Currently accepted at: JMIR Formative Research
Date Submitted: Sep 24, 2025
Open Peer Review Period: Sep 25, 2025 - Nov 20, 2025
Date Accepted: Feb 25, 2026
Date Submitted to PubMed: Feb 26, 2026
(closed for review but you can still tweet)
This paper has been accepted and is currently in production.
It will appear shortly on 10.2196/84618
The final accepted version (not copyedited yet) is in this tab.
An "ahead-of-print" version has been submitted to Pubmed, see PMID: 41747201
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Digital Phenotyping via Passive Network Traffic Monitoring: Feasibility and Acceptability in University Students
ABSTRACT
Background:
Digital behaviors such as sleep, social interaction, and productivity reflect how individuals structure daily life. 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—yield useful insights but depend on self-report or active participation, limiting adherence in real-world use. Passive sensing of network traffic provides a scalable and less burdensome alternative, enabling unobtrusive capture of smartphone usage patterns while preserving privacy.
Objective:
This study evaluated whether encrypted smartphone network traffic, collected via a standard virtual private network (VPN), can be used to capture patterns of digital behavior. We assessed feasibility (sustained data capture) and acceptability (usability, burden, and privacy perceptions), and examined whether traffic-derived features reveal aspects of digital behavior—including timing, intensity, and regularity—relevant to health and daily functioning.
Methods:
We conducted a two-week prospective observational study at New York University. Thirty-eight students enrolled; 29 provided valid network data, 27 remained active for more than five days, and 25 completed the exit interview. Participants installed the WireGuard VPN client on personal smartphones, which enabled passive capture of encrypted network traffic. Feasibility was assessed across two domains: user retention and data coverage. Acceptability was evaluated using the System Usability Scale (SUS), NASA Task Load Index (NASA-TLX), and semi-structured exit interviews. Beyond evaluating feasibility and acceptability, we conducted exploratory analyses that visualized traffic-derived features in relation to digital activity patterns.
Results:
Of the 29 participants who contributed valid data, 27 (93%) remained active for more than five days. Mean data coverage was 74.1% (median 77.1%). Participants contributed an average of 311.6 hours of monitored traffic (~13 days, SD 3.5), with totals ranging from 121 to 496 hours. Usability ratings were high (mean SUS score = 78) and perceived workload low (NASA-TLX scores minimal). Participants described the system as easy to install, unobtrusive, and generally trustworthy, though 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. The findings demonstrate the potential of this approach as a scalable and device-agnostic method for digital phenotyping—capable of capturing fine-grained behavioral rhythms while preserving privacy. With broader validation and deployment, the technique could expand the toolkit for studying health, well-being, and cognitive function in everyday life. Clinical Trial: Not applicable. This study was not registered as a clinical trial because it did not involve randomization.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.