Big Data Analytics in Healthcare: Design and Implementation for a Hearing Aid Case Study

Modern hearing aids (HAs) are not simple passive sound enhancers, but rather complex devices that can log (via smart-phones) multivariate real-time data from the acoustic environment of a user. In the EVOTION project (www.h2020evotion.eu) such hearing aids are integrated with a Big Data analytics (BDA) platform to bring about ecologically valid evidence for policy-making within the hearing healthcare sector. Here, we present the background of the BDA platform and a concrete case study of how longitudinally sampled data from HAs can 1) support hypotheses about HA usage prognosis, and 2) bring new knowledge of how HAs are used across a typical day. In five participants, we found that the hourly HA usage was negatively associated with both the mean and the variance of the signal-to-noise ratio, and that increases in the daily total HA usage were associated with higher and more diverse sound levels.

[1]  Carlo Curino,et al.  Apache Hadoop YARN: yet another resource negotiator , 2013, SoCC.

[2]  Paul Mitchell,et al.  Incidence and predictors of hearing aid use and ownership among older adults with hearing loss. , 2011, Annals of epidemiology.

[3]  Tom White,et al.  Hadoop: The Definitive Guide , 2009 .

[4]  Z. Obermeyer,et al.  Predicting the Future - Big Data, Machine Learning, and Clinical Medicine. , 2016, The New England journal of medicine.

[5]  D. Bates,et al.  Fitting Linear Mixed-Effects Models Using lme4 , 2014, 1406.5823.

[6]  John P. A. Ioannidis,et al.  Big data meets public health , 2014, Science.

[7]  Johannes Peltola,et al.  Activity classification using realistic data from wearable sensors , 2006, IEEE Transactions on Information Technology in Biomedicine.

[8]  Ameet Talwalkar,et al.  MLlib: Machine Learning in Apache Spark , 2015, J. Mach. Learn. Res..

[9]  Michael A Stone,et al.  Application of Data Mining to a Large Hearing-Aid Manufacturer’s Dataset to Identify Possible Benefits for Clinicians, Manufacturers, and Users , 2018, Trends in hearing.

[10]  Yu-Hsiang Wu,et al.  Construct Validity of the Ecological Momentary Assessment in Audiology Research. , 2015, Journal of the American Academy of Audiology.

[11]  Graham Naylor,et al.  Patterns of hearing aid usage predict hearing aid use amount (data logged and self-reported) and overreport. , 2014, Journal of the American Academy of Audiology.

[12]  P. Kitterick,et al.  Hearing aids for mild to moderate hearing loss in adults. , 2017, The Cochrane database of systematic reviews.

[13]  A. Laplante-Lévesque,et al.  Factors influencing rehabilitation decisions of adults with acquired hearing impairment , 2010, International journal of audiology.

[14]  Tom Fawcett,et al.  Data Science and its Relationship to Big Data and Data-Driven Decision Making , 2013, Big Data.

[15]  Barrie A. Edmonds,et al.  A Systematic Review of Studies Measuring and Reporting Hearing Aid Usage in Older Adults since 1999: A Descriptive Summary of Measurement Tools , 2012, PloS one.

[16]  Jakob Eg Larsen,et al.  Hearables in hearing care: discovering usage patterns through IoT devices , 2018, HCI.

[17]  Zheng Shao,et al.  Hive - a petabyte scale data warehouse using Hadoop , 2010, 2010 IEEE 26th International Conference on Data Engineering (ICDE 2010).

[18]  Awais Ahmad,et al.  Hadoop-Based Intelligent Care System (HICS) , 2017, ACM Trans. Internet Techn..

[19]  Helen Henshaw,et al.  Auditory training can improve working memory, attention, and communication in adverse conditions for adults with hearing loss , 2015, Front. Psychol..

[20]  Heather Fortnum,et al.  Why do people fitted with hearing aids not wear them? , 2013, International journal of audiology.

[21]  T. Murdoch,et al.  The inevitable application of big data to health care. , 2013, JAMA.

[22]  Reynold Xin,et al.  Apache Spark , 2016 .

[23]  J. Fox,et al.  Applied Regression Analysis and Generalized Linear Models , 2008 .

[24]  Michael A Stone,et al.  Application of Data Mining to “Big Data” Acquired in Audiology: Principles and Potential , 2018, Trends in hearing.

[25]  Blake S Wilson,et al.  Global hearing health care: new findings and perspectives , 2017, The Lancet.

[26]  Niels Henrik Pontoppidan,et al.  Clinical validation of a public health policy-making platform for hearing loss (EVOTION): protocol for a big data study , 2018, BMJ Open.

[27]  B. Olusanya,et al.  The global burden of disabling hearing impairment: a call to action. , 2014, Bulletin of the World Health Organization.

[28]  R. Brownson,et al.  Understanding evidence-based public health policy. , 2009, American journal of public health.

[29]  Alex Holmes Hadoop in Practice , 2012 .

[30]  D. Bates,et al.  Big data in health care: using analytics to identify and manage high-risk and high-cost patients. , 2014, Health affairs.

[31]  Frieder R. Lang,et al.  Hearing Aid Use in Everyday Life: Managing Contextual Variability , 2014, Gerontology.

[32]  Viju Raghupathi,et al.  Big data analytics in healthcare: promise and potential , 2014, Health Information Science and Systems.

[33]  Rahul Krishnan Pathinarupothi,et al.  IoT-Based Smart Edge for Global Health: Remote Monitoring With Severity Detection and Alerts Transmission , 2019, IEEE Internet of Things Journal.

[34]  Jess Hemerly,et al.  Public Policy Considerations for Data-Driven Innovation , 2013, Computer.