arXiv subjects

Tim Althoff

Publications and source records attributed to Tim Althoff.

At least 19 recordsLinked to original sources

arXiv2026

Towards a General Intelligence and Interface for Wearable Health Data

While ubiquitous wearable sensors capture a wealth of behavioral and physiological information, effectively transforming these signals into personalized health insights is challenging. Specifically, converting low-level sensor data into representations capable of characterizing higher-level states is difficult due to high phenotypic diversity and variation in individual baseline health, physiology, and lifestyle factors. Moreover, collecting wearable data paired with health outcome annotations is laborious and expensive, and retrospective annotation remains practically unfeasible, contributing to a scarcity of data with high-quality labels. To overcome these limitations, we propose a foundation model for wearable health that is pretrained on more than one trillion minutes of unlabeled sensor signals drawn from a large cohort of five million participants. We demonstrate that the joint scaling of model capacity and pretraining data volume leads to systematic improvements in performance, as evaluated on a diverse set of 35 health prediction tasks, spanning cardiovascular, metabolic, sleep, and mental health, as well as lifestyle choices and demographic factors. We find that this population scale representation unlocks label-efficient few-shot learning and generative capabilities for robust daily metric estimation. To further leverage this learned representation, we deploy a classroom of LLM agents to autonomously search the space of downstream predictive heads built on the model embeddings, showing broad performance improvements that increase with LLM model capacity. Finally, we show how integrating these downstream predictors into a Personal Health Agent can support model responses that are more relevant, contextually aware, and safe, and we validate this via 1,860 ratings from a cohort of clinicians.

cs.AI↗

arXiv2026

CandorMD: An AI-Assisted Audio Simulation and Feedback System for Training Clinicians for Medical Error Disclosure

Clinicians are expected to disclose harmful medical errors to patients and families in line with ethical, regulatory, and patient care standards, yet these conversations remain challenging because of their emotional complexity and limited training opportunities. Most physicians still learn primarily through lectures and observation, while static video tools-though available-are underused, lack adaptability across specialties, and deliver delayed, generic feedback. These gaps restrict skill development, reduce self-efficacy, and contribute to avoidance of disclosure conversations, ultimately compromising patient care and eroding trust. To address these needs, we designed CandorMD -- an AI-assisted simulation system that provides real-time practice, actionable feedback, and diverse practice environments tailored to individual learning needs. We conducted semi-structured interviews with physicians, risk managers, patient advocates, and communication experts to understand current practices, identify gaps, and collect feedback on CandorMD. Based on these insights, we present findings and design recommendations for the future of AI-supported medical communication training.

cs.HC↗

arXiv2026

An AI Co-Data-Scientist for Prioritizing Candidate Biomarkers from Wearable Sensor Data

Wearable devices generate continuous physiological and behavioral data, but converting these signals into clinically reviewable biomarker hypotheses remains labor-intensive. We introduce CoDaS, an AI co-data-scientist that integrates multi-agent hypothesis generation, deterministic statistical analysis, adversarial validation and literature-grounded interpretation under human oversight. Across three wearable cohorts comprising 9,279 participant-observations, CoDaS prioritized candidate associations for mental-health and metabolic endpoints after internal checks for replication, stability, robustness and leakage. The system identified related circadian-instability signals associated with depression, including sleep-duration variability in DWB ($\rho$ = 0.252, $p$ < 0.001) and sleep-onset variability in GLOBEM ($\rho$ = 0.126, $p$ < 0.001), and derived a wearable cardiovascular-fitness index associated with insulin resistance (steps/resting heart rate; $\rho$ = -0.374, $p$ < 0.001). Adding these features to demographic models produced modest gains ($\Delta R^2$ = 0.040 for depression, 0.021 for insulin resistance). In a 12-clinician review totaling approximately 25 active hours, clinician validity judgments aligned with CoDaS confidence tiers ($\rho$ = 0.67, $p$ = 0.005), whereas added clinical value and confidence to act were rated lower. CoDaS supports traceable, hypothesis-generating prioritization of wearable candidate biomarkers.

cs.AI↗

arXiv2026

Responsible Evaluation of AI for Mental Health

Although artificial intelligence (AI) shows growing promise for mental health care, current approaches to evaluating AI tools in this domain remain fragmented and poorly aligned with clinical practice, social context, and first-hand user experience. This paper argues for a rethinking of responsible evaluation -- what is measured, by whom, and for what purpose -- by introducing an interdisciplinary framework that integrates clinical soundness, social context, and equity, providing a structured basis for evaluation. Through an analysis of 135 recent *CL publications, we identify recurring limitations, including over-reliance on generic metrics that do not capture clinical validity, therapeutic appropriateness, or user experience, limited participation from mental health professionals, and insufficient attention to safety and equity. To address these gaps, we propose a taxonomy of AI mental health support types -- assessment-, intervention-, and information synthesis-oriented -- each with distinct risks and evaluative requirements, and illustrate its use through case studies.

cs.CY↗

arXiv2025

Towards a Science of Scaling Agent Systems

Agents, language model-based systems capable of reasoning, planning, and acting are widely adopted in real-world tasks, yet how their performance changes as these systems scale across key dimensions remains underexplored. We introduce quantitative scaling principles for agent systems as a predictive model, capturing how performance varies with coordination, model capability, and measurable system and task factors. Across 260 configurations spanning six agentic benchmarks, five canonical architectures (Single-Agent and four Multi-Agent: Independent, Centralized, Decentralized, Hybrid), and three LLM families, we perform controlled evaluations, standardizing tools, prompts, and compute to isolate architectural effects. The resulting model achieves a cross-validated R^2=0.373 across all six benchmarks (R^2=0.413 with a task-grounded capability metric). We identify a robust capability-saturation effect and additional patterns: (1) a coordination yields diminishing returns once single-agent baselines exceed certain performance; (2) tool-heavy tasks appear to incur multi-agent overhead; and (3) architectures without centralized verification tend to propagate errors more than those with centralized coordination. Relative performance change compared to single-agent baseline ranges from +80.8% on decomposable financial reasoning to -70.0% on sequential planning, demonstrating that architecture-task alignment determines collaborative success. The framework identifies the best-performing architecture for 87% of held-out configurations and shows consistent relative architecture preferences on unseen frontier models. Agent effectiveness depends on alignment between coordination and task structure, and that mismatched coordination degrades the performance.

cs.AI↗

arXiv2025

Self-Improving VLM Judges Without Human Annotations

Effective judges of Vision-Language Models (VLMs) are crucial for model development. Current methods for training VLM judges mainly rely on large-scale human preference annotations. However, such an approach is costly, and the annotations easily become obsolete as models rapidly improve. In this work, we present a framework to self-train a VLM judge model without any human preference annotations, using only self-synthesized data. Our method is iterative and has three stages: (1) generate diverse multimodal instruction-response pairs at varying quality levels, (2) generate reasoning traces and judgments for each pair, removing the ones that do not match our expected quality levels, and (3) training on correct judge answers and their reasoning traces. We evaluate the resulting judge on Multimodal RewardBench and VL-RewardBench across domains: correctness, preference, reasoning, safety, and visual question-answering. Our method improves a Llama-3.2-11B multimodal judge from 0.38 to 0.51 in overall accuracy on VL-RewardBench, often outperforming much larger models including Llama-3.2-90B, GPT-4o, and Claude 3.5 Sonnet, with particularly strong gains in general, hallucination, and reasoning dimensions. The overall strength of these human-annotation-free results suggest the potential for a future self-judge that evolves alongside rapidly improving VLM capabilities.

cs.CV↗

arXiv2025

Consistently Simulating Human Personas with Multi-Turn Reinforcement Learning

Large Language Models (LLMs) are increasingly used to simulate human users in interactive settings such as therapy, education, and social role-play. While these simulations enable scalable training and evaluation of AI agents, off-the-shelf LLMs often drift from their assigned personas, contradict earlier statements, or abandon role-appropriate behavior. We introduce a unified framework for evaluating and improving persona consistency in LLM-generated dialogue. We define three automatic metrics: prompt-to-line consistency, line-to-line consistency, and Q&A consistency, that capture different types of persona drift and validate each against human annotations. Using these metrics as reward signals, we apply multi-turn reinforcement learning to fine-tune LLMs for three user roles: a patient, a student, and a social chat partner. Our method reduces inconsistency by over 55%, resulting in more coherent and faithful simulated users.

cs.CL↗

arXiv2025

SynthWorlds: Controlled Parallel Worlds for Disentangling Reasoning and Knowledge in Language Models

Evaluating the reasoning ability of language models (LMs) is complicated by their extensive parametric world knowledge, where benchmark performance often reflects factual recall rather than genuine reasoning. Existing datasets and approaches (e.g., temporal filtering, paraphrasing, adversarial substitution) cannot cleanly separate the two. We present SynthWorlds, a framework that disentangles task reasoning complexity from factual knowledge. In SynthWorlds, we construct parallel corpora representing two worlds with identical interconnected structure: a real-mapped world, where models may exploit parametric knowledge, and a synthetic-mapped world, where such knowledge is meaningless. On top of these corpora, we design two mirrored tasks as case studies: multi-hop question answering and page navigation, which maintain equal reasoning difficulty across worlds. Experiments in parametric-only (e.g., closed-book QA) and knowledge-augmented (e.g., retrieval-augmented) LM settings reveal a persistent knowledge advantage gap, defined as the performance boost models gain from memorized parametric world knowledge. Knowledge acquisition and integration mechanisms reduce but do not eliminate this gap, highlighting opportunities for system improvements. Fully automatic and scalable, SynthWorlds provides a controlled environment for evaluating LMs in ways that were previously challenging, enabling precise and testable comparisons of reasoning and memorization.

cs.CL↗

arXiv2025

The Anatomy of a Personal Health Agent

Health is a fundamental pillar of human wellness, and the rapid advancements in large language models (LLMs) have driven the development of a new generation of health agents. However, the application of health agents to fulfill the diverse needs of individuals in daily non-clinical settings is underexplored. In this work, we aim to build a comprehensive personal health agent that is able to reason about multimodal data from everyday consumer wellness devices and common personal health records, and provide personalized health recommendations. To understand end-users' needs when interacting with such an assistant, we conducted an in-depth analysis of web search and health forum queries, alongside qualitative insights from users and health experts gathered through a user-centered design process. Based on these findings, we identified three major categories of consumer health needs, each of which is supported by a specialist sub-agent: (1) a data science agent that analyzes personal time-series wearable and health record data, (2) a health domain expert agent that integrates users' health and contextual data to generate accurate, personalized insights, and (3) a health coach agent that synthesizes data insights, guiding users using a specified psychological strategy and tracking users' progress. Furthermore, we propose and develop the Personal Health Agent (PHA), a multi-agent framework that enables dynamic, personalized interactions to address individual health needs. To evaluate each sub-agent and the multi-agent system, we conducted automated and human evaluations across 10 benchmark tasks, involving more than 7,000 annotations and 1,100 hours of effort from health experts and end-users. Our work represents the most comprehensive evaluation of a health agent to date and establishes a strong foundation towards the futuristic vision of a personal health agent accessible to everyone.

cs.AI↗

arXiv2025

How Conversational Structure and Style Shape Online Community Experiences

Sense of Community (SOC) is vital to individual and collective well-being. Although social interactions have moved increasingly online, still little is known about the specific relationships between the nature of these interactions and Sense of Virtual Community (SOVC). This study addresses this gap by exploring how conversational structure and linguistic style predict SOVC in online communities, using a large-scale survey of 2,826 Reddit users across 281 varied subreddits. We develop a hierarchical model to predict self-reported SOVC based on automatically quantifiable and highly generalizable features that are agnostic to community topic and that describe both individual users and entire communities. We identify specific interaction patterns (e.g., reciprocal reply chains, use of prosocial language) associated with stronger communities and identify three primary dimensions of SOVC within Reddit -- Membership & Belonging, Cooperation & Shared Values, and Connection & Influence. This study provides the first quantitative evidence linking patterns of social interaction to SOVC and highlights actionable strategies for fostering stronger community attachment, using an approach that can generalize readily across community topics, languages, and platforms. These insights offer theoretical implications for the study of online communities and practical suggestions for the design of features to help more individuals experience the positive benefits of online community participation.

cs.SI↗

arXiv2025

SensorLM: Learning the Language of Wearable Sensors

We present SensorLM, a family of sensor-language foundation models that enable wearable sensor data understanding with natural language. Despite its pervasive nature, aligning and interpreting sensor data with language remains challenging due to the lack of paired, richly annotated sensor-text descriptions in uncurated, real-world wearable data. We introduce a hierarchical caption generation pipeline designed to capture statistical, structural, and semantic information from sensor data. This approach enabled the curation of the largest sensor-language dataset to date, comprising over 59.7 million hours of data from more than 103,000 people. Furthermore, SensorLM extends prominent multimodal pretraining architectures (e.g., CLIP, CoCa) and recovers them as specific variants within a generic architecture. Extensive experiments on real-world tasks in human activity analysis and healthcare verify the superior performance of SensorLM over state-of-the-art in zero-shot recognition, few-shot learning, and cross-modal retrieval. SensorLM also demonstrates intriguing capabilities including scaling behaviors, label efficiency, sensor captioning, and zero-shot generalization to unseen tasks.

cs.LG↗

arXiv2025

Chasing Moving Targets with Online Self-Play Reinforcement Learning for Safer Language Models

Conventional large language model (LLM) safety alignment relies on a reactive, disjoint loop: attackers exploit a static model, then defenders patch exposed vulnerabilities. This sequential setup leads to attackers overfitting obsolete exploits while defenders perpetually lag behind emerging threats. To address this, we introduce Self-RedTeam, the first fully online self-play multi-agent reinforcement learning (MARL) algorithm that continuously co-evolves attacker and defender for robust safety alignment. A single policy self-plays as both attacker and defender, generating adversarial prompts and defending against them, with a reward model adjudicating outcomes. Each role uses hidden chain-of-thought for strategic planning. Grounded in two-player zero-sum game theory, we establish a theoretical safety guarantee: if the game converges to Nash Equilibrium, the defender produces safe responses against any adversarial input. Empirically, Self-RedTeam generalizes across five models from the Llama and Qwen families, uncovering more diverse attacks (+17.80% SBERT) and improving safety of RLHF-trained models by up to 95% across 14 benchmarks. Our work motivates a shift from reactive patching to proactive co-evolution, enabling LLM safety self-improvement via online self-play MARL. Link to code: https://github.com/mickelliu/selfplay-redteaming

cs.LG↗

arXiv2025

RADAR: Benchmarking Language Models on Imperfect Tabular Data

Language models (LMs) are increasingly being deployed to perform autonomous data analyses. However, their data awareness -- the ability to recognize, reason over, and appropriately handle data artifacts such as missing values, outliers, and logical inconsistencies -- remains underexplored. These artifacts are especially common in real-world tabular data and, if mishandled, can significantly compromise the validity of analytical conclusions. To address this gap, we present RADAR, a benchmark for systematically evaluating data-aware reasoning on tabular data. We develop a framework to simulate data artifacts via programmatic perturbations to enable targeted evaluation of model behavior. RADAR comprises 2980 table query pairs, grounded in real-world data spanning 9 domains and 5 data artifact types. In addition to evaluating artifact handling, RADAR systematically varies table size to study how reasoning performance holds when increasing table size. Our evaluation reveals that, despite decent performance on tables without data artifacts, frontier models degrade significantly when data artifacts are introduced, exposing critical gaps in their capacity for robust, data-aware analysis. Designed to be flexible and extensible, RADAR supports diverse perturbation types and controllable table sizes, offering a valuable resource for advancing tabular reasoning.

cs.DB↗

arXiv2025

LSM-2: Learning from Incomplete Wearable Sensor Data

Foundation models, a cornerstone of recent advancements in machine learning, have predominantly thrived on complete and well-structured data. Wearable sensor data frequently suffers from significant missingness, posing a substantial challenge for self-supervised learning (SSL) models that typically assume complete data inputs. This paper introduces the second generation of Large Sensor Model (LSM-2) with Adaptive and Inherited Masking (AIM), a novel SSL approach that learns robust representations directly from incomplete data without requiring explicit imputation. AIM's core novelty lies in its use of learnable mask tokens to model both existing ("inherited") and artificially introduced missingness, enabling it to robustly handle fragmented real-world data during inference. Pre-trained on an extensive dataset of 40M hours of day-long multimodal sensor data, our LSM-2 with AIM achieves the best performance across a diverse range of tasks, including classification, regression and generative modeling. Furthermore, LSM-2 with AIM exhibits superior scaling performance, and critically, maintains high performance even under targeted missingness scenarios, reflecting clinically coherent patterns, such as the diagnostic value of nighttime biosignals for hypertension prediction. This makes AIM a more reliable choice for real-world wearable data applications.

cs.LG↗

arXiv2025

Substance over Style: Evaluating Proactive Conversational Coaching Agents

While NLP research has made strides in conversational tasks, many approaches focus on single-turn responses with well-defined objectives or evaluation criteria. In contrast, coaching presents unique challenges with initially undefined goals that evolve through multi-turn interactions, subjective evaluation criteria, mixed-initiative dialogue. In this work, we describe and implement five multi-turn coaching agents that exhibit distinct conversational styles, and evaluate them through a user study, collecting first-person feedback on 155 conversations. We find that users highly value core functionality, and that stylistic components in absence of core components are viewed negatively. By comparing user feedback with third-person evaluations from health experts and an LM, we reveal significant misalignment across evaluation approaches. Our findings provide insights into design and evaluation of conversational coaching agents and contribute toward improving human-centered NLP applications.

cs.CL↗

arXiv2025

Inferring Events from Time Series using Language Models

A common goal in analyzing time series data is to understand how events cause observed variations. We study whether Large Language Models (LLMs) can infer natural language events associated with time series data. We introduce an automated method for generating tasks that test a model's ability to reason about events associated with time series data based on sports data, and develop a new benchmarking method. In experiments spanning 18 LLMs, we prompt LLMs to infer unobserved events given time series data and observe surprising successes, even when providing minimal context. We then show that combining distillation with Reinforcement Learning (RL) can improve the performance for small language models to approach that of large proprietary reasoning models. All resources needed to reproduce our work are available: https://github.com/hartvigsen-group/GAMETime

cs.AI↗

arXiv2025

Human Decision-making is Susceptible to AI-driven Manipulation

AI systems are increasingly intertwined with daily life, assisting users with various tasks and guiding decision-making. This integration introduces risks of AI-driven manipulation, where such systems may exploit users' cognitive biases and emotional vulnerabilities to steer them toward harmful outcomes. Through a randomized between-subjects experiment with 233 participants, we examined human susceptibility to such manipulation in financial (e.g., purchases) and emotional (e.g., conflict resolution) decision-making contexts. Participants interacted with one of three AI agents: a neutral agent (NA) optimizing for user benefit without explicit influence, a manipulative agent (MA) designed to covertly influence beliefs and behaviors, or a strategy-enhanced manipulative agent (SEMA) equipped with established psychological tactics, allowing it to select and apply them adaptively during interactions to reach its hidden objectives. By analyzing participants' preference ratings, we found significant susceptibility to AI-driven manipulation. Particularly across both decision-making domains, interacting with the manipulative agents significantly increased the odds of rating hidden incentives higher than optimal options (Financial, MA: OR=5.24, SEMA: OR=7.96; Emotional, MA: OR=5.52, SEMA: OR=5.71) compared to the NA group. Notably, we found no clear evidence that employing psychological strategies (SEMA) was overall more effective than simple manipulative objectives (MA) on our primary outcomes. Hence, AI-driven manipulation could become widespread even without requiring sophisticated tactics and expertise. While our findings are preliminary and derived from hypothetical, low-stakes scenarios, we highlight a critical vulnerability in human-AI interactions, emphasizing the need for ethical safeguards and regulatory frameworks to protect human autonomy.

cs.AI↗

arXiv2025

Reddit Rules and Rulers: Quantifying the Link Between Rules and Perceptions of Governance across Thousands of Communities

Rules are a critical component of the functioning of nearly every online community, yet it is challenging for community moderators to make data-driven decisions about what rules to set for their communities. The connection between a community's rules and how its membership feels about its governance is not well understood. In this work, we conduct the largest-to-date analysis of rules on Reddit, collecting a set of 67,545 unique rules across 5,225 communities which collectively account for more than 67% of all content on Reddit. More than just a point-in-time study, our work measures how communities change their rules over a 5+ year period. We develop a method to classify these rules using a taxonomy of 17 key attributes extended from previous work. We assess what types of rules are most prevalent, how rules are phrased, and how they vary across communities of different types. Using a dataset of communities' discussions about their governance, we are the first to identify the rules most strongly associated with positive community perceptions of governance: rules addressing who participates, how content is formatted and tagged, and rules about commercial activities. We conduct a longitudinal study to quantify the impact of adding new rules to communities, finding that after a rule is added, community perceptions of governance immediately improve, yet this effect diminishes after six months. Our results have important implications for platforms, moderators, and researchers. We make our classification model and rules datasets public to support future research on this topic.

cs.SI↗