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Sedentary behavior is considered as a major public health challenge, linked with many chronic diseases and premature mortality. In this paper, we propose a steps counting -based machine learning approach for the prediction of sedentary behavior. Our work focuses on analyzing historical data from multiple users of wearable physical activity trackers and exploring the performance of four machine learning algorithms, i.e., Logistic Regression, Random Forest, XGBoost, Convolutional Neural Networks, as well as a Majority Vote Ensemble of the algorithms. To train and test our models we employed a crowd sourced dataset containing a month's data of 33 users. For further evaluation, we employed a dataset containing 6 months of data of an additional user. The results revealed that while all models succeed in predicting next-day sedentary behavior, the ensemble model outperforms all baselines, as it manages to predict sedentary behavior and reduce false positives more effectively. On the multi-subjects test dataset, our ensemble model achieved an accuracy of 82.12% with a sensitivity of 74.53% and a specificity of 85.71%. On the additional unseen dataset, we achieved 76.88% in accuracy, 63.27% in sensitivity and 81.75% in specificity. These outcomes provide the ground towards the development of real-life artificially intelligent systems for sedentary behavior prediction.

Background: Machine learning has attracted considerable research interest toward developing smart digital health interventions. These interventions have the potential to revolutionize health care and lead to substantial outcomes for patients and medical professionals., Objective: Our objective was to review the literature on applications of machine learning in real-life digital health interventions, aiming to improve the understanding of researchers, clinicians, engineers, and policy makers in developing robust and impactful data-driven interventions in the health care domain., Methods: We searched the PubMed and Scopus bibliographic databases with terms related to machine learning, to identify real-life studies of digital health interventions incorporating machine learning algorithms. We grouped those interventions according to their target (ie, target condition), study design, number of enrolled participants, follow-up duration, primary outcome and whether this had been statistically significant, machine learning algorithms used in the intervention, and outcome of the algorithms (eg, prediction)., Results: Our literature search identified 8 interventions incorporating machine learning in a real-life research setting, of which 3 (37%) were evaluated in a randomized controlled trial and 5 (63%) in a pilot or experimental single-group study. The interventions targeted depression prediction and management, speech recognition for people with speech disabilities, self-efficacy for weight loss, detection of changes in biopsychosocial condition of patients with multiple morbidity, stress management, treatment of phantom limb pain, smoking cessation, and personalized nutrition based on glycemic response. The average number of enrolled participants in the studies was 71 (range 8-214), and the average follow-up study duration was 69 days (range 3-180). Of the 8 interventions, 6 (75%) showed statistical significance (at the P=.05 level) in health outcomes., Conclusions: This review found that digital health interventions incorporating machine learning algorithms in real-life studies can be useful and effective. Given the low number of studies identified in this review and that they did not follow a rigorous machine learning evaluation methodology, we urge the research community to conduct further studies in intervention settings following evaluation principles and demonstrating the potential of machine learning in clinical practice., (©Andreas K Triantafyllidis, Athanasios Tsanas. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 05.04.2019.)

In recent years, the growing use of Intelligent Personal Agents in different human activities and in various domains led the corresponding research to focus on the design and development of agents that are not limited to interaction with humans and execution of simple tasks. The latest research efforts have introduced Intelligent Personal Agents that utilize Natural Language Understanding (NLU) modules and Machine Learning (ML) techniques in order to have complex dialogues with humans, execute complex plans of actions and effectively control smart devices. To this aim, this article introduces the second generation of the CERTH Intelligent Personal Agent (CIPA) which is based on the RASA framework and utilizes two machine learning models for NLU and dialogue flow classification. CIPA-Generation B provides a dialogue-story generator that is based on the idea of adjacency pairs and multiple intents, that are classifying complex sentences consisting of two users' intents into two automatic operations. More importantly, the agent can form a plan of actions for implicit Demand-Response and execute it, based on the user's request and by utilizing AI Planning methods. The introduced CIPA-Generation B has been deployed and tested in a real-world scenario at Centre's of Research & Technology Hellas (CERTH) nZEB SmartHome in two different domains, energy and health, for multiple intent recognition and dialogue handling. Furthermore, in the energy domain, a scenario that demonstrates how the agent solves an implicit Demand-Response problem has been applied and evaluated. An experimental study with 36 participants further illustrates the usefulness and acceptance of the developed conversational agent-based system. [ABSTRACT FROM AUTHOR]

Background: Digital health interventions based on tools for Computerized Decision Support (CDS) and Machine Learning (ML), which take advantage of new information, sensing and communication technologies, can play a key role in childhood obesity prevention and treatment.Objectives: We present a systematic literature review of CDS and ML applications for the prevention and treatment of childhood obesity. The main characteristics and outcomes of studies using CDS and ML are demonstrated, to advance our understanding towards the development of smart and effective interventions for childhood obesity care.Methods: A search in the bibliographic databases of PubMed and Scopus was performed to identify childhood obesity studies incorporating either CDS interventions, or advanced data analytics through ML algorithms. Ongoing, case, and qualitative studies, along with those not providing specific quantitative outcomes were excluded. The studies incorporating CDS were synthesized according to the intervention's main technology (e.g., mobile app), design type (e.g., randomized controlled trial), number of enrolled participants, target age of children, participants' follow-up duration, primary outcome (e.g., Body Mass Index (BMI)), and main CDS feature(s) and their outcomes (e.g., alerts for caregivers when BMI is high). The studies incorporating ML were synthesized according to the number of subjects included and their age, the ML algorithm(s) used (e.g., logistic regression), as well as their main outcome (e.g., prediction of obesity).Results: The literature search identified 8 studies incorporating CDS interventions and 9 studies utilizing ML algorithms, which met our eligibility criteria. All studies reported statistically significant interventional or ML model outcomes (e.g., in terms of accuracy). More than half of the interventional studies (n = 5, 63 %) were designed as randomized controlled trials. Half of the interventional studies (n = 4, 50 %) utilized Electronic Health Records (EHRs) and alerts for BMI as means of CDS. From the 9 studies using ML, the highest percentage targeted at the prognosis of obesity (n = 4, 44 %). In the studies incorporating more than one ML algorithms and reporting accuracy, it was shown that decision trees and artificial neural networks can accurately predict childhood obesity.Conclusions: This review has found that CDS tools can be useful for the self-management or remote medical management of childhood obesity, whereas ML algorithms such as decision trees and artificial neural networks can be helpful for prediction purposes. Further rigorous studies in the area of CDS and ML for childhood obesity care are needed, considering the low number of studies identified in this review, their methodological limitations, and the scarcity of interventional studies incorporating ML algorithms in CDS tools. [ABSTRACT FROM AUTHOR]