arXiv subjects

Amberly Brigden

Publications and source records attributed to Amberly Brigden.

3 recordsLinked to original sources

arXiv2026

Evaluating Deep Multivariate Imputation Models on Wearable Device Data

Wearable device data enables continuous health monitoring, but suffers from structured missingness: features sharing a physical sensor drop out together. Deep imputation methods such as BRITS and SAITS have seen limited evaluation on multimodal physiological data under realistic missingness, and existing benchmarks use random-point holdout protocols that incorrectly assume missingness is independent across features and time. Using data from a person with epilepsy recorded on a Garmin smartwatch, we develop an evaluation protocol that mines contiguous missing-run templates from training data, stratifies them by per-feature gap-length quantiles, and injects them as block masks with preserved co-missingness structure. A matched training protocol exposing models to the same missingness distribution reduces BRITS's severe-gap MAE by 43%, demonstrating the potential benefit of the proposed evaluation and training protocol within this single-participant dataset. We further extend BRITS with time-of-day encoding and a circadian harmonic channel. No single model dominates: linear interpolation is optimal for slow-moving features over short gaps; extended BRITS achieves lower MAE on dynamic cardiac features in moderate and severe gaps; and SAITS better preserves the ground-truth distribution by Jensen-Shannon distance despite higher MAE. Ultimately, model rankings strongly depend on evaluation designs. By exposing how traditional evaluation methods obscure true model capabilities, our transferable protocol establishes critical steps towards developing better imputation strategies for future multi-sensor wearable datasets.

cs.LG↗

arXiv2026

Circadian Phase Locking of Epilepsy Seizures in Wearable Data: A Single-Patient Case Study

Epilepsy is a common, chronic neurological disorder characterized by recurrent seizures caused by sudden bursts of abnormal electrical activity in the brain. Seizures can often be unpredictable, leading to uncertainty and anxiety for people with epilepsy. To address this problem, the Epilepsy UK Priority Setting Partnership identified research into seizure forecasting technology as a priority. Seizure onsets are recorded as discrete events embedded within continuously sampled physiological signals that exhibit strong circadian and multi-day rhythms. Standard modelling approaches often treat time as linear or rely on clock-time features, which may not explicitly capture the underlying physiological phase. In this paper, we examine whether seizure onsets exhibit phase preference relative to circadian rhythms derived from wearable inter-beat interval (IBI) data. As a proof-of-concept, using 176 days wearable and seizure diary data from a single patient, we extract oscillatory components via band-limited filtering and Hilbert-based phase estimation, and test for non-uniform seizure-phase alignment using circular statistics. We observe significant circadian phase concentration, while multiday bands do not show consistent or statistically significant phase clustering in this dataset. Exploratory logistic baselines indicate modest but detectable structure beyond simple clock-time effects. We argue that explicit physiological phase representations provide an interpretable bridge between continuous wearable sensing and sparse clinical events and may augment existing seizure forecasting pipelines. We discuss implications for multi-scale modelling, patient-facing interfaces, and future multi-patient validation

cs.HC↗

arXiv2024

Exploring the Requirements of Clinicians for Explainable AI Decision Support Systems in Intensive Care

There is a growing need to understand how digital systems can support clinical decision-making, particularly as artificial intelligence (AI) models become increasingly complex and less human-interpretable. This complexity raises concerns about trustworthiness, impacting safe and effective adoption of such technologies. Improved understanding of decision-making processes and requirements for explanations coming from decision support tools is a vital component in providing effective explainable solutions. This is particularly relevant in the data-intensive, fast-paced environments of intensive care units (ICUs). To explore these issues, group interviews were conducted with seven ICU clinicians, representing various roles and experience levels. Thematic analysis revealed three core themes: (T1) ICU decision-making relies on a wide range of factors, (T2) the complexity of patient state is challenging for shared decision-making, and (T3) requirements and capabilities of AI decision support systems. We include design recommendations from clinical input, providing insights to inform future AI systems for intensive care.

cs.HC↗