Applications of Machine Learning in Real-Life Digital Health Interventions: Review of the Literature.

Publication date: Apr 05, 2019

Machine learning has attracted considerable research interest toward developing smart digital health interventions. These interventions have the potential to revolutionize health care and lead to substantial outcomes for patients and medical professionals.

Our objective was to review the literature on applications of machine learning in real-life digital health interventions, aiming to improve the understanding of researchers, clinicians, engineers, and policy makers in developing robust and impactful data-driven interventions in the health care domain.

We searched the PubMed and Scopus bibliographic databases with terms related to machine learning, to identify real-life studies of digital health interventions incorporating machine learning algorithms. We grouped those interventions according to their target (ie, target condition), study design, number of enrolled participants, follow-up duration, primary outcome and whether this had been statistically significant, machine learning algorithms used in the intervention, and outcome of the algorithms (eg, prediction).

Our literature search identified 8 interventions incorporating machine learning in a real-life research setting, of which 3 (37%) were evaluated in a randomized controlled trial and 5 (63%) in a pilot or experimental single-group study. The interventions targeted depression prediction and management, speech recognition for people with speech disabilities, self-efficacy for weight loss, detection of changes in biopsychosocial condition of patients with multiple morbidity, stress management, treatment of phantom limb pain, smoking cessation, and personalized nutrition based on glycemic response. The average number of enrolled participants in the studies was 71 (range 8-214), and the average follow-up study duration was 69 days (range 3-180). Of the 8 interventions, 6 (75%) showed statistical significance (at the P=.05 level) in health outcomes.

This review found that digital health interventions incorporating machine learning algorithms in real-life studies can be useful and effective. Given the low number of studies identified in this review and that they did not follow a rigorous machine learning evaluation methodology, we urge the research community to conduct further studies in intervention settings following evaluation principles and demonstrating the potential of machine learning in clinical practice.

Open Access PDF

Triantafyllidis, A.K. and Tsanas, A. Applications of Machine Learning in Real-Life Digital Health Interventions: Review of the Literature. 06552. 2019 J Med Internet Res (21):4.

Concepts Keywords
Bibliographic Databases Major depressive disorder
Biopsychosocial Smoking cessation
Depression Randomized controlled trial
Digital Telehealth
Morbidity Information technology
Nutrition Educational technology
Pain Distance education
Phantom Limb Clinical research
PubMed Articles
Randomized Controlled Trial Mining
Scopus Artificial intelligence
Smoking Cessation Telemedicine
Statistical Significance
Stress Management
Weight Loss

Semantics

Type Source Name
disease MESH depression
disease MESH weight loss
disease MESH phantom limb pain
disease MESH community
disease MESH development
disease MESH diagnosis
disease MESH pathology
disease MESH cancer
disease MESH anxiety

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