Publication: Proceedings from SOUPS ’25 – Can You Walk Me Through It? Explainable SMS Phishing Detection using LLM-based Agents

Authors: Yizhu Wang, Haoyu Zhai, Chenkai Wang, Qingying Hao, Nick A Cohen, Roopa Foulger, Jonathan A Handler, and Gang Wang. Abstract SMS phishing poses a significant threat to users, especially older adults. Existing defenses mainly focus on phishing detection, but often cannot explain why the SMS is malicious to lay users. In this paper, we use large language models (LLMs) to detect SMS phishing while generating evidence-based explanations. The key challenge is that SMS is short, lacking the necessary context for security reasoning. We develop a prototype called SmishX which gathers external contexts (e.g., domain and brand information, URL redirection, and web screenshots) to augment the chain-of-thought (CoT) reasoning of LLMs. Then, the reasoning process is converted into a short explanation message to help users with their decision-making. Evaluation using real-world SMS datasets shows SmishX can achieve…

Continue ReadingPublication: Proceedings from SOUPS ’25 – Can You Walk Me Through It? Explainable SMS Phishing Detection using LLM-based Agents

Publication: Causal Directed Acyclic Graph-informed Reward Design

Authors: Luton Zou, Ziping Xu, Daiqi Gao, Susan Murphy Abstract It is well known that in reinforcement learning (RL) different reward functions may lead to the same optimal policy, while some reward functions can be substantially easier to learn. In this paper, we propose a framework for reward design by constructing surrogate rewards with mediators informed by causal directed acyclic graphs (DAGs), which are often available in real-world applications through domain knowledge. We show that under the surrogacy assumption, the proposed reward is unbiased and has lower variance than the primary reward. Specifically, we use an online reward design agent that adaptively learns the target surrogate reward in an unknown environment. Feeding the surrogate rewards to standard online learning oracles, we show that the regret bound can be improved. Our framework provides a theoretical improvement…

Continue ReadingPublication: Causal Directed Acyclic Graph-informed Reward Design

Publication: Digital Twins for Just-in-Time Adaptive Interventions (JITAI-Twins): A Framework for Optimizing and Continually Improving JITAIs

Authors: Asim H. Gazi, Daiqi Gao, Susobhan Ghosh, Ziping Xu, Anna Trella, Predrag Klasnja, Susan A. Murphy Abstract Just-in-time adaptive interventions (JITAIs) are nascent precision medicine systems that extend personalized healthcare support to everyday life. A challenge in designing JITAIs is that personalized support often involves sophisticated decision-making algorithms. These decision-making algorithms can require numerous non-trivial design decisions that must be made between successive JITAI deployments (e.g., hyperparameter selection for an artificial intelligence algorithm). Making design decisions between deployments–rather than during deployment–ensures intervention fidelity and enhances the ability to replicate results. Yet, each deployment can be costly, precluding the use of A/B testing for every design decision. How should design decisions be made strategically between JITAI deployments? This paper introduces digital twins for just-in-time adaptive interventions (JITAI-Twins) to address this question. JITAI-Twins are “digital twins…

Continue ReadingPublication: Digital Twins for Just-in-Time Adaptive Interventions (JITAI-Twins): A Framework for Optimizing and Continually Improving JITAIs

Publication: Returning Individualized Wearable Sensor Results to Older Adult Research Participants: A Pilot Study

Authors: Shelby L Bachman, Krista S Leonard-Corzo, Jennifer M Blankenship, Michael A Busa, Corinna Serviente, Matthew W Limoges, Robert T Marcotte, Ieuan Clay, Kate Lyden Abstract Background: Wearable sensors that monitor physical behaviors are increasingly adopted in clinical research. Older adult research participants have expressed interest in tracking and receiving feedback on their physical behaviors. Simultaneously, researchers and clinical trial sponsors are interested in returning results to participants, but the question of how to return individual study results derived from research-grade wearable sensors remains unanswered. In this study, we (1) assessed the feasibility of returning individual physical behavior results to older adult research participants and (2) obtained participant feedback on the returned results. Methods: Older adult participants (N = 20; ages 67-96) underwent 14 days of remote monitoring with 2 wearable sensors. We then used a semiautomated…

Continue ReadingPublication: Returning Individualized Wearable Sensor Results to Older Adult Research Participants: A Pilot Study

Publication: Predicting Orthostatic Symptoms Using a Multiparameter Wearable Sensor

Authors: Ziad A Elhajjaji, Amar S Basu Abstract Orthostatic disorders affect 30% of older adults and increase the risk for falls. The current diagnostic standard, the blood pressure cuff, cannot capture the rapid, multifaceted dynamics of orthostasis physiology, resulting in frequent underdiagnosis. This paper demonstrates multiparameter, real-time measurement of orthostasis using TRACE, an earlobe mounted wearable developed in our group. In prior work, we demonstrated a novel metric called orthostatic hypovolemia (OHV1), the initial loss in cephalic (head) blood volume immediately upon standing. This study significantly advances our prior work by introducing an additional 2 metrics: OHV2, the cephalic blood volume deficit after the body achieves homeostasis after standing; and postural orthostatic tachycardia (POT), the increase in heart rate. The 3 metrics were evaluated in 101 older adults who wore the TRACE device during postural…

Continue ReadingPublication: Predicting Orthostatic Symptoms Using a Multiparameter Wearable Sensor

Publication: Oscillometric blood pressure measurements on smartphones using vibrometric force estimation

Authors: Colin Barry, Yinan Xuan, Ava Fascetti, Alison Moore, Edward J Wang Abstract This paper proposes a smartphone-based method for measuring Blood Pressure (BP) using the oscillometric method. For oscillometry, it is necessary to measure (1) the pressure applied to the artery and (2) the local blood volume change. This is accomplished by performing an oscillometric measurement at the finger's digital artery, whereby a user presses down on the phone's camera with steadily increasing force. The camera is used to capture the blood volume change using photoplethysmography. We devised a novel method for measuring the force applied of the finger without the use of specialized smartphone hardware with a technique called Vibrometric Force Estimation (VFE). The fundamental concept of VFE relies on a phenomenon where a vibrating object is dampened when an external force is…

Continue ReadingPublication: Oscillometric blood pressure measurements on smartphones using vibrometric force estimation

Publication: ACM 2024 Conference Proceeds – Development of a One Dollar Blood Pressure Monitor

Authors: Yinan Xuan, Ava J. Fascetti, Colin Barry, Edward J. Wang Abstract BPClip is an ultra-low-cost cuffless blood pressure monitor. As a universal smartphone attachment, BPClip leverages the computational imaging power of smartphones to perform oscillometry based blood pressure measurements. This paper examines different design considerations in BPClip's development. The cost and accuracy of blood pressure measurements are the central design goals. Both requirements are achieved with the initial prototype that achieves a 0.80 USD material cost and a mean absolute error of 8.72 and 5.49 mmHg for systolic and diastolic blood pressure, respectively. Since a main motivator to develop BPClip is making blood pressure monitoring more accessible, usability is also central to the design. User studies were conducted throughout the design process to inform the most intuitive and accessible design features. In this paper,…

Continue ReadingPublication: ACM 2024 Conference Proceeds – Development of a One Dollar Blood Pressure Monitor