Smart home Internet of Things-based behavioural analysis for early detection of cognitive decline: toward Saudi future vision.

IF 3.3 Q2 HEALTH CARE SCIENCES & SERVICES
mHealth Pub Date : 2026-02-26 eCollection Date: 2026-01-01 DOI:10.21037/mhealth-2025-74
Arij Alfaidi, Shadi Majed Alshraah, Loubna Hussain Rashid Alajmi, Alhanof Almutairi, Mohamed Ibrahim Alsaid Hassan, Anwer Mustafa Hilal
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Abstract

Background: The increasing integration of Internet of Things (IoT) technologies in smart-home environments has enabled continuous collection of behavioural data that can support cognitive health monitoring. Early identification of behavioural deviations associated with cognitive decline is critical for timely intervention and quality-of-life improvement among older adults. However, conventional clinical assessments are often episodic, subjective, and resource-intensive. The objective of this study is to develop a non-invasive, data-driven framework for analysing daily behavioural patterns from smart-home IoT data to support early cognitive-risk screening rather than clinical diagnosis.

Methods: This study proposes HEALNET (Home Environment Assisted Learning Network), a hybrid deep learning (DL) framework that integrates convolutional neural networks (CNNs) for spatial feature extraction, long short-term memory (LSTM) networks for temporal sequence modelling, and ensemble machine learning (ML) classifiers including Random Forest (RF) and support vector machine (SVM). The framework analyses longitudinal behavioural data collected from smart-home IoT sensors. Experimental evaluation was conducted using publicly available Centre for Advanced Studies in Adaptive Systems (CASAS) smart-home datasets.

Results: The proposed HEALNET framework achieved a classification accuracy of 94.2%, outperforming baseline ML and DL models. Results demonstrate that the integration of spatial, temporal, and statistical behavioural representations improves the detection of behavioural patterns associated with elevated cognitive-risk indicators.

Conclusions: The findings indicate that continuous, unobtrusive behavioural monitoring using smart-home IoT data can provide reliable indicators for cognitive-risk screening. HEALNET serves as a research-stage framework supporting data-driven behavioural analysis rather than clinical diagnosis and aligns with Saudi Vision objectives for digital health innovation and quality-of-life enhancement.

基于智能家居物联网的行为分析,早期发现认知衰退:走向沙特未来愿景。
背景:物联网(IoT)技术在智能家居环境中的日益融合,使行为数据的持续收集成为可能,这些数据可以支持认知健康监测。早期识别与认知能力下降相关的行为偏差对于及时干预和改善老年人的生活质量至关重要。然而,传统的临床评估往往是偶发的、主观的和资源密集的。本研究的目的是开发一种非侵入性的数据驱动框架,用于分析智能家居物联网数据的日常行为模式,以支持早期认知风险筛查,而不是临床诊断。方法:本研究提出了一个混合深度学习(DL)框架HEALNET(家庭环境辅助学习网络),该框架集成了卷积神经网络(cnn)用于空间特征提取,长短期记忆(LSTM)网络用于时间序列建模,以及集成机器学习(ML)分类器,包括随机森林(RF)和支持向量机(SVM)。该框架分析了从智能家居物联网传感器收集的纵向行为数据。实验评估是使用可公开获得的自适应系统高级研究中心(CASAS)智能家居数据集进行的。结果:提出的HEALNET框架实现了94.2%的分类准确率,优于基线ML和DL模型。结果表明,空间、时间和统计行为表征的整合提高了对与认知风险指标升高相关的行为模式的检测。结论:研究结果表明,使用智能家居物联网数据进行连续、不显眼的行为监测可以为认知风险筛查提供可靠的指标。HEALNET是一个研究阶段框架,支持数据驱动的行为分析,而不是临床诊断,符合沙特愿景的数字健康创新和提高生活质量的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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