Smartwatch- and smartphone-based remote assessment of brain health and detection of mild cognitive impairment

Paul Monroe Butler, Jenny Yang, Roland Brown, Matt Hobbs, Andrew Becker, Joaquin Penalver-Andres, Philippe Syz, Sofia Muller, Gautier Cosne, Adrien Juraver, Han Hee Song, Paramita Saha-Chaudhuri, Daniel Roggen, Alf Scotland, Natalia Silveira, Gizem Demircioglu, Audrey Gabelle, Richard Hughes, Michael G. Erkkinen, Jessica B. LangbaumJennifer H. Lingler, Pamela Price, Yakeel T. Quiroz, Sharon J. Sha, Marty Sliwinski, Anton P. Porsteinsson, Rhoda Au, Matt T. Bianchi, Hanson Lenyoun, Hung Pham, Mithun Patel, Shibeshih Belachew

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Consumer-grade mobile devices are used by billions worldwide. Their ubiquity provides opportunities to robustly capture everyday cognition. ‘Intuition’ was a remote observational study that enrolled 23,004 US adults, collecting 24 months of longitudinal multimodal data via their iPhones and Apple Watches using a custom research application that captured routine device use, self-reported health information and cognitive assessments. The study objectives were to classify mild cognitive impairment (MCI), characterize cognitive trajectories and develop tools to detect and track cognitive health at scale. The study addresses sources of bias in current cognitive health research, including limited representativeness (for example, racial/ethnic, geographic) and accuracy of cognitive measurement tools. We describe study design and provide baseline cohort characteristics. Next, we present foundational proof-of-concept MCI classification modeling results using interactive cognitive assessment data. Initial findings support the reliability and validity of remote MCI detection and the usefulness of such data in describing at-risk cognitive health trajectories in demographically diverse aging populations. ClinicalTrials.gov identifier: NCT05058950.

Original languageEnglish (US)
Article number7690
Pages (from-to)829-839
Number of pages11
JournalNature Medicine
Volume31
Issue number3
DOIs
StatePublished - Mar 2025

All Science Journal Classification (ASJC) codes

  • General Biochemistry, Genetics and Molecular Biology

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