Evidence map›Paper›PMID 35496371›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2022

Wearable multimodal sensors for the detection of behavioral and psychological symptoms of dementia using personalized machine learning models.

Andrea Iaboni, Sofija Spasojevic, Kristine Newman, Lori Schindel Martin, Angel Wang, Bing Ye, Alex Mihailidis, Shehroz S Khan

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Designing AI-Enabled Video Monitoring Clinician Dashboard for Neuropsychiatric Symptoms: A Survey of User Needs.The American journal of geriatric psychiatry. Open science, education, and practice · 2026
    Article
  9. Article
  10. Article
  11. Neuropsychiatric symptoms in Alzheimer's disease: Bridging mechanisms, management, and emerging innovations.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  12. Bridging Gaps in Sundown Syndrome Research: a Scoping Review and Roadmap for Future Multimodal Approaches.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. Using Apple Watches to Monitor Health and Behaviors of Individuals With Cognitive Impairment: A Case Series Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea IaboniKITE Research Institute Toronto Rehabilitation Institute University Health Network Toronto Ontario Canada.ORCID https://orcid.org/0000-0003-4268-6832
Sofija SpasojevicKITE Research Institute Toronto Rehabilitation Institute University Health Network Toronto Ontario Canada.
Kristine NewmanDaphne Cockwell School of Nursing, Ryerson University Toronto Ontario Canada.
Lori Schindel MartinDaphne Cockwell School of Nursing, Ryerson University Toronto Ontario Canada.
Angel WangDaphne Cockwell School of Nursing, Ryerson University Toronto Ontario Canada.
Bing YeKITE Research Institute Toronto Rehabilitation Institute University Health Network Toronto Ontario Canada.
Alex MihailidisKITE Research Institute Toronto Rehabilitation Institute University Health Network Toronto Ontario Canada.
Shehroz S KhanKITE Research Institute Toronto Rehabilitation Institute University Health Network Toronto Ontario Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Behavioral and psychological symptoms of dementia (BPSD) signal distress or unmet needs and present a risk to people with dementia and their caregivers. Variability in the expression of these symptoms is a barrier to the performance of digital biomarkers. The aim of this study was to use wearable multimodal sensors to develop personalized machine learning models capable of detecting individual patterns of BPSD. Methods: Older adults with dementia and BPSD (n = 17) on a dementia care unit wore a wristband during waking hours for up to 8 weeks. The wristband captured motion (accelerometer) and physiological indicators (blood volume pulse, electrodermal activity, and skin temperature). Agitation or aggression events were tracked, and research staff reviewed videos to precisely annotate the sensor data. Personalized machine learning models were developed using 1-minute intervals and classifying the presence of behavioral symptoms, and behavioral symptoms by type (motor agitation, verbal aggression, or physical aggression). Results: Behavioral events were rare, representing 3.4% of the total data. Personalized models classified behavioral symptoms with a median area under the receiver operating curve (AUC) of 0.87 (range 0.64-0.95). The relative importance of the different sensor features to the predictive models varied both by individual and behavior type. Discussion: Patterns of sensor data associated with BPSD are highly individualized, and future studies of the digital phenotyping of these behaviors would benefit from personalization.

Indexed as

behavioral and psychological symptomsdementiamachine learningneuropsychiatric symptomspersonalizationwearable sensors

Identifiers

PMID35496371
PMCPMC9043905

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.