ABSTRACT
Data harmonization is the process by which each of the variables from different research studies are standardized to similar units resulting in comparable datasets. These data may be integrated for more powerful and accurate examination and prediction of outcomes for use in the intelligent and smart electronic health software programs and systems. Prospective harmonization is performed when researchers create guidelines for gathering and managing the data before data collection begins. In contrast, retrospective harmonization is performed by pooling previously collected data from various studies using expert domain knowledge to identify and translate variables. In nutritional epidemiology, dietary data harmonization is often necessary to construct the nutrient and food databases necessary to answer complex research questions and develop effective public health policy. In this paper, we review methods for effective data harmonization, including developing a harmonization plan, which common standards already exist for harmonization, and defining variables needed to harmonize datasets. Currently, several large-scale studies maintain harmonized nutrient databases, especially in Europe, and steps have been proposed to inform the retrospective harmonization process. As an example, data harmonization methods are applied to several U.S longitudinal diet datasets. Based on our review, considerations for future dietary data harmonization include user agreements for sharing private data among participating studies, defining variables and data dictionaries that accurately map variables among studies, and the use of secure data storage servers to maintain privacy. These considerations establish necessary components of harmonized data for smart health applications which can promote healthier eating and provide greater insights into the effect of dietary patterns on health.
ABSTRACT
Clustering methods become increasingly important in analyzing heterogeneity of treatment effects, especially in longitudinal behavioral intervention studies. Methods such as K-means and Fuzzy C-means (FCM) have been widely endorsed to identify distinct groups of different types of data. Build upon our MIFuzzy [1], our goal is to concurrently handle multiple methodological issues in studying high dimensional longitudinal intervention data with missing values. Particularly, this paper focuses on the initialization issue of FCM and proposes a new initialization method to overcome the local optimal problem and decrease the convergence time in handling high-dimensional data with missing values for overlapping clusters. Based on the idea of K-means++ [9], we proposed an enhanced Fuzzy C-means clustering (eFCM) and incorporated it into our MIFuzzy. This method was evaluated using real longitudinal intervention data, classic and generic datasets. Compared to conventional FCM, our findings indicate eFCM can improve computational efficiency and avoid the local optimization.
