Identifying Early Dehydration Risk With Home-Based Sensors During Radiation Treatment: A Feasibility Study on Patients With Head and Neck Cancer

Peterson, Susan K.; Shinn, Eileen H.; Basen-Engquist, Karen; Demark‐Wahnefried, Wendy; Prokhorov, Alexander V.; Baru, Chaitanya; Krueger, Ingolf; Farcas, Emilia; Rios, Philip; Garden, Adam S.; Beadle, Beth M.; Lin, Kai; Yan, Yan; Martch, Stephanie L.; Patrick, Kevin

doi:10.1093/jncimonographs/lgt016

“…Historically, survival of adult amphibians has been thought to influence population dynamics less than recruitment, although recent empirical and theoretical studies have challenged this idea [ 48 ], [ 50 ], [ 53 ]. In many amphibian populations, survival of adults can remain relatively constant over time or can vary with habitat quality [ 50 ], [ 58 – 59 ]; few studies have explored relationships between adult survival and hydrologic conditions. In colder climates, survival often decreases as winter severity increases [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Hydrologic Variability Governs Population Dynamics of a Vulnerable Amphibian in an Arid Environment

Zylstra

¹

,

Steidl

²

,

Swann³

et al. 2015

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Dynamics of many amphibian populations are governed by the distribution and availability of water. Therefore, understanding the hydrological mechanisms that explain spatial and temporal variation in occupancy and abundance will improve our ability to conserve and recover populations of vulnerable amphibians. We used 16 years of survey data from intermittent mountain streams in the Sonoran Desert to evaluate how availability of surface water affected survival and adult recruitment of a threatened amphibian, the lowland leopard frog (Lithobates yavapaiensis). Across the entire study period, monthly survival of adults ranged from 0.72 to 0.99 during summer and 0.59 to 0.94 during winter and increased with availability of surface water (Z = 7.66; P < 0.01). Recruitment of frogs into the adult age class occurred primarily during winter and ranged from 1.9 to 3.8 individuals/season/pool; like survival, recruitment increased with availability of surface water (Z = 3.67; P < 0.01). Although abundance of frogs varied across seasons and years, we found no evidence of a systematic trend during the 16-year study period. Given the strong influence of surface water on population dynamics of leopard frogs, conservation of many riparian obligates in this and similar arid regions likely depends critically on minimizing threats to structures and ecosystem processes that maintain surface waters. Understanding the influence of surface-water availability on riparian organisms is particularly important because climate change is likely to decrease precipitation and increase ambient temperatures in desert riparian systems, both of which have the potential to alter fundamentally the hydrology of these systems.

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“…Ecological validity of cancer interventions can be improved by tailoring health assessment "in-the-moment" when and where it is most needed [51]. Integrating mobile and sensor technology may overcome limitations and constraints in their ability to objectively and accurately evaluate important outcomes that impact cancer prevention and treatment regi mens, and to provide meaningful health interventions at the most appropriate time [52,53]. Secondary use.…”

Section: Focus Area 2: Pghd For Patient Cancer Decision-makingmentioning

confidence: 99%

Added Value from Secondary Use of Person Generated Health Data in Consumer Health Informatics

Hsueh¹,

Cheung²,

Dey³

et al. 2017

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Summary Introduction: Various health-related data, subsequently called Person Generated Health Data (PGHD), is being collected by patients or presumably healthy individuals as well as about them as much as they become available as measurable properties in their work, home, and other environments. Despite that such data was originally just collected and used for dedicated predefined purposes, more recently it is regarded as untapped resources that call for secondary use. Method: Since the secondary use of PGHD is still at its early evolving stage, we have chosen, in this paper, to produce an outline of best practices, as opposed to a systematic review. To this end, we identified key directions of secondary use and invited protagonists of each of these directions to present their takes on the primary and secondary use of PGHD in their sub-fields. We then put secondary use in a wider perspective of overarching themes such as privacy, interpretability, interoperability, utility, and ethics. Results: We present the primary and secondary use of PGHD in four focus areas: (1) making sense of PGHD in augmented Shared Care Plans for care coordination across multiple conditions; (2) making sense of PGHD from patient-held sensors to inform cancer care; (3) fitting situational use of PGHD to evaluate personal informatics tools in adaptive concurrent trials; (4) making sense of environment risk exposure data in an integrated context with clinical and omics-data for biomedical research. Discussion: Fast technological progress in all the four focus areas calls for a societal debate and decision-making process on a multitude of challenges: how emerging or foreseeable results transform privacy; how new data modalities can be interpreted in light of clinical data and vice versa; how the sheer mass and partially abstract mathematical properties of the achieved insights can be interpreted to a broad public and can consequently facilitate the development of patient-centered services; and how the remaining risks and uncertainties can be evaluated against new benefits. This paper is an initial summary of the status quo of the challenges and proposals that address these issues. The opportunities and barriers identified can serve as action items individuals can bring to their organizations when facing challenges to add value from the secondary use of patient-generated health data.

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“…Ecological validity of cancer interventions can be improved by tailoring health assessment "in-the-moment" when and where it is most needed [51]. Integrating mobile and sensor technology may overcome limitations and constraints in their ability to objectively and accurately evaluate important outcomes that impact cancer prevention and treatment regi mens, and to provide meaningful health interventions at the most appropriate time [52,53].…”

Section: Focus Area 2: Pghd For Patient Cancer Decision-makingmentioning

confidence: 99%

“…For example, PGHD analysis focused on identifying emotional distress has facilitated the identification of persons in need for mental health care, assistance, and support [55]. Mobile technology applications that enable patients to identify and report symptoms or adverse effects from treatment between routine clinic visits may improve adherence to their care plans [53]. Systems that enable the collection of PGHD during cancer care can improve clinical decision-making and enhance patient engagement in their care [52,53].…”

Section: Focus Area 2: Pghd For Patient Cancer Decision-makingmentioning

confidence: 99%

“…Mobile technology applications that enable patients to identify and report symptoms or adverse effects from treatment between routine clinic visits may improve adherence to their care plans [53]. Systems that enable the collection of PGHD during cancer care can improve clinical decision-making and enhance patient engagement in their care [52,53]. Despite increasing prevalence of sensors and mobile applications directed at improving health and psychosocial well being, there are relatively limited data on their optimal use for improving PGHD data collection and intervention delivery in cancer [56] …”

Section: Focus Area 2: Pghd For Patient Cancer Decision-makingmentioning

confidence: 99%

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Added Value from Secondary Use of Person Generated Health Data in Consumer Health Informatics

Hsueh¹,

Cheung²,

Dey³

et al. 2017

View full text Add to dashboard Cite

Summary Introduction: Various health-related data, subsequently called Person Generated Health Data (PGHD), is being collected by patients or presumably healthy individuals as well as about them as much as they become available as measurable properties in their work, home, and other environments. Despite that such data was originally just collected and used for dedicated predefined purposes, more recently it is regarded as untapped resources that call for secondary use. Method: Since the secondary use of PGHD is still at its early evolving stage, we have chosen, in this paper, to produce an outline of best practices, as opposed to a systematic review. To this end, we identified key directions of secondary use and invited protagonists of each of these directions to present their takes on the primary and secondary use of PGHD in their sub-fields. We then put secondary use in a wider perspective of overarching themes such as privacy, interpretability, interoperability, utility, and ethics. Results: We present the primary and secondary use of PGHD in four focus areas: (1) making sense of PGHD in augmented Shared Care Plans for care coordination across multiple conditions; (2) making sense of PGHD from patient-held sensors to inform cancer care; (3) fitting situational use of PGHD to evaluate personal informatics tools in adaptive concurrent trials; (4) making sense of environment risk exposure data in an integrated context with clinical and omics-data for biomedical research. Discussion: Fast technological progress in all the four focus areas calls for a societal debate and decision-making process on a multitude of challenges: how emerging or foreseeable results transform privacy; how new data modalities can be interpreted in light of clinical data and vice versa; how the sheer mass and partially abstract mathematical properties of the achieved insights can be interpreted to a broad public and can consequently facilitate the development of patient-centered services; and how the remaining risks and uncertainties can be evaluated against new benefits. This paper is an initial summary of the status quo of the challenges and proposals that address these issues. The opportunities and barriers identified can serve as action items individuals can bring to their organizations when facing challenges to add value from the secondary use of patient-generated health data.

show abstract

Identifying Early Dehydration Risk With Home-Based Sensors During Radiation Treatment: A Feasibility Study on Patients With Head and Neck Cancer

Cited by 41 publications

References 30 publications

Hydrologic Variability Governs Population Dynamics of a Vulnerable Amphibian in an Arid Environment

Hydrologic Variability Governs Population Dynamics of a Vulnerable Amphibian in an Arid Environment

Added Value from Secondary Use of Person Generated Health Data in Consumer Health Informatics

Added Value from Secondary Use of Person Generated Health Data in Consumer Health Informatics

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