Evidence map›Paper›PMID 42044216›Full record

Observational studyJMIR formative research2026

Digital Phenotyping via Passive Network Traffic Monitoring: Prospective Observational Study in University Students.

Rameen Mahmood, Annabelle David, Donghan Hu, Nabil Alshurafa, Lou M Haux, Josiah Hester, Andrew Kiselica, Shinan Liu, Chenxi Qiu, Chao-Yi Wu and 3 more

Abstract readObservational Study
In one paragraph

Observational study in JMIR formative research, 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
0cells of the map it votes in
0citing 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

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

13 authors.

Rameen MahmoodDepartment of Electrical and Computer Engineering, Tandon School of Engineering, New York University, 370 Jay St, Brooklyn, NY, 11201, United States, 1 (646) 997-0500.ORCID 0009-0001-0960-0817
Annabelle DavidCenter for Urban Science + Progress (CUSP), NYU Tandon School of Engineering, New York University, Brooklyn, NY, United States.ORCID 0009-0002-8300-3524
Donghan HuDepartment of Electrical and Computer Engineering, Tandon School of Engineering, New York University, 370 Jay St, Brooklyn, NY, 11201, United States, 1 (646) 997-0500.ORCID 0000-0003-4444-7827
Nabil AlshurafaDepartment of Preventive Medicine, Northwestern University, Chicago, IL, United States.ORCID 0000-0001-6681-7564
Lou M HauxMax Planck Institute for Human Development, Berlin, Germany.ORCID 0000-0001-6660-3945
Josiah HesterCollege of Computing, Center for Advancing Responsible Computing, Georgia Institute of Technology, Atlanta, GA, United States.ORCID 0000-0002-1680-085X
Andrew KiselicaInstitute of Gerontology, Department of Health Policy and Management, University of Georgia, Athens, GA, United States.ORCID 0000-0002-9514-0668
Shinan LiuDepartment of Data and Systems Engineering, University of Hong Kong, Hong Kong, China (Hong Kong).ORCID 0000-0002-6170-2167
Chenxi QiuDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.ORCID 0000-0002-0314-5307
Chao-Yi WuNeurology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.ORCID 0000-0002-2187-6509
Zachary BeattieOregon Alzheimer's Disease Research Center & Center for Aging & Technology (ORCATECH), Oregon Health & Science University, Portland, OR, United States.ORCID 0000-0002-4844-7122
Jeffrey KayeOregon Alzheimer's Disease Research Center & Center for Aging & Technology (ORCATECH), Oregon Health & Science University, Portland, OR, United States.ORCID 0000-0002-9971-3478
Danny Yuxing HuangDepartment of Electrical and Computer Engineering, Tandon School of Engineering, New York University, 370 Jay St, Brooklyn, NY, 11201, United States, 1 (646) 997-0500.ORCID 0000-0002-1794-6105

Funding

Research Education ComponentP30AG066518 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KEVIN M DUFF, Lisa C Silbert · 2020 to 2026
$28.6M
NIA NIH HHS P30 AG066518
6 · The paper itself

Abstract

Background: Digital behaviors such as sleep, social interactions, and productivity reflect how individuals structure their daily lives. Among university students, online activity patterns mirror academic schedules, social rhythms, and lifestyle habits, with disruptions linked to sleep, stress, and well-being. Existing approaches-including wearables, apps, and surveys-depend on self-report or active participation, limiting long-term adherence. Passive sensing of network traffic offers a scalable alternative for the unobtrusive capture of smartphone usage patterns that preserves privacy. Objective: This study evaluated the degree to which encrypted smartphone network traffic, collected via a standard virtual private network (VPN), can capture patterns of digital behavior. We assessed feasibility (sustained data capture) and acceptability (usability, burden, and privacy perceptions) and examined how traffic-derived features reveal aspects of digital behavior-including timing, intensity, and regularity-relevant to health and daily functioning. Methods: We conducted a 2-week prospective observational study at New York University. Participants installed the WireGuard VPN client on personal smartphones, enabling passive capture of encrypted network traffic. Feasibility was assessed using a mixed methods approach combining quantitative measures of user retention and data coverage with qualitative analysis of semistructured exit interviews. Acceptability was evaluated using the System Usability Scale, NASA Task Load Index, and qualitative interview analysis. Exploratory analyses visualized traffic-derived features in relation to digital activity patterns. Results: Thirty-eight students consented, of whom 29 (76.3%) contributed valid network traffic data and formed the analytic cohort. Within this cohort, 93% of participants (27/29; Wilson 95% CI 78%-98%) contributed at least 5 days of monitoring, corresponding to 71% retention relative to all consented participants (27/38; Wilson 95% CI 55%-83%). The mean data coverage within the analytic cohort (n=24) was 74.1% (SD 19.3%; median 77.1%, IQR 63.6%-90.0%; bootstrap 95% CI 66.3%-81.4%). These participants contributed an average of 311.6 (∼13 d, SD 3.5) hours of monitored traffic, ranging from 121 to 496 hours. Acceptability outcomes were evaluated among participants completing the exit survey and interview. Usability ratings were high (System Usability Scale score: mean 78, SD 14.96), and perceived workload was low (NASA Task Load Index scores were minimal). Participants described the system as easy to install, unobtrusive, and generally trustworthy, although some reported temporarily disabling the VPN during activities they considered private. No inferential statistical tests were conducted; analyses were descriptive. Exploratory analyses indicated that traffic-derived features reflected daily digital activity rhythms and revealed distinctive lifestyle patterns, including gaming and irregular late-night food delivery use. Conclusions: VPN-based monitoring of encrypted smartphone traffic was feasible and acceptable, enabling sustained passive data collection with minimal burden. This approach shows promise as a scalable, device-agnostic method for digital phenotyping that captures fine-grained behavioral rhythms while preserving privacy. With broader validation, this technique could expand the toolkit for studying health and well-being in everyday life.

Indexed as

PhenotypeSmartphoneStudentsAdultDigital HealthFemaleHumansMaleProspective StudiesUniversitiesYoung Adultdigital behaviordigital phenotypingencrypted network trafficpassive sensingremote monitoring

Identifiers

PMID42044216
PMCPMC13118141

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.