AI-enhanced conversational agents for personalized asthma support Factors for engagement, value and efficacy

Asthma-related deaths in the UK are the highest in Europe, and only 30% of patients access basic care. There is a need for alternative approaches to reaching people with asthma in order to provide health education, self-management support and bridges to care. Automated conversational agents (specifically, mobile chatbots) present opportunities for providing alternative and individually tailored access to health education, self-management support and risk self-assessment. But would patients engage with a chatbot, and what factors influence engagement? We present results from a patient survey (N=1257) devised by a team of asthma clinicians, patients, and technology developers, conducted to identify optimal factors for efficacy, value and engagement for a chatbot. Results indicate that most adults with asthma (53%) are interested in using a chatbot and the patients most likely to do so are those who believe their asthma is more serious and who are less confident about self-management. Results also indicate enthusiasm for 24/7 access, personalisation, and for WhatsApp as the preferred access method (compared to app, voice assistant, SMS or website). Obstacles to uptake include security/privacy concerns and skepticism of technological capabilities. We present detailed findings and consolidate these into 7 recommendations for developers for optimising efficacy of chatbot-based health support.

Towards culturally-appropriate conversational AI for health in the majority world: An exploratory study with citizens and professionals in Latin America

There is justifiable interest in leveraging conversational AI (CAI) for health across the majority world, but to be effective, CAI must respond appropriately within culturally and linguistically diverse contexts. Therefore, we need ways to address the fact that current LLMs exclude many lived experiences globally. Various advances are underway which focus on top-down approaches and increasing training data. In this paper, we aim to complement these with a bottom-up locally-grounded approach based on qualitative data collected during participatory workshops in Latin America. Our goal is to construct a rich and human-centred understanding of: a) potential areas of cultural misalignment in digital health; b) regional perspectives on chatbots for health and c)strategies for creating culturally-appropriate CAI; with a focus on the understudied Latin American context. Our findings show that academic boundaries on notions of culture lose meaning at the ground level and technologies will need to engage with a broader framework; one that encapsulates the way economics, politics, geography and local logistics are entangled in cultural experience. To this end, we introduce a framework for 'Pluriversal Conversational AI for Health' which allows for the possibility that more relationality and tolerance, rather than just more data, may be called for.

A Toolkit for Compliance, a Toolkit for Justice: Drawing on Cross-sectoral Expertise to Develop a Pro-justice EU AI Act Toolkit

The introduction of the AI Act in the European Union presents the AI research and practice community with a set of new challenges related to compliance. While it is certain that AI practitioners will require additional guidance and tools to meet these requirements, previous research on toolkits that aim to translate the theory of AI ethics into development and deployment practice suggests that such resources suffer from multiple limitations. These limitations stem, in part, from the fact that the toolkits are either produced by industry-based teams or by academics whose work tends to be abstract and divorced from the realities of industry. In this paper, we discuss the challenge of developing an AI ethics toolkit for practitioners that helps them comply with new AI-focused regulation, but that also moves beyond mere compliance to consider broader socio-ethical questions throughout development and deployment. The toolkit was created through a cross-sectoral collaboration between an academic team based in the UK and an industry team in Italy. We outline the background and rationale for creating a pro-justice AI Act compliance toolkit, detail the process undertaken to develop it, and describe the collaboration and negotiation efforts that shaped its creation. We aim for the described process to serve as a blueprint for other teams navigating the challenges of academia-industry partnerships and aspiring to produce usable and meaningful AI ethics resources.