用多模态传感器数据预测痴呆老人躁动,准确率超97%。
Benchmarking Early Agitation Prediction in Community-Dwelling People with Dementia Using Multimodal Sensors and Machine Learning
- 融合活动、生理和睡眠数据,用机器学习预测躁动
- 最高AUC-ROC达0.972,结合时间与历史记录效果更优
- 适合居家照护、远程监测和老年护理系统开发者
躁动是痴呆患者常见行为问题,尤其在无持续临床监护的社区环境中更为突出。及时预测躁动可实现早期干预,减轻照护负担,提升患者与照护者生活质量。本研究利用多模态传感器数据,在社区居住的痴呆老年人中开发并基准化了多种机器学习方法用于躁动早期预测。提出了一组基于活动数据的新型躁动相关上下文特征,并在多种任务设置下评估了多种机器学习与深度学习模型,包括单时间戳表格式数据的二分类、多时间戳序列数据预测以及单时间戳异常检测。研究使用目前最大的公开痴呆远程监测数据集TIHM,包含2,803天的居家活动、生理和睡眠数据。最佳性能出现在使用当前6小时时间戳预测下一时间点躁动的二分类任务中。加入时段信息与躁动历史后进一步提升表现,其中轻量梯度提升机(LightGBM)取得最高AUC-ROC 0.9720与AUC-PR 0.4320。该工作首次在隐私保护的传感器数据上对前沿躁动预测技术进行了全面基准测试,实现了高精度、可解释且高效的预测,支持主动照护与居家养老。
原文摘要 · Abstract (English)
Agitation is one of the most common responsive behaviors in people living with dementia, particularly among those residing in community settings without continuous clinical supervision. Timely prediction of agitation can enable early intervention, reduce caregiver burden, and improve the quality of life for both patients and caregivers. This study aimed to develop and benchmark machine learning approaches for the early prediction of agitation in community-dwelling older adults with dementia using multimodal sensor data. A new set of agitation-related contextual features derived from activity data was introduced and employed for agitation prediction. A wide range of machine learning and deep learning models was evaluated across multiple problem formulations, including binary classification for single-timestamp tabular sensor data and multi-timestamp sequential sensor data, as well as anomaly detection for single-timestamp tabular sensor data. The study utilized the Technology Integrated Health Management (TIHM) dataset, the largest publicly available dataset for remote monitoring of people living with dementia, comprising 2,803 days of in-home activity, physiology, and sleep data. The most effective setting involved binary classification of sensor data using the current 6-hour timestamp to predict agitation at the subsequent timestamp. Incorporating additional information, such as time of day and agitation history, further improved model performance, with the highest AUC-ROC of 0.9720 and AUC-PR of 0.4320 achieved by the light gradient boosting machine. This work presents the first comprehensive benchmarking of state-of-the-art techniques for agitation prediction in community-based dementia care using privacy-preserving sensor data. The approach enables accurate, explainable, and efficient agitation prediction, supporting proactive dementia care and aging in place.
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