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Xuhai Xu

Xuhai Xu contributes to research discovery and scholarly infrastructure.

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Published work

4 published item(s)

preprint2026arXiv

Deco: Extending Personal Physical Objects into Pervasive AI Companion through a Dual-Embodiment Framework

Individuals frequently form deep attachments to physical objects (e.g., plush toys) that usually cannot sense or respond to their emotions. While AI companions offer responsiveness and personalization, they exist independently of these physical objects and lack an ongoing connection to them. To bridge this gap, we conducted a formative study (N=9) to explore how digital agents could inherit and extend the emotional bond, deriving four design principles (Faithful Identity, Calibrated Agency, Ambient Presence, and Reciprocal Memory). We then present the Dual-Embodiment Companion Framework, instantiated as Deco, a mobile system integrating multimodal Large Language Models (LLMs) and Augmented Reality to create synchronized digital embodiments of users' physical companions. A within-subjects study (N=25) showed Deco significantly outperformed a personalized LLM-empowered digital companion baseline on perceived companionship, emotional bond, and design-principle scales (all p<0.01). A seven-day field deployment (N=17) showed sustained engagement, subjective well-being improvement (p=.040), and three key relational patterns: digital activities retroactively vitalized physical objects, bond deepening was driven by emotional engagement depth rather than interaction frequency, and users sustained bonds while actively navigating digital companions' AI nature. This work highlights a promising alternative for designing digital companions: moving from creating new relationships to dual embodiment, where digital agents seamlessly extend the emotional history of physical objects.

preprint2026arXiv

Toward Global Large Language Models in Medicine

Despite continuous advances in medical technology, the global distribution of health care resources remains uneven. The development of large language models (LLMs) has transformed the landscape of medicine and holds promise for improving health care quality and expanding access to medical information globally. However, existing LLMs are primarily trained on high-resource languages, limiting their applicability in global medical scenarios. To address this gap, we constructed GlobMed, a large multilingual medical dataset, containing over 500,000 entries spanning 12 languages, including four low-resource languages. Building on this, we established GlobMed-Bench, which systematically assesses 56 state-of-the-art proprietary and open-weight LLMs across multiple multilingual medical tasks, revealing significant performance disparities across languages, particularly for low-resource languages. Additionally, we introduced GlobMed-LLMs, a suite of multilingual medical LLMs trained on GlobMed, with parameters ranging from 1.7B to 8B. GlobMed-LLMs achieved an average performance improvement of over 40% relative to baseline models, with a more than threefold increase in performance on low-resource languages. Together, these resources provide an important foundation for advancing the equitable development and application of LLMs globally, enabling broader language communities to benefit from technological advances.

preprint2022arXiv

Enabling hand gesture customization on wrist-worn devices

We present a framework for gesture customization requiring minimal examples from users, all without degrading the performance of existing gesture sets. To achieve this, we first deployed a large-scale study (N=500+) to collect data and train an accelerometer-gyroscope recognition model with a cross-user accuracy of 95.7% and a false-positive rate of 0.6 per hour when tested on everyday non-gesture data. Next, we design a few-shot learning framework which derives a lightweight model from our pre-trained model, enabling knowledge transfer without performance degradation. We validate our approach through a user study (N=20) examining on-device customization from 12 new gestures, resulting in an average accuracy of 55.3%, 83.1%, and 87.2% on using one, three, or five shots when adding a new gesture, while maintaining the same recognition accuracy and false-positive rate from the pre-existing gesture set. We further evaluate the usability of our real-time implementation with a user experience study (N=20). Our results highlight the effectiveness, learnability, and usability of our customization framework. Our approach paves the way for a future where users are no longer bound to pre-existing gestures, freeing them to creatively introduce new gestures tailored to their preferences and abilities.

preprint2021arXiv

MetaPhys: Few-Shot Adaptation for Non-Contact Physiological Measurement

There are large individual differences in physiological processes, making designing personalized health sensing algorithms challenging. Existing machine learning systems struggle to generalize well to unseen subjects or contexts and can often contain problematic biases. Video-based physiological measurement is not an exception. Therefore, learning personalized or customized models from a small number of unlabeled samples is very attractive as it would allow fast calibrations to improve generalization and help correct biases. In this paper, we present a novel meta-learning approach called MetaPhys for personalized video-based cardiac measurement for contactless pulse and heart rate monitoring. Our method uses only 18-seconds of video for customization and works effectively in both supervised and unsupervised manners. We evaluate our proposed approach on two benchmark datasets and demonstrate superior performance in cross-dataset evaluation with substantial reductions (42% to 44%) in errors compared with state-of-the-art approaches. We have also demonstrated our proposed method significantly helps reduce the bias in skin type.