TY - JOUR A1 - Unnikrishnan, Vishnu A1 - Schleicher, Miro A1 - Shah, Yash A1 - Jamaludeen, Noor A1 - Pryss, Ruediger A1 - Schobel, Johannes A1 - Kraft, Robin A1 - Schlee, Winfried A1 - Spiliopoulou, Myra T1 - The effect of non-personalised tips on the continued use of self-monitoring mHealth applications JF - Brain Sciences N2 - Chronic tinnitus, the perception of a phantom sound in the absence of corresponding stimulus, is a condition known to affect patients' quality of life. Recent advances in mHealth have enabled patients to maintain a ‘disease journal’ of ecologically-valid momentary assessments, improving patients' own awareness of their disease while also providing clinicians valuable data for research. In this study, we investigate the effect of non-personalised tips on patients' perception of tinnitus, and on their continued use of the application. The data collected from the study involved three groups of patients that used the app for 16 weeks. Groups A & Y were exposed to feedback from the start of the study, while group B only received tips for the second half of the study. Groups A and Y were run by different supervisors and also differed in the number of hospital visits during the study. Users of Group A and B underwent assessment at baseline, mid-study, post-study and follow-up, while users of group Y were only assessed at baseline and post-study. It is seen that the users in group B use the app for longer, and also more often during the day. The answers of the users to the Ecological Momentary Assessments are seen to form clusters where the degree to which the tinnitus distress depends on tinnitus loudness varies. Additionally, cluster-level models were able to predict new unseen data with better accuracy than a single global model. This strengthens the argument that the discovered clusters really do reflect underlying patterns in disease expression. KW - tinnitus KW - ecological momentary assessments KW - physician feedback KW - mHealth KW - self-monitoring KW - non-personalised tips Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-219435 SN - 2076-3425 VL - 10 IS - 12 ER - TY - JOUR A1 - Schobel, Johannes A1 - Probst, Thomas A1 - Reichert, Manfred A1 - Schlee, Winfried A1 - Schickler, Marc A1 - Kestler, Hans A. A1 - Pryss, Rüdiger T1 - Measuring mental effort for creating mobile data collection applications JF - International Journal of Environmental Research and Public Health N2 - To deal with drawbacks of paper-based data collection procedures, the QuestionSys approach empowers researchers with none or little programming knowledge to flexibly configure mobile data collection applications on demand. The mobile application approach of QuestionSys mainly pursues the goal to mitigate existing drawbacks of paper-based collection procedures in mHealth scenarios. Importantly, researchers shall be enabled to gather data in an efficient way. To evaluate the applicability of QuestionSys, several studies have been carried out to measure the efforts when using the framework in practice. In this work, the results of a study that investigated psychological insights on the required mental effort to configure the mobile applications are presented. Specifically, the mental effort for creating data collection instruments is validated in a study with N=80 participants across two sessions. Thereby, participants were categorized into novices and experts based on prior knowledge on process modeling, which is a fundamental pillar of the developed approach. Each participant modeled 10 instruments during the course of the study, while concurrently several performance measures are assessed (e.g., time needed or errors). The results of these measures are then compared to the self-reported mental effort with respect to the tasks that had to be modeled. On one hand, the obtained results reveal a strong correlation between mental effort and performance measures. On the other, the self-reported mental effort decreased significantly over the course of the study, and therefore had a positive impact on measured performance metrics. Altogether, this study indicates that novices with no prior knowledge gain enough experience over the short amount of time to successfully model data collection instruments on their own. Therefore, QuestionSys is a helpful instrument to properly deal with large-scale data collection scenarios like clinical trials. KW - data collection KW - smart mobile devices KW - end-user programming KW - mental effort KW - usability study Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-203176 SN - 1660-4601 VL - 17 IS - 5 ER - TY - JOUR A1 - Kraft, Robin A1 - Birk, Ferdinand A1 - Reichert, Manfred A1 - Deshpande, Aniruddha A1 - Schlee, Winfried A1 - Langguth, Berthold A1 - Baumeister, Harald A1 - Probst, Thomas A1 - Spiliopoulou, Myra A1 - Pryss, Rüdiger T1 - Efficient processing of geospatial mHealth data using a scalable crowdsensing platform JF - Sensors N2 - Smart sensors and smartphones are becoming increasingly prevalent. Both can be used to gather environmental data (e.g., noise). Importantly, these devices can be connected to each other as well as to the Internet to collect large amounts of sensor data, which leads to many new opportunities. In particular, mobile crowdsensing techniques can be used to capture phenomena of common interest. Especially valuable insights can be gained if the collected data are additionally related to the time and place of the measurements. However, many technical solutions still use monolithic backends that are not capable of processing crowdsensing data in a flexible, efficient, and scalable manner. In this work, an architectural design was conceived with the goal to manage geospatial data in challenging crowdsensing healthcare scenarios. It will be shown how the proposed approach can be used to provide users with an interactive map of environmental noise, allowing tinnitus patients and other health-conscious people to avoid locations with harmful sound levels. Technically, the shown approach combines cloud-native applications with Big Data and stream processing concepts. In general, the presented architectural design shall serve as a foundation to implement practical and scalable crowdsensing platforms for various healthcare scenarios beyond the addressed use case. KW - mHealth KW - crowdsensing KW - tinnitus KW - geospatial data KW - cloud-native KW - stream processing KW - scalability KW - architectural design Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-207826 SN - 1424-8220 VL - 20 IS - 12 ER - TY - JOUR A1 - Mehdi, Muntazir A1 - Dode, Albi A1 - Pryss, Rüdiger A1 - Schlee, Winfried A1 - Reichert, Manfred A1 - Hauck, Franz J. T1 - Contemporary review of smartphone apps for tinnitus management and treatment JF - Brain Sciences N2 - Tinnitus is a complex and heterogeneous psycho-physiological disorder responsible for causing a phantom ringing or buzzing sound albeit the absence of an external sound source. It has a direct influence on affecting the quality of life of its sufferers. Despite being around for a while, there has not been a cure for tinnitus, and the usual course of action for its treatment involves use of tinnitus retaining and sound therapy, or Cognitive Behavioral Therapy (CBT). One positive aspect about these therapies is that they can be administered face-to-face as well as delivered via internet or smartphone. Smartphones are especially helpful as they are highly personalized devices, and offer a well-established ecosystem of apps, accessible via respective marketplaces of differing mobile platforms. Note that current therapeutic treatments such as CBT have shown to be effective in suppressing the tinnitus symptoms when administered face-to-face, their effectiveness when being delivered using smartphones is not known so far. A quick search on the prominent market places of popular mobile platforms (Android and iOS) yielded roughly 250 smartphone apps offering tinnitus-related therapies and tinnitus management. As this number is expected to steadily increase due to high interest in smartphone app development, a contemporary review of such apps is crucial. In this paper, we aim to review scientific studies validating the smartphone apps, particularly to test their effectiveness in tinnitus management and treatment. We use the PRISMA guidelines for identification of studies on major scientific literature sources and delineate the outcomes of identified studies. KW - mobile health KW - healthcare KW - mobile apps KW - tinnitus therapy KW - cbt KW - self help KW - tinnitus research Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-219367 SN - 2076-3425 VL - 10 IS - 11 ER - TY - JOUR A1 - Kraft, Robin A1 - Schlee, Winfried A1 - Stach, Michael A1 - Reichert, Manfred A1 - Langguth, Berthold A1 - Baumeister, Harald A1 - Probst, Thomas A1 - Hannemann, Ronny A1 - Pryss, Rüdiger T1 - Combining Mobile Crowdsensing and Ecological Momentary Assessments in the Healthcare Domain JF - Frontiers in Neuroscience N2 - The increasing prevalence of smart mobile devices (e.g., smartphones) enables the combined use of mobile crowdsensing (MCS) and ecological momentary assessments (EMA) in the healthcare domain. By correlating qualitative longitudinal and ecologically valid EMA assessment data sets with sensor measurements in mobile apps, new valuable insights about patients (e.g., humans who suffer from chronic diseases) can be gained. However, there are numerous conceptual, architectural and technical, as well as legal challenges when implementing a respective software solution. Therefore, the work at hand (1) identifies these challenges, (2) derives respective recommendations, and (3) proposes a reference architecture for a MCS-EMA-platform addressing the defined recommendations. The required insights to propose the reference architecture were gained in several large-scale mHealth crowdsensing studies running for many years and different healthcare questions. To mention only two examples, we are running crowdsensing studies on questions for the tinnitus chronic disorder or psychological stress. We consider the proposed reference architecture and the identified challenges and recommendations as a contribution in two respects. First, they enable other researchers to align our practical studies with a baseline setting that can satisfy the variously revealed insights. Second, they are a proper basis to better compare data that was gathered using MCS and EMA. In addition, the combined use of MCS and EMA increasingly requires suitable architectures and associated digital solutions for the healthcare domain. KW - mobile crowdsensing (MCS) KW - crowdsourcing KW - ecological momentary assessments (EMA) KW - mobile healthcare application KW - chronic disorders KW - reference architecture Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-200220 SN - 1662-453X VL - 14 IS - 164 ER - TY - JOUR A1 - Pryss, Rüdiger A1 - Schlee, Winfried A1 - Hoppenstedt, Burkhard A1 - Reichert, Manfred A1 - Spiliopoulou, Myra A1 - Langguth, Berthold A1 - Breitmayer, Marius A1 - Probst, Thomas T1 - Applying Machine Learning to Daily-Life Data From the TrackYourTinnitus Mobile Health Crowdsensing Platform to Predict the Mobile Operating System Used With High Accuracy: Longitudinal Observational Study JF - Journal of Medical Internet Research N2 - Background: Tinnitus is often described as the phantom perception of a sound and is experienced by 5.1% to 42.7% of the population worldwide, at least once during their lifetime. The symptoms often reduce the patient's quality of life. The TrackYourTinnitus (TYT) mobile health (mHealth) crowdsensing platform was developed for two operating systems (OS)-Android and iOS-to help patients demystify the daily moment-to-moment variations of their tinnitus symptoms. In all platforms developed for more than one OS, it is important to investigate whether the crowdsensed data predicts the OS that was used in order to understand the degree to which the OS is a confounder that is necessary to consider. KW - crowdsensing KW - ecological momentary assessment KW - mHealth KW - machine learning KW - mobile operating system differences KW - tinnitus KW - mobile phone Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-229517 VL - 22 IS - 6 ER -