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Evaluating Large Language Models for Health Prediction Tasks Using Wearable Sensor Data


Konsep Inti
Large language models (LLMs) can effectively leverage contextual information and physiological data from wearable sensors to deliver accurate predictions across diverse consumer health tasks.
Abstrak

The paper presents a comprehensive evaluation of eight state-of-the-art LLMs, including Med-Alpaca, PMC-Llama, Asclepius, ClinicalCamel, Flan-T5, Palmyra-Med, GPT-3.5, and GPT-4, on thirteen health prediction tasks across six public health datasets. The tasks cover mental health, activity tracking, metabolism, sleep, and cardiology.

The experiments include four steps: (i) zero-shot prompting, (ii) few-shot prompting with chain-of-thoughts (CoT) and self-consistency (SC) techniques, (iii) instructional fine-tuning, and (iv) ablation studies with context enhancement strategies.

The key findings are:

  1. Zero-shot prompting shows comparable results to task-specific baseline models, indicating LLMs' inherent capabilities for health prediction.
  2. Few-shot prompting with larger LLMs like GPT-3.5 and GPT-4 can effectively ground numerical time-series data, leading to significant improvements over zero-shot and fine-tuned models.
  3. The fine-tuned Health-Alpaca model exhibits the best performance in 5 out of 13 tasks, despite being substantially smaller than GPT-3.5 and GPT-4.
  4. The context enhancement strategy, which strategically includes user profile, health knowledge, and temporal information in the prompts, can yield up to 23.8% performance improvement, highlighting the importance of contextual information for LLMs in the healthcare domain.
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Statistik
Steps: {812.0} steps, Burned Calories: {97.0} calories, Resting Heart Rate: {66.54} beats/min, Sleep Minutes: {487.0} minutes Steps: {"NaN, 991.0, ..., NaN"} steps, Burned Calories: {"NaN, 94.0 ..., NaN"} calories, Resting Heart Rate: {"69.32, 67.72, ..., 64.55"} beats/min, Sleep Minutes: {"534.0, 455.0, ..., 405.0"} minutes
Kutipan
"Readiness score is an indicator of how prepared our body is for physical activity. It is decided by activity, recent sleep and heart rate variability." "The user is 23-year-old male with 182 cm."

Pertanyaan yang Lebih Dalam

How can the Health-LLM framework be extended to incorporate medical expert knowledge and feedback to further improve the reliability and interpretability of health predictions?

Incorporating medical expert knowledge and feedback into the Health-LLM framework can significantly enhance the reliability and interpretability of health predictions. One way to achieve this is by implementing a feedback loop mechanism where medical experts can review and provide input on the predictions made by the LLM. This feedback can be used to refine the model's understanding of complex medical concepts, improve accuracy in predicting health outcomes, and ensure that the predictions align with established medical guidelines. Additionally, integrating medical expert knowledge directly into the training process of the LLM can help the model learn from expert annotations and domain-specific insights. This can be done by fine-tuning the model on a dataset that includes annotations and feedback from medical professionals, allowing the LLM to capture nuanced medical information and reasoning. Moreover, creating a collaborative platform where medical experts can interact with the LLM in real-time can facilitate continuous learning and improvement. Medical experts can provide explanations for the model's predictions, correct any inaccuracies, and guide the model towards making more clinically relevant decisions. This interactive approach can enhance the transparency and trustworthiness of the health predictions generated by the LLM.

What are the potential biases and limitations of using self-reported and wearable sensor data for training LLMs, and how can these be addressed to ensure fair and equitable health outcomes?

Using self-reported and wearable sensor data for training LLMs can introduce several biases and limitations that need to be addressed to ensure fair and equitable health outcomes. Some potential biases include: Selection Bias: Individuals who use wearable sensors or self-report data may not be representative of the general population, leading to biased predictions. Reporting Bias: Self-reported data may be inaccurate or incomplete, impacting the quality of training data and predictions. Data Imbalance: Imbalances in the distribution of data across different demographic groups can lead to biased predictions for underrepresented populations. To mitigate these biases and limitations, several strategies can be implemented: Diverse Dataset Collection: Ensure that the training dataset includes a diverse representation of demographics, health conditions, and lifestyle factors to reduce bias. Data Augmentation: Use techniques like data synthesis and oversampling to address imbalances in the dataset and improve model performance for underrepresented groups. Bias Detection and Mitigation: Implement bias detection algorithms to identify and mitigate biases in the training data, ensuring that the model's predictions are fair and unbiased. Regular Model Evaluation: Continuously monitor the model's performance on diverse populations and demographic groups to detect and address any biases that may arise during training or deployment. By implementing these strategies, the use of self-reported and wearable sensor data for training LLMs can lead to more equitable and accurate health predictions.

Given the rapid advancements in LLM capabilities, how might the integration of Health-LLM with other emerging technologies, such as edge computing and federated learning, enable more personalized and privacy-preserving health monitoring and management solutions?

The integration of Health-LLM with emerging technologies like edge computing and federated learning can revolutionize personalized and privacy-preserving health monitoring and management solutions. Here's how this integration can be beneficial: Edge Computing: By deploying Health-LLM models on edge devices, such as wearable sensors or smartphones, real-time health monitoring can be achieved without relying on cloud servers. This enables faster decision-making, reduces latency, and ensures data privacy by processing sensitive health data locally. Federated Learning: Federated learning allows multiple edge devices to collaboratively train a shared model without sharing raw data. In the context of Health-LLM, federated learning can enable the aggregation of insights from diverse sources while preserving data privacy. This approach ensures that individual health data remains secure and confidential while still contributing to model improvement. Personalized Health Insights: The combination of Health-LLM with edge computing and federated learning can lead to highly personalized health insights. By analyzing individual health data locally and aggregating insights from multiple users, the model can provide tailored recommendations and predictions based on each person's unique health profile. Privacy-Preserving Data Sharing: Federated learning allows for collaborative model training without sharing sensitive data, ensuring privacy and confidentiality. This approach is particularly important in healthcare, where data security and patient privacy are paramount. Overall, the integration of Health-LLM with edge computing and federated learning holds great potential for advancing personalized and privacy-preserving health monitoring and management solutions, ultimately improving healthcare outcomes while safeguarding individual privacy.
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