An AI-based multiphase framework for improving the mechanical ventilation availability in emergency departments during respiratory disease seasons: a case study.

BACKGROUND: Shortages of mechanical ventilation have become a constant problem in Emergency Departments (EDs), thereby affecting the timely deployment of medical interventions that counteract the severe health complications experienced during respiratory disease seasons. It is then necessary to count on agile and robust methodological approaches predicting the expected demand loads to EDs while supporting the timely allocation of ventilators. In this paper, we propose an integration of Artificial Intelligence (AI) and Discrete-event Simulation (DES) to design effective interventions ensuring the high availability of ventilators for patients needing these devices. METHODS: First, we applied Random Forest (RF) to estimate the mechanical ventilation probability of respiratory-affected patients entering the emergency wards. Second, we introduced the RF predictions into a DES model to diagnose the response of EDs in terms of mechanical ventilator availability. Lately, we pretested two different interventions suggested by decision-makers to address the scarcity of this resource. A case study in a European hospital group was used to validate the proposed methodology. RESULTS: The number of patients in the training cohort was 734, while the test group comprised 315. The sensitivity of the AI model was 93.08% (95% confidence interval, [88.46 - 96.26%]), whilst the specificity was 85.45% [77.45 - 91.45%]. On the other hand, the positive and negative predictive values were 91.62% (86.75 - 95.13%) and 87.85% (80.12 - 93.36%). Also, the Receiver Operator Characteristic (ROC) curve plot was 95.00% (89.25 - 100%). Finally, the median waiting time for mechanical ventilation was decreased by 17.48% after implementing a new resource capacity strategy. CONCLUSIONS: Combining AI and DES helps healthcare decision-makers to elucidate interventions shortening the waiting times for mechanical ventilators in EDs during respiratory disease epidemics and pandemics.

Data augmentation for Human Activity Recognition with Generative Adversarial Networks.

Currently, Human Activity Recognition (HAR) applications need a large volume of data to be able to generalize to new users and environments. However, the availability of labeled data is usually limited and the process of recording new data is costly and time-consuming. Synthetically increasing datasets using Generative Adversarial Networks (GANs) has been proposed, outperforming cropping, time-warping, and jittering techniques on raw signals. Incorporating GAN-generated synthetic data into datasets has been demonstrated to improve the accuracy of trained models. Regardless, currently, there is no optimal GAN architecture to generate accelerometry signals, neither a proper evaluation methodology to assess signal quality or accuracy using synthetic data. This work is the first to propose conditional Wasserstein Generative Adversarial Networks (cWGANs) to generate synthetic HAR accelerometry signals. Furthermore, we calculate quality metrics from the literature and study the impact of synthetic data on a large HAR dataset involving 395 users. Results show that i) cWGAN outperforms original Conditional Generative Adversarial Networks (cGANs), being 1D convolutional layers appropriate for generating accelerometry signals, ii) the performance improvement incorporating synthetic data is more significant as the dataset size is smaller, and iii) the quantity of synthetic data required is inversely proportional to the quantity of real data.

Detecting Respiratory Viruses Using a Portable NIR Spectrometer-A Preliminary Exploration with a Data Driven Approach.

Respiratory viruses' detection is vitally important in coping with pandemics such as COVID-19. Conventional methods typically require laboratory-based, high-cost equipment. An emerging alternative method is Near-Infrared (NIR) spectroscopy, especially a portable one of the type that has the benefits of low cost, portability, rapidity, ease of use, and mass deployability in both clinical and field settings. One obstacle to its effective application lies in its common limitations, which include relatively low specificity and general quality. Characteristically, the spectra curves show an interweaving feature for the virus-present and virus-absent samples. This then provokes the idea of using machine learning methods to overcome the difficulty. While a subsequent obstacle coincides with the fact that a direct deployment of the machine learning approaches leads to inadequate accuracy of the modelling results. This paper presents a data-driven study on the detection of two common respiratory viruses, the respiratory syncytial virus (RSV) and the Sendai virus (SEV), using a portable NIR spectrometer supported by a machine learning solution enhanced by an algorithm of variable selection via the Variable Importance in Projection (VIP) scores and its Quantile value, along with variable truncation processing, to overcome the obstacles to a certain extent. We conducted extensive experiments with the aid of the specifically developed algorithm of variable selection, using a total of four datasets, achieving classification accuracy of: (1) 0.88, 0.94, and 0.93 for RSV, SEV, and RSV + SEV, respectively, averaged over multiple runs, for the neural network modelling of taking in turn 3 sessions of data for training and the remaining one session of an 'unknown' dataset for testing. (2) the average accuracy of 0.94 (RSV), 0.97 (SEV), and 0.97 (RSV + SEV) for model validation and 0.90 (RSV), 0.93 (SEV), and 0.91 (RSV + SEV) for model testing, using two of the datasets for model training, one for model validation and the other for model testing. These results demonstrate the feasibility of using portable NIR spectroscopy coupled with machine learning to detect respiratory viruses with good accuracy, and the approach could be a viable solution for population screening.

A multimodal fusion enabled ensemble approach for human activity recognition in smart homes.

How to deal with multi-modality data from different types of devices is a challenging issue for accurate recognition of human activities in a smart environment. In this paper, we propose a multimodal fusion enabled ensemble approach. Firstly, useful features collected from Bluetooth beacons, binary sensors, and smart floor are extracted and presented by fuzzy logic based-method with variable-size temporal windows. Secondly, a group of support vector machine classifiers are used to perform the classification task. Finally, a weighted ensemble method is used to obtain the final prediction. Especially, by applying the geometric framework, we are able to obtain the optimal weights for the ensemble. The proposed approach is evaluated on the UJAmI dataset. The experimental results demonstrate the efficacy and robustness of the proposed method.

Clustering-based fusion for medical information retrieval.

Medicine is a fast-moving field, and the number of medical publications has increased rapidly over recent years. How to find relevant information from this vast pool of research effectively and efficiently has therefore become highly challenges. Previous studies have demonstrated that data fusion can improve search performance if properly utilized. However, in most cases effectiveness is the only concern and efficiency is not considered. A fusion-based system is by nature more complicated and expensive computationally than other retrieval models such as BM25, because many component retrieval systems and an extra layer of fusion are required. The number of component retrieval systems involved is an important indicator of complexity of the fusion-based system. We aim to select the optimal k-subset of component retrieval systems for any given number k, to optimize both fusion performance and reduce the cost of data fusion. A clustering-based approach is proposed. First all the candidates are divided into clusters by the Chameleon clustering algorithm, then representatives from every cluster are chosen by Sequential Forward Selection for fusion. Evaluated with two datasets from TREC, the proposed method performs more effectively than the other baseline methods including the state-of-the-art subset selection method significantly. When either of the two typical fusion methods is used, an improvement rate of over 10% is observed for both measures Mean Average Precision and Recall-level Precision, and an improvement rate of over 5% is observed for both measures Precision at 10 document level and Mean Reciprocal Rank.

Predicting Activity Duration in Smart Sensing Environments Using Synthetic Data and Partial Least Squares Regression: The Case of Dementia Patients.

The accurate recognition of activities is fundamental for following up on the health progress of people with dementia (PwD), thereby supporting subsequent diagnosis and treatments. When monitoring the activities of daily living (ADLs), it is feasible to detect behaviour patterns, parse out the disease evolution, and consequently provide effective and timely assistance. However, this task is affected by uncertainties derived from the differences in smart home configurations and the way in which each person undertakes the ADLs. One adjacent pathway is to train a supervised classification algorithm using large-sized datasets; nonetheless, obtaining real-world data is costly and characterized by a challenging recruiting research process. The resulting activity data is then small and may not capture each person's intrinsic properties. Simulation approaches have risen as an alternative efficient choice, but synthetic data can be significantly dissimilar compared to real data. Hence, this paper proposes the application of Partial Least Squares Regression (PLSR) to approximate the real activity duration of various ADLs based on synthetic observations. First, the real activity duration of each ADL is initially contrasted with the one derived from an intelligent environment simulator. Following this, different PLSR models were evaluated for estimating real activity duration based on synthetic variables. A case study including eight ADLs was considered to validate the proposed approach. The results revealed that simulated and real observations are significantly different in some ADLs (p-value < 0.05), nevertheless synthetic variables can be further modified to predict the real activity duration with high accuracy (R2(pred)>90%).

Rating the Quality of Smartphone Apps Related to Shoulder Pain: Systematic Search and Evaluation Using the Mobile App Rating Scale.

BACKGROUND: The successful rehabilitation of musculoskeletal pain requires more than medical input alone. Conservative treatment, including physiotherapy and exercise therapy, can be an effective way of decreasing pain associated with musculoskeletal pain. However, face-to-face appointments are currently not feasible. New mobile technologies, such as mobile health technologies in the form of an app for smartphones, can be a solution to this problem. In many cases, these apps are not backed by scientific literature. Therefore, it is important that they are reviewed and quality assessed. OBJECTIVE: The aim is to evaluate and measure the quality of apps related to shoulder pain by using the Mobile App Rating Scale. METHODS: This study included 25 free and paid apps-8 from the Apple Store and 17 from the Google Play Store. A total of 5 reviewers were involved in the evaluation process. A descriptive analysis of the Mobile App Rating Scale results provided a general overview of the quality of the apps. RESULTS: Overall, app quality was generally low, with an average star rating of 1.97 out of 5. The best scores were in the "Functionality" and "Aesthetics" sections, and apps were scored poorer in the "Engagement" and "Information" sections. The apps were also rated poorly in the "Subjective Quality" section. CONCLUSIONS: In general, the apps were well built technically and were aesthetically pleasing. However, the apps failed to provide quality information to users, which resulted in a lack of engagement. Most of the apps were not backed by scientific literature (24/25, 96%), and those that contained scientific references were vastly out-of-date. Future apps would need to address these concerns while taking simple measures to ensure quality control.

Modelling mobile-based technology adoption among people with dementia.

The work described in this paper builds upon our previous research on adoption modelling and aims to identify the best subset of features that could offer a better understanding of technology adoption. The current work is based on the analysis and fusion of two datasets that provide detailed information on background, psychosocial, and medical history of the subjects. In the process of modelling adoption, feature selection is carried out followed by empirical analysis to identify the best classification models. With a more detailed set of features including psychosocial and medical history information, the developed adoption model, using kNN algorithm, achieved a prediction accuracy of 99.41% when tested on 173 participants. The second-best algorithm built, using NN, achieved 94.08% accuracy. Both these results have improved accuracy in comparison to the best accuracy achieved (92.48%) in our previous work, based on psychosocial and self-reported health data for the same cohort. It has been found that psychosocial data is better than medical data for predicting technology adoption. However, for the best results, we should use a combination of psychosocial and medical data where it is preferable that the latter is provided from reliable medical sources, rather than self-reported.

An Investigation Into the Use of mHealth in Musculoskeletal Physiotherapy: Scoping Review.

BACKGROUND: Musculoskeletal physiotherapy provides conservative management for a range of conditions. Currently, there is a lack of engagement with exercise programs because of the lack of supervision and low self-efficacy. The use of mobile health (mHealth) interventions could be a possible solution to this problem, helping promote self-management at home. However, there is little evidence for musculoskeletal physiotherapy on the most effective forms of mHealth. OBJECTIVE: The aim of this review is to investigate the literature focusing on the use of mHealth in musculoskeletal physiotherapy and summarize the evidence. METHODS: A scoping review of 6 peer-reviewed databases was conducted in March 2021. No date limits were applied, and only articles written in the English language were selected. A reviewer screened all the articles, followed by 2 additional researchers screening a random sample before data extraction. RESULTS: Of the 1393 studies, 28 (2.01%) were identified. Intervention characteristics comprised stretching and strengthening exercises, primarily for degenerative joint pain and spinal conditions (5/28, 18%). The most reported use of mHealth included telephone and videoconferencing calls to provide a home exercise program or being used as an adjunct to physiotherapy musculoskeletal assessment (14/28, 50%). Although patient satisfaction with mHealth was reported to be high, reasons for disengagement included a lack of high-quality information and poor internet speeds. Barriers to clinical uptake included insufficient training with the intervention and a lack of time to become familiar. CONCLUSIONS: mHealth has some benefits regarding treatment adherence and can potentially be as effective as normal physiotherapy care while being more cost-effective. The current use of mHealth is most effective when ongoing feedback from a health care professional is available.

A Novel Integration of IF-DEMATEL and TOPSIS for the Classifier Selection Problem in Assistive Technology Adoption for People with Dementia.

The classifier selection problem in Assistive Technology Adoption refers to selecting the classification algorithms that have the best performance in predicting the adoption of technology, and is often addressed through measuring different single performance indicators. Satisfactory classifier selection can help in reducing time and costs involved in the technology adoption process. As there are multiple criteria from different domains and several candidate classification algorithms, the classifier selection process is now a problem that can be addressed using Multiple-Criteria Decision-Making (MCDM) methods. This paper proposes a novel approach to address the classifier selection problem by integrating Intuitionistic Fuzzy Sets (IFS), Decision Making Trial and Evaluation Laboratory (DEMATEL), and the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS). The step-by-step procedure behind this application is as follows. First, IF-DEMATEL was used for estimating the criteria and sub-criteria weights considering uncertainty. This method was also employed to evaluate the interrelations among classifier selection criteria. Finally, a modified TOPSIS was applied to generate an overall suitability index per classifier so that the most effective ones can be selected. The proposed approach was validated using a real-world case study concerning the adoption of a mobile-based reminding solution by People with Dementia (PwD). The outputs allow public health managers to accurately identify whether PwD can adopt an assistive technology which results in (i) reduced cost overruns due to wrong classification, (ii) improved quality of life of adopters, and (iii) rapid deployment of intervention alternatives for non-adopters.

Fusion of Unobtrusive Sensing Solutions for Sprained Ankle Rehabilitation Exercises Monitoring in Home Environments.

The ability to monitor Sprained Ankle Rehabilitation Exercises (SPAREs) in home environments can help therapists ascertain if exercises have been performed as prescribed. Whilst wearable devices have been shown to provide advantages such as high accuracy and precision during monitoring activities, disadvantages such as limited battery life and users' inability to remember to charge and wear the devices are often the challenges for their usage. In addition, video cameras, which are notable for high frame rates and granularity, are not privacy-friendly. Therefore, this paper proposes the use and fusion of privacy-friendly and Unobtrusive Sensing Solutions (USSs) for data collection and processing during SPAREs in home environments. The present work aims to monitor SPAREs such as dorsiflexion, plantarflexion, inversion, and eversion using radar and thermal sensors. The main contributions of this paper include (i) privacy-friendly monitoring of SPAREs in a home environment, (ii) fusion of SPAREs data from homogeneous and heterogeneous USSs, and (iii) analysis and comparison of results from single, homogeneous, and heterogeneous USSs. Experimental results indicated the advantages of using heterogeneous USSs and data fusion. Cluster-based analysis of data gleaned from the sensors indicated an average classification accuracy of 96.9% with Neural Network, AdaBoost, and Support Vector Machine, amongst others.

The "Worktivity" mHealth intervention to reduce sedentary behaviour in the workplace: a feasibility cluster randomised controlled pilot study.

BACKGROUND: Office work generally consists of high amounts of sedentary behaviour (SB) which has been associated with negative health consequences. We developed the "WorktivIty" mobile app to help office workers reduce their SB through self-monitoring and feedback on sedentary time, prompts to break sedentary time, and educational facts. The aim of this paper is to report the feasibility of delivering the Worktivity intervention to desk-based office workers in the workplace setting and describe methodological considerations for a future trial. METHODS: We conducted a three-arm feasibility cluster randomised controlled pilot study over an 8-week period with full time-desk based employees. Clustered randomisation was to one of three groups: Worktivity mobile app (MA; n = 20), Worktivity mobile app plus SSWD (MA+SSWD; n = 20), or Control (C; n = 16). Feasibility was assessed using measures of recruitment and retention, intervention engagement, intervention delivery, completion rates and usable data, adverse events, and acceptability. RESULTS: Recruitment of companies to participate in this study was challenging (8% of those contacted), but retention of individual participants within the recruited groups was high (81% C, 90% MA + SSWD, 95% MA). Office workers' engagement with the app was moderate (on average 59%). Intervention delivery was partially compromised due to diminishing user engagement and technical issues related to educational fact delivery. Sufficient amounts of useable data were collected, however either missing or unusable data were observed with activPAL™, with data loss increasing at each follow up time point. No serious adverse events were identified during the study. The majority of participants agreed that the intervention could be implemented within the workplace setting (65% MA; 72% MA + SSWD) but overall satisfaction with the intervention was modest (58% MA; 39% MA + SSWD). CONCLUSIONS: The findings suggest that, in principle, it is feasible to implement a mobile app-based intervention in the workplace setting however the Worktivity intervention requires further technical refinements before moving to effectiveness trials. Challenges relating to the initial recruitment of workplaces and maintaining user engagement with the mHealth intervention over time need to be addressed prior to future large-scale implementation. Further research is needed to identify how best to overcome these challenges.

A Risk-Based IoT Decision-Making Framework Based on Literature Review with Human Activity Recognition Case Studies.

The Internet of Things (IoT) is a key and growing technology for many critical real-life applications, where it can be used to improve decision making. The existence of several sources of uncertainty in the IoT infrastructure, however, can lead decision makers into taking inappropriate actions. The present work focuses on proposing a risk-based IoT decision-making framework in order to effectively manage uncertainties in addition to integrating domain knowledge in the decision-making process. A structured literature review of the risks and sources of uncertainty in IoT decision-making systems is the basis for the development of the framework and Human Activity Recognition (HAR) case studies. More specifically, as one of the main targeted challenges, the potential sources of uncertainties in an IoT framework, at different levels of abstraction, are firstly reviewed and then summarized. The modules included in the framework are detailed, with the main focus given to a novel risk-based analytics module, where an ensemble-based data analytic approach, called Calibrated Random Forest (CRF), is proposed to extract useful information while quantifying and managing the uncertainty associated with predictions, by using confidence scores. Its output is subsequently integrated with domain knowledge-based action rules to perform decision making in a cost-sensitive and rational manner. The proposed CRF method is firstly evaluated and demonstrated on a HAR scenario in a Smart Home environment in case study I and is further evaluated and illustrated with a remote health monitoring scenario for a diabetes use case in case study II. The experimental results indicate that using the framework's raw sensor data can be converted into meaningful actions despite several sources of uncertainty. The comparison of the proposed framework to existing approaches highlights the key metrics that make decision making more rational and transparent.

Design and Implementation of a Smart Home in a Box to Monitor the Wellbeing of Residents With Dementia in Care Homes.

There is a global challenge related to the increasing number of People with Dementia (PwD) and the diminishing capacity of governments, health systems, and caregivers to provide the best care for them. Cost-effective technology solutions that enable and ensure a good quality of life for PwD via monitoring and interventions have been investigated comprehensively in the literature. The objective of this study was to investigate the challenges with the design and deployment of a Smart Home In a Box (SHIB) approach to monitoring PwD wellbeing within a care home. This could then support future SHIB implementations to have an adequate and prompt deployment allowing research to focus on the data collection and analysis aspects. An important consideration was that most care homes do not have the appropriate infrastructure for installing and using ambient sensors. The SHIB was evaluated via installation in the rooms of PwD with varying degrees of dementia at Kirk House Care Home in Belfast. Sensors from the SHIB were installed to test their capabilities for detecting Activities of Daily Living (ADLs). The sensors used were: (i) thermal sensors, (ii) contact sensors, (iii) Passive Infrared (PIR) sensors, and (iv) audio level sensors. Data from the sensors were collected, stored, and handled using a 'SensorCentral' data platform. The results of this study highlight challenges and opportunities that should be considered when designing and implementing a SHIB approach in a dementia care home. Lessons learned from this investigation are presented in addition to recommendations that could support monitoring the wellbeing of PwD. The main findings of this study are: (i) most care home buildings were not originally designed to appropriately install ambient sensors, and (ii) installation of SHIB sensors should be adapted depending on the specific case of the care home where they will be installed. It was acknowledged that in addition to care homes, the homes of PwD were also not designed for an appropriate integration with ambient sensors. This study provided the community with useful lessons, that will continue to be applied to improve future implementations of the SHIB approach.

Using Convolutional Neural Networks with Multiple Thermal Sensors for Unobtrusive Pose Recognition.

The desire to remain living in one's own home rather than a care home by those in need of 24/7 care is one that requires a level of understanding for the actions of an environment's inhabitants. This can potentially be accomplished with the ability to recognise Activities of Daily Living (ADLs); however, this research focuses first on producing an unobtrusive solution for pose recognition where the preservation of privacy is a primary aim. With an accurate manner of predicting an inhabitant's poses, their interactions with objects within the environment and, therefore, the activities they are performing, can begin to be understood. This research implements a Convolutional Neural Network (CNN), which has been designed with an original architecture derived from the popular AlexNet, to predict poses from thermal imagery that have been captured using thermopile infrared sensors (TISs). Five TISs have been deployed within the smart kitchen in Ulster University where each provides input to a corresponding trained CNN. The approach is evaluated using an original dataset and an F1-score of 0.9920 was achieved with all five TISs. The limitations of utilising a ceiling-based TIS are investigated and each possible permutation of corner-based TISs is evaluated to satisfy a trade-off between the number of TISs, the total sensor cost and the performances. These tests are also promising as F1-scores of 0.9266, 0.9149 and 0.8468 were achieved with the isolated use of four, three, and two corner TISs, respectively.

Data Mining and Fusion of Unobtrusive Sensing Solutions for Indoor Activity Recognition.

This paper proposes the fusion of data from unobtrusive sensing solutions for the recognition and classification of activities in home environments. The ability to recognize and classify activities can help in the objective monitoring of health and wellness trends in ageing adults. While the use of video and stereo cameras for monitoring activities provides an adequate insight, the privacy of users is not fully protected (i.e., users can easily be recognized from the images). Another concern is that widely used wearable sensors, such as accelerometers, have some disadvantages, such as limited battery life, adoption issues and wearability. This study investigates the use of low-cost thermal sensing solutions capable of generating distinct thermal blobs with timestamps to recognize the activities of study participants. More than 11,000 thermal blobs were recorded from 10 healthy participants with two thermal sensors placed in a laboratory kitchen: (i) one mounted on the ceiling, and (ii) the other positioned on a mini tripod stand in the corner of the room. Furthermore, data from the ceiling thermal sensor were fused with data gleaned from the lateral thermal sensor. Contact sensors were used at each stage as the gold standard for timestamp approximation during data acquisition, which allowed the attainment of: (i) the time at which each activity took place, (ii) the type of activity performed, and (iii) the location of each participant. Experimental results demonstrated successful cluster-based activity recognition and classification with an average regression co-efficient of 0.95 for tested clusters and features. Also, an average accuracy of 95% was obtained for data mining models such as k-nearest neighbor, logistic regression, neural network and random forest on Evaluation Test.Clinical Relevance-This study presents an unobtrusive (i.e., privacy-friendly) solution for activity recognition and classification, for the purposes of profiling trends in health and wellbeing.

Leveraging Wearable Sensors for Human Daily Activity Recognition with Stacked Denoising Autoencoders.

Activity recognition has received considerable attention in many research fields, such as industrial and healthcare fields. However, many researches about activity recognition have focused on static activities and dynamic activities in current literature, while, the transitional activities, such as stand-to-sit and sit-to-stand, are more difficult to recognize than both of them. Consider that it may be important in real applications. Thus, a novel framework is proposed in this paper to recognize static activities, dynamic activities, and transitional activities by utilizing stacked denoising autoencoders (SDAE), which is able to extract features automatically as a deep learning model rather than utilize manual features extracted by conventional machine learning methods. Moreover, the resampling technique (random oversampling) is used to improve problem of unbalanced samples due to relatively short duration characteristic of transitional activity. The experiment protocol is designed to collect twelve daily activities (three types) by using wearable sensors from 10 adults in smart lab of Ulster University, the experiment results show the significant performance on transitional activity recognition and achieve the overall accuracy of 94.88% on three types of activities. The results obtained by comparing with other methods and performances on other three public datasets verify the feasibility and priority of our framework. This paper also explores the effect of multiple sensors (accelerometer and gyroscope) to determine the optimal combination for activity recognition.

The Digital Skills, Experiences and Attitudes of the Northern Ireland Social Care Workforce Toward Technology for Learning and Development: Survey Study.

BACKGROUND: Continual development of the social care workforce is a key element in improving outcomes for the users of social care services. As the delivery of social care services continues to benefit from innovation in assistive technologies, it is important that the digital capabilities of the social care workforce are aligned. Policy makers have highlighted the importance of using technology to support workforce learning and development, and the need to ensure that the workforce has the necessary digital skills to fully benefit from such provisions. OBJECTIVE: This study aims to identify the digital capability of the social care workforce in Northern Ireland and to explore the workforce's appetite for and barriers to using technology for learning and development. This study is designed to answer the following research questions: (1) What is the digital capability of the social care workforce in Northern Ireland? (2) What is the workforce's appetite to participate in digital learning and development? and (3) If there are barriers to the uptake of technology for learning and development, what are these barriers? METHODS: A survey was created and distributed to the Northern Ireland social care workforce. This survey collected data on 127 metrics that described demographics, basic digital skills, technology confidence and access, factors that influence learning and development, experience with digital learning solutions, and perceived value and challenges of using technology for learning. RESULTS: The survey was opened from December 13, 2018, to January 18, 2019. A total of 775 survey respondents completed the survey. The results indicated a workforce with a high level of self-reported basic digital skills and confidence. Face-to-face delivery of learning is still the most common method of accessing learning, which was used by 83.7% (649/775) of the respondents; however, this is closely followed by digital learning, which was used by 79.0% (612/775) of the respondents. There was a negative correlation between age and digital skills (rs=-0.262; P<.001), and a positive correlation between technology confidence and digital skills (rs=0.482; P<.001). There was also a negative correlation between age and the perceived value of technology (rs=-0.088; P=.02). The results indicated a predominantly motivated workforce in which a sizable portion is already engaged in informal digital learning. The results indicated that lower self-reported basic digital skills and confidence were associated with less interest in engaging with e-learning tools and that a portion of the workforce would benefit from additional basic digital skills training. CONCLUSIONS: These promising results provide a positive outlook for the potential of digital learning and development within the social care workforce. The findings provide clear areas of focus for the future use of technology for learning and development of the social care workforce and considerations to maximize engagement with such approaches.

SemImput: Bridging Semantic Imputation with Deep Learning for Complex Human Activity Recognition.

The recognition of activities of daily living (ADL) in smart environments is a well-known and an important research area, which presents the real-time state of humans in pervasive computing. The process of recognizing human activities generally involves deploying a set of obtrusive and unobtrusive sensors, pre-processing the raw data, and building classification models using machine learning (ML) algorithms. Integrating data from multiple sensors is a challenging task due to dynamic nature of data sources. This is further complicated due to semantic and syntactic differences in these data sources. These differences become even more complex if the data generated is imperfect, which ultimately has a direct impact on its usefulness in yielding an accurate classifier. In this study, we propose a semantic imputation framework to improve the quality of sensor data using ontology-based semantic similarity learning. This is achieved by identifying semantic correlations among sensor events through SPARQL queries, and by performing a time-series longitudinal imputation. Furthermore, we applied deep learning (DL) based artificial neural network (ANN) on public datasets to demonstrate the applicability and validity of the proposed approach. The results showed a higher accuracy with semantically imputed datasets using ANN. We also presented a detailed comparative analysis, comparing the results with the state-of-the-art from the literature. We found that our semantic imputed datasets improved the classification accuracy with 95.78% as a higher one thus proving the effectiveness and robustness of learned models.