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Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Health tracking technologies hold promise as a tool for early detection of cognitive and functional decline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This pilot study of 5 households [<jats:italic>N<\/jats:italic>\u2009=\u20097 residents, mean age: 74 (5), 71% Hispanic, 14% Black] used the Oregon Center for Aging &amp;amp; Technology (ORCATECH) platform to evaluate the technology and acceptance of the technology over a one-year interval in South Texas. Cognitive assessments and other surveys were administered at baseline and end-of-study visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants felt comfortable with the technology in their homes (86% Very Satisfactory or Satisfactory) and did not express privacy concerns (100% Very Satisfactory or Satisfactory).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Health, cognition, and activity measures did not significantly change from baseline to end-of-study. Depression scores significantly improved (<jats:italic>p<\/jats:italic>\u2009=\u20090.034). The ORCATECH platform was an acceptable method of analyzing health and activity in a small, but diverse older population.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdgth.2025.1603062","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T12:45:10Z","timestamp":1756730710000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and acceptability of an in-home digital device health and activity assessment platform in a diverse South Texas cohort: a pilot study"],"prefix":"10.3389","volume":"7","author":[{"given":"Julia J.","family":"Mathews","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Mulavelil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany F.","family":"Kautz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Cosgrove","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen-Pin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"MacCarthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman A.","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Gothard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Serranorubio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa M.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyndsey","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudha","family":"Seshadri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Kaye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary T.","family":"Beattie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitzi M.","family":"Gonzales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"100577","DOI":"10.1016\/j.ssmph.2020.100577","article-title":"Cognitive impairment in the U.S.: lifetime risk, age at onset, and years impaired","volume":"11","author":"Hale","year":"2020","journal-title":"SSM\u2014Popul Health"},{"key":"B2","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1016\/j.jalz.2018.09.009","article-title":"Perspectives on ethnic and racial disparities in Alzheimer\u2019s disease and related dementias: update and areas of immediate need","volume":"15","author":"Babulal","year":"2019","journal-title":"Alzheimers Dement"},{"key":"B3","doi-asserted-by":"publisher","first-page":"i180","DOI":"10.1093\/geronb\/gbq095","article-title":"Intelligent systems for assessing aging changes: home-based, unobtrusive, and continuous assessment of aging","author":"Kaye","year":"2011","journal-title":"J Gerontol B Psychol Sci Soc. 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