Toward Personalized Sleep Guidance from Wearable Data Using Language Models

We present SleepLM, a family of sleep-language foundation models that enable human sleep alignment, interpretation, and interaction with natural language. Despite the critical role of sleep, learning-based sleep analysis systems operate in closed label spaces (e.g., predefined stages or events) and fail to describe, query, or generalize to novel sleep phenomena. SleepLM bridges natural language and multimodal polysomnography, enabling language-grounded representations of sleep physiology. To support this alignment, we introduce a multilevel sleep caption generation pipeline that enables the curation of the first large-scale sleep-text dataset, comprising over 100K hours of data from more than 10,000 individuals. Furthermore, we present a unified pretraining objective that combines contrastive alignment, caption generation, and signal reconstruction to better capture physiological fidelity and cross-modal interactions. Extensive experiments on real-world sleep understanding tasks verify that SleepLM outperforms state-of-the-art in zero-shot and few-shot learning, cross-modal retrieval, and sleep captioning. Importantly, SleepLM also exhibits intriguing capabilities including language-guided event localization, targeted insight generation, and zero-shot generalization to unseen tasks. All code and data will be open-sourced.

Language models are remarkably capable at medical question answering, in some cases surpassing the accuracy of general physicians. However, answering questions about wearable health data remains challenging and understudied, as these ubiquitous sensors produce continuous, high-dimensional, and longitudinal data, which is non-trivial to align with text-centric distributions in LLM pretraining. The diversity of sensor modalities and user intents cannot be effectively handled by a fixed reasoning workflow or a single pretrained foundation model. To address these challenges, we propose WEQA, a query-adaptive agent framework that unifies LLM reasoning with specialized wearable analytical and modeling tools. An LLM controller is employed to synthesize execution plans and dynamically route each query to the appropriate combination of sensor analysis and pretrained models, and perform grounded response auditing with external knowledge. We also curate a benchmark spanning four open wearable datasets comprising analytic and predictive tasks in three different health domains. Experiments show that our framework is 24% more accurate than LLM and agentic baselines, and a blinded study with 12 medical experts and 8 users shows substantial gains in usefulness and clinical soundness.

In this paper, we study the problem of personalized survey response prediction using fine-tuned large language models (LLMs). This task poses unique challenges: limited per-user training data, scalability of model storage, and the need to exploit shared structure across survey questions. To address these issues, we propose Aplaud (Adaptive Personalized Low-rank and User-specific Nested Decomposition), a lightweight and scalable framework for LLM personalization. Aplaud extends the LoRA paradigm by separating adaptation into a frozen, shared low-rank basis and a compact user-specific correction, augmented with a rank-one residual for finer personalization. To further reduce per-user parameter cost and mitigate overfitting, the correction matrix can be factorized into an even lower-rank form. Empirical results demonstrate that Aplaud achieves efficient, scalable personalization across users while outperforming state-of-the-art LoRA-based personalized LLM approaches in both generalization and inference efficiency.