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Predicting medication adherence using ensemble learning and deep learning models with large scale healthcare data

Gu, Yingqi orcid logoORCID: 0000-0001-5807-6102, Zalkikar, Akshay, Liu, Mingming orcid logoORCID: 0000-0002-8988-2104, Kelly, Lara, Hall, Amy orcid logoORCID: 0000-0002-3461-2385, Daly, Kieran and Ward, Tomás E. orcid logoORCID: 0000-0002-6173-6607 (2021) Predicting medication adherence using ensemble learning and deep learning models with large scale healthcare data. Scientific Reports, 11 . ISSN 2045-2322

Abstract
Clinical studies from WHO have demonstrated that only 50-70% of patients adhere properly to prescribed drug therapy. Such adherence failure can impact therapeutic efficacy for the patients in question and compromises data quality around the population-level efficacy of the drug for the indications targeted. In this study, we applied various ensemble learning and deep learning models to predict medication adherence among patients. Our contribution to this endeavour involves targeting the problem of adherence prediction for a particularly challenging class of patients who self-administer injectable medication at home. Our prediction pipeline, based on event history, comprises a connected sharps bin which aims to help patients better manage their condition and improve outcomes. In other words, the efficiency of interventions can be significantly improved by prioritizing the patients who are most likely to be non-adherent. The collected data comprising a rich event feature set may be exploited for the purposes of predicting the status of the next adherence state for individual patients. This paper reports on how this concept can be realized through an investigation using a wide range of ensemble learning and deep learning models on a real-world dataset collected from such a system. The dataset investigated comprises 342,174 historic injection disposal records collected over the course of more than 5 years. A comprehensive comparison of different models is given in this paper. Moreover, we demonstrate that the selected best performer, long short-term memory (LSTM), generalizes well by deploying it in a true future testing dataset. The proposed end-to-end pipeline is capable of predicting patient failure in adhering to their therapeutic regimen with 77.35% accuracy (Specificity: 78.28%, Sensitivity: 76.42%, Precision: 77.87%, F1 score: 0.7714, ROC AUC: 0.8390).
Metadata
Item Type:Article (Published)
Refereed:Yes
Additional Information:Article number: 18961
Subjects:Computer Science > Artificial intelligence
Computer Science > Machine learning
Engineering > Electronic engineering
Medical Sciences > Health
DCU Faculties and Centres:DCU Faculties and Schools > Faculty of Engineering and Computing > School of Electronic Engineering
Research Institutes and Centres > INSIGHT Centre for Data Analytics
Publisher:Nature Research
Official URL:https://dx.doi.org/10.1038/s41598-021-98387-w
Copyright Information:© 2021 The Authors. Open Access (CC-BY-4.0)
Funders:Science Foundation Ireland SFI/12/RC/2289 P2, Enterprise Ireland IP 2018 0764
ID Code:26297
Deposited On:27 Sep 2021 11:40 by Mingming Liu . Last Modified 10 Aug 2022 09:24
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