Preliminary results of the EPIDIA4Kids study on brain function in children: multidimensional ADHD-related symptomatology screening using multimodality biometry.

Attention-deficit hyperactivity disorder (ADHD) occurs in 5.9% of youth, impacting their health and social conditions often across their lifespan. Currently, early diagnosis is constrained by clinical complexity and limited resources of professionals to conduct evaluations. Scalable methods for ADHD screening are thus needed. Recently, digital epidemiology and biometry, such as the visual, emotional, or digit pathway, have examined brain dysfunction in ADHD individuals. However, whether biometry can support screening for ADHD symptoms using a multimodal tech system is still unknown. The EPIDIA4Kids study aims to create objective measures, i.e., biometrics, that will provide a comprehensive transdiagnostic picture of individuals with ADHD, aligning with current evidence for comorbid presentations. Twenty-four children aged 7 to 12 years performed gamified tasks on an unmodified tablet using the XAI4Kids multimodal system, which allows extraction of biometrics (eye-, digit-, and emotion-tracking) from video and touch events using machine learning. Neuropsychological assessments and questionnaires were administered to provide ADHD-related measures. Each ADHD-related measure was evaluated with each biometric using linear mixed-effects models. In contrast to neuro-assessments, only two digit-tracking features had age and sex effects (p < 0.001) among the biometrics. Biometric constructs were predictors of working memory (p < 0.0001) and processing speed (p < 0.0001) and, to a lower extent, visuo-spatial skills (p = 0.003), inattention (p = 0.04), or achievement (p = 0.04), where multimodalities are crucial to capture several symptomatology dimensions. These results illustrate the potential of multimodality biometry gathered from a tablet as a viable and scalable transdiagnostic approach for screening ADHD symptomatology and improving accessibility to specialized professionals. Larger populations including clinically diagnosed ADHD will be needed for further validation.