SePA: A Search-enhanced Predictive Agent for Personalized Health Coaching

Published: 19 Aug 2025, Last Modified: 12 Oct 2025BHI 2025EveryoneRevisionsBibTeXCC BY 4.0
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Keywords: Large Language Models, Personalized Health, Wearable Sensors, Predictive Modeling
TL;DR: We present an LLM-health coach that proactively predicts daily health risks from wearable data and uses these forecasts to power a trusted web search for personalized, evidence-based advice.
Abstract: This paper introduces SePA (Search-enhanced Predictive AI Agent), a novel LLM health coaching system that integrates personalized machine learning and retrieval-augmented generation to deliver adaptive, evidence-based guidance. SePA combines: (1) Individualized models predicting daily stress, soreness, and injury risk from wearable sensor data (28 users, 1260 data points); and (2) A retrieval module that grounds LLM-generated feedback in expert-vetted web content to ensure contextual relevance and reliability. Our predictive models, evaluated with rolling-origin cross-validation and group 4-fold cross-validation show that personalized models outperform generalized baselines. In a pilot expert study (n=4), SePA's retrieval-based advice was preferred over a non-retrieval baseline, yielding meaningful practical effect (Cliff's $\delta$=0.3, p=0.05). We also quantify latency performance trade-offs between response quality and speed, offering a transparent blueprint for next-generation, trustworthy personal health informatics systems.
Track: 1. Biomedical Sensor Informatics
Registration Id: RRNSSXZDXV8
Submission Number: 174
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