دورية أكاديمية

Development and Validation of Multivariable Prediction Algorithms to Estimate Future Walking Behavior in Adults: Retrospective Cohort Study

التفاصيل البيبلوغرافية
العنوان: Development and Validation of Multivariable Prediction Algorithms to Estimate Future Walking Behavior in Adults: Retrospective Cohort Study
المؤلفون: Junghwan Park, Gregory J Norman, Predrag Klasnja, Daniel E Rivera, Eric Hekler
المصدر: JMIR mHealth and uHealth, Vol 11, p e44296 (2023)
بيانات النشر: JMIR Publications, 2023.
سنة النشر: 2023
المجموعة: LCC:Information technology
LCC:Public aspects of medicine
مصطلحات موضوعية: Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270
الوصف: BackgroundPhysical inactivity is associated with numerous health risks, including cancer, cardiovascular disease, type 2 diabetes, increased health care expenditure, and preventable, premature deaths. The majority of Americans fall short of clinical guideline goals (ie, 8000-10,000 steps per day). Behavior prediction algorithms could enable efficacious interventions to promote physical activity by facilitating delivery of nudges at appropriate times. ObjectiveThe aim of this paper is to develop and validate algorithms that predict walking (ie, >5 min) within the next 3 hours, predicted from the participants’ previous 5 weeks’ steps-per-minute data. MethodsWe conducted a retrospective, closed cohort, secondary analysis of a 6-week microrandomized trial of the HeartSteps mobile health physical-activity intervention conducted in 2015. The prediction performance of 6 algorithms was evaluated, as follows: logistic regression, radial-basis function support vector machine, eXtreme Gradient Boosting (XGBoost), multilayered perceptron (MLP), decision tree, and random forest. For the MLP, 90 random layer architectures were tested for optimization. Prior 5-week hourly walking data, including missingness, were used for predictors. Whether the participant walked during the next 3 hours was used as the outcome. K-fold cross-validation (K=10) was used for the internal validation. The primary outcome measures are classification accuracy, the Mathew correlation coefficient, sensitivity, and specificity. ResultsThe total sample size included 6 weeks of data among 44 participants. Of the 44 participants, 31 (71%) were female, 26 (59%) were White, 36 (82%) had a college degree or more, and 15 (34%) were married. The mean age was 35.9 (SD 14.7) years. Participants (n=3, 7%) who did not have enough data (number of days
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2291-5222
العلاقة: https://mhealth.jmir.org/2023/1/e44296Test; https://doaj.org/toc/2291-5222Test
DOI: 10.2196/44296
الوصول الحر: https://doaj.org/article/8f8d1c0643d34fb5a165fe2e5c11329eTest
رقم الانضمام: edsdoj.8f8d1c0643d34fb5a165fe2e5c11329e
قاعدة البيانات: Directory of Open Access Journals