Using Clustering Algorithms to Analyze Wearable Device Data to Support Pathways for Cultivating Medical Students’ Humanistic Care Abilities

Main Article Content

J. K. Ren

Abstract

This study develops an unsupervised framework using Gaussian Mixture Models (GMM) to analyze multimodal physiological data from wearable devices, aiming to support the cultivation of medical students’ humanistic care abilities. The framework integrates signals such as heart rate variability, skin conductance, and accelerometer readings obtained via textile-integrated sensors, and applies feature extraction and clustering to classify individual humanistic responsiveness. Personalized training pathways are generated based on the clustered physiological patterns, enabling targeted interventions ranging from foundational emotion awareness to advanced empathy simulation. Comparative evaluation demonstrates that GMM outperforms K-means, DBSCAN, hierarchical, and spectral clustering in terms of intra-cluster compactness, inter-cluster separation, and alignment with behavioral labels. Dynamic indicators, including low-to-high state transition frequency, provide better correlation with clinical performance than static measures, supporting flexible and adaptive training strategies. This approach offers a data-driven, end-to-end methodology for precise medical humanities education and can be integrated with antenna-enabled wearable devices, wireless physiological monitoring platforms, and edge-computing systems to facilitate real-time analysis and personalized educational interventions.

Downloads

Download data is not yet available.

Article Details

How to Cite
Ren, J. K. (2026). Using Clustering Algorithms to Analyze Wearable Device Data to Support Pathways for Cultivating Medical Students’ Humanistic Care Abilities. Advanced Electromagnetics, 15(3), 2040–2049. https://doi.org/10.7716/aem.v15i3.3253
Section
Research Articles

References

D. Létourneau, J. Goudreau, and C. Cara, “Nursing students and nurses’ recommendations aiming at improving the development of the humanistic caring competency,” Canadian Journal of Nursing Research, vol. 54, no. 3, pp. 292–303, 2022, doi: 10.1177/08445621211048987.

View Article

Л. Вiннiкова, “INTEGRATING HUMANISTIC VALUES INTO MEDICAL TRAINING: A CASE STUDY OF UK MEDICAL SCHOOLS,” Чернiгiвський колегiум" iменi ТГ Шевченка, vol. 188, no. 32, pp. 138–143, 2025, doi: 10.58407/visnik.253223.

View Article

G. Vos, K. Trinh, Z. Sarnyai, and M. R. Azghadi, “Generalizable machine learning for stress monitoring from wearable devices: A systematic literature review,” International Journal of Medical Informatics, vol. 173, no. 1, pp. 105026–105026, 2023, doi: 10.1016/j.ijmedinf.2023.105026.

View Article

T. Pham, Z. J. Lau, S. A. Chen, and D. Makowski, “Heart rate variability in psychology: A review of HRV indices and an analysis tutorial,” Sensors, vol. 21, no. 12, pp. 3998–3998, 2021, doi: 10.3390/s21123998.

View Article

A. Greco, G. Valenza, J. Lazaro, J. M. Garzon-Rey, J. Aguilo, C. de la Cámara, R. Bailon, et al., “Acute stress state classification based on electrodermal activity modeling,” IEEE Transactions on Affective Computing, vol. 14, no. 1, pp. 788–799, 2021, doi: 10.1109/TAFFC.2021.3055294.

View Article

Z. Ebrahimi and B. Gosselin, “Ultralow-power photoplethysmography (PPG) sensors: A methodological review,” IEEE Sensors Journal, vol. 23, no. 15, pp. 16467–16480, 2023, doi: 10.1109/JSEN.2023.3284818.

View Article

Neha, H. K. Sardana, R. Kanwade, and S. Tewary, “Arrhythmia detection and classification using ECG and PPG techniques: A review,” Physical and Engineering Sciences in Medicine, vol. 44, no. 4, pp. 1027–1048, 2021, doi: 10.1007/s13246-021-01072-5.

View Article

A. Gandhi, K. Adhvaryu, S. Poria, E. Cambria, and A. Hussain, “Multimodal sentiment analysis: A systematic review of history, datasets, multimodal fusion methods, applications, challenges and future directions,” Information Fusion, vol. 91, no. 1, pp. 424–444, 2023, doi: 10.1016/j.inffus.2022.09.025.

View Article

J. A. Castro-García, A. J. Molina-Cantero, I. M. Gómez-González, S. Lafuente-Arroyo, and M. Merino-Monge, “Towards human stress and activity recognition: A review and a first approach based on low-cost wearables,” Electronics, vol. 11, no. 1, pp. 155–155, 2022, doi: 10.3390/electronics11010155.

View Article

G. Georgieva-Tsaneva, K. Cheshmedzhiev, Y. A. Tsanev, and M. Dechev, “Physiological State Recognition via HRV and Fractal Analysis Using AI and Unsupervised Clustering,” Information, vol. 16, no. 9, pp. 718–718, 2025, doi: 10.3390/info16090718.

View Article

S. Mandia, R. Mitharwal, and K. Singh, “Automatic student engagement measurement using machine learning techniques: A literature study of data and methods,” Multimedia Tools and Applications, vol. 83, no. 16, pp. 49641–49672, 2024, doi: 10.1007/s11042-023-17534-9.

View Article

X. Ran, Y. Xi, Y. Lu, X. Wang, and Z. Lu, “Comprehensive survey on hierarchical clustering algorithms and the recent developments,” Artificial Intelligence Review, vol. 56, no. 8, pp. 8219–8264, 2023, doi: 10.1007/s10462-022-10366-3.

View Article

R. Ranjan, B. C. Sahana, and A. K. Bhandari, “Motion artifacts suppression from EEG signals using an adaptive signal denoising method,” IEEE Transactions on Instrumentation and Measurement, vol. 71, no. 1, pp. 1– 10, 2022, doi: 10.1109/TIM.2022.3142037.

View Article

D. Pollreisz and N. TaheriNejad, “Detection and removal of motion artifacts in PPG signals,” Mobile Networks and Applications, vol. 27, no. 2, pp. 728–738, 2022, doi: 10.1007/s11036-019-01323-6.

View Article

A. Sujiwa and B. S. Maniani, “The Effect of Inaccurate Electronic Component Values on The Output Frequency Characteristics of Fourth Order Butterworth Type Low-pass Filter Circuits,” FARADAY, vol. 1, no. 1, pp. 1–8, 2025, doi: 10.33005/faraday.v1i1.4.

View Article

A. A. Bisu, “Design and simulation of a 4th order high frequency bandpass filter for radar communication systems,” The Journals of the Nigerian Association of Mathematical Physics, vol. 66, no. 1, pp. 169–176, 2024, doi: 10.60787/jnamp-v66-324.

View Article

F. Zhang, X. Tang, and L. Li, “Origins of baseline drift and distortion in Fourier transform spectra,” Molecules, vol. 27, no. 13, pp. 4287–4287, 2022, doi: 10.3390/molecules27134287.

View Article

G. Müller and G. Sberveglieri, “Origin of baseline drift in metal oxide gas sensors: effects of bulk equilibration,” Chemosensors, vol. 10, no. 5, pp. 171–171, 2022, doi: 10.3390/chemosensors10050171.

View Article

Y. Zuo, J. Mei, C. Jiang, X. Yuan, S. Xie, and C. H. Lee, “Linear active disturbance rejection controllers for PMSM speed regulation system considering the speed filter,” IEEE Transactions on Power Electronics, vol. 36, no. 12, pp. 14579–14592, 2021, doi: 10.1109/TPEL.2021.3098723.

View Article

E. Grivel, B. Berthelot, G. Colin, P. Legrand, and V. Ibanez, “Benefits of zero-phase or linear phase filters to design multiscale entropy: Theory and application,” Entropy, vol. 26, no. 4, pp. 332–332, 2024, doi: 10.3390/e26040332.

View Article

N. Zhang, K. Canini, S. Silva, and M. Gupta, “Fast linear interpolation,” ACM Journal on Emerging Technologies in Computing Systems (JETC), vol. 17, no. 2, pp. 1–15, 2021, doi: 10.1145/3423184.

View Article

A. S. Nuran and S. Z. Sari, “GRADIENT BOOSTING APPROACH FOR MULTI-LABEL APPLIANCE STATE CLASSIFICATION IN NILM USING PUBLIC LOW-FREQUENCY ENERGY DATA,” Jurnal Media Elektrik, vol. 22, no. 3, pp. 221–230, 2025, doi: 10.59562/metrik.v22i3.9169.

View Article

N. K. Mutlib, M. N. Ismael, and S. Baharom, “Damage detection in CFST column by simulation of ultrasonic waves using STFT-based spectrogram and welch power spectral density estimate,” Structural Durability & Health Monitoring, vol. 15, no. 3, pp. 227–227, 2021, doi: 10.32604/sdhm.2021.010725.

View Article

C. Andrade, “Z scores, standard scores, and composite test scores explained,” Indian Journal of Psychological Medicine, vol. 43, no. 6, pp. 555–557, 2021, doi: 10.1177/02537176211046525.

View Article

A. Jakkaraju, “Graph Neural Networks for Anomaly Detection in Cloud Infrastructure,” Journal of Computer and Communications, vol. 13, no. 10, pp. 102–116, 2025, doi: 10.4236/jcc.2025.1310006.

View Article

J. Tas, V. Rass, B. A. Ianosi, A. Heidbreder, M. Bergmann, and R. Helbok, “Unsupervised clustering in neurocritical care: a systematic review,” Neurocritical Care, vol. 42, no. 3, pp. 1074–1086, 2025, doi: 10.1007/s12028-024-02140-w.

View Article

M. Chaudhry, I. Shafi, M. Mahnoor, D. L. R. Vargas, E. B. Thompson, and I. Ashraf, “A systematic literature review on identifying patterns using unsupervised clustering algorithms: A data mining perspective,” Symmetry, vol. 15, no. 9, pp. 1679–1679, 2023, doi: 10.3390/sym15091679.

View Article

P. Jin, J. Huang, F. Liu, X. Wu, S. Ge, G. Song, D. A. Clifton, et al., “Expectation-maximization contrastive learning for compact video-and-language representations,” Advances in Neural Information Processing Systems, vol. 35, no. 1, pp. 30291–30306, 2022. [Online]. Available: https://proceedings.neurips.cc/paper_files/paper/2022/hash/c355566ce402de341c3320cf69a10750-Abstract-Conference.html.

View Article

X. Zhu, K. Guo, S. Ren, B. Hu, M. Hu, and H. Fang, “Lightweight image super-resolution with expectation-maximization attention mechanism,” IEEE Transactions on Circuits and Systems for Video Technology, vol. 32, no. 3, pp. 1273–1284, 2021, doi: 10.1109/TCSVT.2021.3078436.

View Article

C. Sutherland, D. Hare, P. J. Johnson, D. W. Linden, R. A. Montgomery, and E. Droge, “Practical advice on variable selection and reporting using Akaike information criterion,” Proceedings of the Royal Society B, vol. 290, no. 2007, pp. 20231261–20231261, 2023, doi: 10.1098/rspb.2023.1261.

View Article

M. Agarwal, P. K. Tripathi, and S. Pareek, “Forecasting infant mortality rate of India using ARIMA model: A comparison of Bayesian and classical approaches,” Stat Appl., vol. 19, no. 2, pp. 101–114, 2021. [Online]. Available: https://www.ssca.org.in/media/8_19_2_2021_SA_Sarla_Pareek_Final.pdf.

View Article

W. Zhang, Z. Yue, J. Ye, H. Xu, Y. Wang, X. Zhang, and L. Xi, “Modulation format identification using the Calinski–Harabasz index,” Applied Optics, vol. 61, no. 3, pp. 851–857, 2022, doi: 10.1364/AO.448043.

View Article

Z. Syahputri and M. A. P. Siregar, “Determining the optimal number of k-means clusters using the calinski harabasz index and krzanowski and lai index methods for grouping flood prone areas in north sumatra,” Sinkron: Jurnal dan Penelitian Teknik Informatika, vol. 8, no. 1, pp. 571–580, 2024, doi: 10.33395/sinkron.v9i1.13246.

View Article

M. Sundqvist, J. Chiquet, and G. Rigaill, “Adjusting the adjusted rand index: a multinomial story,” Computational Statistics, vol. 38, no. 1, pp. 327–347, 2023, doi: 10.1007/s00180-022-01230-7.

View Article

A. D’Ambrosio, S. Amodio, C. Iorio, G. Pandolfo, and R. Siciliano, “Adjusted concordance index: an extension of the adjusted rand index to fuzzy partitions,” Journal of Classification, vol. 38, no. 1, pp. 112–128, 2021, doi: 10.48550/arXiv.1509.00803.

View Article

A. Ganesh, M. Ankesh, P. V. R. Reddy, G. Goyal, M. S. Thakur, and A. Jain, “One-way analysis of variance (ANOVA),” Vigyan Varta, vol. 5, no. 8, pp. 110–112, 2024, doi: 10.1007/978-3-030-64333-1_8.

View Article

M. Alassaf and A. M. Qamar, “Improving sentiment analysis of Arabic Tweets by One-way ANOVA,” Journal of King Saud University-Computer and Information Sciences, vol. 34, no. 6, pp. 2849–2859, 2022, doi: 10.1016/j.jksuci.2020.10.023.

View Article

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 > >> 

You may also start an advanced similarity search for this article.