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Real-time prediction of smoking activity using machine learning based multi-class classification model.

ABSTRACT: Smoking cessation efforts can be greatly influenced by providing just-in-time intervention to individuals who are trying to quit smoking. Detecting smoking activity accurately among the confounding activities of daily living (ADLs) being monitored by the wearable device is a challenging and intriguing research problem. This study aims to develop a machine learning based modeling framework to identify the smoking activity among the confounding ADLs in real-time using the streaming data from the wrist-wearable IMU (6-axis inertial measurement unit) sensor. A low-cost wrist-wearable device has been designed and developed to collect raw sensor data from subjects for the activities. A sliding window mechanism has been used to process the streaming raw sensor data and extract several time-domain, frequency-domain, and descriptive features. Hyperparameter tuning and feature selection have been done to identify best hyperparameters and features respectively. Subsequently, multi-class classification models are developed and validated using in-sample and out-of-sample testing. The developed models obtained predictive accuracy (area under receiver operating curve) up to 98.7% for predicting the smoking activity. The findings of this study will lead to a novel application of wearable devices to accurately detect smoking activity in real-time. It will further help the healthcare professionals in monitoring their patients who are smokers by providing just-in-time intervention to help them quit smoking. The application of this framework can be extended to more preventive healthcare use-cases and detection of other activities of interest.

Supplementary information

The online version contains supplementary material available at 10.1007/s11042-022-12349-6.

SUBMITTER: Thakur SS

PROVIDER: S-EPMC8874745 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BACKGROUND:Prognostication is an essential tool for risk adjustment and decision making in the intensive care unit (ICU). Research into prognostication in ICU has so far been limited to data from admission or the first 24 hours. Most ICU admissions last longer than this, decisions are made throughout an admission, and some admissions are explicitly intended as time-limited prognostic trials. Despite this, temporal changes in prognostic ability during ICU admission has received little attention to date. Current predictive models, in the form of prognostic clinical tools, are typically derived from linear models and do not explicitly handle incremental information from trends. Machine learning (ML) allows predictive models to be developed which use non-linear predictors and complex interactions between variables, thus allowing incorporation of trends in measured variables over time; this has made it possible to investigate prognosis throughout an admission. METHODS AND FINDINGS:This study uses ML to assess the predictability of ICU mortality as a function of time. Logistic regression against physiological data alone outperformed APACHE-II and demonstrated several important interactions including between lactate & noradrenaline dose, between lactate & MAP, and between age & MAP consistent with the current sepsis definitions. ML models consistently outperformed logistic regression with Deep Learning giving the best results. Predictive power was maximal on the second day and was further improved by incorporating trend data. Using a limited range of physiological and demographic variables, the best machine learning model on the first day showed an area under the receiver-operator characteristic curve (AUC) of 0.883 (σ = 0.008), compared to 0.846 (σ = 0.010) for a logistic regression from the same predictors and 0.836 (σ = 0.007) for a logistic regression based on the APACHE-II score. Adding information gathered on the second day of admission improved the maximum AUC to 0.895 (σ = 0.008). Beyond the second day, predictive ability declined. CONCLUSION:This has implications for decision making in intensive care and provides a justification for time-limited trials of ICU therapy; the assessment of prognosis over more than one day may be a valuable strategy as new information on the second day helps to differentiate outcomes. New ML models based on trend data beyond the first day could greatly improve upon current risk stratification tools.

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Real-time prediction of smoking activity using machine learning based multi-class classification model.

Supplementary information

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