TY - JOUR AU - Muurling, Marijn AU - Reus, Lianne M AU - de Boer, Casper AU - Wessels, Sterre C AU - Jagesar, Raj R AU - Vorstman, Jacob A S AU - Kas, Martien J H AU - Visser, Pieter Jelle PY - 2022 DA - 2022/5/20 TI -使用被动监测应用程序评估认知正常和认知受损老年人的社会行为:观察研究JO - JMIR老化SP - e33856 VL - 5 IS - 2 KW -被动监测KW -智能手机应用程序KW -认知障碍KW -社会行为KW -痴呆症KW -移动健康KW -移动应用程序KW -认知KW -心理健康KW -社会退缩KW -福祉AB -背景:在认知障碍患者中，社会互动的丧失对福祉有重大影响。因此，患者将受益于早期发现社会退缩症状。目前的测量技术，如问卷调查，是主观的，依赖于回忆，与智能手机应用程序是被动和客观地衡量社会行为。目的:本研究使用远程监控智能手机应用程序Behapp来评估社会行为，旨在研究(1)认知正常(CN)老年人的社会行为、人口统计学特征和神经精神症状之间的关系，以及(2)认知受损(CI)参与者的社会行为是否发生改变。此外，我们在一部分个体中探索了Behapp结果与神经精神症状之间的关联。方法:CN、主观认知衰退(SCD)和CI老年人在自己的Android智能手机上安装Behapp应用7至42天。CI参与者有轻度认知障碍(MCI)或阿尔茨海默型痴呆的临床诊断。该应用程序持续测量通信事件、应用程序使用情况和位置。20名SCD和22名CI参与者可获得神经精神病学量表(NPI)总分。 Linear models were used to assess group differences on Behapp outcomes and to assess the association of Behapp outcomes with the NPI. Results: We included CN (n=209), SCD (n=55) and CI (n=22) participants. Older cognitively normal participants called less frequently and made less use of apps (P<.05). No sex effects were found. Compared to the CN and SCD groups, CI individuals called less unique contacts (β=–0.7 [SE 0.29], P=.049) and contacted the same contacts relatively more often (β=0.8 [SE 0.25], P=.004). They also made less use of apps (β=–0.83 [SE 0.25], P=.004). Higher total NPI scores were associated with further traveling (β=0.042 [SE 0.015], P=.03). Conclusions: CI individuals show reduced social activity, especially those activities that are related to repeated and unique behavior, as measured by the smartphone app Behapp. Neuropsychiatric symptoms seemed only marginally associated with social behavior as measured with Behapp. This research shows that the Behapp app is able to objectively and passively measure altered social behavior in a cognitively impaired population. SN - 2561-7605 UR - https://aging.www.mybigtv.com/2022/2/e33856 UR - https://doi.org/10.2196/33856 UR - http://www.ncbi.nlm.nih.gov/pubmed/35594063 DO - 10.2196/33856 ID - info:doi/10.2196/33856 ER -