PaPaGei: Open Foundation Models for Optical Physiological Signals

Photoplethysmography (PPG) is the most widely used non-invasive technique for monitoring biosignals and cardiovascular health, with applications in both clinical settings and consumer health through wearable devices. Current machine learning models trained on PPG signals are mostly task-specific and lack generalizability. Previous works often used single-device datasets, did not explore out-of-domain generalization, or did not release their models, hindering reproducibility and further research. We introduce PaPaGei, the first open foundation model for PPG signals. PaPaGei is pre-trained on more than 57,000 hours of 20 million unlabeled segments of PPG signals using publicly available datasets exclusively. We evaluate against popular time-series foundation models and other benchmarks on 20 tasks of 10 diverse datasets spanning cardiovascular health, sleep disorders, pregnancy monitoring, and wellbeing assessment. Our architecture incorporates novel representation learning approaches that leverage differences in PPG signal morphology across individuals, enabling it to capture richer representations than traditional contrastive learning methods. Across 20 tasks, PaPaGei improves classification and regression performance by an average of 6.3% and 2.9%, respectively, compared to other competitive time-series foundation models in at least 14 tasks. PaPaGei is more data- and parameter-efficient than other foundation models or methods, as it outperforms 70x larger models. Beyond accuracy, we also investigate robustness against different skin tones, establishing a benchmark for bias evaluations of future models. Notably, PaPaGei can be used out of the box as both a feature extractor and an encoder for other multimodal models, opening up new opportunities for multimodal health monitoring

MindScape Study: Integrating LLM and Behavioral Sensing for Personalized AI-Driven Journaling Experiences

Mental health concerns are prevalent among college students, highlighting the need for effective interventions that promote self-awareness and holistic well-being. MindScape pioneers a novel approach to AI-powered journaling by integrating passively collected behavioral patterns such as conversational engagement, sleep, and location with Large Language Models (LLMs). This integration creates a highly personalized and context-aware journaling experience, enhancing self-awareness and well-being by embedding behavioral intelligence into AI. We present an 8-week exploratory study with 20 college students, demonstrating the MindScape app's efficacy in enhancing positive affect (7%), reducing negative affect (11%), loneliness (6%), and anxiety and depression, with a significant week-over-week decrease in PHQ-4 scores (-0.25 coefficient), alongside improvements in mindfulness (7%) and self-reflection (6%). The study highlights the advantages of contextual AI journaling, with participants particularly appreciating the tailored prompts and insights provided by the MindScape app. Our analysis also includes a comparison of responses to AI-driven contextual versus generic prompts, participant feedback insights, and proposed strategies for leveraging contextual AI journaling to improve well-being on college campuses. By showcasing the potential of contextual AI journaling to support mental health, we provide a foundation for further investigation into the effects of contextual AI journaling on mental health and well-being.

Contextual AI Journaling: Integrating LLM and Time Series Behavioral Sensing Technology to Promote Self-Reflection and Well-being using the MindScape App

MindScape aims to study the benefits of integrating time series behavioral patterns (e.g., conversational engagement, sleep, location) with Large Language Models (LLMs) to create a new form of contextual AI journaling, promoting self-reflection and well-being. We argue that integrating behavioral sensing in LLMs will likely lead to a new frontier in AI. In this Late-Breaking Work paper, we discuss the MindScape contextual journal App design that uses LLMs and behavioral sensing to generate contextual and personalized journaling prompts crafted to encourage self-reflection and emotional development. We also discuss the MindScape study of college students based on a preliminary user study and our upcoming study to assess the effectiveness of contextual AI journaling in promoting better well-being on college campuses. MindScape represents a new application class that embeds behavioral intelligence in AI.

MoodCapture: Depression Detection Using In-the-Wild Smartphone Images

MoodCapture presents a novel approach that assesses depression based on images automatically captured from the front-facing camera of smartphones as people go about their daily lives. We collect over 125,000 photos in the wild from N=177 participants diagnosed with major depressive disorder for 90 days. Images are captured naturalistically while participants respond to the PHQ-8 depression survey question: \textit{``I have felt down, depressed, or hopeless''}. Our analysis explores important image attributes, such as angle, dominant colors, location, objects, and lighting. We show that a random forest trained with face landmarks can classify samples as depressed or non-depressed and predict raw PHQ-8 scores effectively. Our post-hoc analysis provides several insights through an ablation study, feature importance analysis, and bias assessment. Importantly, we evaluate user concerns about using MoodCapture to detect depression based on sharing photos, providing critical insights into privacy concerns that inform the future design of in-the-wild image-based mental health assessment tools.

Rare Life Event Detection via Mobile Sensing Using Multi-Task Learning

Rare life events significantly impact mental health, and their detection in behavioral studies is a crucial step towards health-based interventions. We envision that mobile sensing data can be used to detect these anomalies. However, the human-centered nature of the problem, combined with the infrequency and uniqueness of these events makes it challenging for unsupervised machine learning methods. In this paper, we first investigate granger-causality between life events and human behavior using sensing data. Next, we propose a multi-task framework with an unsupervised autoencoder to capture irregular behavior, and an auxiliary sequence predictor that identifies transitions in workplace performance to contextualize events. We perform experiments using data from a mobile sensing study comprising N=126 information workers from multiple industries, spanning 10106 days with 198 rare events (<2%). Through personalized inference, we detect the exact day of a rare event with an F1 of 0.34, demonstrating that our method outperforms several baselines. Finally, we discuss the implications of our work from the context of real-world deployment.

Personalized Step Counting Using Wearable Sensors: A Domain Adapted LSTM Network Approach

Activity monitors are widely used to measure various physical activities (PA) as an indicator of mobility, fitness and general health. Similarly, real-time monitoring of longitudinal trends in step count has significant clinical potential as a personalized measure of disease related changes in daily activity. However, inconsistent step count accuracy across vendors, body locations, and individual gait differences limits clinical utility. The tri-axial accelerometer inside PA monitors can be exploited to improve step count accuracy across devices and individuals. In this study, we hypothesize: (1) raw tri-axial sensor data can be modeled to create reliable and accurate step count, and (2) a generalized step count model can then be efficiently adapted to each unique gait pattern using very little new data. Firstly, open-source raw sensor data was used to construct a long short term memory (LSTM) deep neural network to model step count. Then we generated a new, fully independent data set using a different device and different subjects. Finally, a small amount of subject-specific data was domain adapted to produce personalized models with high individualized step count accuracy. These results suggest models trained using large freely available datasets can be adapted to patient populations where large historical data sets are rare.