Psychometric properties of implementation measures for public health and community settings and mapping of constructs against the Consolidated Framework for Implementation Research: a systematic review

Background: Recent reviews have synthesised the psychometric properties of measures developed to examine implementation science constructs in healthcare and mental health settings. However, no reviews have focussed primarily on the properties of measures developed to assess innovations in public health and community settings. This review identified quantitative measures developed in public health and community settings, examined their psychometric properties, and described how the domains of each measure align with the five domains and 37 constructs of the Consolidated Framework for Implementation Research (CFIR). Methods: MEDLINE, PsycINFO, EMBASE, and CINAHL were searched to identify publications describing the development of measures to assess implementation science constructs in public health and community settings. The psychometric properties of each measure were assessed against recommended criteria for validity (face/content, construct, criterion), reliability (internal consistency, test-retest), responsiveness, acceptability, feasibility, and revalidation and cross-cultural adaptation. Relevant domains were mapped against implementation constructs defined by the CFIR. Results: Fifty-one measures met the inclusion criteria. The majority of these were developed in schools, universities, or colleges and other workplaces or organisations. Overall, most measures did not adequately assess or report psychometric properties. Forty-six percent of measures using exploratory factor analysis reported >50 % of variance was explained by the final model; none of the measures assessed using confirmatory factor analysis reported root mean square error of approximation (<0.06) or comparative fit index (>0.95). Fifty percent of measures reported Cronbach’s alpha of <0.70 for at least one domain; 6 % adequately assessed test-retest reliability; 16 % of measures adequately assessed criterion validity (i.e. known-groups); 2 % adequately assessed convergent validity (r > 0.40). Twenty-five percent of measures reported revalidation or cross-cultural validation. The CFIR constructs most frequently assessed by the included measures were relative advantage, available resources, knowledge and beliefs, complexity, implementation climate, and other personal resources (assessed by more than ten measures). Five CFIR constructs were not addressed by any measure. Conclusions: This review highlights gaps in the range of implementation constructs that are assessed by existing measures developed for use in public health and community settings. Moreover, measures with robust psychometric properties are lacking. Without rigorous tools, the factors associated with the successful implementation of innovations in these settings will remain unknown

Maximal Associated Regression: A nonlinear extension to Least Angle Regression

This paper proposes Maximal Associated Regression (MAR), a novel algorithm that performs forward stage-wise regression by applying nonlinear transformations to fit predictor covariates. For each predictor, MAR selects between a linear or additive fit as determined by the dataset. The proposed algorithm is an adaptation of Least Angle Regression (LARS) and retains its efficiency in building sparse models. Constrained penalized splines are used to generate smooth nonlinear transformations for the additive fits. A monotonically constrained extension of MAR (MARm) is also introduced in this paper to fit isotonic regression problems. The proposed algorithms are validated on both synthetic and real datasets. The performances of MAR and MARm are compared against LARS, Generalized Linear Models (GLM), and Generalized Additive Models (GAM) under the Gaussian assumption with a unity link function. Results indicate that MAR-type algorithms achieve a superior subset selection accuracy, generating sparser models that generalize well to new data. MAR is also able to generate models for sample deficient datasets. Thus, MAR is proposed as a valuable tool for subset selection and data exploration, especially when a priori knowledge of the dataset is unavailable

Evaluation of Deep Neural Network and alternating decision tree for kiwifruit detection

Robotic kiwifruit harvesting systems are currently being introduced to improve the reliability and farming yields of kiwifruit harvesting operations. Machine learning is widely used to carry out the visual detection tasks required of such systems. This paper specifically compares two types of machine learning algorithms: the multivariate alternating decision tree and deep learning based kiwifruit classifiers. The purpose of the study is to investigate the cost of implementation against the classification performance. Thus, discussion is centred around computational cost and its impacts on the overall system architecture. We found that the traditional decision tree classifiers can achieve comparable classification performance at a fraction of the cost and complexity, providing robust and cost-effective instrument design

From Plate to Prevention: A Dietary Nutrient-aided Platform for Health Promotion in Singapore

Singapore has been striving to improve the provision of healthcare services to her people. In this course, the government has taken note of the deficiency in regulating and supervising people's nutrient intake, which is identified as a contributing factor to the development of chronic diseases. Consequently, this issue has garnered significant attention. In this paper, we share our experience in addressing this issue and attaining medical-grade nutrient intake information to benefit Singaporeans in different aspects. To this end, we develop the FoodSG platform to incubate diverse healthcare-oriented applications as a service in Singapore, taking into account their shared requirements. We further identify the profound meaning of localized food datasets and systematically clean and curate a localized Singaporean food dataset FoodSG-233. To overcome the hurdle in recognition performance brought by Singaporean multifarious food dishes, we propose to integrate supervised contrastive learning into our food recognition model FoodSG-SCL for the intrinsic capability to mine hard positive/negative samples and therefore boost the accuracy. Through a comprehensive evaluation, we present performance results of the proposed model and insights on food-related healthcare applications. The FoodSG-233 dataset has been released in https://foodlg.comp.nus.edu.sg/

Enkephalon - technological platform to support the diagnosis of alzheimer’s disease through the analysis of resonance images using data mining techniques

Dementia can be considered as a decrease in the cognitive function of the person. The main diseases that appear are Alzheimer and vascular dementia. Today, 47 million people live with dementia around the world. The estimated total cost of dementia worldwide is US $ 818 billion, and it will become a trilliondollar disease by 2019 The vast majority of people with dementia not received a diagnosis, so they are unable to access care and treatment. In Colombia, two out of every five people presented a mental disorder at some point in their lives and 90% of these have not accessed a health service. Here it´s proposed a technological platform so early detection of Alzheimer. This tool complements and validates the diagnosis made by the health professional, based on the application of Machine Learning techniques for the analysis of a dataset, constructed from magnetic resonance imaging, neuropsychological test and the result of a radiological test. A comparative analysis of quality metrics was made, evaluating the performance of different classifier methods: Random subspace, Decorate, BFTree, LMT, Ordinal class classifier, ADTree and Random forest. This allowed us to identify the technique with the highest prediction rate, that was implemented in ENKEPHALON platform

Adaptive edge-cloud environments for Rural AI

Cloud computing provides on-demand access to computational resources while outsourcing infrastructure and service maintenance. Edge computing could extend cloud computing capability to areas with limited computing resources, such as rural areas, by utilizing low-cost hardware, such as singleboard computers. Cloud data centre hosted machine learning algorithms may violate user privacy and data confidentiality requirements. Federated learning (FL) trains models without sending data to a central server and ensures data privacy. Using FL, multiple actors can collaborate on a single machine learning model without sharing data. However, rural network outages can happen at any time, and the quality of a wireless network varies depending on location, which can affect the performance of the Federated Learning application. Therefore there is a need to have a platform that maintains service quality independent of infrastructure status. We propose a self-adaptive system for rural FL, which employs the Greedy Nominator Heuristic (GNH) based optimisation to orchestrate application workflows across multiple resources that make up a rural computing environment. GNH provides distributed optimization for workflow placement. GNH utilises resource status to reduce failure risks and costs while still completing tasks on time. Our approach is validated using a simulated rural environment – composed of multiple decentralized controllers sharing the same infrastructure and running a shared FL application. Results show that GNH outperforms three algorithms for deployment of FL tasks: random plac

Rural AI: Serverless-powered federated learning for remote applications

With increasing connectivity to support digital services in urban areas, there is a realization that demand for offering similar capability in rural communities is still limited. To unlock the potential of Artificial Intelligence (AI) within rural economies, we propose Rural AI—the mobilization of serverless computing to enable AI in austere environments. Inspired by problems observed in New Zealand, we analyze major challenges in agrarian communities and define their requirements. We demonstrate a proof-of-concept Rural AI system for cross-field pasture weed detection that illustrates the capabilities serverless computing offers to traditional federated learning

Measurement and applications: Exploring the challenges and opportunities of hierarchical federated learning in sensor applications

Sensor applications have become ubiquitous in modern society as the digital age continues to advance. AI-based techniques (e.g., machine learning) are effective at extracting actionable information from large amounts of data. An example would be an automated water irrigation system that uses AI-based techniques on soil quality data to decide how to best distribute water. However, these AI-based techniques are costly in terms of hardware resources, and Internet-of-Things (IoT) sensors are resource-constrained with respect to processing power, energy, and storage capacity. These limitations can compromise the security, performance, and reliability of sensor-driven applications. To address these concerns, cloud computing services can be used by sensor applications for data storage and processing. Unfortunately, cloud-based sensor applications that require real-time processing, such as medical applications (e.g., fall detection and stroke prediction), are vulnerable to issues such as network latency due to the sparse and unreliable networks between the sensor nodes and the cloud server [1]. As users approach the edge of the communications network, latency issues become more severe and frequent. A promising alternative is edge computing, which provides cloud-like capabilities at the edge of the network by pushing storage and processing capabilities from centralized nodes to edge devices that are closer to where the data are gathered, resulting in reduced network delay

Roadmap on signal processing for next generation measurement systems

Signal processing is a fundamental component of almost any sensor-enabled system, with a wide range of applications across different scientific disciplines. Time series data, images, and video sequences comprise representative forms of signals that can be enhanced and analysed for information extraction and quantification. The recent advances in artificial intelligence and machine learning are shifting the research attention towards intelligent, data-driven, signal processing. This roadmap presents a critical overview of the state-of-the-art methods and applications aiming to highlight future challenges and research opportunities towards next generation measurement systems. It covers a broad spectrum of topics ranging from basic to industrial research, organized in concise thematic sections that reflect the trends and the impacts of current and future developments per research field. Furthermore, it offers guidance to researchers and funding agencies in identifying new prospects.AerodynamicsMicrowave Sensing, Signals & System