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Updated: Jan 25, 2026

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Robust multimodal mental workload classification: A cross-physiological condition machine learning approach
Anais Pontiggia1, Michael Quiquempoix1, Pierre Fabries2
1Institut de recherche biomédicale des armées (IRBA), Brétigny sur Orge, France; UMR 7330 VIFASOM, Université Paris Cité, Paris, France.
Background And Objective:
Aircraft pilots can be faced with a high mental workload (MW) combined with moderate hypoxia and sleep restriction. We aimed to assess the cross-validation of a machine learning-based MW predictive model under hypoxia and/or sleep restriction. Secondly, we developed a robust predictive model using multimodal physiological parameters to improve the validity across different physiological conditions.
Methods:
Seventeen healthy participants were randomly exposed to three 12-minute periods of increased MW (low, medium, and high) in a 4-condition crossover design: sleep restriction (SR, <3 h Total Sleep Time, TST) vs. habitual sleep (HS, >6 h TST), hypoxia (HY, 2 h, FIO2=13.6%, ∼3500 m) vs. normoxia (NO, FIO2=21%). MW levels were designed using the Multi-Attribute Test Battery (MATB)-II with an additional auditory Oddball-like task. Six machine learning classifiers were compared. Features selection (from EEG, ECG, respiratory and eye tracking sensors) was performed using backward Recursive Feature Elimination (RFE).
Results:
The best models for 1-minute MW levels classification on HSNO were K-Nearest Neighbors (KNN, F1 score = 80.3 ± 8.9%), Support Vector Machine (SVM, 77.8 ± 10.3%) and Random Forest (RF, 75.7 ± 9.1%). Exposure to sleep restriction and/or hypoxia decreased models' performance (F1 <35%). KNN and RF models, in particular those including EEG and eye tracking, trained on All-Conditions performed well across conditions (F1 scores = 77.4 ± 7.8% and 70.7 ± 10.2%).
Conclusion:
Our results highlight the need for training MW models under different physiological constraints and using multimodal datasets to improve robustness. (NCT05563688).
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