Abstract
Outdoor health monitoring is essential to detect early abnormal health status for safeguarding human health and safety. Conventional outdoor monitoring relies on static multimodal deep learning frameworks, which requires extensive data training from scratch and fails to capture subtle health status changes. Multimodal large language models (MLLMs) emerge as a promising alternative, utilizing only small datasets to fine-tune pre-trained information-rich models for enabling powerful health status monitoring. Unfortunately, MLLM-based outdoor health monitoring also faces significant challenges: i) sensor data contains input noise stemming from sensor data acquisition and fluctuation noise caused by sudden changes in physiological signals due to dynamic outdoor environments, thus degrading training performance; ii) current transformer-based MLLMs struggle to achieve robust multimodal fusion, as they lack a design of fusing noisy modalities; iii) modalities with varying noise levels hinder accurate recovery of missing data from fluctuating distributions. To combat these challenges, we propose an uncertainty-aware multimodal fusion framework, named DUAL-Health, for outdoor health monitoring in dynamic and noisy environments. First, to assess the impact of noise, we accurately quantify modality uncertainty caused by input and fluctuation noise with current and temporal features. Second, to empower efficient muitimodal fusion with low-quality modalities, we customize the fusion weight for each modality based on quantified and calibrated uncertainty. Third, to enhance data recovery from fluctuating noisy modalities, we align modality distributions within a common semantic space. Extensive experiments demonstrate that our DUAL-Health outperforms state-of-the-art baselines in detection accuracy and robustness.
| Original language | English |
|---|---|
| Pages (from-to) | 15863-15878 |
| Number of pages | 16 |
| Journal | IEEE Transactions on Mobile Computing |
| Volume | 25 |
| Issue number | 10 |
| Early online date | 16 Apr 2026 |
| DOIs | |
| Publication status | Published - 1 Oct 2026 |
Bibliographical note
Publisher Copyright:© 2002 IEEE.
Funding
The work of Senkang Hu was supported by Hong Kong Innovation and Technology Commission under InnoHK Project CIMD. The work of Yiqin Deng was supported by the National Natural Science Foundation of China under Grant 62301300. The work of Xianhao Chen was supported by the Research Grants Council of Hong Kong under Grant 27213824 and Grant CRS HKU702/24. This work was supported in part by the JC STEM Lab of Smart City funded by The Hong Kong Jockey Club Charities Trust underContract 2023-0108 and in part byHongKong SAR Government under the Global STEM Professorship and Research Talent Hub. Recommended for acceptance by C. Fiandrino. The research work described in this paper was conducted in the JC STEM Lab of Smart City funded by The Hong Kong Jockey Club Charities Trust under Contract 2023-0108. This work was also supported in part by the Hong Kong SAR Government under the Global STEM Professorship and Research Talent Hub, and in part by the Hong Kong Innovation and Technology Commission under InnoHK Project CIMDA. The work of Yiqin Deng was supported in part by the National Natural Science Foundation of China under Grant No. 62301300. The work of Xianhao Chen was supported in part by HKU-SCF FinTech Academy R&D Funding. (Corresponding author: Yiqin Deng) Z. Fang, S. Hu, Y. Tao, Y. Deng and Y. Fang are with Hong Kong JC STEM Lab of Smart City and Department of Computer Science, City University of Hong Kong, Kowloon, Hong Kong SAR, China (e-mail: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]).
Keywords
- Health monitoring
- missing modality
- multimodal fusion
- multimodal large language models
- uncertainty quantification
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