Searcharxiv⌕ Search
Home/Archive/arXiv

arXiv · 2411.08882

A Novel Multimodal System to Predict Agitation in People with Dementia Within Clinical Settings: A Proof of Concept

Abeer Badawi·Somayya Elmoghazy·Samira Choudhury·Sara Elgazzar·Khalid Elgazzar·Amer Burhan
View original source ↗Read source document ↗Export metadata ↓

Abstract

Dementia is a neurodegenerative condition that combines several diseases and impacts millions around the world and those around them. Although cognitive impairment is profoundly disabling, it is the noncognitive features of dementia, referred to as Neuropsychiatric Symptoms (NPS), that are most closely associated with a diminished quality of life. Agitation and aggression (AA) in people living with dementia (PwD) contribute to distress and increased healthcare demands. Current assessment methods rely on caregiver intervention and reporting of incidents, introducing subjectivity and bias. Artificial Intelligence (AI) and predictive algorithms offer a potential solution for detecting AA episodes in PwD when utilized in real-time. We present a 5-year study system that integrates a multimodal approach, utilizing the EmbracePlus wristband and a video detection system to predict AA in severe dementia patients. We conducted a pilot study with three participants at the Ontario Shores Mental Health Institute to validate the functionality of the system. The system collects and processes raw and digital biomarkers from the EmbracePlus wristband to accurately predict AA. The system also detected pre-agitation patterns at least six minutes before the AA event, which was not previously discovered from the EmbracePlus wristband. Furthermore, the privacy-preserving video system uses a masking tool to hide the features of the people in frames and employs a deep learning model for AA detection. The video system also helps identify the actual start and end time of the agitation events for labeling. The promising results of the preliminary data analysis underscore the ability of the system to predict AA events. The ability of the proposed system to run autonomously in real-time and identify AA and pre-agitation symptoms without external assistance represents a significant milestone in this research field.

Explore related subjects

cs.MMcs.AIcs.CV

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Abeer Badawi, Somayya Elmoghazy, Samira Choudhury, Sara Elgazzar, Khalid Elgazzar, Amer Burhan. 2024-10-26. A Novel Multimodal System to Predict Agitation in People with Dementia Within Clinical Settings: A Proof of Concept. https://doi.org/10.2196/68156

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Multi-Faceted Evaluation and Mitigation of Emotion Hallucinations in MLLMs

Multimodal large language models (MLLMs) have shown strong potential in open-ended emotion understanding, yet they often generate emotion hallucinations. Evaluating such hallucinations is particularly challenging for two reasons. First, emotion understanding spans multiple cognitive facets, from multimodal perception to psychological reasoning. Second, emotional interpretations are expressed in free-form language, making existing closed-ended protocols insufficient for evaluation. To address these challenges, we introduce EHR (Emotion Hallucination Rate), an evaluator that quantifies emotion hallucinations across six facets: expression, action, audio, instinct, logic, and conclusion. Using EHR, we reveal that existing mitigation methods often reduce hallucinations in some facets while aggravating them in others, exposing the limitation of coarse-grained correction and the need for facet-aware localization and mitigation. Motivated by this finding, we propose HMER (Hallucination-aware Memory-guided Emotion Reasoning), a training-free framework for emotion hallucination mitigation. HMER maintains a Hallucination Memory that records localized hallucinated claims and enables targeted logit rectification, together with an Anchor Memory that preserves reliable intermediate reasoning states to stabilize subsequent generation. By selectively suppressing unreliable cues while preserving trustworthy reasoning context, HMER enables fine-grained mitigation across diverse hallucination facets. Extensive experiments on 19 MLLMs demonstrate the prevalence of emotion hallucinations and the effectiveness of our framework across diverse model architectures.

cs.MM↗
arXiv2026

Multimodal Temporal Modeling for Continuous Group Emotion Recognition in Multi-party Dialogues

To realize natural behavior in dialogue agents in multi-party dialogue scenarios, it is important to understand group emotion such as valence and arousal as a whole. Most prior work addressed this task at the utterance level or using a coarse-grained time window, which is not sufficient to capture emotional dynamics. In this study, we formulate continuous recognition of the Group Emotion at a one-second resolution. Moreover, we also introduce the Mixed state, which captures the emotional divergence among participants in the group. We constructed a dataset with frame-level soft labels based on the TEIDAN corpus and propose a multimodal temporal framework that integrates audio and video information using a sliding-window context. Experimental results demonstrate that the temporal Transformer outperforms simple baselines and shows stronger temporal agreement with the ground-truth labels than the LLM-based model. The effect of context length is limited, whereas audio-visual input outperforms either unimodal input on the continuous-label metrics. Additionally, our analysis shows larger Group Emotion recognition errors in intervals with high Mixed values, exposing emotional divergence as a key challenge for group emotion recognition.

cs.MM↗
arXiv2026

MotionCanvas: Learning Implicit Motion Planning from Composable Kinematic Cues

Professional character animation requires both natural motion and precise, versatile control. For example, it is common for the creators to define the timing of a specified action, to control the motion range of the character's arm swing, and the route the character walks through, like specifying various kinematic motion cues on a ``motion canvas''. This motivates us to propose MotionCanvas, a model that supports \emph{cue-conditioned implicit motion planning} to faithfully and coherently connect all cues, dense or sparse, full or partial, into one full-body motion sequence. Specifically, MotionCanvas represents heterogeneous kinematic cues on a shared motion canvas, where position and rotation values are specified across body joints and time. A shared flow-matching model generates motion conditioned on this canvas, with optional language and input motion; cue imputation keeps the specified canvas values fixed in both training and sampling. To learn coherent completion across different cue sets, we train with a compositional cue sampler that varies when cues are applied, which positions or rotations are specified, and how they are combined. Together, these designs enable a single generator to synthesize globally coherent actions that jointly satisfy compatible heterogeneous cues. We test this planning ability with temporal, root, and body-part cues---alone and in combination---and language-guided editing. We naturally extend this evaluation to sequential generation and motion repair, since both require the same ability to organize coherent motion from kinematic cues. Across these evaluations, MotionCanvas establishes state-of-the-art results in controlled-motion quality, mixed-cue adherence, sequential generation, instruction editing, and motion repair while preserving its text-to-motion capability.

cs.MM↗