Conversational agents powered by large language models (LLM) have increasingly been utilized in the realm of mental well-being support. However, the implications and outcomes associated with their usage in such a critical field remain somewhat ambiguous and unexplored. We conducted a qualitative analysis of 120 posts, encompassing 2917 user comments, drawn from the most popular subreddit focused on mental health support applications powered by large language models (u/Replika). This exploration aimed to shed light on the advantages and potential pitfalls associated with the integration of these sophisticated models in conversational agents intended for mental health support. We found the app (Replika) beneficial in offering on-demand, non-judgmental support, boosting user confidence, and aiding self-discovery. Yet, it faced challenges in filtering harmful content, sustaining consistent communication, remembering new information, and mitigating users' overdependence. The stigma attached further risked isolating users socially. We strongly assert that future researchers and designers must thoroughly evaluate the appropriateness of employing LLMs for mental well-being support, ensuring their responsible and effective application.
{"title":"Understanding the Benefits and Challenges of Using Large Language Model-based Conversational Agents for Mental Well-being Support.","authors":"Zilin Ma, Yiyang Mei, Zhaoyuan Su","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Conversational agents powered by large language models (LLM) have increasingly been utilized in the realm of mental well-being support. However, the implications and outcomes associated with their usage in such a critical field remain somewhat ambiguous and unexplored. We conducted a qualitative analysis of 120 posts, encompassing 2917 user comments, drawn from the most popular subreddit focused on mental health support applications powered by large language models (u/Replika). This exploration aimed to shed light on the advantages and potential pitfalls associated with the integration of these sophisticated models in conversational agents intended for mental health support. We found the app (Replika) beneficial in offering on-demand, non-judgmental support, boosting user confidence, and aiding self-discovery. Yet, it faced challenges in filtering harmful content, sustaining consistent communication, remembering new information, and mitigating users' overdependence. The stigma attached further risked isolating users socially. We strongly assert that future researchers and designers must thoroughly evaluate the appropriateness of employing LLMs for mental well-being support, ensuring their responsible and effective application.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139465800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johann Frei, Florian J Auer, Steffen Netzband, Yevgeniia Ignatenko, Frank Kramer
The evaluation of clinical questionnaires is an important part of gaining knowledge in empirical research. The electronically captured responses are encoded in a standard format such as HL7 FHIR® that facilitates data exchange and systems interoperability. However, this also complicates access of the information to explore and interpret the results without appropriate tools. In this work, we present the design of a web-based graphical exploration tool for categorical questionnaire response data that can interact with FHIR-conformant HTTP endpoints. The web app enables non-technical users with simplified, direct visual access to highly structured FHIR questionnaire response data and preserves the applicability in arbitrary data exploration tasks. We describe the abstract feature design with the derived technical implementation to allow a universal, user-configurable data subselection mechanism to generate conditional one- and two-data-dimensional charts. The applicability of our developed prototype is demonstrated on synthetic FHIR data with the source code available at https://github.com/frankkramer-lab/FHIR-QR-Explorer.
{"title":"Web-based Prototype for Graphical Exploration of FHIR® Questionnaire Responses.","authors":"Johann Frei, Florian J Auer, Steffen Netzband, Yevgeniia Ignatenko, Frank Kramer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The evaluation of clinical questionnaires is an important part of gaining knowledge in empirical research. The electronically captured responses are encoded in a standard format such as HL7 FHIR® that facilitates data exchange and systems interoperability. However, this also complicates access of the information to explore and interpret the results without appropriate tools. In this work, we present the design of a web-based graphical exploration tool for categorical questionnaire response data that can interact with FHIR-conformant HTTP endpoints. The web app enables non-technical users with simplified, direct visual access to highly structured FHIR questionnaire response data and preserves the applicability in arbitrary data exploration tasks. We describe the abstract feature design with the derived technical implementation to allow a universal, user-configurable data subselection mechanism to generate conditional one- and two-data-dimensional charts. The applicability of our developed prototype is demonstrated on synthetic FHIR data with the source code available at https://github.com/frankkramer-lab/FHIR-QR-Explorer.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Savitha Sangameswaran, Megan Laine, Nick Reid, Serena Jinchen Xie, Liz Zampino, Michelle M Garrison, Dori E Rosenberg, Jason C Yip, Andrea L Hartzler
Sleep is critical for well-being, yet adolescents do not get enough sleep. Mind-body approaches can help. Despite the potential of technology to support mind-body approaches for sleep, there is a lack of research on adolescent preferences for digital mind-body technology. We use co-design to examine adolescent perspectives on mind-body technologies for sleep. From our analysis of design sessions with 16 adolescents, four major themes emerged: system behavior, modality, content, and context. In light of these key findings, we recommend that technology-based mind-body approaches to sleep for adolescents be designed to 1) serve multiple functions while avoiding distractions, 2) provide intelligent content while maintaining privacy and trust, 3) provide a variety of content with the ability to customize and personalize, 4) offer multiple modalities for interaction with technology, and 5) consider the context of adolescent and their families. Findings provide a foundation for designing mind-body technologies for adolescent sleep.
{"title":"Co-designing mind-body technologies for sleep with adolescents.","authors":"Savitha Sangameswaran, Megan Laine, Nick Reid, Serena Jinchen Xie, Liz Zampino, Michelle M Garrison, Dori E Rosenberg, Jason C Yip, Andrea L Hartzler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sleep is critical for well-being, yet adolescents do not get enough sleep. Mind-body approaches can help. Despite the potential of technology to support mind-body approaches for sleep, there is a lack of research on adolescent preferences for digital mind-body technology. We use co-design to examine adolescent perspectives on mind-body technologies for sleep. From our analysis of design sessions with 16 adolescents, four major themes emerged: system behavior, modality, content, and context. In light of these key findings, we recommend that technology-based mind-body approaches to sleep for adolescents be designed to 1) serve multiple functions while avoiding distractions, 2) provide intelligent content while maintaining privacy and trust, 3) provide a variety of content with the ability to customize and personalize, 4) offer multiple modalities for interaction with technology, and 5) consider the context of adolescent and their families. Findings provide a foundation for designing mind-body technologies for adolescent sleep.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yashwanth Ravipati, Nader Pouratian, Corey Arnold, William Speier
P300 event-related potential (ERP) signals are useful neurological biomarkers, and their accurate classification is important when studying the cognitive functions in patients with neurological disorders. While many studies have proposed models for classifying these signals, results have been inconsistent. As a result, a consensus has not yet been reached on the optimal model for this classification. In this study, we evaluated the performance of classic machine learning and novel deep learning methods for P300 signal classification in both within and across subject training scenarios across a dataset of 75 subjects. Although the deep learning models attained high attended event classification F1 scores, they did not outperform Stepwise Linear Discriminant Analysis (SWLDA) in the within-subject paradigm. In the across-subject paradigm, however, EEG-Inception was able to significantly outperform SWLDA. These results suggest that deep learning models may provide a general model that do not require subject-specific training and calibration in clinical settings.
P300 事件相关电位(ERP)信号是有用的神经系统生物标志物,对其进行准确分类对于研究神经系统疾病患者的认知功能非常重要。虽然许多研究都提出了对这些信号进行分类的模型,但结果并不一致。因此,对于这种分类的最佳模型尚未达成共识。在本研究中,我们评估了经典机器学习方法和新型深度学习方法在 75 名受试者的数据集上,在受试者内部和跨受试者训练场景下进行 P300 信号分类的性能。虽然深度学习模型获得了较高的出席事件分类 F1 分数,但在主体内范式中,它们的表现并没有优于逐步线性判别分析(SWLDA)。然而,在跨主体范式中,EEG-Inception 的表现明显优于 SWLDA。这些结果表明,深度学习模型可以提供一种通用模型,在临床环境中无需针对特定受试者进行训练和校准。
{"title":"Evaluating Deep Learning Performance for P300 Neural Signal Classification.","authors":"Yashwanth Ravipati, Nader Pouratian, Corey Arnold, William Speier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>P300 event-related potential (ERP) signals are useful neurological biomarkers, and their accurate classification is important when studying the cognitive functions in patients with neurological disorders. While many studies have proposed models for classifying these signals, results have been inconsistent. As a result, a consensus has not yet been reached on the optimal model for this classification. In this study, we evaluated the performance of classic machine learning and novel deep learning methods for P300 signal classification in both within and across subject training scenarios across a dataset of 75 subjects. Although the deep learning models attained high attended event classification F1 scores, they did not outperform Stepwise Linear Discriminant Analysis (SWLDA) in the within-subject paradigm. In the across-subject paradigm, however, EEG-Inception was able to significantly outperform SWLDA. These results suggest that deep learning models may provide a general model that do not require subject-specific training and calibration in clinical settings.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhan Zhang, Jina Huh-Yoo, Karen Joy, Monica Angeles, David Sachs, John Migliaccio, Melody K Schiaffino
Three major telehealth delivery models-home-based, community-based, and telephone-based-have been adopted to enable remote patient monitoring of older adults to improve patient experience and reduce healthcare costs. Even though prior work has evaluated each of these delivery models, we know less about the perceptions and user experiences across these telehealth delivery models for older adults. In the present work, we addressed this research gap by interviewing 16 older adults who had experience using all these telehealth delivery models. We found that the community-based telehealth model with in-person interactions was perceived as the most preferred and useful program, followed by home-based and telephone-based models. Persistent needs reported by participants included ease of access to their historical physiological data, useful educational information for health self-management, and additional health status tracking. Our findings will inform the design and deployment of telehealth technology for vulnerable aging populations.
{"title":"Experiences and Perceptions of Distinct Telehealth Delivery Models for Remote Patient Monitoring among Older Adults in the Community.","authors":"Zhan Zhang, Jina Huh-Yoo, Karen Joy, Monica Angeles, David Sachs, John Migliaccio, Melody K Schiaffino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three major telehealth delivery models-home-based, community-based, and telephone-based-have been adopted to enable remote patient monitoring of older adults to improve patient experience and reduce healthcare costs. Even though prior work has evaluated each of these delivery models, we know less about the perceptions and user experiences across these telehealth delivery models for older adults. In the present work, we addressed this research gap by interviewing 16 older adults who had experience using all these telehealth delivery models. We found that the community-based telehealth model with in-person interactions was perceived as the most preferred and useful program, followed by home-based and telephone-based models. Persistent needs reported by participants included ease of access to their historical physiological data, useful educational information for health self-management, and additional health status tracking. Our findings will inform the design and deployment of telehealth technology for vulnerable aging populations.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aman Pathak, Zehao Yu, Daniel Paredes, Elio Paul Monsour, Andrea Ortiz Rocha, Juan P Brito, Naykky Singh Ospina, Yonghui Wu
The ultrasound characteristics of thyroid nodules guide the evaluation of thyroid cancer in patients with thyroid nodules. However, the characteristics of thyroid nodules are often documented in clinical narratives such as ultrasound reports. Previous studies have examined natural language processing (NLP) methods in extracting a limited number of characteristics (<9) using rule-based NLP systems. In this study, a multidisciplinary team of NLP experts and thyroid specialists, identified thyroid nodule characteristics that are important for clinical care, composed annotation guidelines, developed a corpus, and compared 5 state-of-the-art transformer-based NLP methods, including BERT, RoBERTa, LongFormer, DeBERTa, and GatorTron, for extraction of thyroid nodule characteristics from ultrasound reports. Our GatorTron model, a transformer-based large language model trained using over 90 billion words of text, achieved the best strict and lenient F1-score of 0.8851 and 0.9495 for the extraction of a total number of 16 thyroid nodule characteristics, and 0.9321 for linking characteristics to nodules, outperforming other clinical transformer models. To the best of our knowledge, this is the first study to systematically categorize and apply transformer-based NLP models to extract a large number of clinical relevant thyroid nodule characteristics from ultrasound reports. This study lays ground for assessing the documentation quality of thyroid ultrasound reports and examining outcomes of patients with thyroid nodules using electronic health records.
{"title":"Extracting Thyroid Nodules Characteristics from Ultrasound Reports Using Transformer-based Natural Language Processing Methods.","authors":"Aman Pathak, Zehao Yu, Daniel Paredes, Elio Paul Monsour, Andrea Ortiz Rocha, Juan P Brito, Naykky Singh Ospina, Yonghui Wu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ultrasound characteristics of thyroid nodules guide the evaluation of thyroid cancer in patients with thyroid nodules. However, the characteristics of thyroid nodules are often documented in clinical narratives such as ultrasound reports. Previous studies have examined natural language processing (NLP) methods in extracting a limited number of characteristics (<9) using rule-based NLP systems. In this study, a multidisciplinary team of NLP experts and thyroid specialists, identified thyroid nodule characteristics that are important for clinical care, composed annotation guidelines, developed a corpus, and compared 5 state-of-the-art transformer-based NLP methods, including BERT, RoBERTa, LongFormer, DeBERTa, and GatorTron, for extraction of thyroid nodule characteristics from ultrasound reports. Our GatorTron model, a transformer-based large language model trained using over 90 billion words of text, achieved the best strict and lenient F1-score of 0.8851 and 0.9495 for the extraction of a total number of 16 thyroid nodule characteristics, and 0.9321 for linking characteristics to nodules, outperforming other clinical transformer models. To the best of our knowledge, this is the first study to systematically categorize and apply transformer-based NLP models to extract a large number of clinical relevant thyroid nodule characteristics from ultrasound reports. This study lays ground for assessing the documentation quality of thyroid ultrasound reports and examining outcomes of patients with thyroid nodules using electronic health records.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rheumatoid arthritis (RA), a chronic and systemic autoimmune disease that primarily attacks the joints around the body, is affecting a large number of people worldwide through severe symptoms and complications. Therefore, it is crucial to understand these patients' problems and support needs such that effective strategies or solutions can be made to improve their long-term treatment experience. In this paper, we present an in-depth study that is based on the structural topic model to uncover the themes and concerns in online RA posts from Reddit, an American social news aggregation, content rating, and discussion website. In addition, we compared the topic prevalence differences before and after the COVID-19 pandemic to understand the impact of the pandemic on these online users. This study demonstrates the potential of using text-mining techniques on social media data to learn the treatment experiments of RA patients.
类风湿性关节炎(RA)是一种主要侵犯全身关节的慢性、全身性自身免疫性疾病,严重的症状和并发症影响着全球众多患者。因此,了解这些患者的问题和支持需求至关重要,这样才能制定有效的策略或解决方案,改善他们的长期治疗体验。在本文中,我们基于结构主题模型进行了一项深入研究,以揭示美国社交新闻聚合、内容评级和讨论网站 Reddit 上在线 RA 帖子中的主题和关注点。此外,我们还比较了 COVID-19 大流行前后的主题流行率差异,以了解大流行对这些在线用户的影响。这项研究展示了在社交媒体数据上使用文本挖掘技术了解 RA 患者治疗实验的潜力。
{"title":"Fatigue, Pain, and Medication: Mining Online Posts Regarding Rheumatoid Arthritis From Reddit.","authors":"Yi Xin, Congning Ni, Qingyuan Song, Zhijun Yin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rheumatoid arthritis (RA), a chronic and systemic autoimmune disease that primarily attacks the joints around the body, is affecting a large number of people worldwide through severe symptoms and complications. Therefore, it is crucial to understand these patients' problems and support needs such that effective strategies or solutions can be made to improve their long-term treatment experience. In this paper, we present an in-depth study that is based on the structural topic model to uncover the themes and concerns in online RA posts from Reddit, an American social news aggregation, content rating, and discussion website. In addition, we compared the topic prevalence differences before and after the COVID-19 pandemic to understand the impact of the pandemic on these online users. This study demonstrates the potential of using text-mining techniques on social media data to learn the treatment experiments of RA patients.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eric S Hall, Genevieve B Melton, Philip R O Payne, David A Dorr, David K Vawdrey
With widespread electronic health record (EHR) adoption and improvements in health information interoperability in the United States, troves of data are available for knowledge discovery. Several data sharing programs and tools have been developed to support research activities, including efforts funded by the National Institutes of Health (NIH), EHR vendors, and other public- and private-sector entities. We surveyed 65 leading research institutions (77% response rate) about their use of and value derived from ten programs/tools, including NIH's Accrual to Clinical Trials, Epic Corporation's Cosmos, and the Observational Health Data Sciences and Informatics consortium. Most institutions participated in multiple programs/tools but reported relatively low usage (even when they participated, they frequently indicated that fewer than one individual/month benefitted from the platform to support research activities). Our findings suggest that investments in research data sharing have not yet achieved desired results.
随着电子病历(EHR)在美国的广泛应用和医疗信息互操作性的提高,大量数据可供知识发现之用。为了支持研究活动,包括由美国国立卫生研究院 (NIH)、电子病历供应商以及其他公共和私营部门实体资助的活动在内,已经开发了多个数据共享计划和工具。我们对 65 家主要研究机构(回复率为 77%)进行了调查,了解他们对十项计划/工具的使用情况和从中获得的价值,这些计划/工具包括美国国立卫生研究院(NIH)的 Accrual to Clinical Trials、Epic Corporation 的 Cosmos 以及 Observational Health Data Sciences and Informatics consortium。大多数机构参与了多个项目/工具,但报告的使用率相对较低(即使参与了项目/工具,他们也经常表示每月只有不到一个人受益于该平台以支持研究活动)。我们的研究结果表明,对研究数据共享的投资尚未达到预期效果。
{"title":"How Are Leading Research Institutions Engaging with Data Sharing Tools and Programs?","authors":"Eric S Hall, Genevieve B Melton, Philip R O Payne, David A Dorr, David K Vawdrey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With widespread electronic health record (EHR) adoption and improvements in health information interoperability in the United States, troves of data are available for knowledge discovery. Several data sharing programs and tools have been developed to support research activities, including efforts funded by the National Institutes of Health (NIH), EHR vendors, and other public- and private-sector entities. We surveyed 65 leading research institutions (77% response rate) about their use of and value derived from ten programs/tools, including NIH's Accrual to Clinical Trials, Epic Corporation's Cosmos, and the Observational Health Data Sciences and Informatics consortium. Most institutions participated in multiple programs/tools but reported relatively low usage (even when they participated, they frequently indicated that fewer than one individual/month benefitted from the platform to support research activities). Our findings suggest that investments in research data sharing have not yet achieved desired results.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Grace Gao, Camille P Vaughan, Alayne D Markland, Kayla Reinicke, Neeraja Annavaram, Zachary Burningham
In support of the Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment initiative with the Veterans Health Administration, we developed a clinical dashboard to support primary care providers in identifying underdiagnosed, undertreated women Veterans with urinary incontinence. This paper describes our dashboard development and evaluation. We employed a user-centered design in determining dashboard requirements, interface design, and functionality. We invited early users at three pilot sites to formal usability reviews. We quantified the dashboard usability using the System Usability Scale and administered surveys and interviews for insights on performance. We employed process maps to uncover processes of end-users' dashboard engagements within local environments. User evaluations demonstrated the dashboard as a helpful instrument in identifying women Veterans with good to excellent usability performance. User feedback offers a user-driven pathway to develop our dashboard that supports clinicians to better care for women Veterans with urinary incontinence.
{"title":"Leveraging A Clinical Dashboard and Process Mappings to Improve Treatment Access and Outcomes for Women Veterans with Urinary Incontinence.","authors":"Grace Gao, Camille P Vaughan, Alayne D Markland, Kayla Reinicke, Neeraja Annavaram, Zachary Burningham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In support of the Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment initiative with the Veterans Health Administration, we developed a clinical dashboard to support primary care providers in identifying underdiagnosed, undertreated women Veterans with urinary incontinence. This paper describes our dashboard development and evaluation. We employed a user-centered design in determining dashboard requirements, interface design, and functionality. We invited early users at three pilot sites to formal usability reviews. We quantified the dashboard usability using the System Usability Scale and administered surveys and interviews for insights on performance. We employed process maps to uncover processes of end-users' dashboard engagements within local environments. User evaluations demonstrated the dashboard as a helpful instrument in identifying women Veterans with good to excellent usability performance. User feedback offers a user-driven pathway to develop our dashboard that supports clinicians to better care for women Veterans with urinary incontinence.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yutong Wu, David Conlan, Siegfried Perez, Anthony Nguyen
The performance of deep learning models in the health domain is desperately limited by the scarcity of labeled data, especially for specific clinical-domain tasks. Conversely, there are vastly available clinical unlabeled data waiting to be exploited to improve deep learning models where their training labeled data are limited. This paper investigates the use of task-specific unlabeled data to boost the performance of classification models for the risk stratification of suspected acute coronary syndrome. By leveraging large numbers of unlabeled clinical notes in task-adaptive language model pretraining, valuable prior task-specific knowledge can be attained. Based on such pretrained models, task-specific fine-tuning with limited labeled data produces better performances. Extensive experiments demonstrate that the pretrained task-specific language models using task-specific unlabeled data can significantly improve the performance of the downstream models for specific classification tasks.
{"title":"Leveraging Unlabeled Clinical Data to Boost Performance of Risk Stratification Models for Suspected Acute Coronary Syndrome.","authors":"Yutong Wu, David Conlan, Siegfried Perez, Anthony Nguyen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The performance of deep learning models in the health domain is desperately limited by the scarcity of labeled data, especially for specific clinical-domain tasks. Conversely, there are vastly available clinical unlabeled data waiting to be exploited to improve deep learning models where their training labeled data are limited. This paper investigates the use of task-specific unlabeled data to boost the performance of classification models for the risk stratification of suspected acute coronary syndrome. By leveraging large numbers of unlabeled clinical notes in task-adaptive language model pretraining, valuable prior task-specific knowledge can be attained. Based on such pretrained models, task-specific fine-tuning with limited labeled data produces better performances. Extensive experiments demonstrate that the pretrained task-specific language models using task-specific unlabeled data can significantly improve the performance of the downstream models for specific classification tasks.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}