Evidence map›Paper›PMID 41481912›Full record

ArticleJMIR aging2026

Using Indoor Movement Complexity in Smart Homes to Detect Frailty in Older Adults: Multiple-Methods Case Series Study.

Katherine Wuestney, Diane Cook, Catherine Van Son, Roschelle Fritz

Abstract read
In one paragraph

Article in JMIR aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Katherine WuestneyCollege of Nursing, Washington State University, Pullman, WA, United States.ORCID http://orcid.org/0000-0002-5691-0041
Diane CookSchool of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, United States.ORCID http://orcid.org/0000-0002-4441-7508
Catherine Van SonCollege of Nursing, Washington State University, Pullman, WA, United States.ORCID http://orcid.org/0000-0002-0491-5748
Roschelle FritzBetty Irene Moore School of Nursing, UC Davis Health System, 2570 48th St, Sacramento, CA, 95817, United States, 1 916 734 2145.ORCID http://orcid.org/0000-0002-0320-6763

Funding

A clinician-in-the-loop smart home to support health monitoring and intervention for chronic conditions: Supplement to focus on Alzheimer's and/or other dementiasR01NR016732 · NINR · WASHINGTON STATE UNIVERSITY · PI Diane Joyce Cook, Roschelle Fritz · 2017 to 2026
$3.5M
Multidisciplinary undergraduate training program in Health-assistive Smart EnvironmentsR25AG046114 · NIA · WASHINGTON STATE UNIVERSITY · PI COOK, DIANE JOYCE, MINOR, BRYAN · 2014 to 2025
$3.4M
NIA NIH HHS R25 AG046114NINR NIH HHS R01 NR016732
6 · The paper itself

Abstract

Background: The theory of complexity in aging indicates that the complexity of sensor-derived physiological and behavioral signals reflects an older adult's adaptive capacity and, in turn, their frailty. Smart homes with ambient sensors offer a unique opportunity to longitudinally explore the complexity of older adults' indoor movement in a real-world setting. Here, we introduce a computational method to estimate behavior complexity from sensor data. We further conduct a multiple-methods case series to explore the relationship between entropy-measured smart home data complexity and older adult frailty. Objective: This study aims to explore the relationship between entropy-measured ambient sensor data complexity and frailty in independent community-dwelling older adults. Methods: The nature of older adults' indoor movement complexity is measured by quantifying the entropy of smart home data. Overall, 11 cases with persons aged 65 years and older were drawn from an ongoing smart home study to illustrate the method. We assessed weekly frailty for these cases using the Clinical Frailty Scale. For corresponding time ranges, we measured the complexity of smart home data using a fixed-width sliding window and an entropy-based complexity index (Rényi Complexity Index) built on a Universal Sequence Map (USM-Rényi). Descriptive statistics and graphical analysis were used to describe intraindividual frailty and sensor complexity change. Results: The complexity of sensor-observed indoor movement does change over time in older adults as quantified by the computational method. In some individuals, these changes track with health transitions and frailty progression. The trends and monotonicity of complexity trajectories varied between cases. Overall, 3 of the cases demonstrated a negative association between frailty and complexity, while the association was not as clear for the other cases. Conclusions: The complexity of older adults' smart home data is highly diverse. Changes in health and frailty influence indoor movement complexity. Although the findings suggest a relationship between frailty and complexity, confounding factors, such as home layout, visitors, external events, and technology disruptions, may influence sensor signals.

Indexed as

Frail ElderlyFrailtyGeriatric AssessmentAgedAged, 80 and overFemaleHumansIndependent LivingMaleMovementcomplexityentropyfrailtymovementsmart home

Identifiers

PMID41481912
PMCPMC12772939

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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.