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The promise and challenges of computer mouse trajectories in DMHIs - A feasibility study on pre-treatment dropout predictions
Leuphana University Luneburg, Germany;Karolinska Institutet, Sweden;Reg Stockholm, Sweden.
Leuphana University Luneburg, Germany;Karolinska Institutet, Sweden;Reg Stockholm, Sweden.
Karolinska Institutet, Sweden;Region Stockholm, Sweden.
Karolinska Institutet, Sweden;Region Stockholm, Sweden;Umeå University, Sweden.
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2025 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 40, article id 100828Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

With the impetus of Digital Mental Health Interventions (DMHIs), complex data can be leveraged to improve and personalize mental health care. However, most approaches rely on a very limited number of often costly features. Computer mouse trajectories can be unobtrusively and cost-efficiently gathered and seamlessly integrated into current baseline processes. Empirical evidence suggests that mouse movements hold information on user motivation and attention, both valuable aspects otherwise difficult to measure at scale. Further, mouse trajectories can already be collected on pre-treatment questionnaires, making them a promising candidate for early predictions informing treatment allocation. Therefore, this paper discusses how to collect and process mouse trajectory data on questionnaires in DMHIs. Covering different complexity levels, we combine hand-crafted features with non-sequential machine learning models, as well as spatiotemporal raw mouse data with stateof-the-art sequential neural networks. The data processing pipeline for the latter includes task-specific preprocessing to convert the variable length trajectories into a single prediction per user. As a feasibility study, we collected mouse trajectory data from 183 patients filling out a pre-intervention depression questionnaire. While the hand-crafted features slightly improve baseline predictions, the spatiotemporal models underperform. However, considering our small data set size, we propose more research to investigate the potential value of this novel and promising data type and provide the necessary steps and open-source code to do so.

Place, publisher, year, edition, pages
Elsevier BV , 2025. Vol. 40, article id 100828
Keywords [en]
cognitive-behavior therapy, depression, health, scale
National Category
Applied Psychology Computer and Information Sciences
Research subject
Social Sciences, Psychology; Computer and Information Sciences Computer Science
Identifiers
URN: urn:nbn:se:lnu:diva-138209DOI: 10.1016/j.invent.2025.100828ISI: 001469824100001Scopus ID: 2-s2.0-105002214015OAI: oai:DiVA.org:lnu-138209DiVA, id: diva2:1955264
Available from: 2025-04-29 Created: 2025-04-29 Last updated: 2025-04-29

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Kaldo, Viktor

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