IEEE J Biomed Health Inform. 2014 Jan;18(1):375-83. doi: 10.1109/JBHI.2013.2267549.
Assistive technology has the potential to enhance the level of independence of people with dementia, thereby increasing the possibility of supporting home-based care. In general, people with dementia are reluctant to change; therefore, it is important that suitable assistive technologies are selected for them. Consequently, the development of predictive models that are able to determine a person's potential to adopt a particular technology is desirable. In this paper, a predictive adoption model for a mobile phone-based video streaming system, developed for people with dementia, is presented. Taking into consideration characteristics related to a person's ability, living arrangements, and preferences, this paper discusses the development of predictive models, which were based on a number of carefully selected data mining algorithms for classification. For each, the learning on different relevant features for technology adoption has been tested, in conjunction with handling the imbalance of available data for output classes. Given our focus on providing predictive tools that could be used and interpreted by healthcare professionals, models with ease-of-use, intuitive understanding, and clear decision making processes are preferred. Predictive models have, therefore, been evaluated on a multi-criterion basis: in terms of their prediction performance, robustness, bias with regard to two types of errors and usability. Overall, the model derived from incorporating a k-Nearest-Neighbour algorithm using seven features was found to be the optimal classifier of assistive technology adoption for people with dementia (prediction accuracy 0.84 ± 0.0242).
辅助技术有可能提高痴呆症患者的独立水平,从而增加支持居家护理的可能性。一般来说,痴呆症患者不愿意改变;因此,为他们选择合适的辅助技术非常重要。因此,开发能够确定一个人采用特定技术潜力的预测模型是可取的。本文介绍了为痴呆症患者开发的基于手机的视频流系统的预测采用模型。本文考虑了与个人能力、生活安排和偏好相关的特征,讨论了预测模型的开发,这些模型基于许多精心挑选的分类数据挖掘算法。对于每个算法,都测试了在不同相关技术采用特征上的学习,同时处理可用数据输出类别的不平衡。由于我们专注于提供可由医疗保健专业人员使用和解释的预测工具,因此首选易于使用、直观理解和明确决策过程的模型。因此,预测模型已经在多标准基础上进行了评估:就其预测性能、稳健性、关于两种错误的偏差以及可用性而言。总体而言,发现使用包含七个特征的 k-最近邻算法得出的模型是痴呆症患者辅助技术采用的最佳分类器(预测准确性为 0.84 ± 0.0242)。