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Enterprise AI Analysis: SePA: A Search-enhanced Predictive Agent for Personalized Health Coaching

Enterprise AI Analysis

SePA: A Search-enhanced Predictive Agent for Personalized Health Coaching

This paper introduces SePA (Search-enhanced Predictive AI Agent), a novel LLM health coaching system that integrates personalized machine learning and retrieval-augmented generation to deliver adaptive, evidence-based guidance, designed to overcome limitations in existing systems by incorporating transparency and evidence-based coaching principles.

Key Performance Indicators & Impact

SePA significantly advances personalized health coaching through superior predictive accuracy and robust, verifiable guidance.

0.0 Stress Prediction Accuracy (PHM)
0.0 Injury Risk Prediction Accuracy (PHM)
0.0 RAG Performance Lift in LLMs
0 Expert First-Place Votes for SePA-web

Deep Analysis & Enterprise Applications

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Predictive Modeling
Retrieval-Augmented Generation (RAG)
System Architecture & Privacy
Performance & Latency
R² > 0.50 Stress Prediction Accuracy with Personalized Models

SePA's Personalized Health Models (PHMs) achieve a robust coefficient of determination (R²) of over 0.50 for stress predictions, and over 0.40 for injury risk, significantly outperforming generalized baselines.

Feature Personalized Models (PHMs) Generalized Models (XGBoost)
Accuracy
  • Superior R²: >0.50 stress, >0.40 injury risk, ~0.28 soreness
  • Significantly outperforms baselines
  • Modest R²: ~0.15 for soreness
  • Negative R² for stress/injury risk
Data Requirement
  • Requires >15 days of historical user labels
  • Learns individual physiological baselines
  • Immediate utility for new users (cold-start)
  • Trained on pooled cohort data
Key Mechanism
  • Participant-specific embeddings
  • Neural network architecture
  • XGBoost on pooled athlete cohort data
  • Less adaptable to inter-individual variability
Aspect SePA's RAG Pipeline Prior RAG Systems (e.g., PHIA)
Contextual Relevance
  • Personalized: Uses real-time ML risk predictions (stress, soreness, injury) and demographics to contextualize search queries.
  • Lacks real-time biometric/risk personalization for searches.
Trustworthiness
  • Verified Sources: Restricts retrieval to a curated whitelist of 35 trusted domains (professional societies, medical centers, PubMed).
  • Enforces strict citation requirements.
  • Retrieves from unrestricted public web.
  • Often lacks verified sources or trust mechanisms.
Transparency & Reproducibility
  • Open-source: Web-retrieval pipeline, domain whitelist, and prompt templates publicly available.
  • Closed-source, key components often undocumented.
1.35 Mean Rank Expert Preference for RAG-enhanced Advice

A pilot expert study showed SePA-web achieved a superior mean rank of 1.35 compared to 1.65 for the SePA-no-web system, with a meaningful practical effect (Cliff's δ=0.30).

SePA's Web Retrieval Pipeline Flow

Query Contextualization
Cache Check
Trusted Retrieval
Scraping & Cleaning
Document-Level Reranking
Semantic Similarity Search
Response Synthesis

Ensuring Trust and Confidentiality in Health AI

SePA's architecture prioritizes user privacy through three critical layers: (1) Raw user health data is ephemeral and deleted post-processing. (2) No personally identifiable information is ever sent to external APIs; only anonymized search queries are transmitted. (3) Users can opt for no-retention LLM endpoints that discard all data after inference. This multi-layered approach provides a transparent and reproducible blueprint for critical system components, fostering community scrutiny and improvement.

Key Takeaway: SePA provides a transparent and reproducible blueprint for critical system components, fostering community scrutiny and improvement.

19.69s Median Response Time with Web Retrieval Enabled

Enabling SePA's web-retrieval pipeline increases the median response time from 4.41s to 19.69s, reflecting the inherent overhead of multi-step retrieval processes (document fetching, processing, reranking, and semantic search).

Optimizing for Real-time Health Coaching

The design of SePA reflects a crucial trade-off between response quality and system latency. Our model selection balances retrieval quality with real-time interactivity within typical web server hardware constraints. While larger models might boost accuracy, their latency would be prohibitive for conversational contexts. This highlights that future optimization is crucial, potentially through techniques like model distillation, to enhance user experience without sacrificing guidance quality.

Key Takeaway: Future optimization through techniques like model distillation can improve user experience without sacrificing guidance quality.

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Your AI Implementation Roadmap

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Discovery & Strategy

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Pilot Program & Proof of Concept

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Full-Scale Deployment & Integration

Expand the solution across the enterprise, robust system integration, comprehensive training, and continuous optimization.

Monitoring & Continuous Improvement

Ongoing performance monitoring, regular updates, iterative enhancements based on feedback and new data, and long-term support.

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