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The utilization of mobile technology in the field of medicine and healthcare has become a decisive aspect. The entire field is denoted as mobile health (mHealth). For mHealth, the development and use of mobile applications are crucial. The purposes and goals of mHealth apps, in turn, are manifold. As a consequence, a plethora of mHealth apps can be found in the app stores. Interestingly, for patients, users, and health care providers that consider to use mHealth apps one aspect has been less pursued so far: Systematic and standardized ways that help about the quality of an app or its medical evidence are mainly missing. The Mobile App Rating Scale (MARS) is a standardized instrument that aims at the systematic and comparable evaluation of the quality of mobile health apps as well as categorizing their goals and functions. It comprises 23 items, which are utilized to calculate a rating scale. Having MARS in mind, a database was developed that is called Mobile Health App Database (MHAD). The latter offers technical features to systematically utilize the MARS for researchers as well as clinicians and end-users that (i) want to evaluate apps as well as (ii) want an interactive and easy-to-use web interface that shows the results of the rating procedure. MHAD comprises a rating platform that supports the conduction of MARS ratings and their release process. With the information platform, a web application was developed that prepares the data stored in the rating platform for being freely viewed and studied by users, patients, and health care providers. The goal of MHAD constitutes to be an open science repository that encourages researchers to release their MARS ratings to a broader audience. Such repositories become more and more important in many fields, especially in the field of mHealth.

Mobile apps are increasingly utilized to gather data for various healthcare aspects. Furthermore, mobile apps are used to administer interventions (e.g., breathing exercises) to individuals. In this context, mobile crowdsensing constitutes a technology, which is used to gather valuable medical data based on the power of the crowd and the offered computational capabilities of mobile devices. Notably, collecting data with mobile crowdsensing solutions has several advantages compared to traditional assessment methods when gathering data over time. For example, data is gathered with high ecological validity, since smartphones can be unobtrusively used in everyday life. Existing approaches have shown that based on these advantages new medical insights, for example, for the tinnitus disease, can be revealed. In the work at hand, data of a developed mHealth crowdsensing platform that assesses the stress level and fluctuations of the platform users in daily life was investigated. More specifically, data of 1797 daily measurements on GPS and stress-related data in 77 users were analyzed. Using this data source, machine learning algorithms have been applied with the goal to predict stress-related parameters based on the GPS data of the platform users. Results show that predictions become possible that (1) enable meaningful interpretations as well as (2) indicate the directions for further investigations. In essence, the findings revealed first insights into the stress situation of individuals over time in order to improve their quality of life. Altogether, the work at hand shows that mobile crowdsensing can be valuably utilized in the context of stress on one hand. On the other, machine learning algorithms are able to utilize geospatial data of stress measurements that was gathered by a crowdsensing platform with the goal to improve the quality of life of its participating crowd users.

Smart devices and low-powered sensors are becoming increasingly ubiquitous and nowadays almost all of these devices are connected, which is a promising foundation for crowdsensing of data related to various environmental phenomena. Resulting data is especially meaningful when it is related to time and location. Interestingly, many existing approaches built their solution on monolithic backends that process data on a per-request basis. However, for many scenarios, such technical setting is not suitable for managing data requests of a large crowd. For example, when dealing with millions of data points, still many challenges arise for modern smartphones if calculations or advanced visualization features must be accomplished directly on the smartphone. Therefore, the work at hand proposes an architectural design for managing geospatial data of tinnitus patients, which combines a cloudnative approach with Big Data concepts used in the Internet of Things. The presented architectural design shall serve as a generic foundation to implement (1) a scalable backend for a platform that covers the aforementioned crowdsensing requirements as well as to provide (2) a sophisticated stream processing concept to calculate and pre-aggregate incoming measurement data of tinnitus patients. Following this, this paper presents a visualization feature to provide users with a comprehensive overview of noise levels in their environment based on noise measurements. This shall help tinnitus or hearing-impaired patients to avoid locations with a burdensome sound level.

Mobile applications can help patients with a chronical disease to record their Ecological Momentary Assessments (EMA) and to get a more precise impression of how their disease manifests itself during day and night and over longer time periods. Such crowdsensing applications contribute to patient empowerment, in which patients monitor their disease and, sometimes, learn to cope better with it. An open question is whether physicians can also be helped in assisting their patients, by understanding similarities and differences in the patients' evolution. We study the EMA of patients with the chronical disease tinnitus, as recorded with the mobile crowdsensing application Track Your Tinnitus. We propose a method that captures similarities in patient evolution, taking account of the differences in the frequency of each patient's EMA recordings. We incorporate this method into a complete workflow that encompasses following components: an algorithm that captures similarities among patients on the basis of their registration data, a method that juxtaposes static patient similarity to EMA-based patient similarity, and a method that identifies those subspaces of the static feature space and those of the EMA-based feature space, which are mainly contributing to patient similarity. We report on our results for the time period recordings from 2014 till 2017 of 450 tinnitus patients from TrackYourTinnitus mobile application.

A stream of users' interactions with an mHealth app can be seen as the result of a stochastic process that can be captured by an algorithm that learns over the whole stream. But is it only one process? We investigate to what extend learning for each user separately delivers better predictions than learning one model over the whole stream. Our application scenario is the prediction of Ecological Momentary Assessments (EMA) for an mHealth app (TinnitusTipps) on tinnitus. The data were recorded as part of a pilot study, in which one group of users received non-personalized suggestions (tips) throughout the study, while the other group received tips only during the second half of the study. Our method encompasses user-centric and global stream learning for EMA prediction, combined under a Contextual Multi-Armed Bandit (CMAB) that captures the context of each user group and incorporates the prediction quality of each learner into the reward function. We show that user-centric learning is beneficial for users who contribute many EMA, while a learner over the whole stream is better for users with few EMA.