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Wearable EEG during gameplay captures a robust P300 cognitive signal in unsupervised home settings

Specht, B.; Savic, A.; Garbaya, S.; Schneider, R.; Khadraoui, D.; Tayeb, Z.

2026-05-18 health informatics
10.64898/2026.05.10.26352556 medRxiv
Show abstract

Objective. Continuous, unsupervised monitoring of cognitive brain responses has long been constrained by the demands of laboratory EEG. Whether the P300 event-related potential, an established marker of attention and cognitive processing, can be elicited as an incidental byproduct of genuine gameplay, recorded with a minimal wearable EEG system under unsupervised home conditions, has not been established. Approach. Ten healthy adults played a gamified visual oddball task in which infrequent target stimuli (green gates) were embedded among frequent non-targets (red gates) within a continuous third-person running game. EEG was recorded with a four-channel dry-electrode headband (EEG channels: O1, O2, T3, T4; forehead reference; 250Hz) with self-mounted electrodes in a home setting, without experimenter supervision. Group-level effects were assessed with cluster-based permutation tests and peak-amplitude tests. Single-trial classification used linear discriminant analysis (LDA) with four features per channel (16 total). Additional analyses included a within-subject comparison with a classical visual oddball paradigm using identical hardware, pilot data from a patient with relapsing-remitting multiple sclerosis, within-subject stability across 48 sessions, and pilot recordings with a headphone form factor. Main results. A robust P300-like difference wave emerged on all four channels at the group level (cluster-based permutation tests, p < 0.05), with individual-level detection in 8 of 10 participants (exact binomial p < 0.001). Single-trial LDA yielded a median cross-validated AUC of 0.730 (95% CI 0.672-0.820), with 9 of 10 participants exceeding chance. In a within-subject comparison, waveform morphology was closely preserved relative to a classical laboratory oddball, and classification performance was markedly higher in the game condition (AUC 0.820 versus 0.555). A patient with relapsing-remitting multiple sclerosis produced a clear P300 (AUC 0.853) with latencies within the healthy range. Within-session split-half reliability was high (r > 0.70 on three of four channels), though between-session reliability was near zero across 48 sessions in one participant, with a declining classification trend over time. Pilot recordings with a headphone form factor also yielded a P300-like deflection. Significance. These results demonstrate that the P300 can be elicited as a gameplay-integrated neural readout during genuine gameplay with a wearable, dry-electrode EEG system under unsupervised conditions. Gamification does not compromise P300 elicitation; in the within-subject comparison, it enhanced single-trial discriminability. The findings indicate that gamified, home-based P300 monitoring is achievable with minimal hardware and provide preliminary evidence for applicability in clinical populations, most notably multiple sclerosis, where P300 has established biomarker value but where the logistical burden of laboratory assessment currently precludes longitudinal use.

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