arXiv subjects

Laura E. Barnes

Publications and source records attributed to Laura E. Barnes.

At least 19 recordsLinked to original sources

arXiv2026

PULSE: Agentic Investigation with Passive Sensing for Proactive Affective Intervention in Cancer Survivorship

Cancer survivors face elevated rates of depression, anxiety, and emotional distress, yet self-report may be unavailable at some moments when support is relevant, a challenge we term the diary paradox. We present PULSE, a system for agentic sensing investigation: LLM agents equipped with eight purpose-built tools query smartphone sensing data, compare current behavior with personal baselines, and retrieve outcome-labeled historical cases. Rather than receiving only a fixed feature summary, agents choose which modalities and time windows to inspect. We evaluate PULSE through a two-by-two evaluation design crossing system architecture (structured single-pass vs. multi-turn agentic) with concurrent input modality (no current diary vs. sensing plus current diary) on 50 cancer survivors. The agentic multimodal condition achieves balanced accuracy of 0.743 for emotion-regulation desire; the agentic no-current-diary condition achieves 0.713 for self-reported intervention availability. This is a system-level comparison because the architecture conditions also differ in tool-mediated information access. The results provide a retrospective benchmark for interactive sensing investigation and motivate prospective evaluation at diary non-response moments.

cs.HC↗

arXiv2026

SocialPulse: On-Device Detection of Social Interactions in Naturalistic Settings Using Smartwatch Sensing

Social interactions are fundamental to well-being, yet automatically detecting them in daily life-particularly using wearables-remains underexplored. Most existing systems are evaluated in controlled settings, focus primarily on in-person interactions, or rely on restrictive assumptions (e.g., requiring multiple speakers within fixed temporal windows), limiting generalizability to real-world use. We present an on-watch interaction detection system designed to capture diverse interactions in naturalistic settings. A core component is a foreground speech detector trained on a public dataset. Evaluated on over 100,000 labeled foreground speech and background sound instances, the detector achieves a balanced accuracy of 85.51%, outperforming prior work by 5.11%. We evaluated the system in a real-world deployment (N=38), with over 900 hours of total smartwatch wear time. The system detected 1,691 interactions, 77.28% were confirmed via participant self-report, with durations ranging from under one minute to over one hour. Among correct detections, 81.45% were in-person, 15.7% virtual, and 1.85% hybrid. We further developed a 15-second window-level audio-only model that enables faster interaction prediction, achieving a balanced accuracy of 90.39% and a sensitivity of 91.01% on 33,698 labeled windows. These results demonstrate the feasibility of real-world interaction sensing and open the door to adaptive, context-aware systems responding to users' dynamic social environments.

cs.HC↗

arXiv2026

An Elastic Shape Variational Autoencoder for Skeleton Pose Trajectories

Deep generative models provide flexible frameworks for modeling complex, structured data such as images, videos, 3D objects, and texts. However, when applied to sequences of human skeletons, standard variational autoencoders (VAEs) often allocate substantial capacity to nuisance factors-such as camera orientation, subject scale, viewpoint, and execution speed-rather than the intrinsic geometry of shapes and their motion. We propose the Elastic Shape - Variational Autoencoder (ES-VAE), a geometry-aware generative model for skeletal trajectories that leverages the transported square-root velocity field (TSRVF) representation on Kendall's shape manifold. This representation inherently removes rigid translations, rotations, and global scaling of shapes, and temporal rate variability of sequences, isolating the underlying shape dynamics. The ES-VAE encoder maps skeletal sequences to a low-dimensional latent space incorporating the Riemannian logarithm map, while the decoder reconstructs sequences using the corresponding exponential map. We demonstrate the effectiveness of ES-VAE on two datasets. First, we analyze skeletal gait cycles to predict clinical mobility scores and classify subjects into healthy and post-stroke groups. Second, we evaluate action recognition on the NTU RGB+D dataset. Across both settings, ES-VAE consistently outperforms standard VAEs and a range of sequence modeling baselines, including temporal convolutional networks, transformers, and graph convolutional networks. More broadly, ES-VAE provides a principled framework for learning generative models of longitudinal data on pose shape manifolds, offering improved latent representation and downstream performance compared to existing deep learning approaches.

cs.CV↗

arXiv2026

PSI: Shared State as the Missing Layer for Coherent AI-Generated Instruments in Personal AI Agents

Personal AI tools can now be generated from natural-language requests, but they often remain isolated after creation. We present PSI, a shared-state architecture that turns independently generated modules into coherent instruments: persistent, connected, and chat-complementary artifacts accessible through both GUIs and a generic chat agent. By publishing current state and write-back affordances to a shared personal-context bus, modules enable cross-module reasoning and synchronized actions across interfaces. We study PSI through a three-week autobiographical deployment in a self-developed personal AI environment and show that later-generated instruments can be integrated automatically through the same contract. PSI identifies shared state as the missing systems layer that transforms AI-generated personal software from isolated apps into coherent personal computing environments.

cs.HC↗

arXiv2025

WatchAnxiety: A Transfer Learning Approach for State Anxiety Prediction from Smartwatch Data

Social anxiety is a common mental health condition linked to significant challenges in academic, social, and occupational functioning. A core feature is elevated momentary (state) anxiety in social situations, yet little prior work has measured or predicted fluctuations in this anxiety throughout the day. Capturing these intra-day dynamics is critical for designing real-time, personalized interventions such as Just-In-Time Adaptive Interventions (JITAIs). To address this gap, we conducted a study with socially anxious college students (N=91; 72 after exclusions) using our custom smartwatch-based system over an average of 9.03 days (SD = 2.95). Participants received seven ecological momentary assessments (EMAs) per day to report state anxiety. We developed a base model on over 10,000 days of external heart rate data, transferred its representations to our dataset, and fine-tuned it to generate probabilistic predictions. These were combined with trait-level measures in a meta-learner. Our pipeline achieved 60.4% balanced accuracy in state anxiety detection in our dataset. To evaluate generalizability, we applied the training approach to a separate hold-out set from the TILES-18 dataset-the same dataset used for pretraining. On 10,095 once-daily EMAs, our method achieved 59.1% balanced accuracy, outperforming prior work by at least 7%.

cs.LG↗

arXiv2025

SocialPulse: An On-Smartwatch System for Detecting Real-World Social Interactions

Social interactions are a fundamental part of daily life and play a critical role in well-being. As emerging technologies offer opportunities to unobtrusively monitor behavior, there is growing interest in using them to better understand social experiences. However, automatically detecting interactions, particularly via wearable devices, remains underexplored. Existing systems are often limited to controlled environments, constrained to in-person interactions, and rely on rigid assumptions such as the presence of two speakers within a fixed time window. These limitations reduce their generalizability to capture diverse real-world interactions. To address these challenges, we developed a real-time, on-watch system capable of detecting both in-person and virtual interactions. The system leverages transfer learning to detect foreground speech (FS) and infers interaction boundaries based upon FS and conversational cues like whispering. In a real-world evaluation involving 11 participants over a total of 38 days (Mean = 3.45 days, SD = 2.73), the system achieved an interaction detection accuracy of 73.18%. Follow-up with six participants indicated perfect recall for detecting interactions. These preliminary findings demonstrate the potential of our system to capture interactions in daily life, providing a foundation for applications such as personalized interventions targeting social anxiety.

cs.HC↗

arXiv2025

CALLM: Understanding Cancer Survivors' Emotions and Intervention Opportunities via Mobile Diaries and Context-Aware Language Models

Cancer survivors face unique emotional challenges that impact their quality of life. Mobile diary entries provide a promising method for tracking emotional states, improving self-awareness, and promoting well-being outcome. This paper aims to, through mobile diaries, understand cancer survivors' emotional states and key variables related to just-in-time intervention opportunities, including the desire to regulate emotions and the availability to engage in interventions. Although emotion analysis tools show potential for recognizing emotions from text, current methods lack the contextual understanding necessary to interpret brief mobile diary narratives. Our analysis of diary entries from cancer survivors (N=407) reveals systematic relationships between described contexts and emotional states, with administrative and health-related contexts associated with negative affect and regulation needs, while leisure activities promote positive emotions. We propose CALLM, a Context-Aware framework leveraging Large Language Models (LLMs) with Retrieval-Augmented Generation (RAG) to analyze these brief entries by integrating retrieved peer experiences and personal diary history. CALLM demonstrates strong performance with balanced accuracies reaching 72.96% for positive affect, 73.29% for negative affect, 73.72% for emotion regulation desire, and 60.09% for intervention availability, outperforming language model baselines. Post-hoc analysis reveals that model confidence strongly predicts accuracy, with longer diary entries generally enhancing performance, and brief personalization periods yielding meaningful improvements. Our findings demonstrate how contextual information in mobile diaries can be effectively leveraged to understand emotional experiences, predict key states, and identify optimal intervention moments for personalized just-in-time support.

cs.CL↗

arXiv2025

A computational framework for longitudinal medication adherence prediction in breast cancer survivors: A social cognitive theory based approach

Non-adherence to medications is a critical concern since nearly half of patients with chronic illnesses do not follow their prescribed medication regimens, leading to increased mortality, costs, and preventable human distress. Amongst stage 0-3 breast cancer survivors, adherence to long-term adjuvant endocrine therapy (i.e., Tamoxifen and aromatase inhibitors) is associated with a significant increase in recurrence-free survival. This work aims to develop multi-scale models of medication adherence to understand the significance of different factors influencing adherence across varying time frames. We introduce a computational framework guided by Social Cognitive Theory for multi-scale (daily and weekly) modeling of longitudinal medication adherence. Our models employ both dynamic medication-taking patterns in the recent past (dynamic factors) as well as less frequently changing factors (static factors) for adherence prediction. Additionally, we assess the significance of various factors in influencing adherence behavior across different time scales. Our models outperform traditional machine learning counterparts in both daily and weekly tasks in terms of both accuracy and specificity. Daily models achieved an accuracy of 87.25%, and weekly models, an accuracy of 76.04%. Notably, dynamic past medication-taking patterns prove most valuable for predicting daily adherence, while a combination of dynamic and static factors is significant for macro-level weekly adherence patterns.

cs.LG↗

arXiv2025

Understanding State Social Anxiety in Virtual Social Interactions using Multimodal Wearable Sensing Indicators

Mobile sensing is ubiquitous and offers opportunities to gain insight into state mental health functioning. Detecting state elevations in social anxiety would be especially useful given this phenomenon is highly prevalent and impairing, but often not disclosed. Although anxiety is highly dynamic, fluctuating rapidly over the course of minutes, most work to date has examined anxiety at a scale of hours, days, or longer. In the present work, we explore the feasibility of detecting fluctuations in state social anxiety among N = 46 undergraduate students with elevated symptoms of trait social anxiety. Participants engaged in two dyadic and two group social interactions via Zoom. We evaluated participants' state anxiety levels as they anticipated, immediately after experiencing, and upon reflecting on each social interaction, spanning a time frame of 2-6 minutes. We collected biobehavioral features (i.e., PPG, EDA, skin temperature, and accelerometer) via Empatica E4 devices as they participated in the varied social contexts (e.g., dyadic vs. group; anticipating vs. experiencing the interaction; experiencing varying levels of social evaluation). We additionally measured their trait mental health functioning. Mixed-effect logistic regression and leave-one-subject-out machine learning modeling indicated biobehavioral features significantly predict state fluctuations in anxiety, though balanced accuracy tended to be modest (59%). However, our capacity to identify instances of heightened versus low state anxiety significantly increased (with balanced accuracy ranging from 69% to 84% across different operationalizations of state anxiety) when we integrated contextual data alongside trait mental health functioning into our predictive models.. We discuss these and other findings in the context of the broader anxiety detection literature.

cs.HC↗

arXiv2025

A Shape-Based Functional Index for Objective Assessment of Pediatric Motor Function

Clinical assessments for neuromuscular disorders, such as Spinal Muscular Atrophy (SMA) and Duchenne Muscular Dystrophy (DMD), continue to rely on subjective measures to monitor treatment response and disease progression. We introduce a novel method using wearable sensors to objectively assess motor function during daily activities in 19 patients with DMD, 9 with SMA, and 13 age-matched controls. Pediatric movement data is complex due to confounding factors such as limb length variations in growing children and variability in movement speed. Our approach uses Shape-based Principal Component Analysis to align movement trajectories and identify distinct kinematic patterns, including variations in motion speed and asymmetry. Both DMD and SMA cohorts have individuals with motor function on par with healthy controls. Notably, patients with SMA showed greater activation of the motion asymmetry pattern. We further combined projections on these principal components with partial least squares (PLS) to identify a covariation mode with a canonical correlation of r = 0.78 (95% CI: [0.34, 0.94]) with muscle fat infiltration, the Brooke score (a motor function score), and age-related degenerative changes, proposing a novel motor function index. This data-driven method can be deployed in home settings, enabling better longitudinal tracking of treatment efficacy for children with neuromuscular disorders.

stat.AP↗

arXiv2024

Converging Paradigms: The Synergy of Symbolic and Connectionist AI in LLM-Empowered Autonomous Agents

This article explores the convergence of connectionist and symbolic artificial intelligence (AI), from historical debates to contemporary advancements. Traditionally considered distinct paradigms, connectionist AI focuses on neural networks, while symbolic AI emphasizes symbolic representation and logic. Recent advancements in large language models (LLMs), exemplified by ChatGPT and GPT-4, highlight the potential of connectionist architectures in handling human language as a form of symbols. The study argues that LLM-empowered Autonomous Agents (LAAs) embody this paradigm convergence. By utilizing LLMs for text-based knowledge modeling and representation, LAAs integrate neuro-symbolic AI principles, showcasing enhanced reasoning and decision-making capabilities. Comparing LAAs with Knowledge Graphs within the neuro-symbolic AI theme highlights the unique strengths of LAAs in mimicking human-like reasoning processes, scaling effectively with large datasets, and leveraging in-context samples without explicit re-training. The research underscores promising avenues in neuro-vector-symbolic integration, instructional encoding, and implicit reasoning, aimed at further enhancing LAA capabilities. By exploring the progression of neuro-symbolic AI and proposing future research trajectories, this work advances the understanding and development of AI technologies.

cs.AI↗

arXiv2024

PALLM: Evaluating and Enhancing PALLiative Care Conversations with Large Language Models

Effective patient-provider communication is crucial in clinical care, directly impacting patient outcomes and quality of life. Traditional evaluation methods, such as human ratings, patient feedback, and provider self-assessments, are often limited by high costs and scalability issues. Although existing natural language processing (NLP) techniques show promise, they struggle with the nuances of clinical communication and require sensitive clinical data for training, reducing their effectiveness in real-world applications. Emerging large language models (LLMs) offer a new approach to assessing complex communication metrics, with the potential to advance the field through integration into passive sensing and just-in-time intervention systems. This study explores LLMs as evaluators of palliative care communication quality, leveraging their linguistic, in-context learning, and reasoning capabilities. Specifically, using simulated scripts crafted and labeled by healthcare professionals, we test proprietary models (e.g., GPT-4) and fine-tune open-source LLMs (e.g., LLaMA2) with a synthetic dataset generated by GPT-4 to evaluate clinical conversations, to identify key metrics such as `understanding' and `empathy'. Our findings demonstrated LLMs' superior performance in evaluating clinical communication, providing actionable feedback with reasoning, and demonstrating the feasibility and practical viability of developing in-house LLMs. This research highlights LLMs' potential to enhance patient-provider interactions and lays the groundwork for downstream steps in developing LLM-empowered clinical health systems.

cs.CL↗

arXiv2024

AudioInsight: Detecting Social Contexts Relevant to Social Anxiety from Speech

During social interactions, understanding the intricacies of the context can be vital, particularly for socially anxious individuals. While previous research has found that the presence of a social interaction can be detected from ambient audio, the nuances within social contexts, which influence how anxiety provoking interactions are, remain largely unexplored. As an alternative to traditional, burdensome methods like self-report, this study presents a novel approach that harnesses ambient audio segments to detect social threat contexts. We focus on two key dimensions: number of interaction partners (dyadic vs. group) and degree of evaluative threat (explicitly evaluative vs. not explicitly evaluative). Building on data from a Zoom-based social interaction study (N=52 college students, of whom the majority N=45 are socially anxious), we employ deep learning methods to achieve strong detection performance. Under sample-wide 5-fold Cross Validation (CV), our model distinguished dyadic from group interactions with 90\% accuracy and detected evaluative threat at 83\%. Using a leave-one-group-out CV, accuracies were 82\% and 77\%, respectively. While our data are based on virtual interactions due to pandemic constraints, our method has the potential to extend to diverse real-world settings. This research underscores the potential of passive sensing and AI to differentiate intricate social contexts, and may ultimately advance the ability of context-aware digital interventions to offer personalized mental health support.

cs.HC↗

arXiv2024

CommSense: A Wearable Sensing Computational Framework for Evaluating Patient-Clinician Interactions

Quality patient-provider communication is critical to improve clinical care and patient outcomes. While progress has been made with communication skills training for clinicians, significant gaps exist in how to best monitor, measure, and evaluate the implementation of communication skills in the actual clinical setting. Advancements in ubiquitous technology and natural language processing make it possible to realize more objective, real-time assessment of clinical interactions and in turn provide more timely feedback to clinicians about their communication effectiveness. In this paper, we propose CommSense, a computational sensing framework that combines smartwatch audio and transcripts with natural language processing methods to measure selected ``best-practice'' communication metrics captured by wearable devices in the context of palliative care interactions, including understanding, empathy, presence, emotion, and clarity. We conducted a pilot study involving N=40 clinician participants, to test the technical feasibility and acceptability of CommSense in a simulated clinical setting. Our findings demonstrate that CommSense effectively captures most communication metrics and is well-received by both practicing clinicians and student trainees. Our study also highlights the potential for digital technology to enhance communication skills training for healthcare providers and students, ultimately resulting in more equitable delivery of healthcare and accessible, lower cost tools for training with the potential to improve patient outcomes.

cs.HC↗

arXiv2023

Incremental Semi-supervised Federated Learning for Health Inference via Mobile Sensing

Mobile sensing appears as a promising solution for health inference problem (e.g., influenza-like symptom recognition) by leveraging diverse smart sensors to capture fine-grained information about human behaviors and ambient contexts. Centralized training of machine learning models can place mobile users' sensitive information under privacy risks due to data breach and misexploitation. Federated Learning (FL) enables mobile devices to collaboratively learn global models without the exposure of local private data. However, there are challenges of on-device FL deployment using mobile sensing: 1) long-term and continuously collected mobile sensing data may exhibit domain shifts as sensing objects (e.g. humans) have varying behaviors as a result of internal and/or external stimulus; 2) model retraining using all available data may increase computation and memory burden; and 3) the sparsity of annotated crowd-sourced data causes supervised FL to lack robustness. In this work, we propose FedMobile, an incremental semi-supervised federated learning algorithm, to train models semi-supervisedly and incrementally in a decentralized online fashion. We evaluate FedMobile using a real-world mobile sensing dataset for influenza-like symptom recognition. Our empirical results show that FedMobile-trained models achieve the best results in comparison to the selected baseline methods.

cs.LG↗

arXiv2023

Personalized State Anxiety Detection: An Empirical Study with Linguistic Biomarkers and A Machine Learning Pipeline

Individuals high in social anxiety symptoms often exhibit elevated state anxiety in social situations. Research has shown it is possible to detect state anxiety by leveraging digital biomarkers and machine learning techniques. However, most existing work trains models on an entire group of participants, failing to capture individual differences in their psychological and behavioral responses to social contexts. To address this concern, in Study 1, we collected linguistic data from N=35 high socially anxious participants in a variety of social contexts, finding that digital linguistic biomarkers significantly differ between evaluative vs. non-evaluative social contexts and between individuals having different trait psychological symptoms, suggesting the likely importance of personalized approaches to detect state anxiety. In Study 2, we used the same data and results from Study 1 to model a multilayer personalized machine learning pipeline to detect state anxiety that considers contextual and individual differences. This personalized model outperformed the baseline F1-score by 28.0%. Results suggest that state anxiety can be more accurately detected with personalized machine learning approaches, and that linguistic biomarkers hold promise for identifying periods of state anxiety in an unobtrusive way.

cs.HC↗

arXiv2023

Wearable Sensor-based Multimodal Physiological Responses of Socially Anxious Individuals across Social Contexts

Correctly identifying an individual's social context from passively worn sensors holds promise for delivering just-in-time adaptive interventions (JITAIs) to treat social anxiety disorder. In this study, we present results using passively collected data from a within-subject experiment that assessed physiological response across different social contexts (i.e, alone vs. with others), social phases (i.e., pre- and post-interaction vs. during an interaction), social interaction sizes (i.e., dyadic vs. group interactions), and levels of social threat (i.e., implicit vs. explicit social evaluation). Participants in the study ($N=46$) reported moderate to severe social anxiety symptoms as assessed by the Social Interaction Anxiety Scale ($\geq$34 out of 80). Univariate paired difference tests, multivariate random forest models, and follow-up cluster analyses were used to explore physiological response patterns across different social and non-social contexts. Our results suggest that social context is more reliably distinguishable than social phase, group size, or level of social threat, but that there is considerable variability in physiological response patterns even among these distinguishable contexts. Implications for real-world context detection and deployment of JITAIs are discussed.

cs.CY↗

arXiv2022

Reward Shaping for Human Learning via Inverse Reinforcement Learning

Humans are spectacular reinforcement learners, constantly learning from and adjusting to experience and feedback. Unfortunately, this doesn't necessarily mean humans are fast learners. When tasks are challenging, learning can become unacceptably slow. Fortunately, humans do not have to learn tabula rasa, and learning speed can be greatly increased with learning aids. In this work we validate a new type of learning aid -- reward shaping for humans via inverse reinforcement learning (IRL). The goal of this aid is to increase the speed with which humans can learn good policies for specific tasks. Furthermore this approach compliments alternative machine learning techniques such as safety features that try to prevent individuals from making poor decisions. To achieve our results we first extend a well known IRL algorithm via kernel methods. Afterwards we conduct two human subjects experiments using an online game where players have limited time to learn a good policy. We show with statistical significance that players who receive our learning aid are able to approach desired policies more quickly than the control group.

cs.LG↗