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Design and results of a smartphone-based digital phenotyping study to quantify ALS progression.


ABSTRACT: Objective: The amyotrophic lateral sclerosis (ALS) trial outcome measures are clinic based. Active and passive smartphone data can provide important longitudinal information about ALS progression outside the clinic.

Methods: We used Beiwe, a research platform for smartphone-based digital phenotyping, to collect active (self-report ALSFRS-R surveys and speech recordings) and passive (phone sensors and logs) data from patients with ALS for approximately 24 weeks. In clinics, at baseline and every 3 months, we collected vital capacity, ALSFRS-R, and ALS-CBS at enrollment, week 12, and week 24. We also collected ALSFRS-R by telephone at week 6.

Results: Baseline in-clinic ALSFRS-R and smartphone self-report correlation was 0.93 (P < 0.001). ALSFRS-R slopes were equivalent and within-subject standard deviation was smaller for smartphone-based self-report (0.26 vs. 0.56). Use of Beiwe afforded weekly collection of speech samples amenable to a variety of analyses, and we found mean pause time to increase by 0.02 sec per month across the sample.

Interpretation: Smartphone-based digital phenotyping in people with ALS is feasible and informative. Self-administered smartphone ALSFRS-R scores correlate highly with clinic-based ALSFRS-R scores, have low variability, and could be used in clinical trials. More research is required to fully analyze speech recordings and passive data, and to identify optimal digital markers for use in future ALS clinical trials.

SUBMITTER: Berry JD 

PROVIDER: S-EPMC6529832 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Design and results of a smartphone-based digital phenotyping study to quantify ALS progression.

Berry James D JD   Paganoni Sabrina S   Carlson Kenzie K   Burke Katherine K   Weber Harli H   Staples Patrick P   Salinas Joel J   Chan James J   Green Jordan R JR   Connaghan Kathryn K   Barback Josh J   Onnela Jukka Pekka JP  

Annals of clinical and translational neurology 20190403 5


<h4>Objective</h4>The amyotrophic lateral sclerosis (ALS) trial outcome measures are clinic based. Active and passive smartphone data can provide important longitudinal information about ALS progression outside the clinic.<h4>Methods</h4>We used Beiwe, a research platform for smartphone-based digital phenotyping, to collect active (self-report ALSFRS-R surveys and speech recordings) and passive (phone sensors and logs) data from patients with ALS for approximately 24 weeks. In clinics, at baseli  ...[more]

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