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Using Indoor Movement Complexity in Smart Homes to Detect Frailty in Older Adults: Multiple-Methods Case Series

Katherine Wuestney1, Diane Cook2, Catherine Van Son1

  • 1College of Nursing, Washington State University, Pullman, WA, United States.

JMIR Aging
|January 2, 2026
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Summary
This summary is machine-generated.

Behavioral complexity in older adults, measured by smart home sensors, can indicate frailty. Changes in movement complexity over time may correlate with health status, though individual results vary.

Keywords:
complexityentropyfrailtymovementsmart home

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Area of Science:

  • Gerontology
  • Biomedical Engineering
  • Data Science

Background:

  • Aging complexity theory links signal complexity to adaptive capacity and frailty.
  • Smart homes with ambient sensors enable longitudinal study of older adults' indoor movement complexity.
  • A novel computational method estimates behavior complexity from sensor data.

Purpose of the Study:

  • To explore the relationship between entropy-measured smart home sensor data complexity and frailty.
  • To investigate frailty in independent, community-dwelling older adults using sensor data.

Main Methods:

  • Quantified indoor movement complexity using entropy analysis of smart home data.
  • Utilized a Universal Sequence Map with a Rényi Complexity Index (USM-Rényi) for complexity measurement.
  • Assessed weekly frailty using the Clinical Frailty Scale in 11 older adults (≥65 years).

Main Results:

  • Sensor-derived indoor movement complexity changes over time in older adults.
  • Some individuals showed complexity changes tracking with health transitions and frailty progression.
  • Three cases exhibited a negative association between frailty and complexity; others were less clear.

Conclusions:

  • Older adults' smart home data complexity is diverse and influenced by health and frailty.
  • Changes in indoor movement complexity correlate with health and frailty.
  • Confounding factors like home environment and technology issues can impact sensor data.