Evidence map›Paper›PMID 42189754›Full record

ArticleJMIR aging2026

Combining Subjective Perceptions and Objective Behavioral Metrics With the Elderly Digital Twin System: Quantitative Usability Study.

Ziaullah Momand, Pornchai Mongkolnam, Debajyoti Pal, Siam Yamsaengsung

Abstract read
In one paragraph

Article in JMIR aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ziaullah MomandSchool of Information Technology, King Mongkut's University of Technology Thonburi, 126 Pracha Uthit Rd, Bang Mod, Thung Khru, Bangkok, 10140, Thailand, 66 24709892.ORCID http://orcid.org/0009-0008-4444-1218
Pornchai MongkolnamSchool of Information Technology, King Mongkut's University of Technology Thonburi, 126 Pracha Uthit Rd, Bang Mod, Thung Khru, Bangkok, 10140, Thailand, 66 24709892.ORCID http://orcid.org/0000-0001-6069-1315
Debajyoti PalSchool of Information Technology, King Mongkut's University of Technology Thonburi, 126 Pracha Uthit Rd, Bang Mod, Thung Khru, Bangkok, 10140, Thailand, 66 24709892.ORCID http://orcid.org/0000-0002-7305-1015
Siam YamsaengsungSchool of Information Technology, King Mongkut's University of Technology Thonburi, 126 Pracha Uthit Rd, Bang Mod, Thung Khru, Bangkok, 10140, Thailand, 66 24709892.ORCID http://orcid.org/0009-0006-3034-9221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The growing aging population has increased the need for technologies that support informal caregivers in home-based older adult care. Digital twin (DT) systems offer promising capabilities; yet, their effectiveness depends on usability, an aspect still insufficiently evaluated among caregivers. Objective: This study aimed to assess the usability of an older adult care DT system using a dual-method evaluation that integrates subjective and objective behavioral performance. Methods: Fifty caregivers participated in a usability assessment combining the System Usability Scale (SUS) and detailed system activity log analytics. Log-based measures included task completion, time on task, errors, and abandonment rate. A composite user engagement score was computed and analyzed for correlation and predictive association with SUS ratings. Engagement clusters were also explored. Results: Caregivers reported an excellent mean SUS score of 80.45. System logs showed a 94.08% task completion rate, 2.66% abandonment, and an average task duration of 89.16 seconds. User engagement score demonstrated significant correlations with SUS (r=0.626, ρ=0.552; P<.001) and significantly predicted usability in regression analysis (β=52.94, R²=0.392; P<.001). Engagement-based clustering identified high-, medium-, and low-tier user groups, each exhibiting distinct usability patterns. Conclusions: Integrating subjective usability ratings with objective behavioral metrics provides a rigorous and comprehensive approach to evaluating DT systems for older adult care. The findings highlight strong usability of the system and offer actionable insights for refining caregiver support technologies.

Indexed as

CaregiversPerceptionAgedAged, 80 and overDigital HealthFemaleHumansMaleMiddle Agedcaregiver supportelderly digital twinSystem Usability Scaleusability studyuser engagement score

Identifiers

PMID42189754
PMCPMC13207158

What Socratic holds

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LicenceCC BY
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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.