From Personalized Medicine to Population Health: A Survey of mHealth Sensing Techniques

Mobile Sensing Apps have been widely used as a practical approach to collect behavioral and health-related information from individuals and provide timely intervention to promote health and well-beings, such as mental health and chronic cares. As the objectives of mobile sensing could be either \emph{(a) personalized medicine for individuals} or \emph{(b) public health for populations}, in this work we review the design of these mobile sensing apps, and propose to categorize the design of these apps/systems in two paradigms -- \emph{(i) Personal Sensing} and \emph{(ii) Crowd Sensing} paradigms. While both sensing paradigms might incorporate with common ubiquitous sensing technologies, such as wearable sensors, mobility monitoring, mobile data offloading, and/or cloud-based data analytics to collect and process sensing data from individuals, we present a novel taxonomy system with two major components that can specify and classify apps/systems from aspects of the life-cycle of mHealth Sensing: \emph{(1) Sensing Task Creation \& Participation}, \emph{(2) Health Surveillance \& Data Collection}, and \emph{(3) Data Analysis \& Knowledge Discovery}. With respect to different goals of the two paradigms, this work systematically reviews this field, and summarizes the design of typical apps/systems in the view of the configurations and interactions between these two components. In addition to summarization, the proposed taxonomy system also helps figure out the potential directions of mobile sensing for health from both personalized medicines and population health perspectives.Comment: Submitted to a journal for revie

Alexa Depression and Anxiety Self-tests: A Preliminary Analysis of User Experience and Trust

Mental health resources available via websites and mobile apps provide support such as advice, journaling, and elements from cognitive behavioral therapy. The proliferation of spoken conversational agents, such as Alexa, Siri, and Google Home, has led to an increasing interest in developing mental health apps for these devices. We present the pilot study outcomes of an Alexa Skill that allows users to conduct depression and anxiety self-tests. Ten participants were given access to the Alexa Skill for two-weeks, followed by an online evaluation of the Skill's usability and trust. Our preliminary evaluation suggests that participants trusted the Skill and scored the usability and user experience as average. Usage of the Skill was low, with most participants using the Skill only once. In view of work-in-progress, we also present a discussion of implementation and study design challenges to guide the current literature on designing spoken conversational agents for mental health applications.Comment: Mental Health Sensing & Intervention Workshop - UbiComp 202

Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia

Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials

Employing Environmental Data and Machine Learning to Improve Mobile Health Receptivity

Behavioral intervention strategies can be enhanced by recognizing human activities using eHealth technologies. As we find after a thorough literature review, activity spotting and added insights may be used to detect daily routines inferring receptivity for mobile notifications similar to just-in-time support. Towards this end, this work develops a model, using machine learning, to analyze the motivation of digital mental health users that answer self-assessment questions in their everyday lives through an intelligent mobile application. A uniform and extensible sequence prediction model combining environmental data with everyday activities has been created and validated for proof of concept through an experiment. We find that the reported receptivity is not sequentially predictable on its own, the mean error and standard deviation are only slightly below by-chance comparison. Nevertheless, predicting the upcoming activity shows to cover about 39% of the day (up to 58% in the best case) and can be linked to user individual intervention preferences to indirectly find an opportune moment of receptivity. Therefore, we introduce an application comprising the influences of sensor data on activities and intervention thresholds, as well as allowing for preferred events on a weekly basis. As a result of combining those multiple approaches, promising avenues for innovative behavioral assessments are possible. Identifying and segmenting the appropriate set of activities is key. Consequently, deliberate and thoughtful design lays the foundation for further development within research projects by extending the activity weighting process or introducing a model reinforcement.BMBF, 13GW0157A, Verbundprojekt: Self-administered Psycho-TherApy-SystemS (SELFPASS) - Teilvorhaben: Data Analytics and Prescription for SELFPASSTU Berlin, Open-Access-Mittel - 201

Emotions in context: examining pervasive affective sensing systems, applications, and analyses

Pervasive sensing has opened up new opportunities for measuring our feelings and understanding our behavior by monitoring our affective states while mobile. This review paper surveys pervasive affect sensing by examining and considering three major elements of affective pervasive systems, namely; “sensing”, “analysis”, and “application”. Sensing investigates the different sensing modalities that are used in existing real-time affective applications, Analysis explores different approaches to emotion recognition and visualization based on different types of collected data, and Application investigates different leading areas of affective applications. For each of the three aspects, the paper includes an extensive survey of the literature and finally outlines some of challenges and future research opportunities of affective sensing in the context of pervasive computing

Towards Deep Learning Models for Psychological State Prediction using Smartphone Data: Challenges and Opportunities

There is an increasing interest in exploiting mobile sensing technologies and machine learning techniques for mental health monitoring and intervention. Researchers have effectively used contextual information, such as mobility, communication and mobile phone usage patterns for quantifying individuals' mood and wellbeing. In this paper, we investigate the effectiveness of neural network models for predicting users' level of stress by using the location information collected by smartphones. We characterize the mobility patterns of individuals using the GPS metrics presented in the literature and employ these metrics as input to the network. We evaluate our approach on the open-source StudentLife dataset. Moreover, we discuss the challenges and trade-offs involved in building machine learning models for digital mental health and highlight potential future work in this direction.Comment: 6 pages, 2 figures, In Proceedings of the NIPS Workshop on Machine Learning for Healthcare 2017 (ML4H 2017). Colocated with NIPS 201