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Updated: Jan 18, 2026

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Personalized alertness prediction using video-based ocular and facial features.

Manivannan Subramaniyan1,2, Francisco G Vital-Lopez1,2, Tracy J Doty3

  • 1Department of Defense Biotechnology High Performance Computing Software Applications Institute, Defense Health Agency Research & Development, Medical Research and Development Command, Fort Detrick, MD, USA.

Sleep
|June 3, 2025
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Summary

Facial videos can now predict alertness impairment, offering a practical alternative to the time-consuming psychomotor vigilance test (PVT). This method allows for personalized alertness predictions without interrupting daily activities.

Keywords:
alertnesseye blinksmathematical modelpsychomotor vigilance testsleep lossvideo recordings

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Area of Science:

  • Neuroscience
  • Human Performance
  • Biomedical Engineering

Background:

  • The psychomotor vigilance test (PVT) is standard for assessing alertness impairment but is impractical for real-world use due to its time-consuming nature.
  • Existing methods for alertness monitoring often require active participation, limiting their applicability in daily life.

Purpose of the Study:

  • To develop a non-intrusive method for predicting individual alertness impairment using passively recorded facial videos.
  • To establish personalized alertness-impairment predictions as a practical alternative to traditional PVT assessments.

Main Methods:

  • Facial and ocular features were extracted from video recordings of 26 participants undergoing 62 hours of total sleep deprivation.
  • Linear mixed-effects models were trained using these facial features to predict PVT performance (mean reaction times).
  • Personalized alertness-impairment predictions were generated by integrating predicted PVT data into the unified model of performance (UMP).

Main Results:

  • The models achieved an average root mean square error (RMSE) of 39 ms for predicting PVT mean reaction times from facial features.
  • Personalized UMP predictions, based on video-derived PVT estimates, showed an average RMSE of 36 ms, closely matching the within-participant variability of rested conditions (30 ms).

Conclusions:

  • A practical, proof-of-principle approach was developed to predict individual alertness impairment using passively recorded facial videos.
  • This method offers a feasible and non-disruptive way to monitor and predict changes in alertness in real-world settings.