Reducing Annotation Burden in Physical Activity Research Using Vision-Language Models
Abram Schonfeldt, Benjamin Maylor, Xiaofang Chen, Ronald Clark, Aiden Doherty
TL;DR
Reducing annotation burden in physical activity research using vision-language models investigates whether open-source vision-language models (VLMs) and discriminative models can predict activity-intensity classes from wearable camera images in two large free-living cohorts. The study compares dual-encoder CLIP and generative BLIP2/LLaVA against standard discriminative baselines, finding strong sedentary-behaviour predictions in the Oxfordshire cohort but substantial generalization gaps to the Sichuan cohort, with SB being the most reliably detected class. Key findings show that freely available VLMs can help annotate sedentary behaviour and reduce annotation workload in similar populations, though cross-population generalization and low-frame-rate issues remain significant challenges. The authors advocate using the best-performing models to label SB in free-living studies and suggest upgrading to video-capable wearables to improve ground-truth reliability, while outlining avenues for continual learning and uncertainty quantification to enhance robustness.
Abstract
Introduction: Data from wearable devices collected in free-living settings, and labelled with physical activity behaviours compatible with health research, are essential for both validating existing wearable-based measurement approaches and developing novel machine learning approaches. One common way of obtaining these labels relies on laborious annotation of sequences of images captured by cameras worn by participants through the course of a day. Methods: We compare the performance of three vision language models and two discriminative models on two free-living validation studies with 161 and 111 participants, collected in Oxfordshire, United Kingdom and Sichuan, China, respectively, using the Autographer (OMG Life, defunct) wearable camera. Results: We found that the best open-source vision-language model (VLM) and fine-tuned discriminative model (DM) achieved comparable performance when predicting sedentary behaviour from single images on unseen participants in the Oxfordshire study; median F1-scores: VLM = 0.89 (0.84, 0.92), DM = 0.91 (0.86, 0.95). Performance declined for light (VLM = 0.60 (0.56,0.67), DM = 0.70 (0.63, 0.79)), and moderate-to-vigorous intensity physical activity (VLM = 0.66 (0.53, 0.85); DM = 0.72 (0.58, 0.84)). When applied to the external Sichuan study, performance fell across all intensity categories, with median Cohen's kappa-scores falling from 0.54 (0.49, 0.64) to 0.26 (0.15, 0.37) for the VLM, and from 0.67 (0.60, 0.74) to 0.19 (0.10, 0.30) for the DM. Conclusion: Freely available computer vision models could help annotate sedentary behaviour, typically the most prevalent activity of daily living, from wearable camera images within similar populations to seen data, reducing the annotation burden.
