"What's Up, Doc?": Analyzing How Users Seek Health Information in Large-Scale Conversational AI Datasets

People are increasingly seeking healthcare information from large language models (LLMs) via interactive chatbots, yet the nature and inherent risks of these conversations remain largely unexplored. In this paper, we filter large-scale conversational AI datasets to achieve HealthChat-11K, a curated dataset of 11K real-world conversations composed of 25K user messages. We use HealthChat-11K and a clinician-driven taxonomy for how users interact with LLMs when seeking healthcare information in order to systematically study user interactions across 21 distinct health specialties. Our analysis reveals insights into the nature of how and why users seek health information, such as common interactions, instances of incomplete context, affective behaviors, and interactions (e.g., leading questions) that can induce sycophancy, underscoring the need for improvements in the healthcare support capabilities of LLMs deployed as conversational AI. Code and artifacts to retrieve our analyses and combine them into a curated dataset can be found here: https://github.com/yahskapar/HealthChat

Steerable Chatbots: Personalizing LLMs with Preference-Based Activation Steering

As large language models (LLMs) improve in their capacity to serve as personal AI assistants, their ability to output uniquely tailored, personalized responses that align with the soft preferences of their users is essential for enhancing user satisfaction and retention. However, untrained lay users have poor prompt specification abilities and often struggle with conveying their latent preferences to AI assistants. To address this, we leverage activation steering to guide LLMs to align with interpretable preference dimensions during inference. In contrast to memory-based personalization methods that require longer user history, steering is extremely lightweight and can be easily controlled by the user via an linear strength factor. We embed steering into three different interactive chatbot interfaces and conduct a within-subjects user study (n=14) to investigate how end users prefer to personalize their conversations. The results demonstrate the effectiveness of preference-based steering for aligning real-world conversations with hidden user preferences, and highlight further insights on how diverse values around control, usability, and transparency lead users to prefer different interfaces.

ClearBuds: Wireless Binaural Earbuds for Learning-Based Speech Enhancement

We present ClearBuds, the first hardware and software system that utilizes a neural network to enhance speech streamed from two wireless earbuds. Real-time speech enhancement for wireless earbuds requires high-quality sound separation and background cancellation, operating in real-time and on a mobile phone. Clear-Buds bridges state-of-the-art deep learning for blind audio source separation and in-ear mobile systems by making two key technical contributions: 1) a new wireless earbud design capable of operating as a synchronized, binaural microphone array, and 2) a lightweight dual-channel speech enhancement neural network that runs on a mobile device. Our neural network has a novel cascaded architecture that combines a time-domain conventional neural network with a spectrogram-based frequency masking neural network to reduce the artifacts in the audio output. Results show that our wireless earbuds achieve a synchronization error less than 64 microseconds and our network has a runtime of 21.4 milliseconds on an accompanying mobile phone. In-the-wild evaluation with eight users in previously unseen indoor and outdoor multipath scenarios demonstrates that our neural network generalizes to learn both spatial and acoustic cues to perform noise suppression and background speech removal. In a user-study with 37 participants who spent over 15.4 hours rating 1041 audio samples collected in-the-wild, our system achieves improved mean opinion score and background noise suppression. Project page with demos: https://clearbuds.cs.washington.edu