用手机日记+大模型分析癌症幸存者情绪,找干预最佳时机
CALLM: Understanding Cancer Survivors' Emotions and Intervention Opportunities via Mobile Diaries and Context-Aware Language Models
- 基于检索增强的大模型框架,融合个人日记与同辈经验分析情绪
- 对正负情绪、调节意愿等预测准确率达73%以上,干预可用性识别达60%
- 揭示医疗/行政类情境易引发负面情绪,休闲活动则促进积极情绪
癌症幸存者面临独特的心理挑战,影响生活质量。手机日记为追踪情绪状态、提升自我觉察和促进健康结果提供了有效途径。本文通过分析407名癌症幸存者的手机日记,探索其情绪状态及即时干预机会的关键变量,包括情绪调节意愿和干预参与可行性。尽管现有情感分析工具在文本中识别情绪具潜力,但缺乏对简短日记叙述的上下文理解能力。研究发现,描述的背景与情绪状态存在系统性关联:行政与健康相关情境常伴随负面情绪与调节需求,而休闲活动则促进积极情绪。为此提出CALLM框架,利用具备检索增强生成(RAG)能力的大语言模型,结合同行经历与个人日记历史,分析这些短文本。CALLM在正向情绪、负向情绪、情绪调节意愿预测上准确率分别达到72.96%、73.29%、73.72%,干预可用性识别准确率为60.09%,优于基线模型。后验分析显示,模型置信度强预测准确性,更长的日记条目有助于性能提升,短期个性化调整即可带来显著改善。研究证明,可有效利用手机日记中的上下文信息,理解情绪体验,预测关键状态,并识别个性化即时支持的最佳时机。
原文摘要 · Abstract (English)
Cancer survivors face unique emotional challenges that impact their quality of life. Mobile diary entries provide a promising method for tracking emotional states, improving self-awareness, and promoting well-being outcome. This paper aims to, through mobile diaries, understand cancer survivors' emotional states and key variables related to just-in-time intervention opportunities, including the desire to regulate emotions and the availability to engage in interventions. Although emotion analysis tools show potential for recognizing emotions from text, current methods lack the contextual understanding necessary to interpret brief mobile diary narratives. Our analysis of diary entries from cancer survivors (N=407) reveals systematic relationships between described contexts and emotional states, with administrative and health-related contexts associated with negative affect and regulation needs, while leisure activities promote positive emotions. We propose CALLM, a Context-Aware framework leveraging Large Language Models (LLMs) with Retrieval-Augmented Generation (RAG) to analyze these brief entries by integrating retrieved peer experiences and personal diary history. CALLM demonstrates strong performance with balanced accuracies reaching 72.96% for positive affect, 73.29% for negative affect, 73.72% for emotion regulation desire, and 60.09% for intervention availability, outperforming language model baselines. Post-hoc analysis reveals that model confidence strongly predicts accuracy, with longer diary entries generally enhancing performance, and brief personalization periods yielding meaningful improvements. Our findings demonstrate how contextual information in mobile diaries can be effectively leveraged to understand emotional experiences, predict key states, and identify optimal intervention moments for personalized just-in-time support.
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