Revisiting Audio Pattern Recognition for Asthma Medication Adherence: Evaluation with the RDA Benchmark Suite

Asthma is a common, usually long-term respiratory disease with negative impact on society and the economy worldwide. Treatment involves using medical devices (inhalers) that distribute medication to the airways, and its efficiency depends on the precision of the inhalation technique. Health monitoring systems equipped with sensors and embedded with sound signal detection enable the recognition of drug actuation and could be powerful tools for reliable audio content analysis. This paper revisits audio pattern recognition and machine learning techniques for asthma medication adherence assessment and presents the Respiratory and Drug Actuation (RDA) Suite(https://gitlab.com/vvr/monitoring-medication-adherence/rda-benchmark) for benchmarking and further research. The RDA Suite includes a set of tools for audio processing, feature extraction and classification and is provided along with a dataset consisting of respiratory and drug actuation sounds. The classification models in RDA are implemented based on conventional and advanced machine learning and deep network architectures. This study provides a comparative evaluation of the implemented approaches, examines potential improvements and discusses challenges and future tendencies.