Adaptive Multi-Agent Feature Selection for Personalized Fall Risk Prevention

Personalized fall detection models can significantly improve accuracy by adapting to individual motion patterns, yet their effectiveness is often limited by the scarcity of real-world fall data and the dominance of non-fall feedback samples. This imbalance biases the model toward routine activities and weakens its sensitivity to true fall events. To address this challenge, we propose a personalization framework that combines semi-supervised clustering with contrastive learning to identify and balance the most informative user feedback samples. The framework is evaluated under three retraining strategies, including Training from Scratch (TFS), Transfer Learning (TL), and Few-Shot Learning (FSL), to assess adaptability across learning paradigms. Real-time experiments with ten participants show that the TFS approach achieves the highest performance, with up to a 25% improvement over the baseline, while FSL achieves the second-highest performance with a 7% improvement, demonstrating the effectiveness of selective personalization for real-world deployment.

Wearable and mobile sensing technologies enable continuous monitoring of human behavior and health in real-world settings. However, predictive modeling in longitudinal multimodal data remains challenging, particularly when targeting complex or clinically derived outcomes. In this work, we present a longitudinal multimodal study of 66 older adults conducted in real-world conditions and combining wearable sensing, behavioral monitoring, and clinical assessments. This setting provides a rare opportunity to study an underrepresented population in long-term, into-the-wild conditions. Building on this dataset, we investigate how the alignment between sensed signals and target variables affects predictive performance across health-related tasks. We design a unified evaluation framework spanning tasks with increasing levels of observability, including Activity Levels prediction, Sleep Duration estimation, and Sleep Apnea Severity classification. Our results reveal a clear gradient of predictability: highly observable behavioral targets achieve robust performance (macro-F1 65%), while more abstract outcomes remain challenging despite consistent improvements over baseline models. Moreover, through explainability analysis, we show that historical features consistently emerge as the most informative predictors, highlighting the central role of longitudinal information.

Adaptive sensing strategies that selectively sample data are increasingly used in wearable health systems to improve prediction performance under limited data budgets, yet their benefits across individuals remain poorly understood. Here, we evaluate adaptive selection of time windows for model training under fixed measurement budgets across multiple sensing modalities, including heart rate, activity, and ecological momentary assessment (EMA), in a longitudinal wearable dataset. We quantify performance gains relative to random sampling using both area under the receiver operating characteristic curve (AUROC) and F1 score. Adaptive strategies yield substantial improvements in AUROC for participants with low baseline performance (with gains up to 0.7), while offering limited or negative gains for participants with strong baselines. Across modalities, adaptive gain is strongly inversely correlated with baseline performance (Pearson r = -0.67; Spearman p = -0.62). At the participant level, most individuals benefit in AUROC (60-80% across modalities), although improvements in F1 are smaller and less consistent. These findings show that adaptive sensing is not uniformly beneficial, but instead provides the greatest value in underperforming settings. Our results support selective deployment strategies that tailor adaptive sensing based on baseline performance to improve efficiency in wearable health monitoring.