Oral Presentation: TrialChat: Co-Designing Agentic AI for Alzheimer’s Clinical Trial Engagement

Presented at the Healthcare Information and Management Systems Society 2026 Annual Meeting Abstract: Older adults remain underrepresented in Alzheimer's disease and related dementias (ADRD) clinical trials despite bearing much of the disease burden. TrialChat is an AI-powered digital navigator addressing this gap through a conversational chatbot powered by an agentic AI framework and machine learning-based trial matching algorithm. Developed by S-3 Research LLC and CSU Fullerton, and supported by the U.S. National Institute on Aging under the NIH AITC program, TrialChat delivers personalized education and clinical trial recommendations via web and mobile platforms. What distinguishes TrialChat is its co-design approach: older adults and caregivers directly shape its language, flow, and features, elevating voices often overlooked in digital health while designed for commercialization and real-world application. This session shares TrialChat's architecture, early insights, and lessons for scaling inclusive, AI-enabled clinical trial engagement tools across health systems.  Source: https://app.himssconference.com/event/himss-2026/planning/UGxhbm5pbmdfNDM2NTAzMQ==

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Preprint: Detecting Preclinical Alzheimer’s Disease Risk in Cognitively Normal Adults Using Speech Acoustics: Validation with Plasma p-Tau217 and APOE-ε4 Status

Authors: Mehrdad Dadgostar, Lindsay C. Hanford, Maryam Tavakoli, Steven E. Arnold, David H. Salat, Tatiana Sitnikova, Pia Kivisakk Webb, Jordan R. Green, Hengru Liu, Brian D. Richburg, Mariam Tkeshelashvili, Marziye Eshghi Abstract INTRODUCTION We tested whether spontaneous speech acoustics provide a scalable digital marker of biologically defined Alzheimer’s disease (AD) risk. METHODS Forty-nine cognitively unimpaired older adults were stratified within APOE genotype into Low-, Moderate-, and High-Risk groups based on log₁₀-transformed plasma p-tau217. Acoustic features were extracted from spontaneous speech and entered into multiclass SVM classifiers with leave-one-out cross-validation, with and without genetic-algorithm feature selection and age. Parallel models using neuropsychological measures were evaluated for comparison. Feature contributions were interpreted using SHAP. RESULTS Speech-based models substantially outperformed cognition-only models and exceeded chance performance for three-group classification (33.3%), achieving up to 77% accuracy compared with 47%…

Continue ReadingPreprint: Detecting Preclinical Alzheimer’s Disease Risk in Cognitively Normal Adults Using Speech Acoustics: Validation with Plasma p-Tau217 and APOE-ε4 Status