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Reward Design For An Online Reinforcement Learning Algorithm Supporting Oral Self-Care. 支持口腔自我护理的在线强化学习算法的奖励设计
Anna L Trella, Kelly W Zhang, Inbal Nahum-Shani, Vivek Shetty, Finale Doshi-Velez, Susan A Murphy

While dental disease is largely preventable, professional advice on optimal oral hygiene practices is often forgotten or abandoned by patients. Therefore patients may benefit from timely and personalized encouragement to engage in oral self-care behaviors. In this paper, we develop an online reinforcement learning (RL) algorithm for use in optimizing the delivery of mobile-based prompts to encourage oral hygiene behaviors. One of the main challenges in developing such an algorithm is ensuring that the algorithm considers the impact of current actions on the effectiveness of future actions (i.e., delayed effects), especially when the algorithm has been designed to run stably and autonomously in a constrained, real-world setting characterized by highly noisy, sparse data. We address this challenge by designing a quality reward that maximizes the desired health outcome (i.e., high-quality brushing) while minimizing user burden. We also highlight a procedure for optimizing the hyperparameters of the reward by building a simulation environment test bed and evaluating candidates using the test bed. The RL algorithm discussed in this paper will be deployed in Oralytics. To the best of our knowledge, Oralytics is the first mobile health study utilizing an RL algorithm designed to prevent dental disease by optimizing the delivery of motivational messages supporting oral self-care behaviors.

虽然牙科疾病在很大程度上是可以预防的,但有关最佳口腔卫生做法的专业建议却常常被患者遗忘或放弃。因此,及时、个性化地鼓励患者进行口腔自我护理可能会使他们受益。在本文中,我们开发了一种在线强化学习(RL)算法,用于优化基于移动设备的提示,以鼓励口腔卫生行为。开发这种算法的主要挑战之一是确保算法考虑到当前行动对未来行动有效性的影响(即延迟效应),尤其是当算法被设计为在受限的、以高噪声、稀疏数据为特征的真实世界环境中稳定、自主地运行时。为了应对这一挑战,我们设计了一种质量奖励,既能最大限度地实现预期的健康结果(即高质量刷牙),又能最大限度地减轻用户负担。我们还重点介绍了优化奖励超参数的程序,具体方法是建立一个模拟环境测试平台,并使用该测试平台对候选方案进行评估。本文讨论的 RL 算法将部署在 Oralytics 中。据我们所知,Oralytics 是首个使用 RL 算法的移动健康研究,该算法旨在通过优化支持口腔自我护理行为的激励信息的传递来预防牙科疾病。
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引用次数: 0
Reward Design For An Online Reinforcement Learning Algorithm Supporting Oral Self-Care 支持口腔自我护理的在线强化学习算法的奖励设计
Anna L. Trella, Kelly W. Zhang, I. Nahum-Shani, V. Shetty, F. Doshi-Velez, S. Murphy
While dental disease is largely preventable, professional advice on optimal oral hygiene practices is often forgotten or abandoned by patients. Therefore patients may benefit from timely and personalized encouragement to engage in oral self-care behaviors. In this paper, we develop an online reinforcement learning (RL) algorithm for use in optimizing the delivery of mobile-based prompts to encourage oral hygiene behaviors. One of the main challenges in developing such an algorithm is ensuring that the algorithm considers the impact of current actions on the effectiveness of future actions (i.e., delayed effects), especially when the algorithm has been designed to run stably and autonomously in a constrained, real-world setting characterized by highly noisy, sparse data. We address this challenge by designing a quality reward that maximizes the desired health outcome (i.e., high-quality brushing) while minimizing user burden. We also highlight a procedure for optimizing the hyperparameters of the reward by building a simulation environment test bed and evaluating candidates using the test bed. The RL algorithm discussed in this paper will be deployed in Oralytics. To the best of our knowledge, Oralytics is the first mobile health study utilizing an RL algorithm designed to prevent dental disease by optimizing the delivery of motivational messages supporting oral self-care behaviors.
虽然牙科疾病在很大程度上是可以预防的,但关于最佳口腔卫生实践的专业建议往往被患者遗忘或放弃。因此,患者可以从及时和个性化的鼓励中受益,参与口腔自我护理行为。在本文中,我们开发了一种在线强化学习(RL)算法,用于优化基于移动的提示的传递,以鼓励口腔卫生行为。开发这种算法的主要挑战之一是确保算法考虑当前行动对未来行动有效性的影响(即延迟效应),尤其是当算法被设计为在以高噪声、稀疏数据为特征的受限、真实世界环境中稳定自主运行时。我们通过设计一种质量奖励来应对这一挑战,该奖励可以最大限度地提高所需的健康结果(即高质量刷牙),同时最大限度地减少用户负担。我们还强调了一个通过建立模拟环境测试台和使用测试台评估候选人来优化奖励超参数的过程。本文中讨论的RL算法将部署在Oralytics中。据我们所知,Oralytics是第一项利用RL算法的移动健康研究,该算法旨在通过优化支持口腔自我保健行为的激励信息的传递来预防牙科疾病。
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引用次数: 3
THink: Inferring Cognitive Status from Subtle Behaviors. 思考:从细微行为推断认知状态
Randall Davis, David J Libon, Rhoda Au, David Pitman, Dana L Penney

The Digital Clock Drawing Test is a fielded application that provides a major advance over existing neuropsychological testing technology. It captures and analyzes high precision information about both outcome and process, opening up the possibility of detecting subtle cognitive impairment even when test results appear superficially normal. We describe the design and development of the test, document the role of AI in its capabilities, and report on its use over the past seven years. We outline its potential implications for earlier detection and treatment of neurological disorders. We also set the work in the larger context of the THink project, which is exploring multiple approaches to determining cognitive status through the detection and analysis of subtle behaviors.

数字时钟绘图测试是一种实地应用软件,与现有的神经心理测试技术相比具有重大进步。它能捕捉并分析结果和过程的高精度信息,即使测试结果表面上看起来正常,也能检测出细微的认知障碍。我们介绍了该测试的设计和开发,记录了人工智能在其功能中的作用,并报告了其在过去七年中的使用情况。我们概述了它对早期发现和治疗神经系统疾病的潜在影响。我们还将这项工作置于 THink 项目的大背景下,该项目正在探索通过检测和分析细微行为来确定认知状态的多种方法。
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引用次数: 0
Statistical Relational Learning to Predict Primary Myocardial Infarction from Electronic Health Records 从电子健康记录中预测原发性心肌梗死的统计关系学习
Jeremy C. Weiss, Sriraam Natarajan, P. Peissig, C. McCarty, David Page
Electronic health records (EHRs) are an emerging relational domain with large potential to improve clinical outcomes. We apply two statistical relational learning (SRL) algorithms to the task of predicting primary myocardial infarction. We show that one SRL algorithm, relational functional gradient boosting, outperforms propositional learners particularly in the medically-relevant high recall region. We observe that both SRL algorithms predict outcomes better than their propositional analogs and suggest how our methods can augment current epidemiological practices.
电子健康记录(EHRs)是一个新兴的关系领域,具有改善临床结果的巨大潜力。我们应用两种统计关系学习(SRL)算法来预测原发性心肌梗死。我们证明了一种SRL算法,关系函数梯度增强,特别是在医学相关的高回忆区域优于命题学习者。我们观察到两种SRL算法都比它们的命题类似物更好地预测结果,并建议我们的方法如何增强当前的流行病学实践。
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引用次数: 21
Statistical Relational Learning to Predict Primary Myocardial Infarction from Electronic Health Records. 从电子健康记录中预测原发性心肌梗死的统计关系学习。
Jeremy C Weiss, David Page, Peggy L Peissig, Sriraam Natarajan, Catherine McCarty

Electronic health records (EHRs) are an emerging relational domain with large potential to improve clinical outcomes. We apply two statistical relational learning (SRL) algorithms to the task of predicting primary myocardial infarction. We show that one SRL algorithm, relational functional gradient boosting, outperforms propositional learners particularly in the medically-relevant high recall region. We observe that both SRL algorithms predict outcomes better than their propositional analogs and suggest how our methods can augment current epidemiological practices.

电子健康记录(EHR)是一个新兴的关系领域,具有改善临床结果的巨大潜力。我们将两种统计关系学习(SRL)算法应用于预测原发性心肌梗塞的任务中。我们的研究表明,一种 SRL 算法(关系功能梯度提升算法)的表现优于命题学习器,尤其是在医学相关的高召回率区域。我们观察到,这两种 SRL 算法对结果的预测都优于其命题类算法,并提出了我们的方法如何能增强当前流行病学实践的建议。
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引用次数: 0
Application of the Actor-Critic Architecture to Functional Electrical Stimulation Control of a Human Arm. Actor-Critic架构在人体手臂功能性电刺激控制中的应用。
Philip Thomas, Michael Branicky, Antonie van den Bogert, Kathleen Jagodnik

Clinical tests have shown that the dynamics of a human arm, controlled using Functional Electrical Stimulation (FES), can vary significantly between and during trials. In this paper, we study the application of the actor-critic architecture, with neural networks for the both the actor and the critic, as a controller that can adapt to these changing dynamics of a human arm. Development and tests were done in simulation using a planar arm model and Hill-based muscle dynamics. We begin by training it using a Proportional Derivative (PD) controller as a supervisor. We then make clinically relevant changes to the dynamics of the arm and test the actor-critic's ability to adapt without supervision in a reasonable number of episodes. Finally, we devise methods for achieving both rapid learning and long-term stability.

临床试验表明,使用功能性电刺激(FES)控制的人体手臂的动力学在试验之间和试验期间会发生显著变化。在本文中,我们研究了演员-评论家体系结构的应用,演员和评论家都使用神经网络作为控制器,可以适应人类手臂的这些变化动态。利用平面臂模型和基于hill的肌肉动力学进行了仿真开发和测试。我们首先使用比例导数(PD)控制器作为监督来训练它。然后,我们对手臂的动力学进行临床相关的改变,并在合理数量的情节中测试演员评论家在没有监督的情况下的适应能力。最后,我们设计了实现快速学习和长期稳定的方法。
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引用次数: 0
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Proceedings of the ... Innovative Applications of Artificial Intelligence Conference. Innovative Applications of Artificial Intelligence Conference
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