Evidence map›Paper›PMID 40881107›Full record

ArticleMayo Clinic proceedings. Digital health2025

Real-World Smartphone Data Predicts Mood After Ischemic Stroke and Transient Ischemic Attack Symptoms and May Constitute Digital Endpoints: A Proof-of-Concept Study.

Stephanie Zawada, Jestrii Acosta, Caden Collins, Oana Dumitrascu, Ehab Harahsheh, Clinton Hagen, Ali Ganjizadeh, Elham Mahmoudi, Bradley Erickson, Bart Demaerschalk

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephanie ZawadaCollege of Medicine and Science, Mayo Clinic, Scottsdale, AZ.
Jestrii AcostaDivision of Cerebrovascular Disease, Mayo Clinic, Scottsdale, AZ.
Caden CollinsDivision of Cerebrovascular Disease, Mayo Clinic, Scottsdale, AZ.
Oana DumitrascuDivision of Cerebrovascular Disease, Mayo Clinic, Scottsdale, AZ.
Ehab HarahshehDivision of Cerebrovascular Disease, Mayo Clinic, Scottsdale, AZ.
Clinton HagenDivision of Statistics, Mayo Clinic, Rochester, MN.
Ali GanjizadehArtificial Intelligence Laboratory, Mayo Clinic, Rochester, MN.
Elham MahmoudiArtificial Intelligence Laboratory, Mayo Clinic, Rochester, MN.
Bradley EricksonArtificial Intelligence Laboratory, Mayo Clinic, Rochester, MN.
Bart DemaerschalkDivision of Cerebrovascular Disease, Mayo Clinic, Scottsdale, AZ.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the feasibility of using smartphones to longitudinally collect objective behavior measures and establish the extent to which they can predict gold-standard depression severity in patients with ischemic stroke and transient ischemic attack (IS/TIA) symptoms. Patients and Methods: Participants with IS/TIA symptoms were monitored in real-world settings using the Beiwe application for 8 or more weeks during March 1, 2024 to November 15, 2024. Depression symptoms were tracked via weekly Patient Health Questionnaire (PHQ)-8 surveys, monthly personnel-administered Montgomery-Åsberg Depression Rating Scale (MADRS) assessments, and weekly averages of smartphone sensor measures. Repeated measures correlation established associations between PHQ-8 scores and objective behavior measures. To investigate how closely smartphone data predicted MADRS scores, linear mixed models were used. Results: Among enrolled participants (n=54), 35 completed the study (64.8%). PHQ-8 scores were associated with distance from home ( Conclusion: Smartphone sensors captured objective behavior measures in patients with IS/TIA. In predictive models, the accuracy of depression severity scores improved as measures from additional smartphone sensors were included. Future research should validate this decentralized, exploratory approach in a larger cohort. Our work is a step toward showing that real-world monitoring with active and passive data may triage patients with IS/TIA for efficient depression screening and provide digital mobility and response time endpoints.

Identifiers

PMID40881107
PMCPMC12381640

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.