Automated smart home assessment to support pain management: Multiple methods analysis

©Roschelle L Fritz, Marian Wilson, Gordana Dermody, Maureen Schmitter-Edgecombe, Diane J Cook. Objective: This study aimed to determine if a smart home can detect pain-related behaviors to perform automated assessment and support intervention for persons with chronic pain.Background: Poorly managed pain can lead to substance use disorders, depression, suicide, worsening health, and increased use of health services. Most pain assessments occur in clinical settings away from patients’ natural environments. Advances in smart home technology may allow observation of pain in the home setting. Smart homes recognizing human behaviors may be useful for quantifying functional pain interference, thereby creating new ways of assessing pain and supporting people living with pain.Methods: A multiple methods, secondary data analysis was conducted using historic ambient sensor data and weekly nursing assessment data from 11 independent older adults reporting pain across 1-2 years of smart home monitoring. A qualitative approach was used to interpret sensor-based data of 27 unique pain events to support clinician-guided training of a machine learning model. A periodogram was used to calculate circadian rhythm strength, and a random forest containing 100 trees was employed to train a machine learning model to recognize pain-related behaviors. The model extracted 550 behavioral markers for each sensor-based data segment. These were treated as both a binary classification problem (event, control) and a regression problem.Results: We found 13 clinically relevant behaviors, revealing 6 pain-related behavioral qualitative themes. Quantitative results were classified using a clinician-guided random forest technique that yielded a classification accuracy of 0.70, sensitivity of 0.72, specificity of 0.69, area under the receiver operating characteristic curve of 0.756, and area under the precision-recall curve of 0.777 in comparison to using standard anomaly detection techniques without clinician guidance (0.16 accuracy achieved; P \u3c .001). The regression formulation achieved moderate correlation, with r=0.42.Conclusions: Findings of this secondary data analysis reveal that a pain-assessing smart home may recognize pain-related behaviors. Utilizing clinicians’ real-world knowledge when developing pain-assessing machine learning models improves the model’s performance. A larger study focusing on pain-related behaviors is warranted to improve and test model performance

Interpreting health events in big data using qualitative traditions

© The Author(s) 2020. The training of artificial intelligence requires integrating real-world context and mathematical computations. To achieve efficacious smart health artificial intelligence, contextual clinical knowledge serving as ground truth is required. Qualitative methods are well-suited to lend consistent and valid ground truth. In this methods article, we illustrate the use of qualitative descriptive methods for providing ground truth when training an intelligent agent to detect Restless Leg Syndrome. We show how one interdisciplinary, inter-methodological research team used both sensor-based data and the participant’s description of their experience with an episode of Restless Leg Syndrome for training the intelligent agent. We make the case for clinicians with qualitative research expertise to be included at the design table to ensure optimal efficacy of smart health artificial intelligence and a positive end-user experience

EVALUATION OF CURRICULUM 2013 IMPLEMENTATION IN ELEMENTARY SCHOOLS

This research aims to contribute several ideas towards the implementation of the 2013 curriculum for elementary school teachers in Palembang. This descriptive qualitative research used interviews and questionnaires as data collection techniques. The results of the 2013 Curriculum implementation evaluation research were related to the constraints of teachers in implementing the 2013 curriculum. The benefits of this research are the data analyzed with arguments descriptively. The results of the study found obstacles and obstacles to the implementation of the 2013 curriculum for schools and teachers towards the mastery of science and technology, the creation of instructional media, evaluation of learning and the limitations of facilities and infrastructure so that the implementation of the 2013 curriculum could only be carried out in 2018/2019. Solutions are needed in the form of providing adequate training and workshops for teachers and education personnel. Provide the necessary facilities and infrastructure and develop technology-based assessment systems

Locomotion Traces Data Mining for Supporting Frail People with Cognitive Impairment

The rapid increase in the senior population is posing serious challenges to national healthcare systems. Hence, innovative tools are needed to early detect health issues, including cognitive decline. Several clinical studies show that it is possible to identify cognitive impairment based on the locomotion patterns of older people. Thus, this thesis at first focused on providing a systematic literature review of locomotion data mining systems for supporting Neuro-Degenerative Diseases (NDD) diagnosis, identifying locomotion anomaly indicators and movement patterns for discovering low-level locomotion indicators, sensor data acquisition, and processing methods, as well as NDD detection algorithms considering their pros and cons. Then, we investigated the use of sensor data and Deep Learning (DL) to recognize abnormal movement patterns in instrumented smart-homes. In order to get rid of the noise introduced by indoor constraints and activity execution, we introduced novel visual feature extraction methods for locomotion data. Our solutions rely on locomotion traces segmentation, image-based extraction of salient features from locomotion segments, and vision-based DL. Furthermore, we proposed a data augmentation strategy to increase the volume of collected data and generalize the solution to different smart-homes with different layouts. We carried out extensive experiments with a large real-world dataset acquired in a smart-home test-bed from older people, including people with cognitive diseases. Experimental comparisons show that our system outperforms state-of-the-art methods

Crash/Near-Crash: Impact of Secondary Tasks and Real-Time Detection of Distracted Driving

The main goal of this dissertation is to investigate the problem of distracted driving from two different perspectives. First, the identification of possible sources of distraction and their associated crash/near-crash risk. That can assist government officials toward more informed decision-making process, allowing for optimized allocation of available resources to reduce roadway crashes and improve traffic safety. Second, actively counteracting the distracted driving phenomenon by quantitative evaluation of eye glance patterns. This dissertation research consists of two different parts. The first part provides an in-depth analysis for the increased crash/near-crash risk associated with different secondary task activities using the largest real-world naturalistic driving dataset (SHRP2 Naturalistic Driving Study). Several statistical and data mining techniques are developed to analyze the distracted driving and crash risk. More specifically, two different models were employed to quantify the increased risk associated with each secondary task: a baseline-category logit model, and a rule mining association model. The baseline-category logit model identified the increased risk in terms of odds ratios, while the A-priori association algorithm detected the associated risks in terms of rules. Each rule was then evaluated based on the lift index. The two models succeeded in ranking all the secondary task activities according to the associated increased crash/near-crash risk efficiently. To actively counteract to the distracted driving phenomenon, a new approach was developed to analyze eye glance patterns and quantify distracted driving behavior under safety and non-Safety Critical Events (SCEs). This approach is then applied to the Naturalistic Engagement in Secondary Tasks (NEST) dataset to investigate how drivers allocate their attention while driving, especially while distracted. The analysis revealed that distracted driving behavior can be well characterized using two new distraction risk indicators. Additional statistical analyses showed that the two indicators increase significantly for SCE compared to normal driving events. Consequently, an artificial neural network (ANN) model was developed to test the SCEs predictability power when accounting for the two new indicators. The ANN model was able to predict the SCEs with an overall accuracy of 96.1%. This outcome can help build reliable algorithms for in-vehicle driving assistance systems to alert drivers before SCEs