An AI-Based Prediction of Cognitive Capacity in Older Adults and Individuals With Mild Cognitive Impairment During Virtual Reality Driving Tasks
- Sponsor
- National Cheng-Kung University Hospital
- Study ID
- NCT07656389
- Status
- Not Yet Recruiting
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Conditions
- Eye Movement Disorder
- Mild Cognitive Impairment (MCI)
- Multimodal Monitoring
- Older Adults
- Virtual Reality
Eligibility Criteria
- Sex
- ALL
- Age
- 30 Years - 85 Years
- Healthy Volunteers
- Not accepted
Study Details
Driving ability in older adults is essential for independent mobility and social participation, yet declines under high cognitive load or distraction often lead to visual attention failures such as "look-but-fail-to-see," increasing crash risk. Older adults and individuals with mild cognitive impairment (MCI) show impairments in visual attention, executive control, and visuomotor integration, which are not adequately captured by conventional assessments. Virtual reality (VR) integrated with eye-tracking and upper-limb motion analysis enables ecologically valid simulation of driving scenarios and precise quantification of visuomotor behavior. However, current studies are limited by single-scenario designs, unimodal AI models, and insufficient integration of action-related data. This study proposes a multi-phase framework: Year 1 develops an eye-movement-based AI model for MCI identification; Year 2 integrates multimodal data in VR driving tasks; and Year 3 establishes an explainable AI system with longitudinal validation. The study aims to advance cognitive assessment and develop a digital tool for early MCI detection and driving risk prediction.
Key Dates
- First listed
- Jun 18, 2026
- Start date
- Jun 20, 2026
- Status verified
- Jun 2026
- Primary completion
- Dec 31, 2029
- Completion
- Dec 31, 2029
Study Design
- Enrollment
- 192 participants (estimated)
Arms
- Arm: Young AdultsHealthy young adults (aged 30-39 years) with no history of neurological or psychiatric disorders. Participants will complete standardized virtual reality (VR) driving tasks with integrated eye-tracking and upper-limb motion recording to establish normative visuomotor and cognitive performance benchmarks.
- Arm: Cognitively Healthy Older AdultsCommunity-dwelling older adults (≥65 years) with normal cognitive function based on standardized screening (e.g., MoCA within normal range). Participants will undergo the same VR-based assessments to examine age-related changes in visual attention, executive control, and visuomotor coupling.
- Arm: Mild Cognitive Impairment (MCI)Older adults clinically identified with mild cognitive impairment according to established diagnostic criteria. Participants will complete identical VR driving tasks to investigate alterations in visual search behavior, attentional control, and visuomotor integration, and to support development of predictive AI models for cognitive decline and driving risk.
Primary Outcome Measure
Time to First Fixation (TFF) within the Area of Interest [ Time Frame: Baseline ]
Central Contacts
- Hsiu-Yun Hsu, Ph.D886-6-2353535
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