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

Sensor-AssistedWeighted Average Ensemble Model for Detecting Major Depressive Disorder

The present methods of diagnosing depression are entirely dependent on self-report ratings or clinical interviews. Those traditional methods are subjective, where the individual may or may not be answering genuinely to questions. In this paper, the data has been collected using self-report ratings and also using electronic smartwatches. This study aims to develop a weighted average ensemble machine learning model to predict major depressive disorder (MDD) with superior accuracy. The data has been pre-processed and the essential features have been selected using a correlation-based feature selection method. With the selected features, machine learning approaches such as Logistic Regression, Random Forest, and the proposedWeighted Average Ensemble Model are applied. Further, for assessing the performance of the proposed model, the Area under the Receiver Optimization Characteristic Curves has been used. The results demonstrate that the proposed Weighted Average Ensemble model performs with better accuracy than the Logistic Regression and the Random Forest approaches

Predicting Nonadherence Behavior Towards Mammography Screening Guidelines

The goal of this research is to examine factors associated with nonadherence behavior toward mammography screening among U.S. women. The 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey data was used for this study, allowing the model to represent a robust sample. A logistic regression model was developed to gain an understanding of influencing factors, including demographic, health-related and behavioral characteristics. Further analysis with logistic regression models stratified by age were conducted to control for the effect of age. The results show that demographic and health related information such as income, number of children, and BMI category can help intervention programs recognize women who are less likely to adhere to mammography screening guidelines. Behavioral factors are the strongest predictor for screening behaviors. It is crucial for women to have a personal physician or health professional that they can routinely see every year. Tracking frequency of doctor visits and routine medical procedures can give great insight into mammography nonadherence, which could ultimately help reduce breast cancer mortality in the U.S

Analysis of Mental Health Problems Among Higher Education Students using Machine Learning

Currently, mental health concerns pose a significant issue in Odisha. Generally, mental health problems affect a person\u27s thoughts, feelings, actions, and communication. As per the 2017 National Health and Morbidity Survey (NHMS), one in five individuals in Odisha suffer from depression, two have anxiety, and one out of ten experiences stress. Additionally, students in higher education are at an elevated risk of developing mental health problems. However, helping a person with mental health concerns can be challenging due to difficulties in identifying the root causes of their condition. The main objectives of this study are to: 1. Explore mental health issues among higher education students. 2. Investigate the factors that contribute to these issues. 3. Assess the effectiveness of machine learning techniques in analyzing and predicting mental health problems among higher education students. Using computational modeling, this paper\u27s findings will contribute to the ongoing discussion on mental health concerns in future research

Measuring Possible Future Selves: Using Natural Language Processing for Automated Analysis of Posts about Life Concerns

Individuals have specific perceptions regarding their lives pertaining to how well they are doing in particular life domains, what their ideas are, and what to pursue in the future. These concepts are called possible future selves (PFS), a schema that contains the ideas of people, who they currently are, and who they wish to be in the future. The goal of this research project is to create a program to capture PFS using natural language processing. This program will allow automated analysis to measure people's perceptions and goals in a particular life domain and assess their view of the importance regarding their thoughts on each part of their PFS. The data used in this study were adopted from Kennard, Willis, Robinson, and Knobloch-Westerwick (2015) in which 214 women, aged between 21-35 years, viewed magazine portrayals of women in gender-congruent and gender-incongruent roles. The participants were prompted to write about their PFS with the questions: "Over the past 7 days, how much have you thought about your current life situation and your future? What were your thoughts? How much have you thought about your goals in life and your relationships? What were your thoughts?" The text PFS responses were then coded for mentions of different life domains and the emotions explicitly expressed from the text-data by human coders. Combinations of machine learning techniques were utilized to show the robustness of machine learning in predicting PFS. Long Short-Term Memory networks (LSTM), Convolutional Neural Networks (CNN), and decision trees were used in the ensemble learning of the machine learning model. Two different training and evaluation methods were used to find the most optimal machine learning approach in analyzing PFS. The machine learning approach was found successful in predicting PFS with high accuracy, labeling a person's concerns over PFS the same as human coders have done in The Allure of Aphrodite. While the models were inaccurate in spotting some measures, for example labeling a person's career concern in the present with around 60% accuracy, it was accurate finding a concern in a person's past romantic life with above 95% accuracy. Overall, the accuracy was found to be around 83% for life-domain concerns.Undergraduate Research Scholarship by the College of EngineeringNo embargoAcademic Major: Computer Science and Engineerin

Predict Daily Life Stress based on Heart Rate Variability

Department of Human Factors EngineeringThe purpose of this study is to investigate the feasibility of predicting a daily mental stress level from analyzing Heart Rate Variability (HRV) by using a Photoplethysmography (PPG) sensor which is integrated in the wristband-type wearable device. In this experiment, each participant was asked to measure their own PPG signals for 30 seconds, three times a day (at noon, 6 P.M, and 10 minutes before going to sleep) for a week. And 10 minutes before going to sleep, all participants were asked to self-evaluate their own daily mental stress level using Perceived Stress Scale (PSS). The recorded signals were transmitted and stored at each participant???s smartphone via Bluetooth Low Energy (BLE) communication by own-made mobile application. The preprocessing procedure was used to remove PPG signal artifacts in order to make better performance for detecting each pulse peak point at PPG signal. In this preprocessing, three- level-bandpass filtering which consisted three different pass band range bandpass filters was used. In this study, frequency domain HRV analysis feature that the ratio of low-frequency (0.04Hz ~ 0.15Hz) to high-frequency (0.15Hz ~ 0.4Hz) power value was used. In frequency domain analysis, autoregressive (AR) model was used, because this model has higher resolution than that of Fast Fourier Transform (FFT). The accuracy of this prediction was 86.35% on average of all participants. Prediction result was calculated from the leave-one-out validation. The IoT home appliances are arranged according to the result of this prediction algorithm. This arrangement is offering optimized user???s relaxation. Also, this algorithm can help acute stress disorder patients to concentrate on getting treatment.clos