Título: | ON THE IDENTIFICATION OF DIGITAL PHENOTYPING FOR ENHANCED BIPOLAR DISORDER MONITORING | ||||||||||||
Autor: |
ABEL GONZALEZ MONDEJAR |
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Colaborador(es): |
ALBERTO BARBOSA RAPOSO - Orientador GREIS FRANCY MIREYA SILVA CALPA - Coorientador |
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Catalogação: | 26/MAI/2025 | Língua(s): | ENGLISH - UNITED STATES |
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Tipo: | TEXT | Subtipo: | THESIS | ||||||||||
Notas: |
[pt] Todos os dados constantes dos documentos são de inteira responsabilidade de seus autores. Os dados utilizados nas descrições dos documentos estão em conformidade com os sistemas da administração da PUC-Rio. [en] All data contained in the documents are the sole responsibility of the authors. The data used in the descriptions of the documents are in conformity with the systems of the administration of PUC-Rio. |
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Referência(s): |
[pt] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=70582&idi=1 [en] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=70582&idi=2 |
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DOI: | https://doi.org/10.17771/PUCRio.acad.70582 | ||||||||||||
Resumo: | |||||||||||||
Bipolar disorder is a condition marked by changes between mania and
depression, with the highest suicide rate in mental health diseases. To follow
up patient behavior, digital technologies, such as mobile health (mHealth)
applications, propose a continuous data collection of those patients using
active data (patient input information such as daily mood) or passive data
(collecting data from smartphone sensors). The information collected is the
digital phenotype, but it often fails because the patient does not adhere
to these solutions. In addition, capturing contextual information, such as
the weather conditions of a patient s localization, is not considered. This
thesis aims to develop a comprehensive digital phenotype framework that
integrates active, passive, contextual, and clinical data (APCC), leveraging
mHealth solutions to enhance the real-time monitoring, early detection, and
personalized management of bipolar disorder. First, since there is no consensus
on the relevant characteristics of mHealth, we conducted a systematic review of
the literature that highlighted open gaps and opportunities. Then we developed
a mHealth called BraPolar2 and collected active and passive data from 22
patients at the Institute of Psychiatry (IPUB) of the Federal University of Rio
de Janeiro (UFRJ) for 6 months resulting in an adherence of 68.6 per cent. Patients
reported an improvement in their condition to manage their bipolarity in a
semi-structured interview. Then, as contextual information is not considered
in digital phenotype analysis, we validated the relevant variables with IPUB
specialists in a semi-structured interview. Finally, we propose a unified dataset
to contribute to the study of the digital phenotype in people with bipolar
disorder with specialists. This thesis contributes by implementing strategies
that improve adherence in mHealth, focusing on the potential benefits and
challenges of using APCC data in clinical practice. The results underscore the
importance of a multidisciplinary approach, including psychiatrists, to ensure
that the system meets clinical needs and supports effective patient care.
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