慢性疼痛(CP)患者在体力活动中表现出的保护性行为是了解其身体和情绪状态的关键。现有的自动保护行为检测(PBD)方法依赖于用户预定义的活动的预分割。然而,在现实生活中,人们随意地进行活动。因此,当这些活动对慢性疼痛患者造成困难时,应持续提供技术支持,并自动适应活动类型和保护行为的发生。因此,为了促进无处不在的CP管理,在连续数据上实现准确的PBD变得至关重要。在本文中,我们提出通过一种新的分层HAR-PBD架构将人类活动识别(HAR)与PBD集成在一起,该架构包括图卷积和长短期记忆(GC-LSTM)网络,并使用类平衡的焦点类别交叉熵(CFCC)损失来缓解类不平衡。通过使用CP患者数据集对该方法进行深入评估,我们发现HAR,GC-LSTM网络和CFCC损失的利用导致PBD性能相对于基线明显增加(宏观F1评分为0.81 vs. 0.66,精确召回曲线下面积(PR-AUC)为0.60 vs. 0.44)。最后,我们讨论了CP管理及其他方面的分层架构的可能用例。我们还讨论了目前的局限性和前进的道路。
英文摘要:
Protective behavior exhibited by people with chronic pain (CP) during physical activities is the key to understanding their physical and emotional states. Existing automatic protective behavior detection (PBD) methods rely on pre-segmentation of activities predefined by users. However, in real life, people perform activities casually. Therefore, where those activities present difficulties for people with chronic pain, technology-enabled support should be delivered continuously and automatically adapted to activity type and occurrence of protective behavior. Hence, to facilitate ubiquitous CP management, it becomes critical to enable accurate PBD over continuous data. In this paper, we propose to integrate human activity recognition (HAR) with PBD via a novel hierarchical HAR-PBD architecture comprising graph-convolution and long short-term memory (GC-LSTM) networks, and alleviate class imbalances using a class-balanced focal categorical-cross-entropy (CFCC) loss. Through in-depth evaluation of the approach using a CP patients' dataset, we show that the leveraging of HAR, GC-LSTM networks, and CFCC loss leads to clear increase in PBD performance against the baseline (macro F1 score of 0.81 vs. 0.66 and precision-recall area-under-the-curve (PR-AUC) of 0.60 vs. 0.44). We conclude by discussing possible use cases of the hierarchical architecture in CP management and beyond. We also discuss current limitations and ways forward.
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organization= The University of New South Wales , city= Sydney , country= Australia;organization= The University of New South Wales \& CSIRO , city= Sydney , country= Australia
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ShanghaiTech University(上海科技大学);Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences(中国科学院上海微系统与信息技术研究所);University of Chinese Academy of Sciences(中国科学院大学)