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Exploring Factors Related to Social Isolation Among Older Adults in the Predementia Stage Using Ecological Momentary Assessments and Actigraphy: Machine Learning Approach
Bada Kang, Min Kyung Park, Jennifer Ivy Kim, Seolah Yoon, Seok‐Jae Heo, Chaeeun Kang, SungHee Lee, Yong-Sung Choi et al.. Journal of Medical Internet Research, 2025-06-23
Topic: Risk, prevention and care in population studies
Plain-language summary
Of the 99 participants, 43 were classified into the low social interaction frequency group, and 37 were classified into the high loneliness level group. The random forest model was the most suitable for exploring factors associated with low social interaction frequency (accuracy 0.849; precision 0.837; specificity 0.857; and area under the receiver operating characteristic curve 0.935). The Gradient Boosting Machine model performed best for identifying factors related to high loneliness levels (accuracy 0.838; precision 0.871; specificity 0.784; and area under the receiver operating characteristic curve 0.887). This study demonstrated the potential of machine learning-based exploratory models, using data collected from mobile ecological momentary assessment and wearable actigraphy, to detect vulnerable groups in terms of social interaction frequency and loneliness levels among older adults with subjective cognitive decline and mild cognitive impairment. Our findings highlight physical movement as a key factor associated with low social interaction frequency, and sleep quality as a key factor related to loneliness. These results suggest that social interaction frequency and loneliness may operate through distinct mechanisms. Ultimately, this approach may contribute to preventing cognitive and physical decline in older adults at high risk of dementia. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1177/20552076241269555.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Kang, B., Park, M. K., Kim, J. I., Yoon, S., Heo, S., Kang, C., et al. (2025). Exploring Factors Related to Social Isolation Among Older Adults in the Predementia Stage Using Ecological Momentary Assessments and Actigraphy: Machine Learning Approach. Journal of Medical Internet Research. https://doi.org/10.2196/69379
Vancouver
Kang B, Park MK, Kim JI, Yoon S, Heo S, Kang C, et al. Exploring Factors Related to Social Isolation Among Older Adults in the Predementia Stage Using Ecological Momentary Assessments and Actigraphy: Machine Learning Approach. Journal of Medical Internet Research. 2025. doi:10.2196/69379. PMID: 40550119.
BibTeX
@article{kang2025-40550119,
author = {Kang, Bada and Park, Min Kyung and Kim, Jennifer Ivy and Yoon, Seolah and Heo, Seok‐Jae and Kang, Chaeeun and Lee, SungHee and Choi, Yong-Sung and others},
title = {{Exploring Factors Related to Social Isolation Among Older Adults in the Predementia Stage Using Ecological Momentary Assessments and Actigraphy: Machine Learning Approach}},
journal = {Journal of Medical Internet Research},
year = {2025},
doi = {10.2196/69379},
pmid = {40550119},
url = {https://doi.org/10.2196/69379}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Of the 99 participants, 43 were classified into the low social interaction frequency group, and 37 were classified into the high loneliness level group.
- The random forest model was the most suitable for exploring factors associated with low social interaction frequency (accuracy 0.849; precision 0.837; specificity 0.857; and area under the receiver operating characteristic curve 0.935).
- The Gradient Boosting Machine model performed best for identifying factors related to high loneliness levels (accuracy 0.838; precision 0.871; specificity 0.784; and area under the receiver operating characteristic curve 0.887).
- This study demonstrated the potential of machine learning-based exploratory models, using data collected from mobile ecological momentary assessment and wearable actigraphy, to detect vulnerable groups in terms of social interaction frequency and loneliness levels among older adults with subjective cognitive decline and mild cognitive impairment.
- Our findings highlight physical movement as a key factor associated with low social interaction frequency, and sleep quality as a key factor related to loneliness.
Why it matters
Among 99 older adults with subjective cognitive decline and mild cognitive impairment, machine learning models identified factors linked to low social interaction frequency and high loneliness, with physical movement and sleep quality as key factors. The authors suggest this approach may contribute to preventing cognitive and physical decline in older adults at high risk of dementia, but the study itself only detects vulnerable groups.
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Study details
- Participants99
- Evidence strengthLow
How this study scored 42/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Medical Internet Research) |
| Journal's citation record | 3 / 4 | Journal of Medical Internet Research: journal h-index 286 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 99 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 4.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 7 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Dahye Hong: h-index 4 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Yonsei University: institution h-index 777 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40550119) |
| Free to read | 2 / 2 | Free to read |
| Total | 42 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.2196/69379
- PubMed: 40550119
- Original source →
- Free full text: Journal of Medical Internet Research →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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