 2008. Understanding individual human mobility patterns. Nature 453: 779782.

  • 4.

    Schlich R, 2001. Measurement Issues in Identifying Variability in Travel Behaviour. Swiss Transport Research Conference.

  • 5.

    Nuckols J, Ward M, Jarup L, 2004. Using geographic information systems for exposure assessment in environmental epidemiology studies. Environ Health Perspect 112: 10071015.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Shoval N, Isaacson M, 2006. Application of tracking technologies to the study of pedestrian spatial behavior. Prof Geogr 58: 172183.

  • 7.

    Weis B, Balshawl D, Barr J, Brown D, Ellisman M, Liov P, Omenn G, Potter J, Smith M, Sohn L, Suk W, Sumner S, Swenberg J, Walt D, Watkins S, Thompson C, Wilson S, 2005. Personalized exposure assessment: Promising approaches for human environmental health research. Environ Health Perspect 113: 840848.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Elgethun K, Fenske R, Yost M, Palcisko G, 2003. Time-location analysis for exposure assessment studies of children using a novel global positioning system instrument. Environ Health Perspect 111: 115122.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Elgethun K, Yost MG, Fitzpatrick CTE, Nyerges TL, Fenske RA, 2007. Comparison of global positioning system (GPS) tracking and parent-report diaries to characterize children's time-location patterns. J Expo Sci Environ Epidemiol 17: 196206.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Seto EY, Knapp F, Zhong B, Yang C, 2007. The use of a vest equipped with a global positioning system to assess water-contact patterns associated with schistosomiasis. Geospatial Health 1: 233241.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Phillips ML, Hall TA, Esmen NA, Lynch R, Johnson DL, 2001. Use of global positioning system technology to track subject's location during environmental exposure sampling. J Expo Anal Environ Epidemiol 11: 207215.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Troped PJ, Oliveira MS, Matthews CE, Cromley EK, Melly SJ, Craig BA, 2008. Prediction of activity mode with global positioning system and accelerometer data. Med Sci Sports Exerc 40: 972978.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Wiehe SE, Hoch SC, Liu GC, Carroll AE, Wilson JS, Fortenberry JD, 2008. Adolescent travel patterns: pilot data indicating distance from home varies by time of day and day of week. J Adolesc Health 42: 418420.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Instituto Nacional de Estadística e Informática (INEI), 2008. Censos Nacionales 2007: XI de Población y VI de Vivienda, Sistema de Consulta de Resultados Censales, Cuadros Estadísticos. Available at: http://desa.inei.gob.pe/censos2007/tabulados/. Accessed August 24, 2009.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Hayes CG, Phillips IA, Callahan JD, Griebenow WF, Hyams CK, Wu SJ, Watts DM, 1996. The epidemiology of dengue virus infection among urban, jungle, and rural populations in the Amazon region of Peru. Am J Trop Med Hyg 55: 459463.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Getis A, Morrison A, Gray K, Scott TW, 2003. Characteristics of the spatial pattern of the dengue vector, Aedes aegypti, in Iquitos, Peru. Am J Trop Med Hyg 69: 494505.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Morrison AC, Astete H, Chapilliquen F, Dias G, Gray K, Getis A, Scott TW, 2004. Evaluation of a sampling methodology for rapid assessment of Aedes aegypti infestation levels in Iquitos. J Med Entomol 41: 502510.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Watts DM, Porter KR, Putvatana P, Vasquez B, Calampa C, Hayes CG, Halstead SB, 1999. Failure of secondary infection with American genotype dengue 2 to cause dengue haemorrhagic fever. Lancet 354: 14311434.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Vasquez-Prokopec GM, Stoddard ST, Paz-Soldan V, Morrison AC, Elder JP, Kochel TJ, Scott TE, Kitron U, 2009. Usefulness of commercially available GPS data-loggers for tracking human movement and exposure to dengue virus. Int J Health Geogr 8: 68. [Epub ahead of print]

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Guest G, Bunce A, Johnson L, 2006. How many interviews are enough? An experiment with data saturation and variability. Field Methods 18: 5982.

  • 21.

    Patton MQ, 2002. Qualitative Research and Evaluation Methods. Third Edition. Thousand Oaks, CA: Sage Publications.

  • 22.

    Scott TW, Morrison AC, 2008. Longitudinal field studies will guide a paradigm shift in dengue prevention. Lemon SM, Sparling PF, Hamburg MA, Relman DA, Choffnes ER, Mack A, eds. Vector-Borne Diseases: Understanding the Environmental, Human Health, and Ecological Connections. Washington, DC: The National Academies Press, 132149.

    • PubMed
    • Search Google Scholar
    • Export Citation
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