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

Time Segment Analysis of Heart Rate Variability to Evaluate Daily Stress using Wearable Device Technology

Present studies have successfully evaluated psychological properties such as mental health and stress by using physiological data from the cardiovascular system. Most studies established specific interventions and ambiguous heart rate properties according to homeostatic conditions. We proposed a study evaluating mental stress based on daily activities dataset. Twenty-two healthy men were observed in this study. We employed two approaches based on the time segments, while extracting the HRV parameters. We discovered that there was no significant difference between the parameters corresponding to the daily stress score groups (low- and high-stress) when we used whole-day recording in one segment HRV parameter measurement (p > 0.05). However, by extracting the HRV parameters based on multi time segments (phases 1, 2, and 3), we found parameters that were able to properly distinguish the two groups (low- and high-stress). The frequency domain parameters are the most sensitive features, especially the LF and HF (p < 0.01), followed by the total power (p < 0.05). In the time domain measurement, the RMSSD, StdHR, SD1, and SD2 are able to differentiate the participants based on the daily stress scores (p < 0.05). As a result, this study proposed that by continually monitoring biological signals based on time segment and employing the given parameters, it is possible to appropriately and meaningfully measure the daily stress condition for future classification studies

Classification of sporting activities using smartphone accelerometers

In this paper we present a framework that allows for the automatic identification of sporting activities using commonly available smartphones. We extract discriminative informational features from smartphone accelerometers using the Discrete Wavelet Transform (DWT). Despite the poor quality of their accelerometers, smartphones were used as capture devices due to their prevalence in today’s society. Successful classification on this basis potentially makes the technology accessible to both elite and non-elite athletes. Extracted features are used to train different categories of classifiers. No one classifier family has a reportable direct advantage in activity classification problems to date; thus we examine classifiers from each of the most widely used classifier families. We investigate three classification approaches; a commonly used SVM-based approach, an optimized classification model and a fusion of classifiers. We also investigate the effect of changing several of the DWT input parameters, including mother wavelets, window lengths and DWT decomposition levels. During the course of this work we created a challenging sports activity analysis dataset, comprised of soccer and field-hockey activities. The average maximum F-measure accuracy of 87% was achieved using a fusion of classifiers, which was 6% better than a single classifier model and 23% better than a standard SVM approach

Accurate and Robust Heart Rate Sensor Calibration on Smartwatches using Deep Learning

Heart rate (HR) monitoring has been the foundation of many researches and applications in the field of health care, sports and fitness, and physiology. With the development of affordable non- invasive optical heart rate monitoring technology, continuous monitoring of heart rate and related physiological parameters is increasingly possible. While this allows continuous access to heart rate information, its potential is severely constrained by the inaccuracy of the optical sensor that provides the signal for deriving heart rate information. Among all the factors influencing the sensor performance, hand motion is a particularly significant source of error. In this thesis, we first quantify the robustness and accuracy of the wearable heart rate monitor under everyday scenario, demonstrating its vulnerability to different kinds of motions. Consequently, we developed DeepHR, a deep learning based calibration technique, to improve the quality of heart rate measurements on smart wearables. DeepHR associates the motion features captured by accelerometer and gyroscope on the wearable with a reference sensor, such as a chest-worn HR monitor. Once pre-trained, DeepHR can be deployed on smart wearables to correct the errors caused by motion. Through rigorous and extensive benchmarks, we demonstrate that DeepHR significantly improves the accuracy and robustness of HR measurements on smart wearables, being superior to standard fully connected deep neural network models. In our evaluation, DeepHR is capable of generalizing across different activities and users, demonstrating that having a general pre-trained and pre-deployed model for various individual users is possible

Real-time human ambulation, activity, and physiological monitoring:taxonomy of issues, techniques, applications, challenges and limitations

Automated methods of real-time, unobtrusive, human ambulation, activity, and wellness monitoring and data analysis using various algorithmic techniques have been subjects of intense research. The general aim is to devise effective means of addressing the demands of assisted living, rehabilitation, and clinical observation and assessment through sensor-based monitoring. The research studies have resulted in a large amount of literature. This paper presents a holistic articulation of the research studies and offers comprehensive insights along four main axes: distribution of existing studies; monitoring device framework and sensor types; data collection, processing and analysis; and applications, limitations and challenges. The aim is to present a systematic and most complete study of literature in the area in order to identify research gaps and prioritize future research directions

Context-Aware Stress Monitoring using Wearable and Mobile Technologies in Everyday Settings

Daily monitoring of stress is a critical component of maintaining optimal physical and mental health. Physiological signals and contextual information have recently emerged as promising indicators for detecting instances of heightened stress. Nonetheless, developing a real-time monitoring system that utilizes both physiological and contextual data to anticipate stress levels in everyday settings while also gathering stress labels from participants represents a significant challenge. We present a monitoring system that objectively tracks daily stress levels by utilizing both physiological and contextual data in a daily-life environment. Additionally, we have integrated a smart labeling approach to optimize the ecological momentary assessment (EMA) collection, which is required for building machine learning models for stress detection. We propose a three-tier Internet-of-Things-based system architecture to address the challenges. We utilized a cross-validation technique to accurately estimate the performance of our stress models. We achieved the F1-score of 70\% with a Random Forest classifier using both PPG and contextual data, which is considered an acceptable score in models built for everyday settings. Whereas using PPG data alone, the highest F1-score achieved is approximately 56\%, emphasizing the significance of incorporating both PPG and contextual data in stress detection tasks

Learning Behavioral Representations of Routines From Large-scale Unlabeled Wearable Time-series Data Streams using Hawkes Point Process

Continuously-worn wearable sensors enable researchers to collect copious amounts of rich bio-behavioral time series recordings of real-life activities of daily living, offering unprecedented opportunities to infer novel human behavior patterns during daily routines. Existing approaches to routine discovery through bio-behavioral data rely either on pre-defined notions of activities or use additional non-behavioral measurements as contexts, such as GPS location or localization within the home, presenting risks to user privacy. In this work, we propose a novel wearable time-series mining framework, Hawkes point process On Time series clusters for ROutine Discovery (HOT-ROD), for uncovering behavioral routines from completely unlabeled wearable recordings. We utilize a covariance-based method to generate time-series clusters and discover routines via the Hawkes point process learning algorithm. We empirically validate our approach for extracting routine behaviors using a completely unlabeled time-series collected continuously from over 100 individuals both in and outside of the workplace during a period of ten weeks. Furthermore, we demonstrate this approach intuitively captures daily transitional relationships between physical activity states without using prior knowledge. We also show that the learned behavioral patterns can assist in illuminating an individual's personality and affect.Comment: 2023 9th ACM SIGKDD International Workshop on Mining and Learning From Time Series (MiLeTS 2023

Personalized data analytics for internet-of-things-based health monitoring

The Internet-of-Things (IoT) has great potential to fundamentally alter the delivery of modern healthcare, enabling healthcare solutions outside the limits of conventional clinical settings. It can offer ubiquitous monitoring to at-risk population groups and allow diagnostic care, preventive care, and early intervention in everyday life. These services can have profound impacts on many aspects of health and well-being. However, this field is still at an infancy stage, and the use of IoT-based systems in real-world healthcare applications introduces new challenges. Healthcare applications necessitate satisfactory quality attributes such as reliability and accuracy due to their mission-critical nature, while at the same time, IoT-based systems mostly operate over constrained shared sensing, communication, and computing resources. There is a need to investigate this synergy between the IoT technologies and healthcare applications from a user-centered perspective. Such a study should examine the role and requirements of IoT-based systems in real-world health monitoring applications. Moreover, conventional computing architecture and data analytic approaches introduced for IoT systems are insufficient when used to target health and well-being purposes, as they are unable to overcome the limitations of IoT systems while fulfilling the needs of healthcare applications. This thesis aims to address these issues by proposing an intelligent use of data and computing resources in IoT-based systems, which can lead to a high-level performance and satisfy the stringent requirements. For this purpose, this thesis first delves into the state-of-the-art IoT-enabled healthcare systems proposed for in-home and in-hospital monitoring. The findings are analyzed and categorized into different domains from a user-centered perspective. The selection of home-based applications is focused on the monitoring of the elderly who require more remote care and support compared to other groups of people. In contrast, the hospital-based applications include the role of existing IoT in patient monitoring and hospital management systems. Then, the objectives and requirements of each domain are investigated and discussed. This thesis proposes personalized data analytic approaches to fulfill the requirements and meet the objectives of IoT-based healthcare systems. In this regard, a new computing architecture is introduced, using computing resources in different layers of IoT to provide a high level of availability and accuracy for healthcare services. This architecture allows the hierarchical partitioning of machine learning algorithms in these systems and enables an adaptive system behavior with respect to the user's condition. In addition, personalized data fusion and modeling techniques are presented, exploiting multivariate and longitudinal data in IoT systems to improve the quality attributes of healthcare applications. First, a real-time missing data resilient decision-making technique is proposed for health monitoring systems. The technique tailors various data resources in IoT systems to accurately estimate health decisions despite missing data in the monitoring. Second, a personalized model is presented, enabling variations and event detection in long-term monitoring systems. The model evaluates the sleep quality of users according to their own historical data. Finally, the performance of the computing architecture and the techniques are evaluated in this thesis using two case studies. The first case study consists of real-time arrhythmia detection in electrocardiography signals collected from patients suffering from cardiovascular diseases. The second case study is continuous maternal health monitoring during pregnancy and postpartum. It includes a real human subject trial carried out with twenty pregnant women for seven months

Addressing Data Quality Challenges in Observational Ambulatory Studies: Analysis, Methodologies and Practical Solutions for Wrist-worn Wearable Monitoring

Chronic disease management and follow-up are vital for realizing sustained patient well-being and optimal health outcomes. Recent advancements in wearable sensing technologies, particularly wrist-worn devices, offer promising solutions for longitudinal patient follow-up by shifting from subjective, intermittent self-reporting to objective, continuous monitoring. However, collecting and analyzing wearable data presents unique challenges, such as data entry errors, non-wear periods, missing wearable data, and wearable artifacts. We therefore present an in-depth exploration of data analysis challenges tied to wrist-worn wearables and ambulatory label acquisition, using two real-world datasets (i.e., mBrain21 and ETRI lifelog2020). We introduce novel practical countermeasures, including participant compliance visualizations, interaction-triggered questionnaires to assess personal bias, and an optimized wearable non-wear detection pipeline. Further, we propose a visual analytics approach to validate processing pipelines using scalable tools such as tsflex and Plotly-Resampler. Lastly, we investigate the impact of missing wearable data on "window-of-interest" analysis methodologies. Prioritizing transparency and reproducibility, we offer open access to our detailed code examples, facilitating adaptation in future wearable research. In conclusion, our contributions provide actionable approaches for wearable data collection and analysis in chronic disease management.Comment: 29 pages, 16 figure