Predicting health outcomes with intensive longitudinal data collected by mobile health devices: a functional principal component regression approach.

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2024-03

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Abstract

Background

Intensive longitudinal data (ILD) collected in near real time by mobile health devices provide a new opportunity for monitoring chronic diseases, early disease risk prediction, and disease prevention in health research. Functional data analysis, specifically functional principal component analysis, has great potential to abstract trends in ILD but has not been used extensively in mobile health research.

Objective

To introduce functional principal component analysis (fPCA) and demonstrate its potential applicability in estimating trends in ILD collected by mobile heath devices, assessing longitudinal association between ILD and health outcomes, and predicting health outcomes.

Methods

fPCA and scalar-to-function regression models were reviewed. A case study was used to illustrate the process of abstracting trends in intensively self-measured blood glucose using functional principal component analysis and then predicting future HbA1c values in patients with type 2 diabetes using a scalar-to-function regression model.

Results

Based on the scalar-to-function regression model results, there was a slightly increasing trend between daily blood glucose measures and HbA1c. 61% of variation in HbA1c could be predicted by the three preceding months' blood glucose values measured before breakfast (P < 0.0001, [Formula: see text]).

Conclusions

Functional data analysis, specifically fPCA, offers a unique tool to capture patterns in ILD collected by mobile health devices. It is particularly useful in assessing longitudinal dynamic association between repeated measures and outcomes, and can be easily integrated in prediction models to improve prediction precision.

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Published Version (Please cite this version)

10.1186/s12874-024-02193-7

Publication Info

Yang, Qing, Meilin Jiang, Cai Li, Sheng Luo, Matthew J Crowley and Ryan J Shaw (2024). Predicting health outcomes with intensive longitudinal data collected by mobile health devices: a functional principal component regression approach. BMC medical research methodology, 24(1). p. 69. 10.1186/s12874-024-02193-7 Retrieved from https://hdl.handle.net/10161/30417.

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Scholars@Duke

Yang

Qing Yang

Associate Research Professor in the School of Nursing

Dr. Qing Yang is Associate Professor and Biostatistician at Duke School of Nursing. She received her PhD in Biostatistics from University of California, Los Angeles. Dr. Yang’s statistical expertise is longitudinal data analysis and time-to-event data analysis. As a biostatistician, she has extensive experience collaborating with researchers in different therapeutic areas, including diabetes, cancer, cardiovascular disease and mental health. Her current research interests are advanced latent variable models that are widely used in symptom cluster research and intensive longitudinal data analysis that arise from mobile health research.

Luo

Sheng Luo

Professor of Biostatistics & Bioinformatics

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