Anna Ortiz Guitart

Aditya Rastogi, Juan Francisco Garamendi, Ana Fernández del Río et al.

Artificial Intelligence and digital health have the potential to transform global health. However, having access to representative data to test and validate algorithms in realistic production environments is essential. We introduce HealthSyn, an open-source synthetic data generator of user behavior for testing reinforcement learning algorithms in the context of mobile health interventions. The generator utilizes Markov processes to generate diverse user actions, with individual user behavioral patterns that can change in reaction to personalized interventions (i.e., reminders, recommendations, and incentives). These actions are translated into actual logs using an ML-purposed data schema specific to the mobile health application functionality included with HealthKit, and open-source SDK. The logs can be fed to pipelines to obtain user metrics. The generated data, which is based on real-world behaviors and simulation techniques, can be used to develop, test, and evaluate, both ML algorithms in research and end-to-end operational RL-based intervention delivery frameworks.

Jennifer Chien, Anna Guitart, Ana Fernandez del Rio et al.

Mobile health apps provide a unique means of collecting data that can be used to deliver adaptive interventions.The predicted outcomes considerably influence the selection of such interventions. Recourse via counterfactuals provides tangible mechanisms to modify user predictions. By identifying plausible actions that increase the likelihood of a desired prediction, stakeholders are afforded agency over their predictions. Furthermore, recourse mechanisms enable counterfactual reasoning that can help provide insights into candidates for causal interventional features. We demonstrate the feasibility of GAN-generated recourse for mobile health applications on ensemble-survival-analysis-based prediction of medium-term engagement in the Safe Delivery App, a digital training tool for skilled birth attendants.

Anna Guitart, Afsaneh Heydari, Eniola Olaleye et al.

Maternal and child mortality is a public health problem that disproportionately affects low- and middle-income countries. Every day, 800 women and 6,700 newborns die from complications related to pregnancy or childbirth. And for every maternal death, about 20 women suffer serious birth injuries. However, nearly all of these deaths and negative health outcomes are preventable. Midwives are key to revert this situation, and thus it is essential to strengthen their capacities and the quality of their education. This is the aim of the Safe Delivery App, a digital job aid and learning tool to enhance the knowledge, confidence and skills of health practitioners. Here, we use the behavioral logs of the App to implement a recommendation system that presents each midwife with suitable contents to continue gaining expertise. We focus on predicting the click-through rate, the probability that a given user will click on a recommended content. We evaluate four deep learning models and show that all of them produce highly accurate predictions.

Anna Guitart, Ana Fernández del Río, África Periáñez et al.

Every day, 800 women and 6,700 newborns die from complications related to pregnancy or childbirth. A well-trained midwife can prevent most of these maternal and newborn deaths. Data science models together with logs generated by users of online learning applications for midwives can help to improve their learning competencies. The goal is to use these rich behavioral data to push digital learning towards personalized content and to provide an adaptive learning journey. In this work, we evaluate various forecasting methods to determine the interest of future users on the different kind of contents available in the app, broken down by profession and region.