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Smart wearable sensor-based model for monitoring medication adherence using sheep flock optimization
Yasser Alatawi1, Palanisamy Amirthalingam1, Narmatha Chellamani2
1Department of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia.
Digital Health
|June 16, 2025
Summary
This study introduces a smart wearable sensor system using deep learning to predict medication adherence (MA). The novel SFOA-Bi-LSTM model achieved high accuracy, offering a promising tool for healthcare professionals to monitor patient MA.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Healthcare
- Wearable Technology
Background:
- Medication adherence (MA) is critical for effective patient treatment and therapeutic outcomes.
- Sensor technology offers continuous monitoring of patient MA behavior, representing a significant advancement.
- Accurate MA monitoring is essential for improving patient health and reducing healthcare costs.
Purpose of the Study:
- To implement smart wearable sensor devices powered by deep learning (DL) for predicting medication behaviors.
- To develop a novel hand gesture recognition system using wearable sensors for MA prediction.
- To evaluate the effectiveness of advanced DL techniques in analyzing complex MA data patterns.
Main Methods:
- Utilized accelerometer and gyroscope sensors in a smart wearable device to capture hand motion data.
- Developed a deep learning model, the sheep flock optimization algorithm-attention-based bidirectional long short-term memory network (SFOA-Bi-LSTM), for MA behavior classification.
- Employed Z-score normalization for data preprocessing and the SFOA method for hyperparameter optimization of the attention-based Bi-LSTM model.
Main Results:
- The SFOA-Bi-LSTM model demonstrated high performance with 98.90% accuracy, 97.80% recall, 98.80% precision, and 98.62% F1 score.
- Achieved excellent results in predicting medication adherence behavior through hand gesture recognition.
- The model's performance was validated using a five-fold cross-validation approach.
Conclusions:
- The SFOA-Bi-LSTM model shows significant potential for monitoring medication adherence in healthcare applications.
- The model offers advantages in hyperparameter tuning, feature representation, and temporal analysis, outperforming conventional methods.
- The system is robust to noisy data due to effective preprocessing, making it a reliable tool for healthcare professionals.

