A framework for applying natural language processing in digital health interventions

BACKGROUND: Digital health interventions (DHIs) are poised to reduce target symptoms in a scalable, affordable, and empirically supported way. DHIs that involve coaching or clinical support often collect text data from 2 sources: (1) open correspondence between users and the trained practitioners supporting them through a messaging system and (2) text data recorded during the intervention by users, such as diary entries. Natural language processing (NLP) offers methods for analyzing text, augmenting the understanding of intervention effects, and informing therapeutic decision making. OBJECTIVE: This study aimed to present a technical framework that supports the automated analysis of both types of text data often present in DHIs. This framework generates text features and helps to build statistical models to predict target variables, including user engagement, symptom change, and therapeutic outcomes. METHODS: We first discussed various NLP techniques and demonstrated how they are implemented in the presented framework. We then applied the framework in a case study of the Healthy Body Image Program, a Web-based intervention trial for eating disorders (EDs). A total of 372 participants who screened positive for an ED received a DHI aimed at reducing ED psychopathology (including binge eating and purging behaviors) and improving body image. These users generated 37,228 intervention text snippets and exchanged 4285 user-coach messages, which were analyzed using the proposed model. RESULTS: We applied the framework to predict binge eating behavior, resulting in an area under the curve between 0.57 (when applied to new users) and 0.72 (when applied to new symptom reports of known users). In addition, initial evidence indicated that specific text features predicted the therapeutic outcome of reducing ED symptoms. CONCLUSIONS: The case study demonstrates the usefulness of a structured approach to text data analytics. NLP techniques improve the prediction of symptom changes in DHIs. We present a technical framework that can be easily applied in other clinical trials and clinical presentations and encourage other groups to apply the framework in similar contexts

A Learning Health System for Radiation Oncology

The proposed research aims to address the challenges faced by clinical data science researchers in radiation oncology accessing, integrating, and analyzing heterogeneous data from various sources. The research presents a scalable intelligent infrastructure, called the Health Information Gateway and Exchange (HINGE), which captures and structures data from multiple sources into a knowledge base with semantically interlinked entities. This infrastructure enables researchers to mine novel associations and gather relevant knowledge for personalized clinical outcomes. The dissertation discusses the design framework and implementation of HINGE, which abstracts structured data from treatment planning systems, treatment management systems, and electronic health records. It utilizes disease-specific smart templates for capturing clinical information in a discrete manner. HINGE performs data extraction, aggregation, and quality and outcome assessment functions automatically, connecting seamlessly with local IT/medical infrastructure. Furthermore, the research presents a knowledge graph-based approach to map radiotherapy data to an ontology-based data repository using FAIR (Findable, Accessible, Interoperable, Reusable) concepts. This approach ensures that the data is easily discoverable and accessible for clinical decision support systems. The dissertation explores the ETL (Extract, Transform, Load) process, data model frameworks, ontologies, and provides a real-world clinical use case for this data mapping. To improve the efficiency of retrieving information from large clinical datasets, a search engine based on ontology-based keyword searching and synonym-based term matching tool was developed. The hierarchical nature of ontologies is leveraged to retrieve patient records based on parent and children classes. Additionally, patient similarity analysis is conducted using vector embedding models (Word2Vec, Doc2Vec, GloVe, and FastText) to identify similar patients based on text corpus creation methods. Results from the analysis using these models are presented. The implementation of a learning health system for predicting radiation pneumonitis following stereotactic body radiotherapy is also discussed. 3D convolutional neural networks (CNNs) are utilized with radiographic and dosimetric datasets to predict the likelihood of radiation pneumonitis. DenseNet-121 and ResNet-50 models are employed for this study, along with integrated gradient techniques to identify salient regions within the input 3D image dataset. The predictive performance of the 3D CNN models is evaluated based on clinical outcomes. Overall, the proposed Learning Health System provides a comprehensive solution for capturing, integrating, and analyzing heterogeneous data in a knowledge base. It offers researchers the ability to extract valuable insights and associations from diverse sources, ultimately leading to improved clinical outcomes. This work can serve as a model for implementing LHS in other medical specialties, advancing personalized and data-driven medicine

Text Analysis of Airline Tweets

By acting as a succinct summary, keywords and key phrases can be a useful tool for swiftly assessing enormous amounts of textual material. A keyword is defined as a word that briefly and accurately characterises the subject, or an aspect of the subject, presented in a text, according to the International Encyclopaedia of Information and Library Science (Bolger et al., 1989) (Feather et al., 1996). People are more likely to complain when they are anxious, according to research (Bolger et al., 1989)(Meier et al., 2013), and moods are affected by time (Ryan et al., 2010). Due to this study, airlines will have a tool to calibrate and judge the positivity/negativity of tweets based on the day of the week, which is a topic that has yet to be researched. We want to do text and sentiment analysis on extracted airline travel tweets, taking into account when the tweet was ‘tweeted’ and if it had a good or negative impact

Why do These Match? Explaining the Behavior of Image Similarity Models

Explaining a deep learning model can help users understand its behavior and allow researchers to discern its shortcomings. Recent work has primarily focused on explaining models for tasks like image classification or visual question answering. In this paper, we introduce Salient Attributes for Network Explanation (SANE) to explain image similarity models, where a model's output is a score measuring the similarity of two inputs rather than a classification score. In this task, an explanation depends on both of the input images, so standard methods do not apply. Our SANE explanations pairs a saliency map identifying important image regions with an attribute that best explains the match. We find that our explanations provide additional information not typically captured by saliency maps alone, and can also improve performance on the classic task of attribute recognition. Our approach's ability to generalize is demonstrated on two datasets from diverse domains, Polyvore Outfits and Animals with Attributes 2. Code available at: https://github.com/VisionLearningGroup/SANEComment: Accepted at ECCV 202

Implementing Semantic Search to a Case Management System

The amount of information in today’s information society is immense, which creates a need for intuitive and effective search functionalities and applications. In addition to openly available search applications, organizations need internal search functionalities for optimizing their information management. This thesis provides an implementation suggestion for JoutseNet semantic search application. JoutseNet is a case management system used by the authorities and the employees of the city of Turku. Thesis begins by introducing some relevant fundamentals of natural language processing and search engines. Literature review is utilized to find semantic search implementation methods from previous research papers. Case JoutseNet is introduced with some background information on the case management process and with a brief user research and examination on the current state of the system. Learnings from the fundamental guidelines and conducted research are combined to implement the search application. After the implementation documentation, guidelines for optimizing and testing the application are given. The value and performance of the implementation is yet to be determined because the production data of the JoutseNet system could not be used for research purposes. A comprehensive suggestion is provided, but further research and development is still needed before delivering it to the production environment