arXiv subjects

Tanzeem Choudhury

Publications and source records attributed to Tanzeem Choudhury.

7 recordsLinked to original sources

arXiv2026

AppetiteCheck: Feasibility of Momentary Vagus Nerve Stimulation as an Implicit Intervention for Eating Behavior

Overeating and emotional eating are common health issues that affect people even without an eating disorder. The vagus nerve plays a critical role in the gut-brain axis, and implanted vagus nerve stimulators have been associated with reduced appetite. In this paper, we propose transcutaneous cervical vagus nerve stimulation (tcVNS) as a ubiquitous system to provide immediate, low-effort intervention during an eating episode. In a study with 24 participants, we evaluated a mobile, handheld tcVNS device during a single episode of distracted snacking. We found that participants ate 9.6% less and 23.6% more slowly during vagus nerve stimulation than during sham stimulation. Post-snacking satiety was the same in both conditions, while heart rate was lower during vagus nerve stimulation. The stimulation was described as subtle and barely noticeable. Overall, these results provide evidence for the feasibility of non-invasive vagus nerve stimulation as a low-attention intervention for managing eating behavior -- one that can be packaged inside ubiquitous interactive systems. As such, we extend the design space of implicit interfaces toward physiological intervention, motivating future ubiquitous systems that pair eating-related sensing with low-attention interventions.

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arXiv2026

Ethical Fairness in Ubiquitous Health Sensing without Known Attributes

In ubiquitous and mobile health systems, computational models infer human states from wearable, behavioral, and physiological sensing data. In these settings, high accuracy alone is insufficient; models must act ethically and equitably across diverse people, contexts, and devices. However, fairness methods that rely on demographic or heterogeneous attributes during training are difficult to enforce because such attributes are often unavailable, privacy-sensitive, regulated, or undesirable to collect. Conventional parity-based fairness can also violate ethical principles by trading off subgroup performance. To address this challenge, we present Flare, Fisher-guided LAtent-subgroup learning with do-no-harm REgularization, a demographic- and heterogeneous-attribute-agnostic framework that aligns human-centered fairness with ethical principles for ubiquitous and mobile sensing. Flare leverages optimization geometry, particularly Fisher Information, to regularize curvature and uncover latent disparities in model behavior without demographic or heterogeneous attributes. By integrating representation, loss, and curvature signals, it identifies hidden performance strata and refines them through collaborative but do-no-harm optimization, enhancing subgroup performance while preserving ethical balance. We also introduce BHE (Beneficence-Harm Avoidance-Equity), a metric suite that operationalizes ethical fairness beyond statistical parity. Across mobile physiological, behavioral, and clinical sensing datasets, including EDA, OhioT1DM, IHS, and Percept-R, Flare improves ethical fairness over state-of-the-art baselines. Ablation, interpretability, and loss-landscape analyses show that these gains arise from flatter optimization geometry, simpler decision rules, and do-no-harm latent-subgroup adaptation. Runtime analysis supports the practicality of Flare for resource-constrained sensing deployments.

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arXiv2026

Zeitgeist-Aware Multimodal (ZAM) Datasets of Pro-Eating Disorder Short-Form Videos: An Idea Worth Researching

Objective: Reliable identification of pro-eating disorder (pro-ED) content online suffers from two pervasive problems: 1) existing methods predominantly rely on text-based signals, failing to capture the inherently multimodal nature of multimedia content; and 2) these methods struggle to keep pace with the rapid evolution of references, memes, terminology, and contextual cues that underlie this content. Together, these limitations point to a gap: the absence of an expert-annotated reference standard capable of supporting real-time research and robust multimodal detection model training for pro-ED content on short-form video platforms. Method: To address this, we propose "zeitgeist-aware" multimodal (ZAM) datasets: continuously curated collections of annotated multimodal pro-ED content with inclusion criteria that evolve alongside the memetic zeitgeist: the variable essence of what is considered pro-ED as new media and references come into the cultural zeitgeist and are absorbed and interpreted in online spaces. Results: We present a rationale for such datasets, define their core characteristics, outline approaches for their curation, and describe our progress toward that end. Discussion: This dataset and pipeline architecture may benefit researchers across several fields who are interested in how pro-ED sentiment is encoded and transmitted through short-form video content across time, including for the purpose of responsive moderation efforts.

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arXiv2025

Forecasting Occupational Survivability of Rickshaw Pullers in a Changing Climate with Wearable Data

Cycle rickshaw pullers are highly vulnerable to extreme heat, yet little is known about how their physiological biomarkers respond under such conditions. This study collected real-time weather and physiological data using wearable sensors from 100 rickshaw pullers in Dhaka, Bangladesh. In addition, interviews with 12 pullers explored their knowledge, perceptions, and experiences related to climate change. We developed a Linear Gaussian Bayesian Network (LGBN) regression model to predict key physiological biomarkers based on activity, weather, and demographic features. The model achieved normalized mean absolute error values of 0.82, 0.47, 0.65, and 0.67 for skin temperature, relative cardiac cost, skin conductance response, and skin conductance level, respectively. Using projections from 18 CMIP6 climate models, we layered the LGBN on future climate forecasts to analyze survivability for current (2023-2025) and future years (2026-2100). Based on thresholds of WBGT above 31.1°C and skin temperature above 35°C, 32% of rickshaw pullers already face high heat exposure risk. By 2026-2030, this percentage may rise to 37% with average exposure lasting nearly 12 minutes, or about two-thirds of the trip duration. A thematic analysis of interviews complements these findings, showing that rickshaw pullers recognize their increasing climate vulnerability and express concern about its effects on health and occupational survivability.

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arXiv2025

Exploring Personalized Health Support through Data-Driven, Theory-Guided LLMs: A Case Study in Sleep Health

Despite the prevalence of sleep-tracking devices, many individuals struggle to translate data into actionable improvements in sleep health. Current methods often provide data-driven suggestions but may not be feasible and adaptive to real-life constraints and individual contexts. We present HealthGuru, a novel large language model-powered chatbot to enhance sleep health through data-driven, theory-guided, and adaptive recommendations with conversational behavior change support. HealthGuru's multi-agent framework integrates wearable device data, contextual information, and a contextual multi-armed bandit model to suggest tailored sleep-enhancing activities. The system facilitates natural conversations while incorporating data-driven insights and theoretical behavior change techniques. Our eight-week in-the-wild deployment study with 16 participants compared HealthGuru to a baseline chatbot. Results show improved metrics like sleep duration and activity scores, higher quality responses, and increased user motivation for behavior change with HealthGuru. We also identify challenges and design considerations for personalization and user engagement in health chatbots.

cs.HC↗

arXiv2025

Designing Technologies for Value-based Mental Healthcare: Centering Clinicians' Perspectives on Outcomes Data Specification, Collection, and Use

Health information technologies are transforming how mental healthcare is paid for through value-based care programs, which tie payment to data quantifying care outcomes. But, it is unclear what outcomes data these technologies should store, how to engage users in data collection, and how outcomes data can improve care. Given these challenges, we conducted interviews with 30 U.S.-based mental health clinicians to explore the design space of health information technologies that support outcomes data specification, collection, and use in value-based mental healthcare. Our findings center clinicians' perspectives on aligning outcomes data for payment programs and care; opportunities for health technologies and personal devices to improve data collection; and considerations for using outcomes data to hold stakeholders including clinicians, health insurers, and social services financially accountable in value-based mental healthcare. We conclude with implications for future research designing and developing technologies supporting value-based care across stakeholders involved with mental health service delivery.

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arXiv2021

Patient-independent Schizophrenia Relapse Prediction Using Mobile Sensor based Daily Behavioral Rhythm Changes

A schizophrenia relapse has severe consequences for a patient's health, work, and sometimes even life safety. If an oncoming relapse can be predicted on time, for example by detecting early behavioral changes in patients, then interventions could be provided to prevent the relapse. In this work, we investigated a machine learning based schizophrenia relapse prediction model using mobile sensing data to characterize behavioral features. A patient-independent model providing sequential predictions, closely representing the clinical deployment scenario for relapse prediction, was evaluated. The model uses the mobile sensing data from the recent four weeks to predict an oncoming relapse in the next week. We used the behavioral rhythm features extracted from daily templates of mobile sensing data, self-reported symptoms collected via EMA (Ecological Momentary Assessment), and demographics to compare different classifiers for the relapse prediction. Naive Bayes based model gave the best results with an F2 score of 0.083 when evaluated in a dataset consisting of 63 schizophrenia patients, each monitored for up to a year. The obtained F2 score, though low, is better than the baseline performance of random classification (F2 score of 0.02 $\pm$ 0.024). Thus, mobile sensing has predictive value for detecting an oncoming relapse and needs further investigation to improve the current performance. Towards that end, further feature engineering and model personalization based on the behavioral idiosyncrasies of a patient could be helpful.

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