Mobile Crowd Sensing in Clinical and Psychological Trials -- A Case Study

R. Pryss, M. Reichert, Jochen Herrmann, B. Langguth, W. Schlee
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引用次数: 73

Abstract

Many highly prevalent diseases (e.g., tinnitus, migraine, chronic pain) are difficult to treat and universally effective treatments are missing. Available treatments are only effective in patient subgroups, i.e., medical doctors and patients have to figure out which therapy might be helpful in the patient's situation. Sufficiently large and qualitative longitudinal data sets, however, would be desirable to facilitate evidence-based treatment decisions for individual patients. On one hand, traditional sensing techniques (i.e., clinical trials) have many merits enabling evidence-based medicine. On the other, they have inherent limitations. First, clinical trials are very cost- and labour-intensive. Second, the traditional approach aims at reducing ecological heterogeneity to enable the investigation of homogeneous subsamples. Recently, a new paradigm emerged that offers promising perspectives for collecting large amounts of longitudinal patient data -- Mobile Crowd Sensing. By utilizing smart mobile devices of a large number of patients, health information can be gathered from large patient collections as well as at many different time points and in various real life environmental situations. In the Track Your Tinnitus project, we implemented such a mobile crowd sensing platform to reveal new medical aspects about tinnitus with a particular focus on the variability of tinnitus over time depending on the environmental situation. In this paper, the current project status as well as first lessons learned from running the mobile application for twelve months are presented. In turn, the lessons learned are discussed in the context of the new perspectives offered by mobile crowd sensing in the medical field.
移动人群感知在临床和心理试验中的应用——一个案例研究
许多高度流行的疾病(如耳鸣、偏头痛、慢性疼痛)难以治疗,缺乏普遍有效的治疗方法。现有的治疗方法只对患者亚组有效,也就是说,医生和患者必须找出哪种治疗方法可能对患者的情况有帮助。然而,需要足够大且定性的纵向数据集,以促进针对个别患者的循证治疗决策。一方面,传统的传感技术(即临床试验)对循证医学有许多优点。另一方面,它们也有固有的局限性。首先,临床试验是成本和劳动密集型的。其次,传统方法的目的是减少生态异质性,以便调查均匀的子样本。最近,出现了一种新的模式,为收集大量的纵向患者数据提供了有希望的视角——移动人群传感。通过利用大量患者的智能移动设备,可以从大量患者集合中以及在许多不同的时间点和各种现实生活环境中收集健康信息。在Track Your Tinnitus项目中,我们实现了这样一个移动人群传感平台,以揭示耳鸣的新医学方面,特别关注耳鸣随时间的变化,这取决于环境情况。在本文中,介绍了目前的项目状态以及从运行移动应用程序12个月中获得的初步经验教训。反过来,在医疗领域的移动人群传感提供的新视角的背景下讨论吸取的经验教训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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