Multimodal Indoor Localisation in Parkinson's Disease for Detecting Medication Use: Observational Pilot Study in a Free-Living Setting

Parkinson's disease (PD) is a slowly progressive, debilitating neurodegenerative disease which causes motor symptoms including gait dysfunction. Motor fluctuations are alterations between periods with a positive response to levodopa therapy ("on") and periods marked by re-emergency of PD symptoms ("off") as the response to medication wears off. These fluctuations often affect gait speed and they increase in their disabling impact as PD progresses. To improve the effectiveness of current indoor localisation methods, a transformer-based approach utilising dual modalities which provide complementary views of movement, Received Signal Strength Indicator (RSSI) and accelerometer data from wearable devices, is proposed. A sub-objective aims to evaluate whether indoor localisation, including its in-home gait speed features (i.e. the time taken to walk between rooms), could be used to evaluate motor fluctuations by detecting whether the person with PD is taking levodopa medications or withholding them. To properly evaluate our proposed method, we use a free-living dataset where the movements and mobility are greatly varied and unstructured as expected in real-world conditions. 24 participants lived in pairs (consisting of one person with PD, one control) for five days in a smart home with various sensors. Our evaluation on the resulting dataset demonstrates that our proposed network outperforms other methods for indoor localisation. The sub-objective evaluation shows that precise room-level localisation predictions, transformed into in-home gait speed features, produce accurate predictions on whether the PD participant is taking or withholding their medications.

When the Ground Truth is not True: Modelling Human Biases in Temporal Annotations

In supervised learning, low quality annotations lead to poorly performing classification and detection models, while also rendering evaluation unreliable. This is particularly apparent on temporal data, where annotation quality is affected by multiple factors. For example, in the post-hoc self-reporting of daily activities, cognitive biases are one of the most common ingredients. In particular, reporting the start and duration of an activity after its finalisation may incorporate biases introduced by personal time perceptions, as well as the imprecision and lack of granularity due to time rounding. Here we propose a method to model human biases on temporal annotations and argue for the use of soft labels. Experimental results in synthetic data show that soft labels provide a better approximation of the ground truth for several metrics. We showcase the method on a real dataset of daily activities.