Computational Sleep Science: Machine Learning for the Detection, Diagnosis, and Treatment of Sleep Problems from Wearable Device Data

University of Minnesota Ph.D. dissertation.December 2017. Major: Computer Science. Advisor: Jaideep Srivastava. 1 computer file (PDF); xiii, 122 pages.This thesis is motivated by the rapid increase in global life expectancy without the respective improvements in quality of life. I propose several novel machine learning and data mining methodologies for approaching a paramount component of quality of life, the translational science field of sleep research. Inadequate sleep negatively affects both mental and physical well-being, and exacerbates many non-communicable health problems such as diabetes, depression, cancer and obesity. Taking advantage of the ubiquitous adoption of wearable devices, I create algorithmic solutions to analyse sensor data. The goal is to improve the quality of life of wearable device users, as well as provide clinical insights and tools for sleep researchers and care-providers. Chapter 1 is the introduction. This section substantiates the timely relevance of sleep research for today's society, and its contribution towards improved global health. It covers the history of sleep science technology and identifies core computing challenges in the field. The scope of the thesis is established and an approach is articulated. Useful definitions, sleep domain terminology, and some pre-processing steps are defined. Lastly, an outline for the remainder of the thesis is included. Chapter 2 dives into my proposed methodology for widespread screening of sleep disorders. It surveys results from the application of several statistical and data mining methods. It also introduces my novel deep learning architecture optimized for the unique dimensionality and nature of wearable device data. Chapter 3 focuses on the diagnosis stage of the sleep science process. I introduce a human activity recognition algorithm called RAHAR, Robust Automated Human Activity Recognition. This algorithm is unique in a number of ways, including its objective of annotating a behavioural time series with exertion levels rather than activity type. Chapter 4 focuses on the last step of the sleep science process, therapy. I define a pipeline to identify \textit{behavioural recipes}. These \textit{recipes} are the target behaviour that a user should complete in order to have good quality sleep. This work provides the foundation for building out a dynamic real-time recommender system for wearable device users, or a clinically administered cognitive behavioural therapy program. Chapter 5 summarizes the impact of this body of work, and takes a look into next steps. This chapter concludes my thesis

Benchmark on a large cohort for sleep-wake classification with machine learning techniques

Accurately measuring sleep and its quality with polysomnography (PSG) is an expensive task. Actigraphy, an alternative, has been proven cheap and relatively accurate. However, the largest experiments conducted to date, have had only hundreds of participants. In this work, we processed the data of the recently published Multi-Ethnic Study of Atherosclerosis (MESA) Sleep study to have both PSG and actigraphy data synchronized. We propose the adoption of this publicly available large dataset, which is at least one order of magnitude larger than any other dataset, to systematically compare existing methods for the detection of sleep-wake stages, thus fostering the creation of new algorithms. We also implemented and compared state-of-the-art methods to score sleep-wake stages, which range from the widely used traditional algorithms to recent machine learning approaches. We identified among the traditional algorithms, two approaches that perform better than the algorithm implemented by the actigraphy device used in the MESA Sleep experiments. The performance, in regards to accuracy and F1 score of the machine learning algorithms, was also superior to the device’s native algorithm and comparable to human annotation. Future research in developing new sleep-wake scoring algorithms, in particular, machine learning approaches, will be highly facilitated by the cohort used here. We exemplify this potential by showing that two particular deep-learning architectures, CNN and LSTM, among the many recently created, can achieve accuracy scores significantly higher than other methods for the same tasks.Other Information Published in: npj Digital Medicine License: https://creativecommons.org/licenses/by/4.0See article on publisher's website: http://dx.doi.org/10.1038/s41746-019-0126-9</p

Digital Interventions for Mental Disorders:Key Features, Efficacy, and Potential for Artificial Intelligence Applications

Mental disorders are highly prevalent and often remain untreated. Many limitations of conventional face-to-face psychological interventions could potentially be overcome through Internet-based and mobile-based interventions (IMIs). This chapter introduces core features of IMIs, describes areas of application, presents evidence on the efficacy of IMIs as well as potential effect mechanisms, and delineates how Artificial Intelligence combined with IMIs may improve current practices in the prevention and treatment of mental disorders in adults. Meta-analyses of randomized controlled trials clearly show that therapist-guided IMIs can be highly effective for a broad range of mental health problems. Whether the effects of unguided IMIs are also clinically relevant, particularly under routine care conditions, is less clear. First studies on IMIs for the prevention of mental disorders have shown promising results. Despite limitations and challenges, IMIs are increasingly implemented into routine care worldwide. IMIs are also well suited for applications of Artificial Intelligence and Machine Learning, which provides ample opportunities to improve the identification and treatment of mental disorders. Together with methodological innovations, these approaches may also deepen our understanding of how psychological interventions work, and why. Ethical and professional restraints as well as potential contraindications of IMIs, however, should also be considered. In sum, IMIs have a high potential for improving the prevention and treatment of mental health disorders across various indications, settings, and populations. Therefore, implementing IMIs into routine care as both adjunct and alternative to face-to-face treatment is highly desirable. Technological advancements may further enhance the variability and flexibility of IMIs, and thus even further increase their impact in people’s lives in the future