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On-Device Language Models for Privacy-Preserving Stress Prediction: A Multimodal Evaluation on Mobile Health

Aug 2026 · IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies · pp. 326-331 · 0 citations · 21 references
Computer Science

TL;DR

This work evaluates ODLMs for multi-modal stress prediction using zero-shot prompting, measuring predictive accuracy alongside latency and throughput, and shows that objective sensor features marginally outperform subjective self-reports on average and that lightweight sub-2B models achieve low latency with predictable resource usage.

Abstract

Stress is a pervasive determinant of mental health and a key target for mobile health interventions. On-device language models (ODLMs) offer privacy-preserving inference without cloud dependency, yet their feasibility for health prediction under mobile resource constraints remains underexplored. We evaluate ODLMs for multi-modal stress prediction using zero-shot prompting, measuring predictive accuracy alongside latency and throughput. Our results show that objective sensor features marginally outperform subjective self-reports on average, and that lightweight sub-2B models achieve low latency with predictable resource usage. Our findings highlight both the promise and the practical constraints of ODLMs for mobile mental health.

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