Syracuse University, USA
Abstract:Detecting opioid craving from wearable physiological signals is critical yet difficult, with the potential to support proactive interventions for individuals with opioid use disorder (OUD). This challenge is especially pronounced under subject-independent evaluation because craving is subjective, heterogeneous, and often physiologically entangled with stress. Our empirical analysis shows that stress elicits strong and reproducible autonomic responses, while craving-related signals are weaker, sparse, and largely embedded within stress-related physiology. We further show that psychological resilience, which shapes stress regulation and craving vulnerability, is not reliably observable from short-term wearable windows, but can be captured through reusable subject-level proxies, including post-stress heart-rate recovery and autobiographical memory recall. Motivated by these findings, we introduce RETRACE, a resilience-guided trait-conditioned framework for subject-independent craving estimation from wearable physiology. RETRACE reframes craving detection as trait-conditioned physiological interpretation: rather than assuming the same physiological pattern has the same meaning across individuals, it uses resilience-related subject context to guide inference. Technically, RETRACE introduces a novel dual-encoder design that separates generalizable stress physiology from subject-specific craving interpretation. It combines a frozen stress-pretrained encoder with resilience-conditioned craving encoder, using feature-level gating and representation-level fusion to enable lightweight personalization without target-user craving labels or per-user retraining. We evaluate RETRACE on a novel multimodal OUD dataset containing wearable physiology, stress and craving annotations, and autobiographical narratives. Under LOSO setup, RETRACE achieves up to 7% absolute improvement over the strongest baseline.
Abstract:Removing wearables from physiological monitoring also removes their supervision: the signal indicating where and when a stress response occurred. Contactless stress sensing therefore becomes a weakly supervised evidence-localization problem, where a clip-level label must be traced to the body regions and moments that produced it. We address this with FABLE-Therm, a weakly supervised architecture that preserves localized evidence across body regions, time, and encoder-specific representations until the final decision. FABLE-Therm fuses frozen foundation-model encoders at the embedding level, with theory explaining why localized fusion can outperform feature concatenation and prediction averaging. We study this problem in opioid use disorder (OUD), where stress is a major relapse trigger and sustained wearable use can be difficult during early recovery. Using fixed thermal video, FABLE-Therm achieves 0.938 AUROC on held-out participants, and its learned representation transfers to self-reported craving, providing, to our knowledge, the first evidence that craving can be recovered from contactless thermal video. Localized evidence also enables participant-level analysis of deployment failure. We find that improving representation alone is insufficient for equitable deployment: additional data from the underserved group would recover only about half of the cohort gap, while the remainder reflects person-to-person heterogeneity. This modality-agnostic decomposition applies to models with identifiable subpopulations. Together with the first cohort-structured contactless thermal OUD benchmark, our results show that preserving localized evidence supports both accurate sensing and principled analysis of who a model fails and why.
Abstract:Computational models are increasingly embedded in human-centered domains such as healthcare, education, workplace analytics, and digital well-being, where their predictions directly influence individual outcomes and collective welfare. In such contexts, achieving high accuracy alone is insufficient; models must also act ethically and equitably across diverse populations. However, fair AI approaches that rely on demographic attributes are impractical, as such information is often unavailable, privacy-sensitive, or restricted by regulatory frameworks. Moreover, conventional parity-based fairness approaches, while aiming for equity, can inadvertently violate core ethical principles by trading off subgroup performance or stability. To address this challenge, we present Flare (Fisher-guided LAtent-subgroup learning with do-no-harm REgularization), the first demographic-agnostic framework that aligns algorithmic fairness with ethical principles through the geometry of optimization. Flare leverages Fisher Information to regularize curvature, uncovering latent disparities in model behavior without access to demographic or sensitive attributes. By integrating representation, loss, and curvature signals, it identifies hidden performance strata and adaptively refines them through collaborative but do-no-harm optimization, enhancing each subgroup's performance while preserving global stability and ethical balance. We also introduce BHE (Beneficence-Harm Avoidance-Equity), a novel metric suite that operationalizes ethical fairness evaluation beyond statistical parity. Extensive evaluations across diverse physiological (EDA), behavioral (IHS), and clinical (OhioT1DM) datasets show that Flare consistently enhances ethical fairness compared to state-of-the-art baselines.
Abstract:Existing pruning methods are typically applied during training or compile time and often rely on structured sparsity. While compatible with low-power microcontrollers (MCUs), structured pruning underutilizes the opportunity for fine-grained efficiency on devices without SIMD support or parallel compute. To address these limitations, we introduce UnIT (Unstructured Inference-Time pruning), a lightweight method that dynamically identifies and skips unnecessary multiply-accumulate (MAC) operations during inference, guided by input-specific activation patterns. Unlike structured pruning, UnIT embraces irregular sparsity and does not require retraining or hardware specialization. It transforms pruning decisions into lightweight comparisons, replacing multiplications with threshold checks and approximated divisions. UnIT further optimizes compute by reusing threshold computations across multiple connections and applying layer- and group-specific pruning sensitivity. We present three fast, hardware-friendly division approximations tailored to the capabilities of common embedded platforms. Demonstrated on the MSP430 microcontroller, UnIT achieves 11.02% to 82.03% MAC reduction, 27.30% to 84.19% faster inference, and 27.33% to 84.38% lower energy consumption compared to training-time pruned models, while maintaining accuracy with 0.48-7%. Under domain shift, UnIT matches or exceeds the accuracy of retrained models while requiring significantly fewer MACs. These results establish unstructured inference-time pruning as a viable and practical solution for efficient, retraining-free deployment of deep neural networks on MCUs.




Abstract:Time-series foundation models have the ability to run inference, mainly forecasting, on any type of time series data, thanks to the informative representations comprising waveform features. Wearable sensing data, on the other hand, contain more variability in both patterns and frequency bands of interest and generally emphasize more on the ability to infer healthcare-related outcomes. The main challenge of crafting a foundation model for wearable sensing physiological signals is to learn generalizable representations that support efficient adaptation across heterogeneous sensing configurations and applications. In this work, we propose NormWear, a step toward such a foundation model, aiming to extract generalized and informative wearable sensing representations. NormWear has been pretrained on a large set of physiological signals, including PPG, ECG, EEG, GSR, and IMU, from various public resources. For a holistic assessment, we perform downstream evaluation on 11 public wearable sensing datasets, spanning 18 applications in the areas of mental health, body state inference, biomarker estimations, and disease risk evaluations. We demonstrate that NormWear achieves a better performance improvement over competitive baselines in general time series foundation modeling. In addition, leveraging a novel representation-alignment-match-based method, we align physiological signals embeddings with text embeddings. This alignment enables our proposed foundation model to perform zero-shot inference, allowing it to generalize to previously unseen wearable signal-based health applications. Finally, we perform nonlinear dynamic analysis on the waveform features extracted by the model at each intermediate layer. This analysis quantifies the model's internal processes, offering clear insights into its behavior and fostering greater trust in its inferences among end users.




Abstract:The advancement in deep learning and internet-of-things have led to diverse human sensing applications. However, distinct patterns in human sensing, influenced by various factors or contexts, challenge generic neural network model's performance due to natural distribution shifts. To address this, personalization tailors models to individual users. Yet most personalization studies overlook intra-user heterogeneity across contexts in sensory data, limiting intra-user generalizability. This limitation is especially critical in clinical applications, where limited data availability hampers both generalizability and personalization. Notably, intra-user sensing attributes are expected to change due to external factors such as treatment progression, further complicating the challenges.This work introduces CRoP, a novel static personalization approach using an off-the-shelf pre-trained model and pruning to optimize personalization and generalization. CRoP shows superior personalization effectiveness and intra-user robustness across four human-sensing datasets, including two from real-world health domains, highlighting its practical and social impact. Additionally, to support CRoP's generalization ability and design choices, we provide empirical justification through gradient inner product analysis, ablation studies, and comparisons against state-of-the-art baselines.




Abstract:Deep neural networks are extensively applied to real-world tasks, such as face recognition and medical image classification, where privacy and data protection are critical. Image data, if not protected, can be exploited to infer personal or contextual information. Existing privacy preservation methods, like encryption, generate perturbed images that are unrecognizable to even humans. Adversarial attack approaches prohibit automated inference even for authorized stakeholders, limiting practical incentives for commercial and widespread adaptation. This pioneering study tackles an unexplored practical privacy preservation use case by generating human-perceivable images that maintain accurate inference by an authorized model while evading other unauthorized black-box models of similar or dissimilar objectives, and addresses the previous research gaps. The datasets employed are ImageNet, for image classification, Celeba-HQ dataset, for identity classification, and AffectNet, for emotion classification. Our results show that the generated images can successfully maintain the accuracy of a protected model and degrade the average accuracy of the unauthorized black-box models to 11.97%, 6.63%, and 55.51% on ImageNet, Celeba-HQ, and AffectNet datasets, respectively.




Abstract:Stress impacts our physical and mental health as well as our social life. A passive and contactless indoor stress monitoring system can unlock numerous important applications such as workplace productivity assessment, smart homes, and personalized mental health monitoring. While the thermal signatures from a user's body captured by a thermal camera can provide important information about the "fight-flight" response of the sympathetic and parasympathetic nervous system, relying solely on thermal imaging for training a stress prediction model often lead to overfitting and consequently a suboptimal performance. This paper addresses this challenge by introducing ThermaStrain, a novel co-teaching framework that achieves high-stress prediction performance by transferring knowledge from the wearable modality to the contactless thermal modality. During training, ThermaStrain incorporates a wearable electrodermal activity (EDA) sensor to generate stress-indicative representations from thermal videos, emulating stress-indicative representations from a wearable EDA sensor. During testing, only thermal sensing is used, and stress-indicative patterns from thermal data and emulated EDA representations are extracted to improve stress assessment. The study collected a comprehensive dataset with thermal video and EDA data under various stress conditions and distances. ThermaStrain achieves an F1 score of 0.8293 in binary stress classification, outperforming the thermal-only baseline approach by over 9%. Extensive evaluations highlight ThermaStrain's effectiveness in recognizing stress-indicative attributes, its adaptability across distances and stress scenarios, real-time executability on edge platforms, its applicability to multi-individual sensing, ability to function on limited visibility and unfamiliar conditions, and the advantages of its co-teaching approach.




Abstract:Mispronunciation detection tools could increase treatment access for speech sound disorders impacting, e.g., /r/. We show age-and-sex normalized formant estimation outperforms cepstral representation for detection of fully rhotic vs. derhotic /r/ in the PERCEPT-R Corpus. Gated recurrent neural networks trained on this feature set achieve a mean test participant-specific F1-score =.81 ({\sigma}x=.10, med = .83, n = 48), with post hoc modeling showing no significant effect of child age or sex.
Abstract:The compute-intensive nature of neural networks (NNs) limits their deployment in resource-constrained environments such as cell phones, drones, autonomous robots, etc. Hence, developing robust sparse models fit for safety-critical applications has been an issue of longstanding interest. Though adversarial training with model sparsification has been combined to attain the goal, conventional adversarial training approaches provide no formal guarantee that the models would be robust against any rogue samples in a restricted space around a benign sample. Recently proposed verified local robustness techniques provide such a guarantee. This is the first paper that combines the ideas from verified local robustness and dynamic sparse training to develop `SparseVLR'-- a novel framework to search verified locally robust sparse networks. Obtained sparse models exhibit accuracy and robustness comparable to their dense counterparts at sparsity as high as 99%. Furthermore, unlike most conventional sparsification techniques, SparseVLR does not require a pre-trained dense model, reducing the training time by 50%. We exhaustively investigated SparseVLR's efficacy and generalizability by evaluating various benchmark and application-specific datasets across several models.