Enhancing Performance and User Engagement in Everyday Stress Monitoring: A Context-Aware Active Reinforcement Learning Approach

In today's fast-paced world, accurately monitoring stress levels is crucial. Sensor-based stress monitoring systems often need large datasets for training effective models. However, individual-specific models are necessary for personalized and interactive scenarios. Traditional methods like Ecological Momentary Assessments (EMAs) assess stress but struggle with efficient data collection without burdening users. The challenge is to timely send EMAs, especially during stress, balancing monitoring efficiency and user convenience. This paper introduces a novel context-aware active reinforcement learning (RL) algorithm for enhanced stress detection using Photoplethysmography (PPG) data from smartwatches and contextual data from smartphones. Our approach dynamically selects optimal times for deploying EMAs, utilizing the user's immediate context to maximize label accuracy and minimize intrusiveness. Initially, the study was executed in an offline environment to refine the label collection process, aiming to increase accuracy while reducing user burden. Later, we integrated a real-time label collection mechanism, transitioning to an online methodology. This shift resulted in an 11% improvement in stress detection efficiency. Incorporating contextual data improved model accuracy by 4%. Personalization studies indicated a 10% enhancement in AUC-ROC scores, demonstrating better stress level differentiation. This research marks a significant move towards personalized, context-driven real-time stress monitoring methods.

Active Reinforcement Learning for Personalized Stress Monitoring in Everyday Settings

Most existing sensor-based monitoring frameworks presume that a large available labeled dataset is processed to train accurate detection models. However, in settings where personalization is necessary at deployment time to fine-tune the model, a person-specific dataset needs to be collected online by interacting with the users. Optimizing the collection of labels in such phase is instrumental to impose a tolerable burden on the users while maximizing personal improvement. In this paper, we consider a fine-grain stress detection problem based on wearable sensors targeting everyday settings, and propose a novel context-aware active learning strategy capable of jointly maximizing the meaningfulness of the signal samples we request the user to label and the response rate. We develop a multilayered sensor-edge-cloud platform to periodically capture physiological signals and process them in real-time, as well as to collect labels and retrain the detection model. We collect a large dataset and show that the context-aware active learning technique we propose achieves a desirable detection performance using 88\% and 32\% fewer queries from users compared to a randomized strategy and a traditional active learning strategy, respectively.

Objective Prediction of Tomorrow's Affect Using Multi-Modal Physiological Data and Personal Chronicles: A Study of Monitoring College Student Well-being in 2020

Monitoring and understanding affective states are important aspects of healthy functioning and treatment of mood-based disorders. Recent advancements of ubiquitous wearable technologies have increased the reliability of such tools in detecting and accurately estimating mental states (e.g., mood, stress, etc.), offering comprehensive and continuous monitoring of individuals over time. Previous attempts to model an individual's mental state were limited to subjective approaches or the inclusion of only a few modalities (i.e., phone, watch). Thus, the goal of our study was to investigate the capacity to more accurately predict affect through a fully automatic and objective approach using multiple commercial devices. Longitudinal physiological data and daily assessments of emotions were collected from a sample of college students using smart wearables and phones for over a year. Results showed that our model was able to predict next-day affect with accuracy comparable to state of the art methods.

Data Collection and Labeling of Real-Time IoT-Enabled Bio-Signals in Everyday Settings for Mental Health Improvement

Real-time physiological data collection and analysis play a central role in modern well-being applications. Personalized classifiers and detectors have been shown to outperform general classifiers in many contexts. However, building effective personalized classifiers in everyday settings - as opposed to controlled settings - necessitates the online collection of a labeled dataset by interacting with the user. This need leads to several challenges, ranging from building an effective system for the collection of the signals and labels, to developing strategies to interact with the user and building a dataset that represents the many user contexts that occur in daily life. Based on a stress detection use case, this paper (1) builds a system for the real-time collection and analysis of photoplethysmogram, acceleration, gyroscope, and gravity data from a wearable sensor, as well as self-reported stress labels based on Ecological Momentary Assessment (EMA), and (2) collects and analyzes a dataset to extract statistics of users' response to queries and the quality of the collected signals as a function of the context, here defined as the user's activity and the time of the day.

Personalized Stress Monitoring using Wearable Sensors in Everyday Settings

Since stress contributes to a broad range of mental and physical health problems, the objective assessment of stress is essential for behavioral and physiological studies. Although several studies have evaluated stress levels in controlled settings, objective stress assessment in everyday settings is still largely under-explored due to challenges arising from confounding contextual factors and limited adherence for self-reports. In this paper, we explore the objective prediction of stress levels in everyday settings based on heart rate (HR) and heart rate variability (HRV) captured via low-cost and easy-to-wear photoplethysmography (PPG) sensors that are widely available on newer smart wearable devices. We present a layered system architecture for personalized stress monitoring that supports a tunable collection of data samples for labeling, and present a method for selecting informative samples from the stream of real-time data for labeling. We captured the stress levels of fourteen volunteers through self-reported questionnaires over periods of between 1-3 months, and explored binary stress detection based on HR and HRV using Machine Learning Methods. We observe promising preliminary results given that the dataset is collected in the challenging environments of everyday settings. The binary stress detector is fairly accurate and can detect stressful vs non-stressful samples with a macro-F1 score of up to \%76. Our study lays the groundwork for more sophisticated labeling strategies that generate context-aware, personalized models that will empower health professionals to provide personalized interventions.

Personal Mental Health Navigator: Harnessing the Power of Data, Personal Models, and Health Cybernetics to Promote Psychological Well-being

Traditionally, the regime of mental healthcare has followed an episodic psychotherapy model wherein patients seek care from a provider through a prescribed treatment plan developed over multiple provider visits. Recent advances in wearable and mobile technology have generated increased interest in digital mental healthcare that enables individuals to address episodic mental health symptoms. However, these efforts are typically reactive and symptom-focused and do not provide comprehensive, wrap-around, customized treatments that capture an individual's holistic mental health model as it unfolds over time. Recognizing that each individual is unique, we present the notion of Personalized Mental Health Navigation (MHN): a therapist-in-the-loop, cybernetic goal-based system that deploys a continuous cyclic loop of measurement, estimation, guidance, to steer the individual's mental health state towards a healthy zone. We outline the major components of MHN that is premised on the development of an individual's personal mental health state, holistically represented by a high-dimensional cover of multiple knowledge layers such as emotion, biological patterns, sociology, behavior, and cognition. We demonstrate the feasibility of the personalized MHN approach via a 12-month pilot case study for holistic stress management in college students and highlight an instance of a therapist-in-the-loop intervention using MHN for monitoring, estimating, and proactively addressing moderately severe depression over a sustained period of time. We believe MHN paves the way to transform mental healthcare from the current passive, episodic, reactive process (where individuals seek help to address symptoms that have already manifested) to a continuous and navigational paradigm that leverages a personalized model of the individual, promising to deliver timely interventions to individuals in a holistic manner.

GSR Analysis for Stress: Development and Validation of an Open Source Tool for Noisy Naturalistic GSR Data

The stress detection problem is receiving great attention in related research communities. This is due to its essential part in behavioral studies for many serious health problems and physical illnesses. There are different methods and algorithms for stress detection using different physiological signals. Previous studies have already shown that Galvanic Skin Response (GSR), also known as Electrodermal Activity (EDA), is one of the leading indicators for stress. However, the GSR signal itself is not trivial to analyze. Different features are extracted from GSR signals to detect stress in people like the number of peaks, max peak amplitude, etc. In this paper, we are proposing an open-source tool for GSR analysis, which uses deep learning algorithms alongside statistical algorithms to extract GSR features for stress detection. Then we use different machine learning algorithms and Wearable Stress and Affect Detection (WESAD) dataset to evaluate our results. The results show that we are capable of detecting stress with the accuracy of 92 percent using 10-fold cross-validation and using the features extracted from our tool.