ArticleNPJ digital medicine2022
A systems approach towards remote health-monitoring in older adults: Introducing a zero-interaction digital exhaust.
Article in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Patient and Staff Experience of Remote Patient Monitoring-What to Measure and How: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Renegotiating autonomy and safety: disentangling tensions emerging for older adults living with smart monitoring systems.npj health systems · 2026Article
- AI-Based Measurement Tools for Intrinsic Capacity in Older Adults: Scoping Review.Journal of medical Internet research · 2026Article
- Impact of telehealth modalities on medication adherence in older adults with heart disease: Evidence from NHATS.Internet interventions · 2026Article
- Interrelations of work with health and wellbeing on a 50+ year old workforce assessed using longitudinal self-reports and actigraphy.Scientific reports · 2026Article
- Digital Phenotyping via Passive Network Traffic Monitoring: Prospective Observational Study in University Students.JMIR formative research · 2026Observational
- A framework of digital biomarkers for neurodegenerative diseases.Nature reviews bioengineering · 2026Article
- From Sensing to Sense-Making: A Framework for On-Person Intelligence with Wearable Biosensors and Edge LLMs.Sensors (Basel, Switzerland) · 2026Article
- Using Indoor Movement Complexity in Smart Homes to Detect Frailty in Older Adults: Multiple-Methods Case Series Study.JMIR aging · 2026Article
- Nurses as guardians of time: the hidden clinical value of continuous care in geriatrics.Frontiers in public health · 2026Review
- Exploring the feasibility of modeling next-day fatigue and sleepiness using digital sleep tracker data in neurodegenerative and immune-mediated inflammatory diseases.Frontiers in digital health · 2026Article
- Association Between Refrigerator Openings and Protein Intake After Hospitalization for Heart Failure Decompensation: Protocol for a Prospective Cohort Pilot Study.JMIR research protocols · 2025Article
- Reimagining falls prevention with insights from systems mapping on the use of millimetre-wave radar for remote health monitoring.Scientific reports · 2025Article
- Insights into endometriosis symptom trajectories and assessment of surgical intervention outcomes using longitudinal actigraphy.NPJ digital medicine · 2025Article
- Sleep characteristics and self-reported sleep quality in the oldest-old: Results from a prospective longitudinal cohort study.Journal of sleep research · 2025Article
- Case report of early signs of aortic stenosis decompensation detected via ambient sensor-derived digital biomarkers.European heart journal. Case reports · 2025Article
- Evaluation of Ambient Sensor Systems for the Early Detection of Heart Failure Decompensation in Older Patients Living at Home Alone: Protocol for a Prospective Cohort Study.JMIR research protocols · 2024Article
- Distinct eye movement patterns to complex scenes in Alzheimer's disease and Lewy body disease.Frontiers in neuroscience · 2024Article
- Wearable-based accelerometer activity profile as digital biomarker of inflammation, biological age, and mortality using hierarchical clustering analysis in NHANES 2011-2014.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
Abstract
Using connected sensing devices to remotely monitor health is a promising way to help transition healthcare from a rather reactive to a more precision medicine oriented proactive approach, which could be particularly relevant in the face of rapid population ageing and the challenges it poses to healthcare systems. Sensor derived digital measures of health, such as digital biomarkers or digital clinical outcome assessments, may be used to monitor health status or the risk of adverse events like falls. Current research around such digital measures has largely focused on exploring the use of few individual measures obtained through mobile devices. However, especially for long-term applications in older adults, this choice of technology may not be ideal and could further add to the digital divide. Moreover, large-scale systems biology approaches, like genomics, have already proven beneficial in precision medicine, making it plausible that the same could also hold for remote-health monitoring. In this context, we introduce and describe a zero-interaction digital exhaust: a set of 1268 digital measures that cover large parts of a person's activity, behavior and physiology. Making this approach more inclusive of older adults, we base this set entirely on contactless, zero-interaction sensing technologies. Applying the resulting digital exhaust to real-world data, we then demonstrate the possibility to create multiple ageing relevant digital clinical outcome assessments. Paired with modern machine learning, we find these assessments to be surprisingly powerful and often on-par with mobile approaches. Lastly, we highlight the possibility to discover novel digital biomarkers based on this large-scale approach.
Identifiers
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Registered trials
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.