Evidence map›Paper›PMID 40850344›Full record

ReviewAgeing research reviews2025

Personalized cognitive enhancement for older adults: An aging-friendly closed-loop human-machine interface framework.

Sa Zhou, Yang Liu, Adam Turnbull, Cristiano Tapparello, Ehsan Adeli, F Vankee Lin

Abstract readReview
In one paragraph

Review in Ageing research reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
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

6 authors.

Sa ZhouDepartment of Psychiatry and Behavioral Sciences, Stanford University, United States. Electronic address: sazhou@stanford.edu.
Yang LiuDepartment of Psychiatry and Behavioral Sciences, Stanford University, United States.
Adam TurnbullDepartment of Psychiatry and Behavioral Sciences, Stanford University, United States.
Cristiano TapparelloDepartment of Electrical and Computer Engineering, University of Rochester, United States.
Ehsan AdeliDepartment of Psychiatry and Behavioral Sciences, Stanford University, United States.
F Vankee LinDepartment of Psychiatry and Behavioral Sciences, Stanford University, United States.

Funding

Develop an ANS-based Personalized Cognitive Training for Mild Cognitive ImpairmentR33AG073356 · NIA · STANFORD UNIVERSITY · PI LIN, FENG VANKEE, TAPPARELLO, CRISTIANO · 2023 to 2025
$2.2M
A facial expression-based personalization engine (FPE) for monitoring and modulating real-time effective engagement in cognitive training in older adults at risk for AD/ADRDR33AG084471 · NIA · STANFORD UNIVERSITY · PI Ehsan Adeli, Feng Vankee Lin · 2025 to 2026
$1.1M
NIA NIH HHS R33 AG073356NIA NIH HHS R33 AG084471
6 · The paper itself

Abstract

Emerging digitally delivered non-pharmacological interventions (dNPIs) offer scalable, low-risk solutions for enhancing cognitive function in older adults, yet their effectiveness remains inconsistent due to a lack of personalization and precise mechanisms of action. Generic, population-based designs often fail to predict individual gains, underscoring the need for more tailored approaches. To address this, we propose a closed-loop human-machine interface (HMI) framework for personalizing dNPIs by optimizing the engagement of neurocognitive resources for cognitive enhancement. Our framework tackles three major challenges: (1) comprehensive and effective neurobehavioral representations for cognitive decoding, (2) tailoring interventions for domain-specific cognitive processes, and (3) ensuring aging-friendly design on usability, validity, and reliability for long-term adherence. We provide reviews and perspectives to guide the development of closed-loop HMIs by outlining the operational details of three key components-sensor, controller, and external actuator-that monitor, analyze, and modulate neurobehavioral activities through real-time adaptive interventions. Centering on neurobehavioral characteristics of older adults, we propose to advance closed-loop HMIs toward (1) deploying multimodal sensor network that captures activities from both central and peripheral nervous systems, (2) artificial intelligence (AI)-powered cognitive decoding and modulation that integrates multi-modal easy-to-acquire neurobehavioral signals and predicts the cross-modal harder-to-acquire signals, and (3) targeting neurobehavioral processes via internal and/or external regulation. We envision that the proposed closed-loop HMI framework could provide personalized dNPI with enhanced effectiveness and scalability for cognitive enhancement in older adults, promoting brain resilience and healthy longevity in the aging population.

Indexed as

AgingBrain-Computer InterfacesCognitionPrecision MedicineAgedHumansAging-friendlyClosed-loopCognitive enhancementDigitally delivered non-pharmacological interventionsHuman-machine interfaceOlder adultsPersonalized intervention

Identifiers

PMID40850344
PMCPMC12788793

What OpenQuestion holds

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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.