From Wearable Data to Personalized and Actionable Health Insights
Authors: Esther Brown, Karis Moon, Victoria Dean, Finale Doshi-Velez
Abstract
Commercial wearable devices continuously capture rich physiological data (e.g., heart rate, respiration), opening new possibilities for monitoring health conditions, notably around stress. Despite their promise, turning raw wearable physiological data streams into visualizations that surface stress-related insights in daily activities, and that ultimately foster reflection, awareness, and better stress management, remains a significant challenge. The data are noisy and context-dependent: the same spike in heart rate can come from sprinting, a tense presentation, or laughing with friends. To address these challenges, we propose a framework that combines user annotations with wearable data to support better stress management. We introduce a web framework offering interactive visualizations that layer daily activities, stress events, and interventions onto raw physiological streams, enabling users to reflect and identify trends. In a four-week pilot with seven university graduate and undergraduate student participants who logged 269 events, our tool revealed patterns between different types of interventions and stress: social interaction reduced average heart rate by 4.35 to 5.0 beats per minute, deliberate rest reduced average Garmin stress scores by 10.03 to 13.83 points, and mindfulness activities decreased average HRV by 6.61 to 13.22 milliseconds.
Personalization in wearable-based stress detection remains challenging due to substantial inter-individual variability in physiological and behavioral responses. While traditional approaches rely on user-specific fine-tuning or costly self-supervised pre-training on large datasets, we propose a lightweight alternative based on retrieval-augmented personalization. Our method leverages frozen, out-of-domain foundation models to retrieve similar patterns from a target user's history and encode them into a compact personalized embedding that modulates representations extracted by a lightweight transformer network. We evaluate our approach on the WESAD stress detection dataset with N=15 users, comprising wrist-worn physiological (EDA, BVP, temperature) and activity (accelerometer) signals, and report gains of +3.92% in accuracy and +4.76% in macro F1-score over a non-personalized transformer baseline, approaching supervised fine-tuning performance without requiring any labeled user data. We further show that temporal retrieval, where only prior user samples are available, achieves performance close to full intra-user retrieval, demonstrating robustness to limited user history. Finally, we explore personalization in a cross-dataset retrieval setting, leveraging embeddings from the K-Emocon dataset to personalize representations for stress detection on the WESAD dataset.
Consumer wearables enable continuous measurement of physiological data related to stress and recovery, but turning these streams into actionable, personalized stress-management recommendations remains a challenge. In practice, users often do not know how a given intervention, defined as an activity intended to reduce stress, will affect heart rate (HR), heart rate variability (HRV), or inter-beat intervals (BBI) over the next 15 to 120 minutes. We present a framework that predicts post-intervention trajectories and the direction of change for these physiological indicators across time windows. Our methodology combines a Transformer model for multi-horizon trajectories of percent change relative to a pre-intervention baseline, direction-of-change calls (positive, negative, or neutral) at each horizon, and an empirical study using wearable sensor data overlaid with user-tagged events and interventions. This proof of concept shows that personalized post-intervention prediction is feasible. We encourage future integration into stress-management tools for personalized intervention recommendations tailored to each person's day following further validation in larger studies and, where applicable, appropriate regulatory review.
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