System Identification and Control Systems Engineering Approaches for Optimal and Practical Personalized mHealth Interventions for Physical Activity

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Description
Physical inactivity is a major contributor to chronic illnesses and mortality globally. However, most interventions to address it rely on static, aggregate models that overlook idiographic (i.e., individual-level) dynamics, limiting intervention effectiveness. Leveraging mobile technology and control systems engineering principles,

Physical inactivity is a major contributor to chronic illnesses and mortality globally. However, most interventions to address it rely on static, aggregate models that overlook idiographic (i.e., individual-level) dynamics, limiting intervention effectiveness. Leveraging mobile technology and control systems engineering principles, this dissertation provides a novel, comprehensive framework for personalized behavioral interventions that have been tested experimentally under the Control Optimization Trial (COT) paradigm. Through careful design of experiments, elaborate signal processing and model estimation, and judicious formulation of behavior intervention optimization as a control system problem, this dissertation develops tools to overcome challenges faced in the large-scale dissemination of mobile health (mHealth) interventions. A novel Three-Degrees-of-Freedom Kalman Filter-based Hybrid Model Predictive Control (3DoF-KF HMPC) controller is formulated for physical activity interventions and evaluated in a clinical trial, demonstrating its effectiveness. Furthermore, this dissertation expands on understanding the underlying dynamics influencing behavior change. Engineering principles are applied to develop a conceptual approach to generate dynamic hypotheses and translate these into first-principle dynamic models. The generated models are used in concert with system identification principles to enhance the design of experiments that yield dynamically informative data sets for behavioral medicine applications. Additionally, sophisticated search, filtering, and model estimation algorithms are applied to optimize and personalize model structures and estimate dynamic models that account for nonlinearities and “Just-in-Time” (JIT; moments of need, receptivity, and opportunity) context in behavior change systems. In addition, the pervasive issue of data missingness in interventions is addressed by integrating system identification principles with a Bayesian inference model-based technique for data imputation. The findings in this dissertation extend beyond physical activity, offering insights for promoting healthy behaviors in other applications, such as smoking cessation and weight management. The integration of control systems engineering in behavioral medicine research, as demonstrated in this dissertation, offers broad impacts by advancing the field's understanding of behavior change dynamics, enhancing accessibility to personalized behavioral health interventions, and improving patient outcomes. This research has the potential to radically improve behavioral interventions, increase affordability and accessibility, inspire interdisciplinary collaboration, and provide behavioral scientists with tools capable of addressing societal challenges in mHealth and preventive medicine.
Date Created
2024
Agent

System Identification, State Estimation, And Control Approaches to Gestational Weight Gain Interventions

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Description
Excessive weight gain during pregnancy is a significant public health concern and has been the recent focus of novel, control systems-based interventions. Healthy Mom Zone (HMZ) is an intervention study that aims to develop and validate an individually tailored and

Excessive weight gain during pregnancy is a significant public health concern and has been the recent focus of novel, control systems-based interventions. Healthy Mom Zone (HMZ) is an intervention study that aims to develop and validate an individually tailored and intensively adaptive intervention to manage weight gain for overweight or obese pregnant women using control engineering approaches. Motivated by the needs of the HMZ, this dissertation presents how to use system identification and state estimation techniques to assist in dynamical systems modeling and further enhance the performance of the closed-loop control system for interventions.

Underreporting of energy intake (EI) has been found to be an important consideration that interferes with accurate weight control assessment and the effective use of energy balance (EB) models in an intervention setting. To better understand underreporting, a variety of estimation approaches are developed; these include back-calculating energy intake from a closed-form of the EB model, a Kalman-filter based algorithm for recursive estimation from randomly intermittent measurements in real time, and two semi-physical identification approaches that can parameterize the extent of systematic underreporting with global/local modeling techniques. Each approach is analyzed with intervention participant data and demonstrates potential of promoting the success of weight control.

In addition, substantial efforts have been devoted to develop participant-validated models and incorporate into the Hybrid Model Predictive Control (HMPC) framework for closed-loop interventions. System identification analyses from Phase I led to modifications of the measurement protocols for Phase II, from which longer and more informative data sets were collected. Participant-validated models obtained from Phase II data significantly increase predictive ability for individual behaviors and provide reliable open-loop dynamic information for HMPC implementation. The HMPC algorithm that assigns optimized dosages in response to participant real time intervention outcomes relies on a Mixed Logical Dynamical framework which can address the categorical nature of dosage components, and translates sequential decision rules and other clinical considerations into mixed-integer linear constraints. The performance of the HMPC decision algorithm was tested with participant-validated models, with the results indicating that HMPC is superior to "IF-THEN" decision rules.
Date Created
2018
Agent

Reunification Dynamics and Consensus Decisions in Temnothorax rugatulus

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Description
Social insect colonies adeptly make consensus decisions that emerge from distributed interactions among colony members. How consensus is accomplished when a split decision requires resolution is poorly understood. I studied colony reunification during emigrations of the crevice-dwelling ant Temnothorax rugatulus.

Social insect colonies adeptly make consensus decisions that emerge from distributed interactions among colony members. How consensus is accomplished when a split decision requires resolution is poorly understood. I studied colony reunification during emigrations of the crevice-dwelling ant Temnothorax rugatulus. Colonies can choose the most preferred of several alternative nest cavities, but the colony sometimes initially splits between sites and achieves consensus later via secondary emigrations. I explored the decision rules and the individual-level dynamics that govern reunification using artificially split colonies. When monogynous colonies were evenly divided between identical sites, the location of the queen played a decisive role, with 14 of the 16 colonies reuniting at the site that held the queen. This suggests a group-level strategy for minimizing risk to the queen by avoiding unnecessary moves. When the queen was placed in the less preferred of two sites, all 14 colonies that reunited did so at preferred nest, despite having to move the queen. These results show that colonies balance multiple factors when reaching consensus, and that preferences for physical features of environment can outweigh the queen's influence. I also found that tandem recruitment during reunification is overwhelmingly directed from the preferred nest to the other nest. Furthermore, the followers of these tandem runs had a very low probability (5.7%) of also subsequently conducting transports.
Date Created
2016-12
Agent

A Simulation Model of the Effect of Workplace Structure on Productivity

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Description
Workplace productivity is a result of many factors, and among them is the setup of the office and its resultant noise level. The conversations and interruptions that come along with converting an office to an open plan can foster innovation

Workplace productivity is a result of many factors, and among them is the setup of the office and its resultant noise level. The conversations and interruptions that come along with converting an office to an open plan can foster innovation and creativity, or they can be distracting and harm the performance of employees. Through simulation, the impact of different types of office noise was studied along with other changing conditions such as number of people in the office. When productivity per person, defined in terms of mood and focus, was measured, it was found that the effect of noise was positive in some scenarios and negative in others. In simulations where employees were performing very similar tasks, noise (and its correlates, such as number of employees), was beneficial. On the other hand, when employees were engaged in a variety of different types of tasks, noise had a negative overall effect. This indicates that workplaces that group their employees by common job functions may be more productive than workplaces where the problems and products that employees are working on are varied throughout the workspace.
Date Created
2017-05
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