Yuliang Chen

Yunfei Luo, Xi Chen, Yuliang Chen et al.

Physiological time series signals reflect complex, multi-scale dynamical processes of the human body. Existing modeling studies focus on static tasks such as classification, event forecasting, or short-horizon next step prediction, while long-horizon signal-level forecasting and predictive nature of physiological signals remain underexplored. We introduce NormWear-2, a world model that encodes both multivariate physiological signals and clinical intervention variables into a shared latent space and models their joint temporal evolution as a dynamical system. Our approach combines inference from prior pre-trained knowledge (intuition) with instant non-parametric latent state transition adaptation (insight), enabling coherent forecasting across multiple temporal scales, conditioned on heterogeneous clinical interventions. During the pretraining phase, we find that chaos-theoretic balancing of dynamical regime diversity yields more robust representations, with a smaller balanced corpus outperforming one twice its size and capturing bifurcation regimes. We evaluate the world model performance across diverse real-world physiological datasets spanning heterogeneous temporal resolutions and intervention regimes, covering daily life, point-of-care, and clinical settings, including fitness planning, hemodialysis, diabetes management, and surgical monitoring. These evaluation datasets comprise records from 8,026 subjects, spanning study durations from 3.2 hours for high-resolution signal data to 2.3 years for longitudinal clinical biomarker tracking. NormWear-2 achieves the best overall forecasting performance across time, frequency, and latent representation domains, with significant improvements over state-of-the-art time series foundation models, while maintaining competitive downstream representation quality, providing a step toward general-purpose world models for physiological signals.

Yunfei Luo, Yuliang Chen, Asif Salekin et al.

Time-series foundation models excel at tasks like forecasting across diverse data types by leveraging informative waveform representations. Wearable sensing data, however, pose unique challenges due to their variability in patterns and frequency bands, especially for healthcare-related outcomes. The main obstacle lies in crafting generalizable representations that adapt efficiently across heterogeneous sensing configurations and applications. To address this, we propose NormWear, the first multi-modal and ubiquitous foundation model designed to extract generalized and informative representations from wearable sensing data. Specifically, we design a channel-aware attention mechanism with a shared special liaison [CLS] token to detect signal patterns in both intra-sensor and inter-sensors. This helps the model to extract more meaningful information considering both time series themselves and the relationships between input sensors. This helps the model to be widely compatible with various sensors settings. NormWear is pretrained on a diverse set of physiological signals, including PPG, ECG, EEG, GSR, and IMU, from various public datasets. Our model shows exceptional generalizability across 11 public wearable sensing datasets, spanning 18 applications in mental health, body state inference, vital sign estimation, and disease risk evaluation. It consistently outperforms competitive baselines under zero-shot, partial-shot, and full-shot settings, indicating broad applicability in real-world health applications.

Howon Ryu, Yuliang Chen, Yacun Wang et al.

Wearable devices enable continuous multi-modal physiological and behavioral monitoring, yet analysis of these data streams faces fundamental challenges including the lack of gold-standard labels and incomplete sensor data. While self-supervised learning approaches have shown promise for addressing these issues, existing multi-modal extensions present opportunities to better leverage the rich temporal and cross-modal correlations inherent in simultaneously recorded wearable sensor data. We propose the Multi-modal Cross-masked Autoencoder (MoCA), a self-supervised learning framework that combines transformer architecture with masked autoencoder (MAE) methodology, using a principled cross-modality masking scheme that explicitly leverages correlation structures between sensor modalities. MoCA demonstrates strong performance boosts across reconstruction and downstream classification tasks on diverse benchmark datasets. We further establish theoretical guarantees by establishing a fundamental connection between multi-modal MAE loss and kernelized canonical correlation analysis through a Reproducing Kernel Hilbert Space framework, providing principled guidance for correlation-aware masking strategy design. Our approach offers a novel solution for leveraging unlabeled multi-modal wearable data while handling missing modalities, with broad applications across digital health domains.