Barnett Scott, Huckvale Kit, Christensen Helen, Venkatesh Svetha, Mouzakis Kon, Vasa Rajesh
Applied Artificial Intelligence Institute (A2I2), Deakin University, Geelong, Australia.
Black Dog Institute, UNSW Sydney, Randwick, Australia.
J Med Internet Res. 2019 Nov 6;21(11):e16399. doi: 10.2196/16399.
In this viewpoint we describe the architecture of, and design rationale for, a new software platform designed to support the conduct of digital phenotyping research studies. These studies seek to collect passive and active sensor signals from participants' smartphones for the purposes of modelling and predicting health outcomes, with a specific focus on mental health. We also highlight features of the current research landscape that recommend the coordinated development of such platforms, including the significant technical and resource costs of development, and we identify specific considerations relevant to the design of platforms for digital phenotyping. In addition, we describe trade-offs relating to data quality and completeness versus the experience for patients and public users who consent to their devices being used to collect data. We summarize distinctive features of the resulting platform, InSTIL (Intelligent Sensing to Inform and Learn), which includes universal (ie, cross-platform) support for both iOS and Android devices and privacy-preserving mechanisms which, by default, collect only anonymized participant data. We conclude with a discussion of recommendations for future work arising from learning during the development of the platform. The development of the InSTIL platform is a key step towards our research vision of a population-scale, international, digital phenotyping bank. With suitable adoption, the platform will aggregate signals from large numbers of participants and large numbers of research studies to support modelling and machine learning analyses focused on the prediction of mental illness onset and disease trajectories.
在这一观点中,我们描述了一个旨在支持数字表型研究开展的新软件平台的架构和设计原理。这些研究旨在从参与者的智能手机收集被动和主动传感器信号,以建模和预测健康结果,尤其关注心理健康。我们还强调了当前研究领域中建议协调开发此类平台的特征,包括开发的巨大技术和资源成本,并确定了与数字表型平台设计相关的具体考虑因素。此外,我们描述了在数据质量和完整性与同意其设备用于收集数据的患者和公众用户体验之间的权衡。我们总结了所得平台InSTIL(智能传感以提供信息和学习)的独特特征,该平台包括对iOS和安卓设备的通用(即跨平台)支持以及隐私保护机制,默认情况下仅收集匿名参与者数据。我们最后讨论了因平台开发过程中的经验而产生的未来工作建议。InSTIL平台的开发是朝着我们建立一个大规模、国际化的数字表型库的研究愿景迈出的关键一步。通过适当采用,该平台将汇总来自大量参与者和大量研究的信号,以支持专注于预测精神疾病发作和疾病轨迹的建模和机器学习分析。