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Journal Article

Citation

Grethlein D, Winston FK, Walshe E, Tanner S, Kandadai V, Ontañón S. J. Med. Internet. Res. 2020; 22(6): e13995.

Affiliation

Computer Science Department, Drexel University, Philadelphia, PA, United States.

Copyright

(Copyright © 2020, Centre for Global eHealth Innovation)

DOI

10.2196/13995

PMID

32554384

Abstract

BACKGROUND: A large Midwestern state commissioned a virtual driving test (VDT) to assess driving skills preparedness before the on-road examination (ORE). Since July 2017, a pilot deployment of the VDT in state licensing centers (VDT pilot) has collected both VDT and ORE data from new license applicants with the aim of creating a scoring algorithm that could predict those who were underprepared.

OBJECTIVE: Leveraging data collected from the VDT pilot, this study aimed to develop and conduct an initial evaluation of a novel machine learning (ML)-based classifier using limited domain knowledge and minimal feature engineering to reliably predict applicant pass/fail on the ORE. Such methods, if proven useful, could be applicable to the classification of other time series data collected within medical and other settings.

METHODS: We analyzed an initial dataset that comprised 4308 drivers who completed both the VDT and the ORE, in which 1096 (25.4%) drivers went on to fail the ORE. We studied 2 different approaches to constructing feature sets to use as input to ML algorithms: the standard method of reducing the time series data to a set of manually defined variables that summarize driving behavior and a novel approach using time series clustering. We then fed these representations into different ML algorithms to compare their ability to predict a driver's ORE outcome (pass/fail).

RESULTS: The new method using time series clustering performed similarly compared with the standard method in terms of overall accuracy for predicting pass or fail outcome (76.1% vs 76.2%) and area under the curve (0.656 vs 0.682). However, the time series clustering slightly outperformed the standard method in differentially predicting failure on the ORE. The novel clustering method yielded a risk ratio for failure of 3.07 (95% CI 2.75-3.43), whereas the standard variables method yielded a risk ratio for failure of 2.68 (95% CI 2.41-2.99). In addition, the time series clustering method with logistic regression produced the lowest ratio of false alarms (those who were predicted to fail but went on to pass the ORE; 27.2%).

CONCLUSIONS: Our results provide initial evidence that the clustering method is useful for feature construction in classification tasks involving time series data when resources are limited to create multiple, domain-relevant variables.

©David Grethlein, Flaura Koplin Winston, Elizabeth Walshe, Sean Tanner, Venk Kandadai, Santiago Ontañón. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 18.06.2020.


Language: en

Keywords

accidents, traffic; adolescent; automobile driving; cause of death; child; humans; licensure; machine learning; motor vehicle; motor vehicles; on-road exam; simulated driving assessment; support vector machines

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