How will the Internet of Things enable Augmented Personalized Health?

Internet-of-Things (IoT) is profoundly redefining the way we create, consume, and share information. Health aficionados and citizens are increasingly using IoT technologies to track their sleep, food intake, activity, vital body signals, and other physiological observations. This is complemented by IoT systems that continuously collect health-related data from the environment and inside the living quarters. Together, these have created an opportunity for a new generation of healthcare solutions. However, interpreting data to understand an individual's health is challenging. It is usually necessary to look at that individual's clinical record and behavioral information, as well as social and environmental information affecting that individual. Interpreting how well a patient is doing also requires looking at his adherence to respective health objectives, application of relevant clinical knowledge and the desired outcomes. We resort to the vision of Augmented Personalized Healthcare (APH) to exploit the extensive variety of relevant data and medical knowledge using Artificial Intelligence (AI) techniques to extend and enhance human health to presents various stages of augmented health management strategies: self-monitoring, self-appraisal, self-management, intervention, and disease progress tracking and prediction. kHealth technology, a specific incarnation of APH, and its application to Asthma and other diseases are used to provide illustrations and discuss alternatives for technology-assisted health management. Several prominent efforts involving IoT and patient-generated health data (PGHD) with respect converting multimodal data into actionable information (big data to smart data) are also identified. Roles of three components in an evidence-based semantic perception approach- Contextualization, Abstraction, and Personalization are discussed

Personalized Digital Phenotype Score, Healthcare Management and Intervention Strategies Using Knowledge Enabled Digital Health Framework for Pediatric Asthma

Asthma is a personalized, and multi-trigger respiratory condition which requires continuous monitoring and management of symptoms and medication adherence. We developed kHealth: Knowledge-enabled Digital Healthcare Framework to monitor and manage the asthma symptoms, medication adherence, lung function, daily activity, sleep quality, indoor, and outdoor environmental triggers of pediatric asthma patients. The kHealth framework collects up to 1852 data points per patient per day. It is practically impossible for the clinicians, parents, and the patient to analyze this vast amount of multimodal data collected from the kHealth framework. In this chapter, we describe the personalized scores, clinically relevant asthma categorization using digital phenotype score, actionable insights, and potential intervention strategies for better pediatric asthma management

PhD Forum: Multimodal IoT and EMR Based Smart Health Application for Asthma Management in Children

According to a study done in 2014 by National Health Interview Survey around 6.3 million children in United States suffer from asthma [1]. Asthma remains one of the leading reasons for pediatric admissions to children\u27s hospitals, and has a prevalence rate of approximately 10% in children and it leads to missed days from school and other societal costs. This occurs despite improved medications to control asthma symptoms. Asthma management is challenging as it involves understanding asthma causes and avoiding asthma triggers that are both multi- factorial and individualistic in nature. It is almost impossible for doctors to constantly monitor each patient\u27s health and environmental triggers. According to a recent article, the IoT device market in health-care will increase to a worth of $117 billion by the year 2020 [2]. The monitoring segment of IoT devices have predicted to increase$15 billion in 2017 [5]. The sales of smart watches, fitness and health trackers, are expected to account for more than 70% of all wearables sale worldwide in 2016 [6]. According to IBM, the volume of health-care data has reached to 150 exabytes in 2017 [7]. The data generated from these consumer graded devices is increasing day by day. This data collection has exacerbated the problem of understanding the data and making sense of it. We can use these low-cost sensors and consumer graded devices for continuous monitoring and management of asthma patients. We developed kHealth¹, a framework for continuous monitoring of the patient\u27s personal, public and population-based health signals and send alerts to the patient when a condition deserves patient\u27s or clinician\u27s attention. This can assist the clinician in determining the triggers and deciding the future course of action for prevention and treatment of the disease. More importantly, it can also help a patient to better take control of his/her health management by taking more timely actions(e.g., in case of asthma, using an inhaler in a more timely manner to ward off an attack). Our kHealth framework goes well beyond the efforts of data collection and focuses on contextual and personalized processing of multi-modal data to help understand asthma control level and vulnerability score (change in conditions that increases the chances of an adverse event, thus requiring proactive action). Another unique aspect of our research is close collaboration with clinician combined with on-going evaluation of clinician\u27s at the Dayton Children\u27s hospital which involves an ongoing trial of our novel technical approach with a cohort of 200 patients