Department of Electrical and Computer Engineering, Kansas State University, Manhattan, KS 66506, United States.
Med Eng Phys. 2020 Sep;83:15-25. doi: 10.1016/j.medengphy.2020.07.004. Epub 2020 Jul 15.
Monitoring the sleep patterns of children with autism spectrum disorders (ASD) and understanding how sleep quality influences their daytime behavior is an important issue that has received very limited attention. Polysomnography (PSG) is commonly used as a gold standard for evaluating sleep quality in children and adults. However, the intrusive nature of sensors used as part of PSG can themselves affect sleep and is, therefore, not suitable for children with ASD. In this study, we evaluate an unobtrusive and inexpensive bed system for in-home, long-term sleep quality monitoring using ballistocardiogram (BCG) signals. Using the BCG signals from this smart bed system, we define "restlessness" as a surrogate sleep quality estimator. Using this sleep feature, we build predictive models for daytime behavior based on 1-8 previous nights of sleep. Specifically, we use two supervised machine learning algorithms namely support vector machine (SVM) and artificial neural network (ANN). For all daytime behaviors, we achieve more than 78% and 79% accuracy of correctly predicting behavioral issues with both SVM and ANN classifiers, respectively. Our findings indicate the usefulness of our designed bed system and how the restlessness feature can improve the prediction performance.
监测自闭症谱系障碍(ASD)儿童的睡眠模式并了解睡眠质量如何影响其日间行为是一个重要问题,但一直未得到足够关注。多导睡眠图(PSG)通常被用作评估儿童和成人睡眠质量的金标准。然而,PSG 中使用的传感器具有侵入性,本身会影响睡眠,因此不适合 ASD 儿童。在这项研究中,我们评估了一种使用心冲击描记图(BCG)信号的非侵入性、低成本的家庭长期睡眠质量监测床系统。使用该智能床系统的 BCG 信号,我们将“不安宁”定义为替代睡眠质量估计器。使用此睡眠特征,我们基于前 1-8 晚的睡眠数据建立了用于日间行为的预测模型。具体来说,我们使用了两种监督机器学习算法,即支持向量机(SVM)和人工神经网络(ANN)。对于所有日间行为,我们使用 SVM 和 ANN 分类器分别实现了超过 78%和 79%的正确预测行为问题的准确率。我们的研究结果表明,我们设计的床系统的有效性以及不安宁特征如何提高预测性能。