arXiv subjects

Nicholas C. Jacobson

Publications and source records attributed to Nicholas C. Jacobson.

8 recordsLinked to original sources

arXiv2026

MontageFlow: Physically Valid High Fidelity EEG Generation

Generative modeling offers a promising solution to the scarcity of labeled clinical electroencephalography (EEG) data under strict privacy constraints. Although recent generative models report substantial improvements in generation fidelity, we show that these gains conceal a categorical failure. EEG is not an arbitrary multichannel signal: each channel records the voltage difference between two scalp electrodes. So, real recordings satisfy exact linear identities among their channels. Current generators invariably violate these identities, yet this has gone unnoticed. We therefore propose MontageFlow, a flow-matching model that enforces these identities by restricting its output to signals that satisfy them. We find that ensuring validity improves fidelity too. Furthermore, to retain the EEG characteristics that oversmoothing washes out, we also condition the model on a physiological state vector encoded from the whole EEG window. For generation, this vector is drawn from a prior fitted in latent space. Across 3 large-scale benchmarks, our model improves TS-FID by 1.6-3.6$\times$ over the closest rival while ensuring validity.

cs.AI↗

arXiv2026

Lapras: Latent Reasoning for Time Series Language Models

Time Series Language Models (TSLMs) offer a promising path toward time series understanding by reasoning over temporal signals and producing natural language answers and explanations. A common approach is Chain-of-Thought (CoT), which generates step-by-step rationales linking relevant signal patterns to final answers. Although these models learn from reference CoT traces during post-training, generating faithful descriptions of input time series at inference remains challenging. Expressing high-dimensional, continuous temporal representations in discrete language tokens may cause the model to neglect task-relevant patterns or describe them inaccurately. Because later reasoning steps build on these descriptions, early errors propagate, leading to incorrect answers with plausible explanations that are inconsistent with the input signal. We propose Lapras (Latent Post-trained Reasoning Across Series), a post-training framework that equips TSLMs with latent reasoning. A model trained with Lapras reasons through a sequence of continuous thoughts in the joint time series-language space, producing text only for the final answer. It learns this through teacher-student self-distillation, where a teacher trained on CoT reference traces reasons explicitly through text. The student aligns its hidden states with the teacher's at the answer stage, transferring the teacher's reasoning ability into its latent computation. We evaluate Lapras across four TSLM backbones on five time series question answering benchmarks. Lapras improves average F1 by up to 10.79% over explicit CoT while generating 23.9x fewer tokens. Lapras's continuous thoughts can also be decoded into readable reasoning traces via standard language decoding, preserving textual explanations. Together, these results highlight Lapras as a promising post-training paradigm for efficient, effective, and interpretable TSLM reasoning.

cs.CL↗

arXiv2026

Learning Transferable Sensor Models via Language-Informed Pretraining

Multimodal language models have demonstrated strong semantic understanding and reasoning over physiological and behavioral signals captured from diverse healthcare sensors. However, existing sensor-language models can only process a fixed number of sensor channels at a fixed sampling rate, making them difficult to adapt to new or different sensor configurations. This inflexibility prevents models from generalizing across heterogeneous health sensing ecosystems, where data spans high-frequency wearable streams to sparse, day-scale clinical signals. To bridge this gap, we introduce SLIP (Sensor Language-Informed Pretraining), an open-source framework for learning language-aligned representations that generalize across diverse sensor setups. SLIP integrates contrastive alignment with sensor-conditioned captioning, facilitating both discriminative understanding and generative reasoning. By repurposing a pretrained decoder-only language model via cross-attention and introducing a flexible patch embedder, SLIP transfers to new sensor configurations at inference without retraining, regardless of their native sampling rate or input length. Across 11 datasets, SLIP demonstrates superior performance in retrieval, signal captioning, and question answering. It achieves a 77.14% average linear-probing accuracy, a 3.56% improvement over the strongest baseline (SensorLM). Beyond classification, SLIP supports open-vocabulary sensor captioning and question answering without any architectural modifications. Our work offers broad implications for the development of sensor-language models, utilizing cross-modal supervision to ensure more robust generalizability in health sensing applications.

cs.AI↗

arXiv2026

TimeThink: Eliciting Compositional Reasoning in Timeseries Large Language Models

Timeseries multimodal large language models (TS-MLLMs) have recently begun leveraging the reasoning capabilities of large language models (LLMs) for question-answering tasks. However, these models often fail to capture dynamic temporal patterns, providing only implicit reasoning that lacks the underlying explanations critical for high-stakes applications like healthcare. While reinforcement learning (RL)-based timeseries language models aim to address this, they often fall short because they are trained on narrow, in-distribution data and struggle with out-of-distribution compositional questions. To address these challenges, we present TimeThink, a synthetic framework for eliciting compositional timeseries reasoning. Core timeseries primitives (e.g., trend, seasonality) are domain-independent and can be deterministically generated. Guided by this premise, TimeThink first designs a synthetic data generator that produces atomic and composite question-answer pairs, providing objective ground truth with reasoning traces. Building on this framework, TimeThink employs a reinforcement learning with verifiable rewards (RLVR) training strategy that encourages explicit reasoning. Unlike template-reliant methods, this approach enables the model to learn the underlying logic of composition rather than simply imitating traces. Extensive experiments show that TimeThink, trained only on synthetic data, significantly outperforms strong baselines on both synthetic and real-world benchmarks.

cs.AI↗

arXiv2026

BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing

Mental health assessment relies on episodic self-report scales, which convert subjective states such as stress into numerical scores but provide only sparse snapshots of wellbeing. Wearable devices offer longitudinal behavioral and physiological signals for continuous, low-burden monitoring. Recent LLM-driven personal-health agents enable natural language queries over wearable signals, but mainly handle short-term, retrieval-based lookups (e.g., highest step count over a week). They do not evaluate whether agents can reason over long-term signals to predict wellbeing scores paired with evidence-grounded rationales. To address this gap, we introduce BALMS, the first systematic benchmark of LLM-based agentic systems for longitudinal mental health sensing. BALMS spans 3 real-world longitudinal datasets, 2 task families (closed-form wellbeing-score prediction and rationale generation auto-graded by an LLM-as-Judge), 3 agentic paradigms evaluated across 5 open- and closed-source LLM backbones. We find that zero-shot agents rarely outperform a simple mean baseline, except with stronger backbones or compact, semantically meaningful features. Chain-of-thought prompting improves reasoning-oriented backbones, but does not guarantee temporal grounding or numerical correctness. Together with more analysis on efficiency and temporal scaling, BALMS highlights the need for longitudinal mental health agents that selectively retrieve history, ground temporal evidence, and reason over interpretable behavioral features.

cs.CL↗

arXiv2026

A Foundation Model for Wearable Movement Data in Mental Health Research

Wearable movement data is collected by nearly all commercially available smartwatches and is a valuable resource for mental health research, reflecting fine-grained temporal behavioral trends. Despite its promise, the development of foundation models for health wearable modeling remains limited when compared to clinical image and text analysis. We designed transformers with patch embeddings and used self-supervised masked autoencoder pretraining on minute-level week-long actigraphy (physical activity intensity measurement) sequences to develop and evaluate the Pretrained Actigraphy Transformer (PAT). PAT is an open-source foundation model for wearable movement time series that combines week-long temporal modeling, psychiatric outcome evaluation, and reproducibility on public data. Pretrained on data from 21,538 U.S. participants in a nationally representative cohort from the National Health and Nutrition Examination Survey (NHANES), PAT consistently outperformed non-foundation-model baselines across mental health prediction tasks-including benzodiazepine and SSRI use, depression, and sleep abnormalities. During the benzodiazepine medication usage prediction task, PAT demonstrated the largest improvement over non-foundational deep learning models commonly used for time-series modeling (i.e., 55.6% improvement over the LSTM, 21.4% improvement over the 1-D CNN, 14.8% improvement over the ConvLSTM). Beyond predictive accuracy, PAT provides interpretable attention maps highlighting specific periods of daily activity most important for clinical predictions, offering model transparency and potential clinical insights. The results suggest that PAT offers an easy-to-deploy, adaptable and scalable solution to advance clinical insight from wearable sensor data for researchers and clinicians. GitHub: https://github.com/njacobsonlab/Pretrained-Actigraphy-Transformer/

cs.LG↗

arXiv2025

MotionTeller: Multi-modal Integration of Wearable Time-Series with LLMs for Health and Behavioral Understanding

As wearable sensing becomes increasingly pervasive, a key challenge remains: how can we generate natural language summaries from raw physiological signals such as actigraphy - minute-level movement data collected via accelerometers? In this work, we introduce MotionTeller, a generative framework that natively integrates minute-level wearable activity data with large language models (LLMs). MotionTeller combines a pretrained actigraphy encoder with a lightweight projection module that maps behavioral embeddings into the token space of a frozen decoder-only LLM, enabling free-text, autoregressive generation of daily behavioral summaries. We construct a novel dataset of 54383 (actigraphy, text) pairs derived from real-world NHANES recordings, and train the model using cross-entropy loss with supervision only on the language tokens. MotionTeller achieves high semantic fidelity (BERTScore-F1 = 0.924) and lexical accuracy (ROUGE-1 = 0.722), outperforming prompt-based baselines by 7 percent in ROUGE-1. The average training loss converges to 0.38 by epoch 15, indicating stable optimization. Qualitative analysis confirms that MotionTeller captures circadian structure and behavioral transitions, while PCA plots reveal enhanced cluster alignment in embedding space post-training. Together, these results position MotionTeller as a scalable, interpretable system for transforming wearable sensor data into fluent, human-centered descriptions, introducing new pathways for behavioral monitoring, clinical review, and personalized health interventions.

cs.LG↗

arXiv2024

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.

cs.HC↗