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$\textbf{Objective}$: To develop a multi-channel device event segmentation and feature extraction algorithm that is robust to changes in data distribution. $\textbf{Methods}$: We introduce an adaptive transfer learning algorithm to classify and segment events from non-stationary multi-channel temporal data. Using a multivariate hidden Markov model (HMM) and Fisher's linear discriminant analysis (FLDA) the algorithm adaptively adjusts to shifts in distribution over time. The proposed algorithm is unsupervised and learns to label events without requiring $\textit{a priori}$ information about true event states. The procedure is illustrated on experimental data collected from a cohort in a human viral challenge (HVC) study, where certain subjects have disrupted wake and sleep patterns after exposure to a H1N1 influenza pathogen. $\textbf{Results}$: Simulations establish that the proposed adaptive algorithm significantly outperforms other event classification methods. When applied to early time points in the HVC data the algorithm extracts sleep/wake features that are predictive of both infection and infection onset time. $\textbf{Conclusion}$: The proposed transfer learning event segmentation method is robust to temporal shifts in data distribution and can be used to produce highly discriminative event-labeled features for health monitoring. $\textbf{Significance}$: Our integrated multisensor signal processing and transfer learning method is applicable to many ambulatory monitoring applications.

Objective: To develop multisensor-wearable-device sleep monitoring algorithms that are robust to health disruptions affecting sleep patterns. Methods: We develop an unsupervised transfer learning algorithm based on a multivariate hidden Markov model and Fisher's linear discriminant analysis, adaptively adjusting to sleep pattern shift by training on dynamics of sleep/wake states. The proposed algorithm operates, without requiring a priori information about true sleep/wake states, by establishing an initial training set with hidden Markov model and leveraging a taper window mechanism to learn the sleep pattern in an incremental fashion. Our domain-adaptation algorithm is applied to a dataset collected in a human viral challenge study to identify sleep/wake periods of both uninfected and infected participants. Results: The algorithm successfully detects sleep/wake sessions in subjects whose sleep patterns are disrupted by respiratory infection (H3N2 flu virus). Pre-symptomatic features based on the detected periods are found to be strongly predictive of both infection status (AUC = 0.844) and infection onset time (AUC = 0.885), indicating the effectiveness and usefulness of the algorithm. Conclusion: Our method can effectively detect sleep/wake states in the presence of sleep pattern shift. Significance: Utilizing integrated multisensor signal processing and adaptive training schemes, our algorithm is able to capture key sleep patterns in ambulatory monitoring, leading to better automated sleep assessment and prediction.