arXiv subjects

Hassan Ghasemzadeh

Publications and source records attributed to Hassan Ghasemzadeh.

At least 37 records · Page 2Linked to original sources

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↗

arXiv2025

LLM-Powered Prediction of Hyperglycemia and Discovery of Behavioral Treatment Pathways from Wearables and Diet

Postprandial hyperglycemia, marked by the blood glucose level exceeding the normal range after consuming a meal, is a critical indicator of progression toward type 2 diabetes in people with prediabetes and in healthy individuals. A key metric for understanding blood glucose dynamics after eating is the postprandial area under the curve (AUC). Predicting postprandial AUC in advance based on a person's lifestyle factors, such as diet and physical activity level, and explaining the factors that affect postprandial blood glucose could allow an individual to adjust their lifestyle accordingly to maintain normal glucose levels. In this study, we developed an explainable machine learning solution, GlucoLens, that takes sensor-driven inputs and uses advanced data processing, large language models, and trainable machine learning models to predict postprandial AUC and hyperglycemia from diet, physical activity, and recent glucose patterns. We used data obtained from wearables in a five-week clinical trial of 10 adults who worked full-time to develop and evaluate the proposed computational model that integrates wearable sensing, multimodal data, and machine learning. Our machine learning model takes multimodal data from wearable activity and glucose monitoring sensors, along with food and work logs, and provides an interpretable prediction of the postprandial glucose pattern. Our GlucoLens system achieves a normalized root mean squared error (NRMSE) of 0.123 in its best configuration. On average, the proposed technology provides a 16% better performance level compared to the comparison models. Additionally, our technique predicts hyperglycemia with an accuracy of 73.3% and an F1 score of 0.716 and recommends different treatment options to help avoid hyperglycemia through diverse counterfactual explanations. Code available: https://github.com/ab9mamun/GlucoLens.

cs.LG↗

arXiv2025

AZT1D: A Real-World Dataset for Type 1 Diabetes

High quality real world datasets are essential for advancing data driven approaches in type 1 diabetes (T1D) management, including personalized therapy design, digital twin systems, and glucose prediction models. However, progress in this area has been limited by the scarcity of publicly available datasets that offer detailed and comprehensive patient data. To address this gap, we present AZT1D, a dataset containing data collected from 25 individuals with T1D on automated insulin delivery (AID) systems. AZT1D includes continuous glucose monitoring (CGM) data, insulin pump and insulin administration data, carbohydrate intake, and device mode (regular, sleep, and exercise) obtained over 6 to 8 weeks for each patient. Notably, the dataset provides granular details on bolus insulin delivery (i.e., total dose, bolus type, correction specific amounts) features that are rarely found in existing datasets. By offering rich, naturalistic data, AZT1D supports a wide range of artificial intelligence and machine learning applications aimed at improving clinical decision making and individualized care in T1D.

cs.LG↗

arXiv2025

Guiding Diffusion with Deep Geometric Moments: Balancing Fidelity and Variation

Text-to-image generation models have achieved remarkable capabilities in synthesizing images, but often struggle to provide fine-grained control over the output. Existing guidance approaches, such as segmentation maps and depth maps, introduce spatial rigidity that restricts the inherent diversity of diffusion models. In this work, we introduce Deep Geometric Moments (DGM) as a novel form of guidance that encapsulates the subject's visual features and nuances through a learned geometric prior. DGMs focus specifically on the subject itself compared to DINO or CLIP features, which suffer from overemphasis on global image features or semantics. Unlike ResNets, which are sensitive to pixel-wise perturbations, DGMs rely on robust geometric moments. Our experiments demonstrate that DGM effectively balance control and diversity in diffusion-based image generation, allowing a flexible control mechanism for steering the diffusion process.

cs.CV↗

arXiv2025

Enhancing Metabolic Syndrome Prediction with Hybrid Data Balancing and Counterfactuals

Metabolic Syndrome (MetS) is a cluster of interrelated risk factors that significantly increases the risk of cardiovascular diseases and type 2 diabetes. Despite its global prevalence, accurate prediction of MetS remains challenging due to issues such as class imbalance, data scarcity, and methodological inconsistencies in existing studies. In this paper, we address these challenges by systematically evaluating and optimizing machine learning (ML) models for MetS prediction, leveraging advanced data balancing techniques and counterfactual analysis. Multiple ML models, including XGBoost, Random Forest, TabNet, etc., were trained and compared under various data balancing techniques such as random oversampling (ROS), SMOTE, ADASYN, and CTGAN. Additionally, we introduce MetaBoost, a novel hybrid framework that integrates SMOTE, ADASYN, and CTGAN, optimizing synthetic data generation through weighted averaging and iterative weight tuning to enhance the model's performance (achieving up to a 1.87% accuracy improvement over individual balancing techniques). A comprehensive counterfactual analysis is conducted to quantify the feature-level changes required to shift individuals from high-risk to low-risk categories. The results indicate that blood glucose (50.3%) and triglycerides (46.7%) were the most frequently modified features, highlighting their clinical significance in MetS risk reduction. Additionally, probabilistic analysis shows elevated blood glucose (85.5% likelihood) and triglycerides (74.9% posterior probability) as the strongest predictors. This study not only advances the methodological rigor of MetS prediction but also provides actionable insights for clinicians and researchers, highlighting the potential of ML in mitigating the public health burden of metabolic syndrome.

cs.LG↗

arXiv2025

Freezing of Gait Detection Using Gramian Angular Fields and Federated Learning from Wearable Sensors

Freezing of gait (FOG) is a debilitating symptom of Parkinson's disease that impairs mobility and safety by increasing the risk of falls. An effective FOG detection system must be accurate, real-time, and deployable in free-living environments to enable timely interventions. However, existing detection methods face challenges due to (1) intra- and inter-patient variability, (2) subject-specific training, (3) using multiple sensors in FOG dominant locations (e.g., ankles) leading to high failure points, (4) centralized, non-adaptive learning frameworks that sacrifice patient privacy and prevent collaborative model refinement across populations and disease progression, and (5) most systems are tested in controlled settings, limiting their real-world applicability for continuous in-home monitoring. Addressing these gaps, we present FOGSense, a real-world deployable FOG detection system designed for uncontrolled, free-living conditions using only a single sensor. FOGSense uses Gramian Angular Field (GAF) transformations and privacy-preserving federated deep learning to capture temporal and spatial gait patterns missed by traditional methods with a low false positive rate. We evaluated our system using a public Parkinson's dataset collected in a free-living environment. FOGSense improves accuracy by 10.4% over a single-axis accelerometer, reduces failure points compared to multi-sensor systems, and demonstrates robustness to missing values. The federated architecture allows personalized model adaptation and efficient smartphone synchronization during off-peak hours, making it effective for long-term monitoring as symptoms evolve. Overall, FOGSense achieved a 22.2% improvement in F1-score and a 74.53% reduction in false positive rate compared to state-of-the-art methods, along with enhanced sensitivity for FOG episode detection.

cs.LG↗

arXiv2025

NutriGen: Personalized Meal Plan Generator Leveraging Large Language Models to Enhance Dietary and Nutritional Adherence

Maintaining a balanced diet is essential for overall health, yet many individuals struggle with meal planning due to nutritional complexity, time constraints, and lack of dietary knowledge. Personalized food recommendations can help address these challenges by tailoring meal plans to individual preferences, habits, and dietary restrictions. However, existing dietary recommendation systems often lack adaptability, fail to consider real-world constraints such as food ingredient availability, and require extensive user input, making them impractical for sustainable and scalable daily use. To address these limitations, we introduce NutriGen, a framework based on large language models (LLM) designed to generate personalized meal plans that align with user-defined dietary preferences and constraints. By building a personalized nutrition database and leveraging prompt engineering, our approach enables LLMs to incorporate reliable nutritional references like the USDA nutrition database while maintaining flexibility and ease-of-use. We demonstrate that LLMs have strong potential in generating accurate and user-friendly food recommendations, addressing key limitations in existing dietary recommendation systems by providing structured, practical, and scalable meal plans. Our evaluation shows that Llama 3.1 8B and GPT-3.5 Turbo achieve the lowest percentage errors of 1.55\% and 3.68\%, respectively, producing meal plans that closely align with user-defined caloric targets while minimizing deviation and improving precision. Additionally, we compared the performance of DeepSeek V3 against several established models to evaluate its potential in personalized nutrition planning.

cs.AI↗

arXiv2025

AIMI: Leveraging Future Knowledge and Personalization in Sparse Event Forecasting for Treatment Adherence

Adherence to prescribed treatments is crucial for individuals with chronic conditions to avoid costly or adverse health outcomes. For certain patient groups, intensive lifestyle interventions are vital for enhancing medication adherence. Accurate forecasting of treatment adherence can open pathways to developing an on-demand intervention tool, enabling timely and personalized support. With the increasing popularity of smartphones and wearables, it is now easier than ever to develop and deploy smart activity monitoring systems. However, effective forecasting systems for treatment adherence based on wearable sensors are still not widely available. We close this gap by proposing Adherence Forecasting and Intervention with Machine Intelligence (AIMI). AIMI is a knowledge-guided adherence forecasting system that leverages smartphone sensors and previous medication history to estimate the likelihood of forgetting to take a prescribed medication. A user study was conducted with 27 participants who took daily medications to manage their cardiovascular diseases. We designed and developed CNN and LSTM-based forecasting models with various combinations of input features and found that LSTM models can forecast medication adherence with an accuracy of 0.932 and an F-1 score of 0.936. Moreover, through a series of ablation studies involving convolutional and recurrent neural network architectures, we demonstrate that leveraging known knowledge about future and personalized training enhances the accuracy of medication adherence forecasting. Code available: https://github.com/ab9mamun/AIMI.

cs.LG↗

arXiv2025

MealMeter: Using Multimodal Sensing and Machine Learning for Automatically Estimating Nutrition Intake

Accurate estimation of meal macronutrient composition is a pre-perquisite for precision nutrition, metabolic health monitoring, and glycemic management. Traditional dietary assessment methods, such as self-reported food logs or diet recalls are time-intensive and prone to inaccuracies and biases. Several existing AI-driven frameworks are data intensive. In this study, we propose MealMeter, a machine learning driven method that leverages multimodal sensor data of wearable and mobile devices. Data are collected from 12 participants to estimate macronutrient intake. Our approach integrates physiological signals (e.g., continuous glucose, heart rate variability), inertial motion data, and environmental cues to model the relationship between meal intake and metabolic responses. Using lightweight machine learning models trained on a diverse dataset of labeled meal events, MealMeter predicts the composition of carbohydrates, proteins, and fats with high accuracy. Our results demonstrate that multimodal sensing combined with machine learning significantly improves meal macronutrient estimation compared to the baselines including foundation model and achieves average mean absolute errors (MAE) and average root mean squared relative errors (RMSRE) as low as 13.2 grams and 0.37, respectively, for carbohydrates. Therefore, our developed system has the potential to automate meal tracking, enhance dietary interventions, and support personalized nutrition strategies for individuals managing metabolic disorders such as diabetes and obesity.

stat.AP↗

arXiv2025

AttenGluco: Multimodal Transformer-Based Blood Glucose Forecasting on AI-READI Dataset

Diabetes is a chronic metabolic disorder characterized by persistently high blood glucose levels (BGLs), leading to severe complications such as cardiovascular disease, neuropathy, and retinopathy. Predicting BGLs enables patients to maintain glucose levels within a safe range and allows caregivers to take proactive measures through lifestyle modifications. Continuous Glucose Monitoring (CGM) systems provide real-time tracking, offering a valuable tool for monitoring BGLs. However, accurately forecasting BGLs remains challenging due to fluctuations due to physical activity, diet, and other factors. Recent deep learning models show promise in improving BGL prediction. Nonetheless, forecasting BGLs accurately from multimodal, irregularly sampled data over long prediction horizons remains a challenging research problem. In this paper, we propose AttenGluco, a multimodal Transformer-based framework for long-term blood glucose prediction. AttenGluco employs cross-attention to effectively integrate CGM and activity data, addressing challenges in fusing data with different sampling rates. Moreover, it employs multi-scale attention to capture long-term dependencies in temporal data, enhancing forecasting accuracy. To evaluate the performance of AttenGluco, we conduct forecasting experiments on the recently released AIREADI dataset, analyzing its predictive accuracy across different subject cohorts including healthy individuals, people with prediabetes, and those with type 2 diabetes. Furthermore, we investigate its performance improvements and forgetting behavior as new cohorts are introduced. Our evaluations show that AttenGluco improves all error metrics, such as root mean square error (RMSE), mean absolute error (MAE), and correlation, compared to the multimodal LSTM model. AttenGluco outperforms this baseline model by about 10% and 15% in terms of RMSE and MAE, respectively.

cs.LG↗

arXiv2024

Designing User-Centric Behavioral Interventions to Prevent Dysglycemia with Novel Counterfactual Explanations

Monitoring unexpected health events and taking actionable measures to avert them beforehand is central to maintaining health and preventing disease. Therefore, a tool capable of predicting adverse health events and offering users actionable feedback about how to make changes in their diet, exercise, and medication to prevent abnormal health events could have significant societal impacts. Counterfactual explanations can provide insights into why a model made a particular prediction by generating hypothetical instances that are similar to the original input but lead to a different prediction outcome. Therefore, counterfactuals can be viewed as a means to design AI-driven health interventions to not only predict but also prevent adverse health outcomes such as blood glucose spikes, diabetes, and heart disease. In this paper, we design \textit{\textbf{ExAct}}, a novel model-agnostic framework for generating counterfactual explanations for chronic disease prevention and management. Leveraging insights from adversarial learning, ExAct characterizes the decision boundary for high-dimensional data and performs a grid search to generate actionable interventions. ExAct is unique in integrating prior knowledge about user preferences of feasible explanations into the process of counterfactual generation. ExAct is evaluated extensively using four real-world datasets and external simulators. With $82.8\%$ average validity in the simulation-aided validation, ExAct surpasses the state-of-the-art techniques for generating counterfactual explanations by at least $10\%$. Besides, counterfactuals from ExAct exhibit at least $6.6\%$ improved proximity compared to previous research.

cs.AI↗

arXiv2024

Multimodal Physical Activity Forecasting in Free-Living Clinical Settings: Hunting Opportunities for Just-in-Time Interventions

Objective: This research aims to develop a lifestyle intervention system, called MoveSense, that forecasts a patient's activity behavior to allow for early and personalized interventions in real-world clinical environments. Methods: We conducted two clinical studies involving 58 prediabetic veterans and 60 patients with obstructive sleep apnea to gather multimodal behavioral data using wearable devices. We develop multimodal long short-term memory (LSTM) network models, which are capable of forecasting the number of step counts of a patient up to 24 hours in advance by examining data from activity and engagement modalities. Furthermore, we design goal-based forecasting models to predict whether a person's next-day steps will be over a certain threshold. Results: Multimodal LSTM with early fusion achieves 33% and 37% lower mean absolute errors than linear regression and ARIMA respectively on the prediabetes dataset. LSTM also outperforms linear regression and ARIMA with a margin of 13% and 32% on the sleep dataset. Multimodal forecasting models also perform with 72% and 79% accuracy on the prediabetes dataset and sleep dataset respectively on goal-based forecasting. Conclusion: Our experiments conclude that multimodal LSTM models with early fusion are better than multimodal LSTM with late fusion and unimodal LSTM models and also than ARIMA and linear regression models. Significance: We address an important and challenging task of time-series forecasting in uncontrolled environments. Effective forecasting of a person's physical activity can aid in designing adaptive behavioral interventions to keep the user engaged and adherent to a prescribed routine.

cs.LG↗

arXiv2024

Wearable-Based Real-time Freezing of Gait Detection in Parkinson's Disease Using Self-Supervised Learning

LIFT-PD is an innovative self-supervised learning framework developed for real-time detection of Freezing of Gait (FoG) in Parkinson's Disease (PD) patients, using a single triaxial accelerometer. It minimizes the reliance on large labeled datasets by applying a Differential Hopping Windowing Technique (DHWT) to address imbalanced data during training. Additionally, an Opportunistic Inference Module is used to reduce energy consumption by activating the model only during active movement periods. Extensive testing on publicly available datasets showed that LIFT-PD improved precision by 7.25% and accuracy by 4.4% compared to supervised models, while using 40% fewer labeled samples and reducing inference time by 67%. These findings make LIFT-PD a highly practical and energy-efficient solution for continuous, in-home monitoring of PD patients.

eess.SP↗

arXiv2024

CUDLE: Learning Under Label Scarcity to Detect Cannabis Use in Uncontrolled Environments

Wearable sensor systems have demonstrated a great potential for real-time, objective monitoring of physiological health to support behavioral interventions. However, obtaining accurate labels in free-living environments remains difficult due to limited human supervision and the reliance on self-labeling by patients, making data collection and supervised learning particularly challenging. To address this issue, we introduce CUDLE (Cannabis Use Detection with Label Efficiency), a novel framework that leverages self-supervised learning with real-world wearable sensor data to tackle a pressing healthcare challenge: the automatic detection of cannabis consumption in free-living environments. CUDLE identifies cannabis consumption moments using sensor-derived data through a contrastive learning framework. It first learns robust representations via a self-supervised pretext task with data augmentation. These representations are then fine-tuned in a downstream task with a shallow classifier, enabling CUDLE to outperform traditional supervised methods, especially with limited labeled data. To evaluate our approach, we conducted a clinical study with 20 cannabis users, collecting over 500 hours of wearable sensor data alongside user-reported cannabis use moments through EMA (Ecological Momentary Assessment) methods. Our extensive analysis using the collected data shows that CUDLE achieves a higher accuracy of 73.4%, compared to 71.1% for the supervised approach, with the performance gap widening as the number of labels decreases. Notably, CUDLE not only surpasses the supervised model while using 75% less labels, but also reaches peak performance with far fewer subjects.

cs.LG↗

arXiv2024

Minimum-Cost Sensor Channel Selection For Wearable Computing

Sensor systems are constrained by design and finding top sensor channel(s) for a given computational task is an important but hard problem. We define an optimization framework and mathematically formulate the minimum-cost channel selection problem. We then propose two novel algorithms of varying scope and complexity to solve the optimization problem. Branch and bound channel selection finds a globally optimal channel subset and the greedy channel selection finds the best intermediate subset based on the value of a score function. Proposed channel selection algorithms are conditioned with performance as well as the cost of the channel subset. We evaluate both algorithms on two publicly available time series datasets of human activity recognition and mental task detection. Branch and bound channel selection achieved a cost saving of up to 94.8% and the greedy search reduced the cost by 89.6% while maintaining performance thresholds.

cs.NI↗

arXiv2023

The Scope of In-Context Learning for the Extraction of Medical Temporal Constraints

Medications often impose temporal constraints on everyday patient activity. Violations of such medical temporal constraints (MTCs) lead to a lack of treatment adherence, in addition to poor health outcomes and increased healthcare expenses. These MTCs are found in drug usage guidelines (DUGs) in both patient education materials and clinical texts. Computationally representing MTCs in DUGs will advance patient-centric healthcare applications by helping to define safe patient activity patterns. We define a novel taxonomy of MTCs found in DUGs and develop a novel context-free grammar (CFG) based model to computationally represent MTCs from unstructured DUGs. Additionally, we release three new datasets with a combined total of N = 836 DUGs labeled with normalized MTCs. We develop an in-context learning (ICL) solution for automatically extracting and normalizing MTCs found in DUGs, achieving an average F1 score of 0.62 across all datasets. Finally, we rigorously investigate ICL model performance against a baseline model, across datasets and MTC types, and through in-depth error analysis.

cs.CL↗

arXiv2023

ActSafe: Predicting Violations of Medical Temporal Constraints for Medication Adherence

Prescription medications often impose temporal constraints on regular health behaviors (RHBs) of patients, e.g., eating before taking medication. Violations of such medical temporal constraints (MTCs) can result in adverse effects. Detecting and predicting such violations before they occur can help alert the patient. We formulate the problem of modeling MTCs and develop a proof-of-concept solution, ActSafe, to predict violations of MTCs well ahead of time. ActSafe utilizes a context-free grammar based approach for extracting and mapping MTCs from patient education materials. It also addresses the challenges of accurately predicting RHBs central to MTCs (e.g., medication intake). Our novel behavior prediction model, HERBERT , utilizes a basis vectorization of time series that is generalizable across temporal scale and duration of behaviors, explicitly capturing the dependency between temporally collocated behaviors. Based on evaluation using a real-world RHB dataset collected from 28 patients in uncontrolled environments, HERBERT outperforms baseline models with an average of 51% reduction in root mean square error. Based on an evaluation involving patients with chronic conditions, ActSafe can predict MTC violations a day ahead of time with an average F1 score of 0.86.

cs.LG↗

arXiv2022

ADARP: A Multi Modal Dataset for Stress and Alcohol Relapse Quantification in Real Life Setting

Stress detection and classification from wearable sensor data is an emerging area of research with significant implications for individuals' physical and mental health. In this work, we introduce a new dataset, ADARP, which contains physiological data and self-report outcomes collected in real-world ambulatory settings involving individuals diagnosed with alcohol use disorders. We describe the user study, present details of the dataset, establish the significant correlation between physiological data and self-reported outcomes, demonstrate stress classification, and make our dataset public to facilitate research.

cs.HC↗