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Peter Washington

Publications and source records attributed to Peter Washington.

At least 19 recordsLinked to original sources

Evaluating the Effect of Frame Rate in Sequence-Based Classification of Autism-Related Self-Stimulatory Hand Idiosyncrasies

Autism spectrum disorder (ASD) affects over 75 million individuals worldwide, yet scalable computational methods for remote behavioral screening remain limited. This study addresses two complementary challenges in automated detection of autism-related self-stimulatory behaviors from video: (1) identifying the optimal sequence-based neural network architecture and temporal sampling rate, and (2) characterizing data augmentation strategies for training on small behavioral datasets. For the first objective, long short-term memory (LSTM) and gated recurrent unit (GRU) models were trained on pose-derived features from the Self-Stimulatory Behavior Diagnosis (SSBD) dataset at frame sampling intervals of 1, 5, 15, 30, 45, and 90 frames. Both architectures exceeded prior convolutional neural network (CNN) baselines (62-76% accuracy), with peak accuracies of 97.5% (LSTM) and 98.75% (GRU) at a sampling interval of every 15 frames. For the second objective, ten data augmentation strategies were applied to an I3D transfer learning pipeline, with an ablation study quantifying the marginal contribution of each technique. Horizontal flip achieved the highest standalone accuracy (48.78%), while exclusion of upsampling from the augmentation pipeline produced the largest performance degradation, indicating its necessity for complex behavioral video augmentation. A personalized machine learning approach, in which per-subject models were trained and tested on temporally split segments of each video, produced consistent predictions (mean loss 1.84, SD 0.79). These results provide practitioners with concrete guidance on architecture selection, sampling rate, and augmentation strategy for video-based behavioral classification in data-scarce clinical domains.

cs.AI

Fine-tuning a multimodal large language model for clinician-grade autism behavioral scoring from short home videos

Autism spectrum disorder (ASD) affects 1 in 31 US children, yet median age at diagnosis exceeds four years. Artificial intelligence pipelines that provide quantified diagnosis using easy to access observational data (e.g., home videos) could help with earlier diagnosis, and timely delivery of early treatments. We fine-tuned Gemini 2.5 Pro on 400 clinician-rated home videos with low-rank adaptation, training only on 30 behavioral features previously validated to produce reliable predictions when passed to various ML models. On 99 held-out children (49 ASD, 50 neurotypical), inter-rater reliability with clinicians (per-feature weighted Cohen's kappa) improved by 40% (p<0.001), with 27 of 28 evaluable features improving. As an emergent zero-shot capability, direct ASD diagnosis F1 improved by 53% (p<0.001), matching or exceeding clinician outcomes. Classifier-assisted pipelines using fine-tuned LLM-derived behavioral features matched clinician-scored inputs across all tested pathways and achieved 77% accuracy (95% CI: 68-85%) and an AUC of 86% (95% CI: 78-92%). Fine-tuned multimodal LLMs can serve as scalable behavioral feature extractors for use in autism assessment and diagnosis.

cs.CV

Reflections from Research Roundtables at the Conference on Health, Inference, and Learning (CHIL) 2025

The 6th Annual Conference on Health, Inference, and Learning (CHIL 2025), hosted by the Association for Health Learning and Inference (AHLI), was held in person on June 25-27, 2025, at the University of California, Berkeley, in Berkeley, California, USA. As part of this year's program, we hosted Research Roundtables to catalyze collaborative, small-group dialogue around critical, timely topics at the intersection of machine learning and healthcare. Each roundtable was moderated by a team of senior and junior chairs who fostered open exchange, intellectual curiosity, and inclusive engagement. The sessions emphasized rigorous discussion of key challenges, exploration of emerging opportunities, and collective ideation toward actionable directions in the field. In total, eight roundtables were held by 19 roundtable chairs on topics of "Explainability, Interpretability, and Transparency," "Uncertainty, Bias, and Fairness," "Causality," "Domain Adaptation," "Foundation Models," "Learning from Small Medical Data," "Multimodal Methods," and "Scalable, Translational Healthcare Solutions."

cs.LG

Challenges in the Differential Classification of Individual Diagnoses from Co-Occurring Autism and ADHD Using Survey Data

Autism and Attention-Deficit Hyperactivity Disorder (ADHD) are two of the most commonly observed neurodevelopmental conditions in childhood. Providing a specific computational assessment to distinguish between the two can prove difficult and time intensive. Given the high prevalence of their co-occurrence, there is a need for scalable and accessible methods for distinguishing the co-occurrence of autism and ADHD from individual diagnoses. The first step is to identify a core set of features that can serve as the basis for behavioral feature extraction. We trained machine learning models on data from the National Survey of Children's Health to identify behaviors to target as features in automated clinical decision support systems. A model trained on the binary task of distinguishing either developmental delay (autism or ADHD) vs. neither achieved sensitivity >92% and specificity >94%, while a model trained on the 4-way classification task of autism vs. ADHD vs. both vs. none demonstrated >65% sensitivity and >66% specificity. While the performance of the binary model was respectable, the relatively low performance in the differential classification of autism and ADHD highlights the challenges that persist in achieving specificity within clinical decision support tools for developmental delays. Nevertheless, this study demonstrates the potential of applying behavioral questionnaires not traditionally used for clinical purposes towards supporting digital screening assessments for pediatric developmental delays.

cs.LG

Ensemble Modeling of Multiple Physical Indicators to Dynamically Phenotype Autism Spectrum Disorder

Early detection of autism, a neurodevelopmental disorder marked by social communication challenges, is crucial for timely intervention. Recent advancements have utilized naturalistic home videos captured via the mobile application GuessWhat. Through interactive games played between children and their guardians, GuessWhat has amassed over 3,000 structured videos from 382 children, both diagnosed with and without Autism Spectrum Disorder (ASD). This collection provides a robust dataset for training computer vision models to detect ASD-related phenotypic markers, including variations in emotional expression, eye contact, and head movements. We have developed a protocol to curate high-quality videos from this dataset, forming a comprehensive training set. Utilizing this set, we trained individual LSTM-based models using eye gaze, head positions, and facial landmarks as input features, achieving test AUCs of 86%, 67%, and 78%, respectively. To boost diagnostic accuracy, we applied late fusion techniques to create ensemble models, improving the overall AUC to 90%. This approach also yielded more equitable results across different genders and age groups. Our methodology offers a significant step forward in the early detection of ASD by potentially reducing the reliance on subjective assessments and making early identification more accessibly and equitable.

cs.CV

Evaluating Large Language Models for Anxiety and Depression Classification using Counseling and Psychotherapy Transcripts

We aim to evaluate the efficacy of traditional machine learning and large language models (LLMs) in classifying anxiety and depression from long conversational transcripts. We fine-tune both established transformer models (BERT, RoBERTa, Longformer) and more recent large models (Mistral-7B), trained a Support Vector Machine with feature engineering, and assessed GPT models through prompting. We observe that state-of-the-art models fail to enhance classification outcomes compared to traditional machine learning methods.

cs.CL

Evaluating Fair Feature Selection in Machine Learning for Healthcare

With the universal adoption of machine learning in healthcare, the potential for the automation of societal biases to further exacerbate health disparities poses a significant risk. We explore algorithmic fairness from the perspective of feature selection. Traditional feature selection methods identify features for better decision making by removing resource-intensive, correlated, or non-relevant features but overlook how these factors may differ across subgroups. To counter these issues, we evaluate a fair feature selection method that considers equal importance to all demographic groups. We jointly considered a fairness metric and an error metric within the feature selection process to ensure a balance between minimizing both bias and global classification error. We tested our approach on three publicly available healthcare datasets. On all three datasets, we observed improvements in fairness metrics coupled with a minimal degradation of balanced accuracy. Our approach addresses both distributive and procedural fairness within the fair machine learning context.

cs.LG

Advancing Human Action Recognition with Foundation Models trained on Unlabeled Public Videos

The increasing variety and quantity of tagged multimedia content on a variety of online platforms offer a unique opportunity to advance the field of human action recognition. In this study, we utilize 283,582 unique, unlabeled TikTok video clips, categorized into 386 hashtags, to train a domain-specific foundation model for action recognition. We employ VideoMAE V2, an advanced model integrating Masked Autoencoders (MAE) with Vision Transformers (ViT), pre-trained on this diverse collection of unstructured videos. Our model, fine-tuned on established action recognition benchmarks such as UCF101 and HMDB51, achieves state-of-the-art results: 99.05% on UCF101, 86.08% on HMDB51, 85.51% on Kinetics-400, and 74.27% on Something-Something V2 using the ViT-giant backbone. These results highlight the potential of using unstructured and unlabeled videos as a valuable source of diverse and dynamic content for training foundation models. Our investigation confirms that while initial increases in pre-training data volume significantly enhance model performance, the gains diminish as the dataset size continues to expand. Our findings emphasize two critical axioms in self-supervised learning for computer vision: (1) additional pre-training data can yield diminishing benefits for some datasets and (2) quality is more important than quantity in self-supervised learning, especially when building foundation models.

cs.CV

An Exploration of Multimodality and Data Augmentation for Dementia Classification

Dementia is a progressive neurological disorder that profoundly affects the daily lives of older adults, impairing abilities such as verbal communication and cognitive function. Early diagnosis is essential for enhancing both lifespan and quality of life for affected individuals. Despite its importance, diagnosing dementia is complex and often necessitates a multimodal approach incorporating diverse clinical data types. In this study, we fine-tune Wav2vec and Word2vec baseline models using two distinct data types: audio recordings and text transcripts. We experiment with four conditions: original datasets versus datasets purged of short sentences, each with and without data augmentation. Our results indicate that synonym-based text data augmentation generally enhances model performance, underscoring the importance of data volume for achieving generalizable performance. Additionally, models trained on text data frequently excel and can further improve the performance of other modalities when combined. Audio and timestamp data sometimes offer marginal improvements. We provide a qualitative error analysis of the sentence archetypes that tend to be misclassified under each condition, providing insights into the effects of altering data modality and augmentation decisions.

cs.CE

Personalization of Affective Models to Enable Neuropsychiatric Digital Precision Health Interventions: A Feasibility Study

Mobile digital therapeutics for autism spectrum disorder (ASD) often target emotion recognition and evocation, which is a challenge for children with ASD. While such mobile applications often use computer vision machine learning (ML) models to guide the adaptive nature of the digital intervention, a single model is usually deployed and applied to all children. Here, we explore the potential of model personalization, or training a single emotion recognition model per person, to improve the performance of these underlying emotion recognition models used to guide digital health therapies for children with ASD. We conducted experiments on the Emognition dataset, a video dataset of human subjects evoking a series of emotions. For a subset of 10 individuals in the dataset with a sufficient representation of at least two ground truth emotion labels, we trained a personalized version of three classical ML models on a set of 51 features extracted from each video frame. We measured the importance of each facial feature for all personalized models and observed differing ranked lists of top features across subjects, motivating the need for model personalization. We then compared the personalized models against a generalized model trained using data from all 10 participants. The mean F1-scores achieved by the personalized models were 90.48%, 92.66%, and 86.40%, respectively. By contrast, the mean F1-scores reached by non-personalized models trained on different human subjects and evaluated using the same test set were 88.55%, 91.78%, and 80.42%, respectively. The personalized models outperformed the generalized models for 7 out of 10 participants. PCA analyses on the remaining 3 participants revealed relatively facial configuration differences between emotion labels within each subject, suggesting that personalized ML will fail when the variation among data points within a subjects data is too low.

cs.CV

A Comparison of Personalized and Generalized Approaches to Emotion Recognition Using Consumer Wearable Devices: Machine Learning Study

Background: Studies have shown the potential adverse health effects, ranging from headaches to cardiovascular disease, associated with long-term negative emotions and chronic stress. Since many indicators of stress are imperceptible to observers, the early detection and intervention of stress remains a pressing medical need. Physiological signals offer a non-invasive method of monitoring emotions and are easily collected by smartwatches. Existing research primarily focuses on developing generalized machine learning-based models for emotion classification. Objective: We aim to study the differences between personalized and generalized machine learning models for three-class emotion classification (neutral, stress, and amusement) using wearable biosignal data. Methods: We developed a convolutional encoder for the three-class emotion classification problem using data from WESAD, a multimodal dataset with physiological signals for 15 subjects. We compared the results between a subject-exclusive generalized, subject-inclusive generalized, and personalized model. Results: For the three-class classification problem, our personalized model achieved an average accuracy of 95.06% and F1-score of 91.71, our subject-inclusive generalized model achieved an average accuracy of 66.95% and F1-score of 42.50, and our subject-exclusive generalized model achieved an average accuracy of 67.65% and F1-score of 43.05. Conclusions: Our results emphasize the need for increased research in personalized emotion recognition models given that they outperform generalized models in certain contexts. We also demonstrate that personalized machine learning models for emotion classification are viable and can achieve high performance.

cs.LG

Addressing Racial Bias in Facial Emotion Recognition

Fairness in deep learning models trained with high-dimensional inputs and subjective labels remains a complex and understudied area. Facial emotion recognition, a domain where datasets are often racially imbalanced, can lead to models that yield disparate outcomes across racial groups. This study focuses on analyzing racial bias by sub-sampling training sets with varied racial distributions and assessing test performance across these simulations. Our findings indicate that smaller datasets with posed faces improve on both fairness and performance metrics as the simulations approach racial balance. Notably, the F1-score increases by $27.2\%$ points, and demographic parity increases by $15.7\%$ points on average across the simulations. However, in larger datasets with greater facial variation, fairness metrics generally remain constant, suggesting that racial balance by itself is insufficient to achieve parity in test performance across different racial groups.

cs.CV

Personalization of Stress Mobile Sensing using Self-Supervised Learning

Stress is widely recognized as a major contributor to a variety of health issues. Stress prediction using biosignal data recorded by wearables is a key area of study in mobile sensing research because real-time stress prediction can enable digital interventions to immediately react at the onset of stress, helping to avoid many psychological and physiological symptoms such as heart rhythm irregularities. Electrodermal activity (EDA) is often used to measure stress. However, major challenges with the prediction of stress using machine learning include the subjectivity and sparseness of the labels, a large feature space, relatively few labels, and a complex nonlinear and subjective relationship between the features and outcomes. To tackle these issues, we examine the use of model personalization: training a separate stress prediction model for each user. To allow the neural network to learn the temporal dynamics of each individual's baseline biosignal patterns, thus enabling personalization with very few labels, we pre-train a 1-dimensional convolutional neural network (CNN) using self-supervised learning (SSL). We evaluate our method using the Wearable Stress and Affect prediction (WESAD) dataset. We fine-tune the pre-trained networks to the stress prediction task and compare against equivalent models without any self-supervised pre-training. We discover that embeddings learned using our pre-training method outperform supervised baselines with significantly fewer labeled data points: the models trained with SSL require less than 30% of the labels to reach equivalent performance without personalized SSL. This personalized learning method can enable precision health systems which are tailored to each subject and require few annotations by the end user, thus allowing for the mobile sensing of increasingly complex, heterogeneous, and subjective outcomes such as stress.

cs.LG

Self-Supervised Learning for Audio-Based Emotion Recognition

Emotion recognition models using audio input data can enable the development of interactive systems with applications in mental healthcare, marketing, gaming, and social media analysis. While the field of affective computing using audio data is rich, a major barrier to achieve consistently high-performance models is the paucity of available training labels. Self-supervised learning (SSL) is a family of methods which can learn despite a scarcity of supervised labels by predicting properties of the data itself. To understand the utility of self-supervised learning for audio-based emotion recognition, we have applied self-supervised learning pre-training to the classification of emotions from the CMU- MOSEI's acoustic modality. Unlike prior papers that have experimented with raw acoustic data, our technique has been applied to encoded acoustic data. Our model is first pretrained to uncover the randomly-masked timestamps of the acoustic data. The pre-trained model is then fine-tuned using a small sample of annotated data. The performance of the final model is then evaluated via several evaluation metrics against a baseline deep learning model with an identical backbone architecture. We find that self-supervised learning consistently improves the performance of the model across all metrics. This work shows the utility of self-supervised learning for affective computing, demonstrating that self-supervised learning is most useful when the number of training examples is small, and that the effect is most pronounced for emotions which are easier to classify such as happy, sad and anger. This work further demonstrates that self-supervised learning works when applied to embedded feature representations rather than the traditional approach of pre-training on the raw input space.

cs.SD

Personalized Prediction of Recurrent Stress Events Using Self-Supervised Learning on Multimodal Time-Series Data

Chronic stress can significantly affect physical and mental health. The advent of wearable technology allows for the tracking of physiological signals, potentially leading to innovative stress prediction and intervention methods. However, challenges such as label scarcity and data heterogeneity render stress prediction difficult in practice. To counter these issues, we have developed a multimodal personalized stress prediction system using wearable biosignal data. We employ self-supervised learning (SSL) to pre-train the models on each subject's data, allowing the models to learn the baseline dynamics of the participant's biosignals prior to fine-tuning the stress prediction task. We test our model on the Wearable Stress and Affect Detection (WESAD) dataset, demonstrating that our SSL models outperform non-SSL models while utilizing less than 5% of the annotations. These results suggest that our approach can personalize stress prediction to each user with minimal annotations. This paradigm has the potential to enable personalized prediction of a variety of recurring health events using complex multimodal data streams.

cs.LG

Computer Vision Estimation of Emotion Reaction Intensity in the Wild

Emotions play an essential role in human communication. Developing computer vision models for automatic recognition of emotion expression can aid in a variety of domains, including robotics, digital behavioral healthcare, and media analytics. There are three types of emotional representations which are traditionally modeled in affective computing research: Action Units, Valence Arousal (VA), and Categorical Emotions. As part of an effort to move beyond these representations towards more fine-grained labels, we describe our submission to the newly introduced Emotional Reaction Intensity (ERI) Estimation challenge in the 5th competition for Affective Behavior Analysis in-the-Wild (ABAW). We developed four deep neural networks trained in the visual domain and a multimodal model trained with both visual and audio features to predict emotion reaction intensity. Our best performing model on the Hume-Reaction dataset achieved an average Pearson correlation coefficient of 0.4080 on the test set using a pre-trained ResNet50 model. This work provides a first step towards the development of production-grade models which predict emotion reaction intensities rather than discrete emotion categories.

cs.CV

A Review of and Roadmap for Data Science and Machine Learning for the Neuropsychiatric Phenotype of Autism

Autism Spectrum Disorder (autism) is a neurodevelopmental delay which affects at least 1 in 44 children. Like many neurological disorder phenotypes, the diagnostic features are observable, can be tracked over time, and can be managed or even eliminated through proper therapy and treatments. Yet, there are major bottlenecks in the diagnostic, therapeutic, and longitudinal tracking pipelines for autism and related delays, creating an opportunity for novel data science solutions to augment and transform existing workflows and provide access to services for more affected families. Several prior efforts conducted by a multitude of research labs have spawned great progress towards improved digital diagnostics and digital therapies for children with autism. We review the literature of digital health methods for autism behavior quantification using data science. We describe both case-control studies and classification systems for digital phenotyping. We then discuss digital diagnostics and therapeutics which integrate machine learning models of autism-related behaviors, including the factors which must be addressed for translational use. Finally, we describe ongoing challenges and potent opportunities for the field of autism data science. Given the heterogeneous nature of autism and the complexities of the relevant behaviors, this review contains insights which are relevant to neurological behavior analysis and digital psychiatry more broadly.

cs.CY

A Perspective on Crowdsourcing and Human-in-the-Loop Workflows in Precision Health

Modern machine learning approaches have led to performant diagnostic models for a variety of health conditions. Several machine learning approaches, such as decision trees and deep neural networks, can, in principle, approximate any function. However, this power can be considered to be both a gift and a curse, as the propensity toward overfitting is magnified when the input data are heterogeneous and high dimensional and the output class is highly nonlinear. This issue can especially plague diagnostic systems that predict behavioral and psychiatric conditions that are diagnosed with subjective criteria. An emerging solution to this issue is crowdsourcing, where crowd workers are paid to annotate complex behavioral features in return for monetary compensation or a gamified experience. These labels can then be used to derive a diagnosis, either directly or by using the labels as inputs to a diagnostic machine learning model. This viewpoint describes existing work in this emerging field and discusses ongoing challenges and opportunities with crowd-powered diagnostic systems, a nascent field of study. With the correct considerations, the addition of crowdsourcing to human-in-the-loop machine learning workflows for the prediction of complex and nuanced health conditions can accelerate screening, diagnostics, and ultimately access to care.

cs.HC