用多任务学习联合预测慢病与抑郁,解决患者与疾病双重差异问题。
Collaborative Management for Chronic Diseases and Depression: A Double Heterogeneity-based Multi-Task Learning Method
- 基于双异质性构建多任务学习框架,捕捉疾病与患者的差异
- 在真实可穿戴数据上准确率显著优于基线方法
- 适合医疗系统设计者及慢性病与心理共病研究者参考
可穿戴传感器技术和深度学习正在改变健康管理。然而,多数健康传感研究仅关注身体慢性病,忽视了共病状态(如慢性病与抑郁)的联合评估,这不利于协同慢性病管理。本文将多病评估(包括身体疾病和抑郁)建模为多任务学习问题,每个疾病评估视为一个任务。这种联合建模利用疾病间关联提升预测精度,但也带来双重异质性挑战:不同疾病表现各异(疾病异质性),同病患者模式也不同(患者异质性)。为此,我们首先提出基础方法;针对其局限,进一步提出高级双异质性多任务学习(ADH-MTL),包含三项创新:(1) 群体级建模以支持新患者预测;(2) 分解策略降低模型复杂度;(3) 贝叶斯网络显式建模依赖关系,平衡组件间的相似与差异。在真实可穿戴传感器数据上的实证评估表明,ADH-MTL显著优于现有基线,且各项创新均有效。本研究为整合身心医疗提供了计算解决方案,并为全周期(治疗前、中、后)协同慢病管理提供设计原则。
原文摘要 · Abstract (English)
Wearable sensor technologies and deep learning are transforming healthcare management. Yet, most health sensing studies focus narrowly on physical chronic diseases. This overlooks the critical need for joint assessment of comorbid physical chronic diseases and depression, which is essential for collaborative chronic care. We conceptualize multi-disease assessment, including both physical diseases and depression, as a multi-task learning (MTL) problem, where each disease assessment is modeled as a task. This joint formulation leverages inter-disease relationships to improve accuracy, but it also introduces the challenge of double heterogeneity: chronic diseases differ in their manifestation (disease heterogeneity), and patients with the same disease show varied patterns (patient heterogeneity). To address these issues, we first adopt existing techniques and propose a base method. Given the limitations of the base method, we further propose an Advanced Double Heterogeneity-based Multi-Task Learning (ADH-MTL) method that improves the base method through three innovations: (1) group-level modeling to support new patient predictions, (2) a decomposition strategy to reduce model complexity, and (3) a Bayesian network that explicitly captures dependencies while balancing similarities and differences across model components. Empirical evaluations on real-world wearable sensor data demonstrate that ADH-MTL significantly outperforms existing baselines, and each of its innovations is shown to be effective. This study contributes to health information systems by offering a computational solution for integrated physical and mental healthcare and provides design principles for advancing collaborative chronic disease management across the pre-treatment, treatment, and post-treatment phases.
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