Eigenbehaviour as an Indicator of Cognitive Abilities
This work addresses the need for unobtrusive, long-term cognitive monitoring in older adults, offering a practical solution for health applications, though it is incremental in applying existing methods to a new domain.
The paper tackled the problem of monitoring cognitive abilities in older adults by proposing a digital biomarker based on location eigenbehavior from ambient sensors, achieving high classification accuracy with an AUC of 0.94 for distinguishing normal versus pathological cognition.
With growing usage of machine learning algorithms and big data in health applications, digital biomarkers have become an important key feature to ensure the success of those applications. In this paper, we focus on one important use-case, the long-term continuous monitoring of the cognitive ability of older adults. The cognitive ability is a factor both for long-term monitoring of people living alone as well as an outcome in clinical studies. In this work, we propose a new digital biomarker for cognitive abilities based on location eigenbehaviour obtained from contactless ambient sensors. Indoor location information obtained from passive infrared sensors is used to build a location matrix covering several weeks of measurement. Based on the eigenvectors of this matrix, the reconstruction error is calculated for various numbers of used eigenvectors. The reconstruction error is used to predict cognitive ability scores collected at baseline, using linear regression. Additionally, classification of normal versus pathological cognition level is performed using a support-vector-machine. Prediction performance is strong for high levels of cognitive ability, but grows weaker for low levels of cognitive ability. Classification into normal versus pathological cognitive ability level reaches high accuracy with a AUC = 0.94. Due to the unobtrusive method of measurement based on contactless ambient sensors, this digital biomarker of cognitive ability is easily obtainable. The usage of the reconstruction error is a strong digital biomarker for the binary classification and, to a lesser extent, for more detailed prediction of interindividual differences in cognition.