arXiv subjects

Hassan Ghasemzadeh

Publications and source records attributed to Hassan Ghasemzadeh.

At least 19 recordsLinked to original sources

arXiv2026

GlyRAG: Context-Aware Retrieval-Augmented Framework for Blood Glucose Forecasting

Accurate blood glucose forecasting using continuous glucose monitoring (CGM) data can support the early prediction of dysglycemic risk. However, current neural-network-based forecasting models treat CGM data as a purely numerical sequence without integrating the contextual information contained in CGM signal morphology. Recently, large language models (LLMs) have shown promise for time-series forecasting, yet their role as agentic context extractors in diabetes care remains largely unexplored. In this study, we bridge glucose forecasting and LLM-based contextualization by developing GlyRAG, a context-aware, retrieval-augmented forecasting framework that uses an LLM as a contextualization agent to summarize glucose morphology directly from a timed CGM window. The generated CGM-only narrative is embedded and fused with patch-based glucose representations, while a retrieval module incorporates similar historical training episodes through cross-attention. We evaluate GlyRAG on the OhioT1DM and AZT1D datasets for 5-, 30-, and 60-minute forecasting horizons. Compared with strong CGM-only baselines, GPT-4 GlyRAG significantly improves long-horizon root mean square error (RMSE) over PatchTST on both datasets. For example, RMSE decreases from 13.8 to 10.6 at 30 minutes and from 23.1 to 20.2 at 60 minutes on OhioT1DM. LLaMA 3.1 produces smaller but significant long-horizon gains, suggesting that the contextualization pipeline is not limited to GPT-4. Clinical error-grid analyses further show that approximately 85 percent of predictions fall within the clinically acceptable Clarke Error Grid Zones A and B. These results suggest that CGM-derived linguistic context and case-based retrieval can improve long-horizon glucose forecasting without requiring additional sensing modalities.

cs.LG↗

arXiv2026

Trustworthy AI in Digital Health: A Comprehensive Review of Robustness and Explainability

Ensuring trust in AI systems is essential for the safe and ethical integration of machine learning systems into high-stakes domains such as digital health. Key dimensions, including robustness, explainability, fairness, accountability, and privacy, need to be addressed throughout the AI lifecycle, from problem formulation and data collection to model deployment and human interaction. While various contributions address different aspects of trustworthy AI, a focused synthesis on robustness and explainability, especially tailored to the healthcare context, remains limited. This review addresses that need by organizing recent advancements into an accessible framework, highlighting both technical and practical considerations. We present a structured overview of methods, challenges, and solutions, aiming to support researchers and practitioners in developing reliable and explainable AI solutions for digital health. This review article is organized into three main parts. First, we introduce the pillars of trustworthy AI and discuss the technical and ethical challenges, particularly in the context of digital health. Second, we explore application-specific trust considerations across domains such as intensive care, neonatal health, and metabolic health, highlighting how robustness and explainability support trust. Lastly, we present recent advancements in techniques aimed at improving robustness under data scarcity and distributional shifts, as well as explainable AI methods ranging from feature attribution to gradient-based interpretations and counterfactual explanations. This paper is further enriched with detailed discussions of the contributions toward robustness and explainability in digital health, the development of trustworthy AI systems in the era of LLMs, and various evaluation metrics for measuring trust and related parameters such as validity, fidelity, and diversity.

cs.AI↗

arXiv2026

Gated Adaptation for Continual Learning in Human Activity Recognition

Wearable sensors in Internet of Things (IoT) ecosystems increasingly support applications such as remote health monitoring, elderly care, and smart home automation, all of which rely on robust human activity recognition (HAR). Continual learning systems must balance plasticity (learning new tasks) with stability (retaining prior knowledge), yet AI models often exhibit catastrophic forgetting, where learning new tasks degrades performance on earlier ones. This challenge is especially acute in domain-incremental HAR, where on-device models must adapt to new subjects with distinct movement patterns while maintaining accuracy on prior subjects without transmitting sensitive data to the cloud. We propose a parameter-efficient continual learning framework based on channel-wise gated modulation of frozen pretrained representations. Our key insight is that adaptation should operate through feature selection rather than feature generation: by restricting learned transformations to diagonal scaling of existing features, we preserve the geometry of pretrained representations while enabling subject-specific modulation. We provide a theoretical analysis showing that gating implements a bounded diagonal operator that limits representational drift compared to unconstrained linear transformations. Empirically, freezing the backbone substantially reduces forgetting, and lightweight gates restore lost adaptation capacity, achieving stability and plasticity simultaneously. On PAMAP2 with 8 sequential subjects, our approach reduces forgetting from 39.7% to 16.2% and improves final accuracy from 56.7% to 77.7%, while training less than 2% of parameters. Our method matches or exceeds standard continual learning baselines without replay buffers or task-specific regularization, confirming that structured diagonal operators are effective and efficient under distribution shift.

cs.LG↗

arXiv2026

Latent-LoRA: Compact Latent-Space Adapters with Gradient-Free Routing for Continual Learning

Large language models generalize well to individual tasks but lack an inherent mechanism for learning them sequentially, leading to catastrophic forgetting. To mitigate this, LoRA-based continual learning methods allocate a separate low-rank adapter per task, yet existing approaches either require task identity at inference or sum all adapters indiscriminately, letting irrelevant branches distort the output. Recent gating-based solutions route inputs to the correct adapter but introduce trainable parameters that themselves need protection against forgetting. In this work, we observe that pooled token embeddings from a frozen LLM embedding layer already separate task distributions throughout the learning sequence. A Gaussian mixture model fitted on these embeddings, without any gradient-based training, is sufficient for task-agnostic adapter selection at test time. This eliminates the need for a learned gating module. On the adapter side, constraining each task's parameters to the principal subspace of the pretrained weights via SVD yields a compact latent-space parameterization. Within this subspace, orthogonal regularization directly controls inter-task interference. The resulting system, Latent-LoRA, is replay-free, requires no trainable routing component, and uses substantially fewer parameters per task. Experiments across five model scales and two established continual learning benchmarks show state-of-the-art performance with near-zero forgetting.

cs.LG↗

arXiv2026

Counterfactual Modeling with Fine-Tuned LLMs for Health Intervention Design and Sensor Data Augmentation

Counterfactual explanations (CFEs) provide human-centric interpretability by identifying the minimal, actionable changes required to alter a machine learning model's prediction. Therefore, CFs can be used as (i) interventions for abnormality prevention and (ii) augmented data for training robust models. We conduct a comprehensive evaluation of CF generation using large language models (LLMs), including GPT-4 (zero-shot and few-shot) and two open-source models-BioMistral-7B and LLaMA-3.1-8B, in both pretrained and fine-tuned configurations. Using the multimodal AI-READI clinical dataset, we assess CFs across three dimensions: intervention quality, feature diversity, and augmentation effectiveness. Fine-tuned LLMs, particularly LLaMA-3.1-8B, produce CFs with high plausibility (up to 99%), strong validity (up to 0.99), and realistic, behaviorally modifiable feature adjustments. When used for data augmentation under controlled label-scarcity settings, LLM-generated CFs substantially restore classifier performance, yielding an average 20% F1 recovery across three scarcity scenarios. Compared with optimization-based baselines such as DiCE, CFNOW, and NICE, LLMs offer a flexible, model-agnostic approach that generates more clinically actionable and semantically coherent counterfactuals. Overall, this work demonstrates the promise of LLM-driven counterfactuals for both interpretable intervention design and data-efficient model training in sensor-based digital health. Impact: SenseCF fine-tunes an LLM to generate valid, representative counterfactual explanations and supplement minority class in an imbalanced dataset for improving model training and boosting model robustness and predictive performance

cs.LG↗

arXiv2026

MetaPlate: Counterfactual-Guided RAG-LLM Tool for Personalized Food Recommendation and Hyperglycemia Prevention

Postprandial hyperglycemia is a key risk factor for metabolic disorders; however, existing dietary guidance is often static, impractical, and insufficiently personalized, providing recommendations that are difficult to follow or not impactful. While recent advances leverage continuous glucose monitoring (CGM) and machine learning to predict glycemic responses, these approaches are largely predictive and lack actionable guidance. Moreover, recommendation systems are often misaligned with user goals and require extensive input. We present MetaPlate, a counterfactual explanation (CF) guided, context-aware decision-support framework that generates personalized meal recommendations to mitigate postprandial glucose excursions in healthy adults. MetaPlate integrates multimodal data, including CGM readings, wearable-derived physiological signals, and user-provided meal inputs from $25$ individuals to model pre-meal context. A machine learning model predicts glucose response, while a CF optimization module adjusts meal composition modifying macronutrient amounts to maintain glucose levels within a target range ($\leq 140$ mg/dL). An LLM-based retrieval-augmented generation (RAG) layer enhances interpretability by producing human-readable recommendations using constrained search of the USDA food database. We evaluate MetaPlate via a structured expert-in-the-loop assessment with registered dietitians (RDs), comparing performance before and after prompt refinement. Results show improvements in meal realism, portion suitability, and recommendation likelihood, with expert feedback indicating a shift from clinically implausible outputs to actionable, contextually appropriate recommendations. Our findings emphasize the importance of domain knowledge and structured constraints in LLM-driven systems and highlight the potential of MetaPlate as a real-time personalized dietary decision-support tool.

cs.IR↗

arXiv2026

GlyTwin: Digital Twin for Glucose Control in Type 1 Diabetes Through Optimal Behavioral Modifications Using Patient-Centric Counterfactuals

Frequent and long-term exposure to hyperglycemia increases the risk of chronic complications, including neuropathy, nephropathy, and cardiovascular disease. Existing continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) technologies model only specific aspects of glycemic regulation, such as predicting hypoglycemia and administering small insulin boluses. Similarly, current digital twin approaches in diabetes management primarily focus on predicting glucose responses to human behavior and insulin therapy. As a result, these technologies lack the ability to provide alternative treatment scenarios that could guide proactive behavioral interventions for optimal diabetes management. To address this gap, we propose GlyTwin, a novel computational framework that enhances digital twin technologies by integrating counterfactual explanations to simulate optimal behavioral treatments for glucose control. GlyTwin generates counterfactual treatments by recommending adjustments to behavioral choices, such as carbohydrate intake and insulin dosing, to significantly reduce the occurrence and duration of hyperglycemic events. In addition, GlyTwin incorporates stakeholder preferences into its intervention-generation process, ensuring that the tool is personalized and user-centric. We evaluate GlyTwin on AZT1D, a new dataset constructed by collecting longitudinal data from 50 individuals living with type 1 diabetes (T1D) on automated insulin delivery (AID) systems, each monitored for 26 days. Results show that GlyTwin outperforms state-of-the-art methods for generating counterfactual explanations, with 85.8\% valid explanations and 87.3\% effectiveness in preventing hyperglycemia compared with historical data.

cs.LG↗

arXiv2026

Use of What-if Scenarios to Help Explain Artificial Intelligence Models for Neonatal Health

Early detection of intrapartum risks enables timely interventions to prevent or mitigate adverse labor outcomes such as cerebral palsy. However, accurate automated systems to support clinical decision-making during delivery are currently lacking. To address this gap, we propose Artificial Intelligence for Modeling and Explaining Neonatal Health (AIMEN), a deep learning framework that predicts adverse labor outcomes from maternal, fetal, obstetrical, and intrapartum factors while providing interpretable reasoning behind its predictions. AIMEN reveals how specific modifications to input variables could alter predicted outcomes, enhancing clinical insight. To address class imbalance and limited sample size, AIMEN employs Conditional Tabular GAN (CTGAN) for data augmentation. This process includes synthetic data generation, and we investigate in detail properties such as relaxing feature bounds for a subset of training points to explore slightly out-of-range physiological values, and applying silhouette-score-based filtering to increase the separability of synthetic samples. AIMEN uses an ensemble of fully connected neural networks for classification and outperforms state-of-the-art models such as XGBoost, TabNet, DANet, and LightGBM, achieving an average F1 score of 0.784 in predicting high-risk deliveries. Moreover, AIMEN generates counterfactual explanations that identify actionable changes involving only two to three attributes on average. Resources: https://github.com/ab9mamun/AIMEN.

cs.LG↗

arXiv2026

Hybrid Attention Model Using Feature Decomposition and Knowledge Distillation for Glucose Forecasting

The availability of continuous glucose monitors as over-the-counter commodities have created a unique opportunity to monitor a person's blood glucose levels, forecast blood glucose trajectories and provide automated interventions to prevent devastating chronic complications that arise from poor glucose control. However, forecasting blood glucose levels is challenging because blood glucose changes consistently in response to food intake, medication intake, physical activity, sleep, and stress. It is particularly difficult to accurately predict BGL from multimodal and irregularly sampled data and over long prediction horizons. Furthermore, these forecasting models must operate in real-time on edge devices to provide in-the-moment interventions. To address these challenges, we propose GlucoNet, an AI-powered sensor system for continuously monitoring behavioral and physiological health and robust forecasting of blood glucose patterns. GlucoNet devises a feature decomposition-based transformer model that incorporates patients' behavioral and physiological data and transforms sparse and irregular patient data (e.g., diet and medication intake data) into continuous features using a mathematical model, facilitating better integration with the BGL data. Given the non-linear and non-stationary nature of BG signals, we propose a decomposition method to extract both low and high-frequency components from the BGL signals, thus providing accurate forecasting. To reduce the computational complexity, we also propose to employ knowledge distillation to compress the transformer model. GlucoNet achieves a 60% improvement in RMSE and a 21% reduction in the number of parameters, improving RMSE and MAE by 51% and 57%, using data obtained involving 12 participants with T1-Diabetes. These results underscore GlucoNet's potential as a compact and reliable tool for real-world diabetes prevention and management.

cs.LG↗

arXiv2026

scaleTRIM: Scalable TRuncation-Based Integer Approximate Multiplier with Linearization and Compensation

In this paper, we propose a scalable approximate multiplier design, scaleTRIM, that approximates the multiplication operation using fitted linear functions, also referred to as linearization. We show that multiplication operations can be completely replaced by low-cost addition and bit-wise shift operations by exploiting linearization. Moreover, our proposed design utilizes a lookup table (LUT)-based compensation unit as a novel error-reduction method. In essence, input operands are truncated to a reduced bit-width representation (i.e., h bits) based on their leading-one positions. Then, a curve-fitting method is employed to map the product term to a linear function. Additionally, a piecewise constant error-correction term is used to reduce the approximation error. To compute the piecewise constant, we divide the function space into M segments and average the errors within each segment. In particular, our multiplier supports various degrees of truncation and error compensation to offer a range of accuracy-efficiency trade-offs. The proposed multiplier improves the Mean Relative Error Distance (MRED) by about 15.2% while satisfying the efficiency constraint and improves the Power Delay Product (PDP) by about 22.8% while satisfying the accuracy and efficiency constraints compared to different state-of-the-art approximate multipliers. From a usability perspective, our evaluation of the proposed design for image classification using Deep Neural Networks (DNNs) demonstrates that scaleTRIM offers a better accuracy-efficiency trade-off than state-of-the-art approximate multiplier designs.

cs.DC↗

arXiv2026

GUIDE: Reinforcement Learning for Behavioral Action Support in Type 1 Diabetes

Type 1 Diabetes (T1D) management requires continuous adjustment of insulin and lifestyle behaviors to maintain blood glucose within a safe target range. Although automated insulin delivery (AID) systems have improved glycemic outcomes, many patients still fail to achieve recommended clinical targets, warranting new approaches to improve glucose control in patients with T1D. While reinforcement learning (RL) has been utilized as a promising approach, current RL-based methods focus primarily on insulin-only treatment and do not provide behavioral recommendations for glucose control. To address this gap, we propose GUIDE, an RL-based decision-support framework designed to complement AID technologies by providing behavioral recommendations to prevent abnormal glucose events. GUIDE generates structured actions defined by intervention type, magnitude, and timing, including bolus insulin administration and carbohydrate intake events. GUIDE integrates a patient-specific glucose level predictor trained on real-world continuous glucose monitoring data and supports both offline and online RL algorithms within a unified environment. We evaluate both off-policy and on-policy methods across 25 individuals with T1D using standardized glycemic metrics. Among the evaluated approaches, the CQL-BC algorithm demonstrates the highest average time-in-range, reaching 85.49% while maintaining low hypoglycemia exposures. Behavioral similarity analysis further indicates that the learned CQL-BC policy preserves key structural characteristics of patient action patterns, achieving a mean cosine similarity of 0.87 $\pm$ 0.09 across subjects. These findings suggest that conservative offline RL with a structured behavioral action space can provide clinically meaningful and behaviorally plausible decision support for personalized diabetes management.

cs.LG↗

arXiv2026

CAN-STRESS: A Real-World Multimodal Dataset for Understanding Cannabis Use, Stress, and Physiological Responses

Coping with stress is one of the most frequently cited reasons for chronic cannabis use. Therefore, it is hypothesized that cannabis users exhibit distinct physiological stress responses compared to non-users, and these differences would be more pronounced during moments of consumption. However, there is a scarcity of publicly available datasets that allow such hypotheses to be tested in real-world environments. This paper introduces a dataset named CAN-STRESS, collected using Empatica E4 wristbands. The dataset includes physiological measurements such as skin conductance, heart rate, and skin temperature from 82 participants (39 cannabis users and 43 non-users) as they went about their daily lives. Additionally, the dataset includes self-reported surveys where participants documented moments of cannabis consumption, exercise, and rated their perceived stress levels during those moments. In this paper, we publicly release the CAN-STRESS dataset, which we believe serves as a highly reliable resource for examining the impact of cannabis on stress and its associated physiological markers. I

q-bio.QM↗

arXiv2026

CLAD-Net: Continual Activity Recognition in Multi-Sensor Wearable Systems

The rise of deep learning has greatly advanced human behavior monitoring using wearable sensors, particularly human activity recognition (HAR). While deep models have been widely studied, most assume stationary data distributions - an assumption often violated in real-world scenarios. For example, sensor data from one subject may differ significantly from another, leading to distribution shifts. In continual learning, this shift is framed as a sequence of tasks, each corresponding to a new subject. Such settings suffer from catastrophic forgetting, where prior knowledge deteriorates as new tasks are learned. This challenge is compounded by the scarcity and inconsistency of labeled data in human studies. To address these issues, we propose CLAD-Net (Continual Learning with Attention and Distillation), a framework enabling wearable-sensor models to be updated continuously without sacrificing performance on past tasks. CLAD-Net integrates a self-supervised transformer, acting as long-term memory, with a supervised Convolutional Neural Network (CNN) trained via knowledge distillation for activity classification. The transformer captures global activity patterns through cross-attention across body-mounted sensors, learning generalizable representations without labels. Meanwhile, the CNN leverages knowledge distillation to retain prior knowledge during subject-wise fine-tuning. On PAMAP2, CLAD-Net achieves 91.36 percent final accuracy with only 8.78 percent forgetting, surpassing memory-based and regularization-based baselines such as Experience Replay and Elastic Weight Consolidation. In semi-supervised settings with only 10-20 percent labeled data, CLAD-Net still delivers strong performance, demonstrating robustness to label scarcity. Ablation studies further validate each module's contribution.

cs.LG↗

arXiv2026

Glycemic-Aware and Architecture-Agnostic Training Framework for Blood Glucose Forecasting in Type 1 Diabetes

Managing Type 1 Diabetes (T1D) demands constant vigilance as individuals strive to regulate their blood glucose levels and avoid dysglycemia, including hyperglycemia and hypoglycemia. Despite advances in automated insulin delivery (AID) systems, achieving optimal glycemic control remains challenging. These systems integrate data from wearable devices such as insulin pumps and continuous glucose monitors (CGMs), helping reduce variability and improve time in range. However, they often fail to prevent dysglycemia due to limitations in prediction algorithms that cannot accurately anticipate glycemic excursions. This limitation highlights the need for more advanced glucose forecasting methods. To address this need, we introduce GLIMMER (Glucose Level Indicator Model with Modified Error Rate), a modular and architecture-agnostic training framework for glucose forecasting. GLIMMER combines structured preprocessing, a region-aware loss formulation, and genetic algorithm-based weight optimization to emphasize prediction accuracy in dysglycemic regions. We evaluate GLIMMER using two datasets: the publicly available OhioT1DM dataset and a newly collected AZT1D dataset consisting of data from 25 individuals with T1D. Our analyses demonstrate that GLIMMER consistently improves forecasting performance across baseline architectures, reducing RMSE and MAE by up to 24.6% and 29.6%, respectively. Additionally, GLIMMER achieves a recall of 98.4% and an F1-score of 86.8% for dysglycemia prediction, highlighting strong performance in clinically high-risk regions. Compared with state-of-the-art models containing millions of parameters-such as TimesNet (18.7M), BG-BERT (2.1M), and Gluformer (11.2M)-GLIMMER attains comparable accuracy while using only 10K parameters, demonstrating its efficiency as a lightweight and architecture-agnostic solution for glycemic forecasting.

cs.LG↗

arXiv2025

Self-Supervised Learning and Opportunistic Inference for Continuous Monitoring of Freezing of Gait in Parkinson's Disease

Parkinson's disease (PD) is a progressive neurological disorder that impacts the quality of life significantly, making in-home monitoring of motor symptoms such as Freezing of Gait (FoG) critical. However, existing symptom monitoring technologies are power-hungry, rely on extensive amounts of labeled data, and operate in controlled settings. These shortcomings limit real-world deployment of the technology. This work presents LIFT-PD, a computationally-efficient self-supervised learning framework for real-time FoG detection. Our method combines self-supervised pre-training on unlabeled data with a novel differential hopping windowing technique to learn from limited labeled instances. An opportunistic model activation module further minimizes power consumption by selectively activating the deep learning module only during active periods. Extensive experimental results show that LIFT-PD achieves a 7.25% increase in precision and 4.4% improvement in accuracy compared to supervised models while using as low as 40% of the labeled training data used for supervised learning. Additionally, the model activation module reduces inference time by up to 67% compared to continuous inference. LIFT-PD paves the way for practical, energy-efficient, and unobtrusive in-home monitoring of PD patients with minimal labeling requirements.

cs.LG↗

arXiv2025

GluMind: Multimodal Parallel Attention and Knowledge Retention for Robust Cross-Population Blood Glucose Forecasting

This paper proposes GluMind, a transformer-based multimodal framework designed for continual and long-term blood glucose forecasting. GluMind devises two attention mechanisms, including cross-attention and multi-scale attention, which operate in parallel and deliver accurate predictive performance. Cross-attention effectively integrates blood glucose data with other physiological and behavioral signals such as activity, stress, and heart rate, addressing challenges associated with varying sampling rates and their adverse impacts on robust prediction. Moreover, the multi-scale attention mechanism captures long-range temporal dependencies. To mitigate catastrophic forgetting, GluMind incorporates a knowledge retention technique into the transformer-based forecasting model. The knowledge retention module not only enhances the model's ability to retain prior knowledge but also boosts its overall forecasting performance. We evaluate GluMind on the recently released AIREADI dataset, which contains behavioral and physiological data collected from healthy people, individuals with prediabetes, and those with type 2 diabetes. We examine the performance stability and adaptability of GluMind in learning continuously as new patient cohorts are introduced. Experimental results show that GluMind consistently outperforms other state-of-the-art forecasting models, achieving approximately 15% and 9% improvements in root mean squared error (RMSE) and mean absolute error (MAE), respectively.

cs.LG↗

arXiv2025

SenseCF: LLM-Prompted Counterfactuals for Intervention and Sensor Data Augmentation

Counterfactual explanations (CFs) offer human-centric insights into machine learning predictions by highlighting minimal changes required to alter an outcome. Therefore, CFs can be used as (i) interventions for abnormality prevention and (ii) augmented data for training robust models. In this work, we explore large language models (LLMs), specifically GPT-4o-mini, for generating CFs in a zero-shot and three-shot setting. We evaluate our approach on two datasets: the AI-Readi flagship dataset for stress prediction and a public dataset for heart disease detection. Compared to traditional methods such as DiCE, CFNOW, and NICE, our few-shot LLM-based approach achieves high plausibility (up to 99%), strong validity (up to 0.99), and competitive sparsity. Moreover, using LLM-generated CFs as augmented samples improves downstream classifier performance (an average accuracy gain of 5%), especially in low-data regimes. This demonstrates the potential of prompt-based generative techniques to enhance explainability and robustness in clinical and physiological prediction tasks. Code base: github.com/shovito66/SenseCF.

cs.AI↗

arXiv2025

RealAC: A Domain-Agnostic Framework for Realistic and Actionable Counterfactual Explanations

Counterfactual explanations provide human-understandable reasoning for AI-made decisions by describing minimal changes to input features that would alter a model's prediction. To be truly useful in practice, such explanations must be realistic and feasible -- they should respect both the underlying data distribution and user-defined feasibility constraints. Existing approaches often enforce inter-feature dependencies through rigid, hand-crafted constraints or domain-specific knowledge, which limits their generalizability and ability to capture complex, nonlinear relations inherent in data. Moreover, they rarely accommodate user-specified preferences and suggest explanations that are causally implausible or infeasible to act upon. We introduce RealAC, a domain-agnostic framework for generating realistic and actionable counterfactuals. RealAC automatically preserves complex inter-feature dependencies without relying on explicit domain knowledge -- by aligning the joint distributions of feature pairs between factual and counterfactual instances. The framework also allows end-users to ``freeze'' attributes they cannot or do not wish to change by suppressing change in frozen features during optimization. Evaluations on three synthetic and two real datasets demonstrate that RealAC balances realism with actionability. Our method outperforms state-of-the-art baselines and Large Language Model-based counterfactual generation techniques in causal edge score, dependency preservation score, and IM1 realism metric and offers a solution for causality-aware and user-centric counterfactual generation.

cs.LG↗