A Formative Study of Brief Affective Text as a Complement to Wearable Sensing for Longitudinal Student Health Monitoring
Authors: Tamunotonye Harry, Johanna Hidalgo, Matthew Price, Yuanyuan Feng, Kathryn Stanton, Connie Tompkins, Peter Sheridan Dodds, Mikaela Irene Fudolig, +2 more
Abstract
Wearable devices capture physiological and behavioral data with increasing fidelity, but the psychological context shaping these outcomes is difficult to recover from sensor data alone, limiting passive sensing utility for digital health. We examined whether ultra-brief naturalistic concern text could serve as a scalable complement to passive sensing. In a year-long study of 458 university students (3,610 person-waves) tracked with Oura rings, participants responded bimonthly to an open-ended prompt about what concerned them most; responses had a median length of three words. We compared dictionary-based, general pretrained, and domain-adapted NLP approaches using within-person mixed-effects models across nine sleep and physical activity outcomes. Weeks dominated by academic concern framing were associated with lower physical activity; weeks characterized by emotional exhaustion language were associated with poorer sleep quality and lower heart rate variability. General pretrained embeddings outperformed domain-adapted models for most outcomes, with domain adaptation showing relative advantage for autonomic outcomes. Zero-shot classification of concern topics produced no significant associations, while affective dimensions across all three methods were consistently associated with outcomes, indicating emotional register rather than topical content carries the signal. These findings offer design guidance: ultra-brief affective prompts enrich the psychological interpretability of passive physiological data at minimal burden.
Mental health problems such as stress, anxiety, and depression affect millions of people worldwide. These conditions are usually assessed using questionnaires, which rely on how people describe their own feelings. In this study, we explore whether a wearable device can help measure mental health using physical signals from the body. The device records small changes in blood flow and tissue activity from the fingertip. We collected data from 132 adults across 19 countries and compared these signals with mental health questionnaire results. We found that patterns in blood flow and tissue activity are linked to stress-related symptoms. This approach may help develop new tools for simple, non-invasive mental health monitoring in everyday life. Code and datasets are publicly available: https://github.com/leduckhai/Wearable_LDF-FS
Affective computing has advanced wearable state inference, but on-device reasoning about whether, when, and how to intervene remains challenging. We present Affective Agent, a three-layer reference architecture for personalized intervention reasoning under uncertainty on wearable-class hardware. It combines a compact sub-billion-parameter language model with physiological evidence, context, and user history to decide whether, when, and how to intervene, without cloud dependency or per-user retraining. The architecture is organized into three interacting layers (perception, personalization, and reasoning), adapting to individual users through host-managed structured memory evolution rather than per-user weight updates. We instantiate Affective Agent in indoor environmental quality control and evaluate it on held-out, simulator-generated longitudinal scenarios spanning physiological variation, context, signal quality, and intervention history. Results show that memory-driven personalization and two-pass structured reasoning improve intervention decisions within this synthetic evaluation. By moving the decision layer on-device, this work demonstrates a path from wearable state inference toward closed-loop, personalized intervention on wearable-class hardware.
Automatic recognition of affective state from wearable physiology has clear societal impact for public health, preventive care, and stress-aware interventions, but real deployments require robustness to non-stationary dynamics, artefacts, and missing sensors. We study this problem on WESAD, using baseline, stress, and amusement conditions, where common fixed-basis spectral features such as FFT bandpower and Welch PSD can oversmooth short-lived discriminative patterns. We propose a non-stationary pipeline that combines Fourier-Bessel Series Expansion (FBSE) with EWT data-driven spectral segmentation to extract mode-wise transient descriptors. For multimodal integration, we adopt decision-level aggregation over per-modality predictors and weight each modality by predictive uncertainty and modality reliability. Results on WESAD, using 15 subjects and ECG, EDA, BVP, EMG, and ACC signals across three classes, indicate that decision-level aggregation is approximately 84 percent of the time at least as good as feature-level aggregation, and approximately 48 percent of the time strictly better, suggesting improved robustness under heterogeneous and partially reliable sensing.