BackgroundA primary variant of social media, online support groups (OSG) extend beyond the standard definition to incorporate a dimension of advice, support and guidance for patients. OSG are complementary, yet significant adjunct to patient journeys. Machine learning and natural language processing techniques can be applied to these large volumes of unstructured text discussions accumulated in OSG for intelligent extraction of patient-reported demographics, behaviours, decisions, treatment, side effects and expressions of emotions. New insights from the fusion and synthesis of such diverse patient-reported information, as expressed throughout the patient journey from diagnosis to treatment and recovery, can contribute towards informed decision-making on personalized healthcare delivery and the development of healthcare policy guidelines.Methods and findingsWe have designed and developed an artificial intelligence based analytics framework using machine learning and natural language processing techniques for intelligent analysis and automated aggregation of patient information and interaction trajectories in online support groups. Alongside the social interactions aspect, patient behaviours, decisions, demographics, clinical factors, emotions, as subsequently expressed over time, are extracted and analysed. More specifically, we utilised this platform to investigate the impact of online social influences on the intimate decision scenario of selecting a treatment type, recovery after treatment, side effects and emotions expressed over time, using prostate cancer as a model. Results manifest the three major decision-making behaviours among patients, Paternalistic group, Autonomous group and Shared group. Furthermore, each group demonstrated diverse behaviours in post-decision discussions on clinical outcomes, advice and expressions of emotion during the twelve months following treatment. Over time, the transition of patients from information and emotional support seeking behaviours to providers of information and emotional support to other patients was also observed.ConclusionsFindings from this study are a rigorous indication of the expectations of social media empowered patients, their potential for individualised decision-making, clinical and emotional needs. The increasing popularity of OSG further confirms that it is timely for clinicians to consider patient voices as expressed in OSG. We have successfully demonstrated that the proposed platform can be utilised to investigate, analyse and derive actionable insights from patient-reported information on prostate cancer, in support of patient focused healthcare delivery. The platform can be extended and applied just as effectively to any other medical condition.

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Mental health issues are at the forefront of healthcare challenges facing contemporary human society. These issues are most prevalent among working-age people, impacting negatively on the individual, his/her family, workplace, community, and the economy. Conventional mental healthcare services, although highly effective, cannot be scaled up to address the increasing demand from affected individuals, as evidenced in the first two years of the COVID-19 pandemic. Conversational agents, or chatbots, are a recent technological innovation that has been successfully adapted for mental healthcare as a scalable platform of cross-platform smartphone applications that provides first-level support for such individuals. Despite this disposition, mental health chatbots in the extant literature and practice are limited in terms of the therapy provided and the level of personalisation. For instance, most chatbots extend Cognitive Behavioural Therapy (CBT) into predefined conversational pathways that are generic and ineffective in recurrent use. In this paper, we postulate that Behavioural Activation (BA) therapy and Artificial Intelligence (AI) are more effectively materialised in a chatbot setting to provide recurrent emotional support, personalised assistance, and remote mental health monitoring. We present the design and development of our BA-based AI chatbot, followed by its participatory evaluation in a pilot study setting that confirmed its effectiveness in providing support for individuals with mental health issues.

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Rapid urbanization across the world has led to an exponential increase in demand for utilities, electricity, gas and water. The building infrastructure sector is one of the largest global consumers of electricity and thereby one of the largest emitters of greenhouse gas emissions. Reducing building energy consumption directly contributes to achieving energy sustainability, emissions reduction, and addressing the challenges of a warming planet, while also supporting the rapid urbanization of human society. Energy Conservation Measures (ECM) that are digitalized using advanced sensor technologies are a formal approach that is widely adopted to reduce the energy consumption of building infrastructure. Measurement and Verification (M&V) protocols are a repeatable and transparent methodology to evaluate and formally report on energy savings. As savings cannot be directly measured, they are determined by comparing pre-retrofit and post-retrofit usage of an ECM initiative. Given the computational nature of M&V, artificial intelligence (AI) algorithms can be leveraged to improve the accuracy, efficiency, and consistency of M&V protocols. However, AI has been limited to a singular performance metric based on default parameters in recent M&V research. In this paper, we address this gap by proposing a comprehensive AI approach for M&V protocols in energy-efficient infrastructure. The novelty of the framework lies in its use of all relevant data (pre and post-ECM) to build robust and explainable predictive AI models for energy savings estimation. The framework was implemented and evaluated in a multi-campus tertiary education institution setting, comprising 200 buildings of diverse sensor technologies and operational functions. The results of this empirical evaluation confirm the validity and contribution of the proposed framework for robust and explainable M&V for energy-efficient building infrastructure and net zero carbon emissions.