Eigenbehaviour as an Indicator of Cognitive Abilities

TL;DR

This study introduces a contactless ambient sensor-based digital biomarker using eigenbehaviour to predict and classify cognitive abilities in older adults, achieving high accuracy especially for normal cognition levels.

Contribution

It presents a novel, unobtrusive method for assessing cognitive abilities through location eigenbehaviour and machine learning, improving long-term monitoring.

Findings

High classification accuracy for normal cognition (AUC=0.94)

Strong prediction of high cognitive ability levels

Weaker prediction accuracy for low cognitive ability levels

Abstract

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.