title: Remote health monitoring: predicting outcome success based on contextual features for cardiovascular disease.
abstract: Current studies have produced a plethora of remote health monitoring (RHM) systems designed to enhance the care of patients with chronic diseases. Many RHM systems are designed to improve patient risk factors for cardiovascular disease, including physiological parameters such as body mass index (BMI) and waist circumference, and lipid profiles such as low density lipoprotein (LDL) and high density lipoprotein (HDL). There are several patient characteristics that could be determining factors for a patient's RHM outcome success, but these characteristics have been largely unidentified. In this paper, we analyze results from an RHM system deployed in a six month Women's Heart Health study of 90 patients, and apply advanced feature selection and machine learning algorithms to identify patients' key baseline contextual features and build effective prediction models that help determine RHM outcome success. We introduce Wanda-CVD, a smartphone-based RHM system designed to help participants with cardiovascular disease risk factors by motivating participants through wireless coaching using feedback and prompts as social support. We analyze key contextual features that secure positive patient outcomes in both physiological parameters and lipid profiles. Results from the Women's Heart Health study show that health threat of heart disease, quality of life, family history, stress factors, social support, and anxiety at baseline all help predict patient RHM outcome success.
authors.forename: Nabil
authors.initials: N
authors.lastname: Alshurafa
authors.forename: Jo-Ann
authors.initials: JA
authors.lastname: Eastwood
authors.forename: Mohammad
authors.initials: M
authors.lastname: Pourhomayoun
authors.forename: Jason J
authors.initials: JJ
authors.lastname: Liu
authors.forename: Majid
authors.initials: M
authors.lastname: Sarrafzadeh
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000097:blood / Q000175:diagnosis* / Q000517:prevention & control; D005260:Female; D000068156:Formative Feedback; D006801:Humans; D008077:Lipoproteins, LDL / Q000097:blood; D000069550:Machine Learning; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011788:Quality of Life; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D000068997:Smartphone; D011795:Surveys and Questionnaires; D014584:User-Computer Interface; D055105:Waist Circumference
chemical_list: D008077:Lipoproteins, LDL