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In Journal of biomedical informatics ; h5-index 55.0

Human behaviour is a dense longitudinal multi-featured measure that directly impacts the health of individuals in the short and long terms. Therefore, issues usually emerge from the insistence on performing risky behaviours, such as smoking or eating fast foods, which continuously increase the gap between current and beneficial health states. This paper introduces the term "health debt" as an economic metaphor to represent the quantification of this gap in domains such as sleep, contributing to physical and mental health states. Then, we present a theoretical framework that relies on behaviour change recommendations to quantify this debt. The practical instantiation of this framework relies on passively assessed sleep related data via personal wearable devices, and uses of an attention-based predictive model as the fitness function of a genetic algorithm that acts as a recommender. We evaluate this proposal by means of a case example aimed at improving the sleep duration of individuals. Results show, for example, that the use of individual rather than generic datasets produces more accurate models. At the same time, the use of constraints on the variability of behaviours features generates more feasible recommendations. These foundations open new research opportunities to support the adoption of preventive medicine based on longitudinal wearable passive data analysis.

Siebra Clauirton, Amorim Lais, Quintino Jonysberg P, L M Santos Andre, Q B da Silva Fabio, Wac Katarzyna

2022-Dec-22