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"Are You Okay, Honey?": Recognizing Emotions Among Couples Managing Diabetes in Daily Life Using Multimodal
George Boateng1, Xiangyu Zhao2, Malgorzata Speichert3
1Department of Management, Technology, and Economics, ETH Zurich, 8092 Zurich, Switzerland.
Sensors (Basel, Switzerland)
|May 27, 2026
Summary
This study developed machine learning models to recognize emotions in couples managing chronic diseases using smartwatch data. The models achieved 63.8% arousal and 78.1% valence accuracy, outperforming previous methods.
Area of Science:
- Health Informatics
- Affective Computing
- Human-Computer Interaction
Background:
- Chronic disease management significantly impacts couples' emotional well-being.
- Current emotion assessment methods for couples are manual, time-consuming, and expensive.
- Existing emotion recognition research lacks data from couples' daily interactions.
Purpose of the Study:
- To develop and evaluate automated emotion recognition models for partners in couples managing chronic diseases.
- To investigate the feasibility of using real-world multimodal sensor data for emotion recognition in daily life.
- To improve understanding of emotional well-being within couples managing chronic conditions.
Main Methods:
- Collected 85 hours of multimodal smartwatch sensor data (speech, heart rate, accelerometer, gyroscope) and self-reported emotions from 26 partners (13 couples) with type 2 diabetes.
- Extracted physiological, movement, acoustic, and linguistic features from the collected data.
- Trained and evaluated machine learning models (Support Vector Machine, Random Forest) for recognizing self-reported valence and arousal.
Main Results:
- The best models achieved balanced accuracies of 63.8% for arousal and 78.1% for valence.
- Performance surpassed chance, prior work with similar populations, and partners' own perceptions.
- Demonstrated the effectiveness of using real-world sensor data for emotion recognition in couples.
Conclusions:
- Automated emotion recognition systems are feasible for couples managing chronic diseases using daily life data.
- These systems can provide insights into partners' emotional states, aiding well-being.
- Future interventions can leverage these technologies to support couples' emotional health during chronic illness management.
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