Designing User-Centric Behavioral Interventions to Prevent Dysglycemia with Novel Counterfactual Explanations

Maintaining normal blood glucose levels through lifestyle behaviors is central to maintaining health and preventing disease. Frequent exposure to dysglycemia (i.e., abnormal glucose events such as hyperlycemia and hypoglycemia) leads to chronic complications including diabetes, kidney disease and need for dialysis, myocardial infarction, stroke, amputation, and death. Therefore, a tool capable of predicting dysglycemia and offering users actionable feedback about how to make changes in their diet, exercise, and medication to prevent abnormal glycemic events could have significant societal impacts. Counterfactual explanations can provide insights into why a model made a particular prediction by generating hypothetical instances that are similar to the original input but lead to a different prediction outcome. Therefore, counterfactuals can be viewed as a means to design AI-driven health interventions to prevent adverse health outcomes such as dysglycemia. In this paper, we design GlyCoach, a framework for generating counterfactual explanations for glucose control. Leveraging insights from adversarial learning, GlyCoach characterizes the decision boundary for high-dimensional health data and performs a grid search to generate actionable interventions. GlyCoach is unique in integrating prior knowledge about user preferences of plausible explanations into the process of counterfactual generation. We evaluate GlyCoach extensively using two real-world datasets and external simulators from prior studies that predict glucose response. GlyCoach achieves 87\% sensitivity in the simulation-aided validation, surpassing the state-of-the-art techniques for generating counterfactual explanations by at least $10\%$. Besides, counterfactuals from GlyCoach exhibit a $32\%$ improved normalized distance compared to previous research.

The Scope of In-Context Learning for the Extraction of Medical Temporal Constraints

Medications often impose temporal constraints on everyday patient activity. Violations of such medical temporal constraints (MTCs) lead to a lack of treatment adherence, in addition to poor health outcomes and increased healthcare expenses. These MTCs are found in drug usage guidelines (DUGs) in both patient education materials and clinical texts. Computationally representing MTCs in DUGs will advance patient-centric healthcare applications by helping to define safe patient activity patterns. We define a novel taxonomy of MTCs found in DUGs and develop a novel context-free grammar (CFG) based model to computationally represent MTCs from unstructured DUGs. Additionally, we release three new datasets with a combined total of N = 836 DUGs labeled with normalized MTCs. We develop an in-context learning (ICL) solution for automatically extracting and normalizing MTCs found in DUGs, achieving an average F1 score of 0.62 across all datasets. Finally, we rigorously investigate ICL model performance against a baseline model, across datasets and MTC types, and through in-depth error analysis.

ActSafe: Predicting Violations of Medical Temporal Constraints for Medication Adherence

Prescription medications often impose temporal constraints on regular health behaviors (RHBs) of patients, e.g., eating before taking medication. Violations of such medical temporal constraints (MTCs) can result in adverse effects. Detecting and predicting such violations before they occur can help alert the patient. We formulate the problem of modeling MTCs and develop a proof-of-concept solution, ActSafe, to predict violations of MTCs well ahead of time. ActSafe utilizes a context-free grammar based approach for extracting and mapping MTCs from patient education materials. It also addresses the challenges of accurately predicting RHBs central to MTCs (e.g., medication intake). Our novel behavior prediction model, HERBERT , utilizes a basis vectorization of time series that is generalizable across temporal scale and duration of behaviors, explicitly capturing the dependency between temporally collocated behaviors. Based on evaluation using a real-world RHB dataset collected from 28 patients in uncontrolled environments, HERBERT outperforms baseline models with an average of 51% reduction in root mean square error. Based on an evaluation involving patients with chronic conditions, ActSafe can predict MTC violations a day ahead of time with an average F1 score of 0.86.

Stress Classification and Personalization: Getting the most out of the least

Stress detection and monitoring is an active area of research with important implications for the personal, professional, and social health of an individual. Current approaches for affective state classification use traditional machine learning algorithms with features computed from multiple sensor modalities. These methods are data-intensive and rely on hand-crafted features which impede the practical applicability of these sensor systems in daily lives. To overcome these shortcomings, we propose a novel Convolutional Neural Network (CNN) based stress detection and classification framework without any feature computation using data from only one sensor modality. Our method is competitive and outperforms current state-of-the-art techniques and achieves a classification accuracy of $92.85\%$ and an $f1$ score of $0.89$. Through our leave-one-subject-out analysis, we also show the importance of personalizing stress models.

Inter-Beat Interval Estimation with Tiramisu Model: A Novel Approach with Reduced Error

Inter-beat interval (IBI) measurement enables estimation of heart-rate variability (HRV) which, in turns, can provide early indication of potential cardiovascular diseases. However, extracting IBIs from noisy signals is challenging since the morphology of the signal is distorted in the presence of the noise. Electrocardiogram (ECG) of a person in heavy motion is highly corrupted with noise, known as motion-artifact, and IBI extracted from it is inaccurate. As a part of remote health monitoring and wearable system development, denoising ECG signals and estimating IBIs correctly from them have become an emerging topic among signal-processing researchers. Apart from conventional methods, deep-learning techniques have been successfully used in signal denoising recently, and diagnosis process has become easier, leading to accuracy levels that were previously unachievable. We propose a deep-learning approach leveraging tiramisu autoencoder model to suppress motion-artifact noise and make the R-peaks of the ECG signal prominent even in the presence of high-intensity motion. After denoising, IBIs are estimated more accurately expediting diagnosis tasks. Results illustrate that our method enables IBI estimation from noisy ECG signals with SNR up to -30dB with average root mean square error (RMSE) of 13 milliseconds for estimated IBIs. At this noise level, our error percentage remains below 8% and outperforms other state of the art techniques.

Single Run Action Detector over Video Stream -- A Privacy Preserving Approach

This paper takes initial strides at designing and evaluating a vision-based system for privacy ensured activity monitoring. The proposed technology utilizing Artificial Intelligence (AI)-empowered proactive systems offering continuous monitoring, behavioral analysis, and modeling of human activities. To this end, this paper presents Single Run Action Detector (S-RAD) which is a real-time privacy-preserving action detector that performs end-to-end action localization and classification. It is based on Faster-RCNN combined with temporal shift modeling and segment based sampling to capture the human actions. Results on UCF-Sports and UR Fall dataset present comparable accuracy to State-of-the-Art approaches with significantly lower model size and computation demand and the ability for real-time execution on edge embedded device (e.g. Nvidia Jetson Xavier).

Linear Mode Connectivity in Multitask and Continual Learning

Continual (sequential) training and multitask (simultaneous) training are often attempting to solve the same overall objective: to find a solution that performs well on all considered tasks. The main difference is in the training regimes, where continual learning can only have access to one task at a time, which for neural networks typically leads to catastrophic forgetting. That is, the solution found for a subsequent task does not perform well on the previous ones anymore. However, the relationship between the different minima that the two training regimes arrive at is not well understood. What sets them apart? Is there a local structure that could explain the difference in performance achieved by the two different schemes? Motivated by recent work showing that different minima of the same task are typically connected by very simple curves of low error, we investigate whether multitask and continual solutions are similarly connected. We empirically find that indeed such connectivity can be reliably achieved and, more interestingly, it can be done by a linear path, conditioned on having the same initialization for both. We thoroughly analyze this observation and discuss its significance for the continual learning process. Furthermore, we exploit this finding to propose an effective algorithm that constrains the sequentially learned minima to behave as the multitask solution. We show that our method outperforms several state of the art continual learning algorithms on various vision benchmarks.

Transfer Learning for Activity Recognition in Mobile Health

While activity recognition from inertial sensors holds potential for mobile health, differences in sensing platforms and user movement patterns cause performance degradation. Aiming to address these challenges, we propose a transfer learning framework, TransFall, for sensor-based activity recognition. TransFall's design contains a two-tier data transformation, a label estimation layer, and a model generation layer to recognize activities for the new scenario. We validate TransFall analytically and empirically.

Pervasive Lying Posture Tracking

There exist significant gaps in research about how to design efficient in-bed lying posture tracking systems. These gaps can be articulated through several research questions as follows. First, can we design a single-sensor, pervasive, and inexpensive system that can accurately detect lying postures? Second, what computational models are most effective in the accurate detection of lying postures? Finally, what physical configuration of the sensor system is most effective for lying posture tracking? To answer these important research questions, in this article, we propose a comprehensive approach to design a sensor system that uses a single accelerometer along with machine learning algorithms for in-bed lying posture classification. We design two categories of machine learning algorithms based on deep learning and traditional classification with handcrafted features to detect lying postures. We also investigate what wearing sites are most effective in accurate detection of lying postures. We extensively evaluate the performance of the proposed algorithms on nine different body locations and four human lying postures using two datasets. Our results show that a system with a single accelerometer can be used with either deep learning or traditional classifiers to accurately detect lying postures. The best models in our approach achieve an F-Score that ranges from 95.2% to 97.8% with 0.03 to 0.05 coefficient of variation. The results also identify the thighs and chest as the most salient body sites for lying posture tracking. Our findings in this article suggest that because accelerometers are ubiquitous and inexpensive sensors, they can be a viable source of information for pervasive monitoring of in-bed postures.

Understanding the Role of Training Regimes in Continual Learning

Catastrophic forgetting affects the training of neural networks, limiting their ability to learn multiple tasks sequentially. From the perspective of the well established plasticity-stability dilemma, neural networks tend to be overly plastic, lacking the stability necessary to prevent the forgetting of previous knowledge, which means that as learning progresses, networks tend to forget previously seen tasks. This phenomenon coined in the continual learning literature, has attracted much attention lately, and several families of approaches have been proposed with different degrees of success. However, there has been limited prior work extensively analyzing the impact that different training regimes -- learning rate, batch size, regularization method-- can have on forgetting. In this work, we depart from the typical approach of altering the learning algorithm to improve stability. Instead, we hypothesize that the geometrical properties of the local minima found for each task play an important role in the overall degree of forgetting. In particular, we study the effect of dropout, learning rate decay, and batch size, on forming training regimes that widen the tasks' local minima and consequently, on helping it not to forget catastrophically. Our study provides practical insights to improve stability via simple yet effective techniques that outperform alternative baselines.