Leveraging Gaze and Set-of-Mark in VLLMs for Human-Object Interaction Anticipation from Egocentric Videos

Egocentric video captures activities from the wearer's perspective, providing a direct view of human attention, hand--object interaction, and goal-directed behavior. This perspective is increasingly important for wearable intelligence, assistive systems, human--robot interaction, and embodied AI, yet it introduces challenges including ego-motion, occlusion, small active objects, viewpoint-dependent appearance, and long-range temporal dependencies. Vision--language models (VLMs) offer a promising foundation for addressing these challenges by linking visual observations with semantic knowledge and natural-language supervision. This survey presents a critical review of VLMs for egocentric video understanding, tracing the progression from conventional recognition architectures to multimodal foundation models and embodied systems. We organize the literature around tasks, datasets, hand--object interaction understanding, temporal reasoning, frame and clip selection, multimodal representation learning, prompting, semantic alignment, and model adaptation. Particular attention is given to graph-based and object-centric reasoning as mechanisms for modeling relations among hands, objects, actions, and scene context over time. We further examine how first-person perception and multimodal foundation models support wearable assistance, robot skill learning, human-to-robot transfer, and embodied decision making. Across the reviewed literature, a consistent limitation emerges: current models recognize visible objects more reliably than evolving interactions, actions, and user intent, especially over long activities. We therefore identify temporally grounded reasoning, interaction-aware supervision, efficient long-video processing, multimodal fusion, graph-enhanced representations, cross-domain generalization, privacy, and trustworthy evaluation as key priorities for deployable embodied intelligence.

Vision Language Models (VLMs) have achieved strong performance across a wide range of video understanding tasks. However, their viewpoint-invariant training limits their ability to infer egocentric properties, such as human-object interactions, from exocentric video observations. This limitation is particularly critical for applications such as Activities of Daily Living (ADL) monitoring, where understanding egocentric properties is essential but deploying wearable egocentric cameras is often impractical. We propose Ego2ExoVLM, a framework that enables VLMs to infer egocentric properties directly from exocentric videos by leveraging time-synchronized ego-exo video pairs during training. Our key insight is to treat the egocentric viewpoint as privileged supervision, providing rich interaction signals that are available only during training. Ego2ExoVLM consists of two complementary components: Ego2Exo Sequence Distillation, which transfers egocentric reasoning through a language-level sequence distillation objective, and Ego Adaptive Visual Tokens, which encourage the model to surface interaction-relevant cues within exocentric visual representations. To evaluate this capability, we introduce Ego-in-Exo Perception, a benchmark for assessing the understanding of egocentric properties from exocentric videos. We evaluate Ego2ExoVLM on 10 tasks spanning Ego-in-Exo Perception and existing ADL benchmarks, achieving state-of-the-art performance on the ADL-X benchmark suite and consistently outperforming strong baselines on our proposed benchmark. All code, models, and data will be released at https://github.com/dominickrei/EgoExo4ADL.

Egocentric video understanding requires procedural reasoning under partial observability and continuously shifting viewpoints. Current multimodal large language models (MLLMs) struggle with this setting, often generating plausible but visually inconsistent or weakly grounded responses. We introduce $\textbf{EgoVITA}$, a framework that decomposes egocentric video reasoning into a structured $\textit{plan-then-verify}$ process. The model first generates an $\textbf{egocentric plan}$: a causal sequence of anticipated actions from a first-person perspective. This plan is then evaluated by an $\textbf{exocentric verification}$ stage that uses third-person reasoning over the same video to verify its spatiotemporal and logical consistency, without exocentric video input. This decomposition enables cross-perspective feedback without requiring paired ego-exo supervision. To train this reasoning process, we adopt Group Relative Policy Optimization (GRPO) with two dense reward signals: one that grounds anticipated actions in subsequent visual observations and another that reinforces consistent third-person verification. $\textbf{EgoVITA}$ achieves state-of-the-art performance on egocentric reasoning benchmarks, outperforming Qwen2.5-VL-7B by $\mathbf{+7.7}$ on EgoBlind and $\mathbf{+4.4}$ on EgoOrient, while maintaining strong generalization on exocentric video tasks with only $52k$ training samples.