6,104 research outputs found

    Characterizing physiological and symptomatic variation in menstrual cycles using self-tracked mobile health data

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    The menstrual cycle is a key indicator of overall health for women of reproductive age. Previously, menstruation was primarily studied through survey results; however, as menstrual tracking mobile apps become more widely adopted, they provide an increasingly large, content-rich source of menstrual health experiences and behaviors over time. By exploring a database of user-tracked observations from the Clue app by BioWink of over 378,000 users and 4.9 million natural cycles, we show that self-reported menstrual tracker data can reveal statistically significant relationships between per-person cycle length variability and self-reported qualitative symptoms. A concern for self-tracked data is that they reflect not only physiological behaviors, but also the engagement dynamics of app users. To mitigate such potential artifacts, we develop a procedure to exclude cycles lacking user engagement, thereby allowing us to better distinguish true menstrual patterns from tracking anomalies. We uncover that women located at different ends of the menstrual variability spectrum, based on the consistency of their cycle length statistics, exhibit statistically significant differences in their cycle characteristics and symptom tracking patterns. We also find that cycle and period length statistics are stationary over the app usage timeline across the variability spectrum. The symptoms that we identify as showing statistically significant association with timing data can be useful to clinicians and users for predicting cycle variability from symptoms or as potential health indicators for conditions like endometriosis. Our findings showcase the potential of longitudinal, high-resolution self-tracked data to improve understanding of menstruation and women's health as a whole.Comment: The Supplementary Information for this work, as well as the code required for data pre-processing and producing results is available in https://github.com/iurteaga/menstrual_cycle_analysi

    Smartphone App Usage Analysis : Datasets, Methods, and Applications

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    As smartphones have become indispensable personal devices, the number of smartphone users has increased dramatically over the last decade. These personal devices, which are supported by a variety of smartphone apps, allow people to access Internet services in a convenient and ubiquitous manner. App developers and service providers can collect fine-grained app usage traces, revealing connections between users, apps, and smartphones. We present a comprehensive review of the most recent research on smartphone app usage analysis in this survey. Our survey summarizes advanced technologies and key patterns in smartphone app usage behaviors, all of which have significant implications for all relevant stakeholders, including academia and industry. We begin by describing four data collection methods: surveys, monitoring apps, network operators, and app stores, as well as nine publicly available app usage datasets. We then systematically summarize the related studies of app usage analysis in three domains: app domain, user domain, and smartphone domain. We make a detailed taxonomy of the problem studied, the datasets used, the methods used, and the significant results obtained in each domain. Finally, we discuss future directions in this exciting field by highlighting research challenges.Peer reviewe

    Shift in social media app usage during covid-19 lockdown and clinical anxiety symptoms: Machine learning-based ecological momentary assessment study

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    Background: Anxiety symptoms during public health crises are associated with adverse psychiatric outcomes and impaired health decision-making. The interaction between real-time social media use patterns and clinical anxiety during infectious disease outbreaks is underexplored. Objective: We aimed to evaluate the usage pattern of 2 types of social media apps (communication and social networking) among patients in outpatient psychiatric treatment during the COVID-19 surge and lockdown in Madrid, Spain and their short-term anxiety symptoms (7-item General Anxiety Disorder scale) at clinical follow-up. Methods: The individual-level shifts in median social media usage behavior from February 1 through May 3, 2020 were summarized using repeated measures analysis of variance that accounted for the fixed effects of the lockdown (prelockdown versus postlockdown), group (clinical anxiety group versus nonclinical anxiety group), the interaction of lockdown and group, and random effects of users. A machine learning–based approach that combined a hidden Markov model and logistic regression was applied to predict clinical anxiety (n=44) and nonclinical anxiety (n=51), based on longitudinal time-series data that comprised communication and social networking app usage (in seconds) as well as anxiety-associated clinical survey variables, including the presence of an essential worker in the household, worries about life instability, changes in social interaction frequency during the lockdown, cohabitation status, and health status. Results: Individual-level analysis of daily social media usage showed that the increase in communication app usage from prelockdown to lockdown period was significantly smaller in the clinical anxiety group than that in the nonclinical anxiety group (F1,72=3.84, P=.05). The machine learning model achieved a mean accuracy of 62.30% (SD 16%) and area under the receiver operating curve 0.70 (SD 0.19) in 10-fold cross-validation in identifying the clinical anxiety group. Conclusions: Patients who reported severe anxiety symptoms were less active in communication apps after the mandated lockdown and more engaged in social networking apps in the overall period, which suggested that there was a different pattern of digital social behavior for adapting to the crisis. Predictive modeling using digital biomarkers—passive-sensing of shifts in category-based social media app usage during the lockdown—can identify individuals at risk for psychiatric sequelae.JR was supported by the American Psychiatric Association 2021 Junior Psychiatrist Research Colloquium (NIDA R-13 grant). ES received funding from the European Union Horizon 2020 research and innovation program (Marie Sklodowska-Curie grant 813533). AA is supported by the Spanish Ministerio de Ciencia, Innovación y Universidades (RTI2018-099655-B-I00), the Comunidad de Madrid (Y2018/TCS-4705 PRACTICO-CM), and the BBVA Foundation (Deep-DARWiN grant)
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