Interpretable artificial intelligence system for personalized cognitive stimulation

Abstract

The growing need to preserve cognitive health in aging populations has intensified interest in adaptive digital interventions that provide personalized and interpretable support. This study presents a web-based cognitive stimulation system for older adults integrating a multilayer perceptron (MLP) classifier, expert-derived symbolic rules, and explainable artificial intelligence (XAI) techniques, including Shapley additive explanations (SHAP) and local interpretable model-agnostic explanations (LIME). The platform was evaluated through a 24-week intervention involving 150 participants aged 65 years and older, combining baseline cognitive profiling, rule-guided recommendation logic, and neural prediction to support individualized task allocation. Compared with a control group, participants
in the intervention arm showed statistically significant improvements in cognitive outcomes (p <0.05), with measurable gains in memory- and attention-related tasks. The explainability component enabled examination of model behavior at the level of individual features through feature attribution analysis and symbolic consistency checks, supporting interpretation beyond aggregate performance metrics. Unlike approaches dependent on high-end extended reality (XR) infrastructures or game centered interaction, the system was implemented to operate under low connectivity conditions and was tested with participants from diverse educational backgrounds. This hybrid configuration provides an interpretable basis for cognitive support initiatives adaptable to community settings contexts.