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Accepted for/Published in: JMIR Medical Informatics

Date Submitted: Feb 24, 2025
Date Accepted: Nov 7, 2025

The final, peer-reviewed published version of this preprint can be found here:

Artificial Intelligence–Based Computerized Digit Vigilance Test in Community-Dwelling Older Adults: Development and Validation Study

Lin GH, Bai D, Huang YJ, Lee SC, Vu MTT, Chiu TH

Artificial Intelligence–Based Computerized Digit Vigilance Test in Community-Dwelling Older Adults: Development and Validation Study

JMIR Med Inform 2025;13:e73038

DOI: 10.2196/73038

PMID: 41328884

PMCID: 12670460

Developing an Artificial Intelligence-Based Computerized Digit Vigilance Test for Community-Dwelling Older Adults

  • Gong-Hong Lin; 
  • Dorothy Bai; 
  • Yi-Jing Huang; 
  • Shih-Chieh Lee; 
  • Mai Thi Thuy Vu; 
  • Tsu-Hsien Chiu

ABSTRACT

Background:

The Computerized Digit Vigilance Test (CDVT) is a well-established measure of sustained attention. However, the CDVT fails to capture other crucial attentional features such as the eye blink rate, yawns, head movements, and eye movements.

Objective:

This study aimed to develop an artificial intelligence (AI)-based CDVT (AI-CDVT) in older adults.

Methods:

Participants were assessed by the CDVT with video recordings capturing their head and face. The AI-CDVT was developed through (1) retrieving attentional features, (2) establishing an AI-based scoring model, and (3) assessing the validity and test-retest reliability.

Results:

Pearson’s r values of the AI-CDVT with the CDVT were 0.97 (N=153), -0.31–-0.42 with the Montreal Cognitive Assessment and Stroop Color Word Test, and 0.46–0.61 with Color Trails Test. The intraclass correlation coefficient was 0.78.

Conclusions:

Leveraging AI to extract attentional features from video recordings and integrating them to generate a comprehensive attention score is workable to assess attention. Clinical Trial: NA


 Citation

Please cite as:

Lin GH, Bai D, Huang YJ, Lee SC, Vu MTT, Chiu TH

Artificial Intelligence–Based Computerized Digit Vigilance Test in Community-Dwelling Older Adults: Development and Validation Study

JMIR Med Inform 2025;13:e73038

DOI: 10.2196/73038

PMID: 41328884

PMCID: 12670460

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