AUTHOR=Mathews Julia J. , Mulavelil Rachel , Rodrigues Nathaniel , Kautz Tiffany F. , Cosgrove Kevin , Wang Chen-Pin , MacCarthy Daniel , Fernandez Roman A. , Gothard Sarah , Sharma Nicole , Serranorubio Luis , Young Vanessa M. , Miller Lyndsey , Seshadri Sudha , Kaye Jeffrey , Beattie Zachary T. , Gonzales Mitzi M. TITLE=Feasibility and acceptability of an in-home digital device health and activity assessment platform in a diverse South Texas cohort: a pilot study JOURNAL=Frontiers in Digital Health VOLUME=Volume 7 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1603062 DOI=10.3389/fdgth.2025.1603062 ISSN=2673-253X ABSTRACT=IntroductionHealth tracking technologies hold promise as a tool for early detection of cognitive and functional decline.MethodsThis pilot study of 5 households [N = 7 residents, mean age: 74 (5), 71% Hispanic, 14% Black] used the Oregon Center for Aging & 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.ResultsParticipants felt comfortable with the technology in their homes (86% Very Satisfactory or Satisfactory) and did not express privacy concerns (100% Very Satisfactory or Satisfactory).ConclusionHealth, cognition, and activity measures did not significantly change from baseline to end-of-study. Depression scores significantly improved (p = 0.034). The ORCATECH platform was an acceptable method of analyzing health and activity in a small, but diverse older population.