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Register a new userRapidly Personalizing Mobile Health Treatment Policies with Limited Data
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Added by
Sabina Tomkins
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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In mobile health (mHealth), reinforcement learning algorithms that adapt to ones context without learning personalized policies might fail to distinguish between the needs of individuals. Yet the high amount of noise due to the in situ delivery of mHealth interventions can cripple the ability of an algorithm to learn when given access to only a single users data, making personalization challenging. We present IntelligentPooling, which learns personalized policies via an adaptive, principled use of other users data. We show that IntelligentPooling achieves an average of 26% lower regret than state-of-the-art across all generative models. Additionally, we inspect the behavior of this approach in a live clinical trial, demonstrating its ability to learn from even a small group of users.
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Users can be supported to adopt healthy behaviors, such as regular physical activity, via relevant and timely suggestions on their mobile devices. Recently, reinforcement learning algorithms have been found to be effective for learning the optimal context under which to provide suggestions. However, these algorithms are not necessarily designed for the constraints posed by mobile health (mHealth) settings, that they be efficient, domain-informed and computationally affordable. We propose an algorithm for providing physical activity suggestions in mHealth settings. Using domain-science, we formulate a contextual bandit algorithm which makes use of a linear mixed effects model. We then introduce a procedure to efficiently perform hyper-parameter updating, using far less computational resources than competing approaches. Not only is our approach computationally efficient, it is also easily implemented with closed form matrix algebraic updates and we show improvements over state of the art approaches both in speed and accuracy of up to 99% and 56% respectively.
Synthetic medical data which preserves privacy while maintaining utility can be used as an alternative to real medical data, which has privacy costs and resource constraints associated with it. At present, most models focus on generating cross-sectional health data which is not necessarily representative of real data. In reality, medical data is longitudinal in nature, with a single patient having multiple health events, non-uniformly distributed throughout their lifetime. These events are influenced by patient covariates such as comorbidities, age group, gender etc. as well as external temporal effects (e.g. flu season). While there exist seminal methods to model time series data, it becomes increasingly challenging to extend these methods to medical event time series data. Due to the complexity of the real data, in which each patient visit is an event, we transform the data by using summary statistics to characterize the events for a fixed set of time intervals, to facilitate analysis and interpretability. We then train a generative adversarial network to generate synthetic data. We demonstrate this approach by generating human sleep patterns, from a publicly available dataset. We empirically evaluate the generated data and show close univariate resemblance between synthetic and real data. However, we also demonstrate how stratification by covariates is required to gain a deeper understanding of synthetic data quality.
Automatic speech recognition (ASR) systems have dramatically improved over the last few years. ASR systems are most often trained from typical speech, which means that underrepresented groups dont experience the same level of improvement. In this paper, we present and evaluate finetuning techniques to improve ASR for users with non-standard speech. We focus on two types of non-standard speech: speech from people with amyotrophic lateral sclerosis (ALS) and accented speech. We train personalized models that achieve 62% and 35% relative WER improvement on these two groups, bringing the absolute WER for ALS speakers, on a test set of message bank phrases, down to 10% for mild dysarthria and 20% for more serious dysarthria. We show that 71% of the improvement comes from only 5 minutes of training data. Finetuning a particular subset of layers (with many fewer parameters) often gives better results than finetuning the entire model. This is the first step towards building state of the art ASR models for dysarthric speech.
Machine learning algorithms designed to characterize, monitor, and intervene on human health (ML4H) are expected to perform safely and reliably when operating at scale, potentially outside strict human supervision. This requirement warrants a stricter attention to issues of reproducibility than other fields of machine learning. In this work, we conduct a systematic evaluation of over 100 recently published ML4H research papers along several dimensions related to reproducibility. We find that the field of ML4H compares poorly to more established machine learning fields, particularly concerning data and code accessibility. Finally, drawing from success in other fields of science, we propose recommendations to data providers, academic publishers, and the ML4H research community in order to promote reproducible research moving forward.
Predicting pregnancy has been a fundamental problem in womens health for more than 50 years. Previous datasets have been collected via carefully curated medical studies, but the recent growth of womens health tracking mobile apps offers potential for reaching a much broader population. However, the feasibility of predicting pregnancy from mobile health tracking data is unclear. Here we develop four models -- a logistic regression model, and 3 LSTM models -- to predict a womans probability of becoming pregnant using data from a womens health tracking app, Clue by BioWink GmbH. Evaluating our models on a dataset of 79 million logs from 65,276 women with ground truth pregnancy test data, we show that our predicted pregnancy probabilities meaningfully stratify women: women in the top 10% of predicted probabilities have a 89% chance of becoming pregnant over 6 menstrual cycles, as compared to a 27% chance for women in the bottom 10%. We develop a technique for extracting interpretable time trends from our deep learning models, and show these trends are consistent with previous fertility research. Our findings illustrate the potential that womens health tracking data offers for predicting pregnancy on a broader population; we conclude by discussing the steps needed to fulfill this potential.
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