Dynamic models of stress-smoking responses based on high-frequency sensor data

Abstract Self-reports indicate that stress increases the risk for smoking; however, intensive data from sensors can provide a more nuanced understanding of stress in the moments leading up to and following smoking events. Identifying personalized dynamical models of stress-smoking responses can impr...

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Autores principales: Sahar Hojjatinia, Elyse R. Daly, Timothy Hnat, Syed Monowar Hossain, Santosh Kumar, Constantino M. Lagoa, Inbal Nahum-Shani, Shahin Alan Samiei, Bonnie Spring, David E. Conroy
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/0ff1c740687e4d37a5624e752e6542da
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spelling oai:doaj.org-article:0ff1c740687e4d37a5624e752e6542da2021-11-28T12:07:14ZDynamic models of stress-smoking responses based on high-frequency sensor data10.1038/s41746-021-00532-22398-6352https://doaj.org/article/0ff1c740687e4d37a5624e752e6542da2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00532-2https://doaj.org/toc/2398-6352Abstract Self-reports indicate that stress increases the risk for smoking; however, intensive data from sensors can provide a more nuanced understanding of stress in the moments leading up to and following smoking events. Identifying personalized dynamical models of stress-smoking responses can improve characterizations of smoking responses following stress, but techniques used to identify these models require intensive longitudinal data. This study leveraged advances in wearable sensing technology and digital markers of stress and smoking to identify person-specific models of stress and smoking system dynamics by considering stress immediately before, during, and after smoking events. Adult smokers (n = 45) wore the AutoSense chestband (respiration-inductive plethysmograph, electrocardiogram, accelerometer) with MotionSense (accelerometers, gyroscopes) on each wrist for three days prior to a quit attempt. The odds of minute-level smoking events were regressed on minute-level stress probabilities to identify person-specific dynamic models of smoking responses to stress. Simulated pulse responses to a continuous stress episode revealed a consistent pattern of increased odds of smoking either shortly after the beginning of the simulated stress episode or with a delay, for all participants. This pattern is followed by a dramatic reduction in the probability of smoking thereafter, for about half of the participants (49%). Sensor-detected stress probabilities indicate a vulnerability for smoking that may be used as a tailoring variable for just-in-time interventions to support quit attempts.Sahar HojjatiniaElyse R. DalyTimothy HnatSyed Monowar HossainSantosh KumarConstantino M. LagoaInbal Nahum-ShaniShahin Alan SamieiBonnie SpringDavid E. ConroyNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
spellingShingle Computer applications to medicine. Medical informatics
R858-859.7
Sahar Hojjatinia
Elyse R. Daly
Timothy Hnat
Syed Monowar Hossain
Santosh Kumar
Constantino M. Lagoa
Inbal Nahum-Shani
Shahin Alan Samiei
Bonnie Spring
David E. Conroy
Dynamic models of stress-smoking responses based on high-frequency sensor data
description Abstract Self-reports indicate that stress increases the risk for smoking; however, intensive data from sensors can provide a more nuanced understanding of stress in the moments leading up to and following smoking events. Identifying personalized dynamical models of stress-smoking responses can improve characterizations of smoking responses following stress, but techniques used to identify these models require intensive longitudinal data. This study leveraged advances in wearable sensing technology and digital markers of stress and smoking to identify person-specific models of stress and smoking system dynamics by considering stress immediately before, during, and after smoking events. Adult smokers (n = 45) wore the AutoSense chestband (respiration-inductive plethysmograph, electrocardiogram, accelerometer) with MotionSense (accelerometers, gyroscopes) on each wrist for three days prior to a quit attempt. The odds of minute-level smoking events were regressed on minute-level stress probabilities to identify person-specific dynamic models of smoking responses to stress. Simulated pulse responses to a continuous stress episode revealed a consistent pattern of increased odds of smoking either shortly after the beginning of the simulated stress episode or with a delay, for all participants. This pattern is followed by a dramatic reduction in the probability of smoking thereafter, for about half of the participants (49%). Sensor-detected stress probabilities indicate a vulnerability for smoking that may be used as a tailoring variable for just-in-time interventions to support quit attempts.
format article
author Sahar Hojjatinia
Elyse R. Daly
Timothy Hnat
Syed Monowar Hossain
Santosh Kumar
Constantino M. Lagoa
Inbal Nahum-Shani
Shahin Alan Samiei
Bonnie Spring
David E. Conroy
author_facet Sahar Hojjatinia
Elyse R. Daly
Timothy Hnat
Syed Monowar Hossain
Santosh Kumar
Constantino M. Lagoa
Inbal Nahum-Shani
Shahin Alan Samiei
Bonnie Spring
David E. Conroy
author_sort Sahar Hojjatinia
title Dynamic models of stress-smoking responses based on high-frequency sensor data
title_short Dynamic models of stress-smoking responses based on high-frequency sensor data
title_full Dynamic models of stress-smoking responses based on high-frequency sensor data
title_fullStr Dynamic models of stress-smoking responses based on high-frequency sensor data
title_full_unstemmed Dynamic models of stress-smoking responses based on high-frequency sensor data
title_sort dynamic models of stress-smoking responses based on high-frequency sensor data
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0ff1c740687e4d37a5624e752e6542da
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