Abstract:Most personal wellbeing apps present summative dashboards of health and physical activity metrics, yet many users struggle to translate this information into meaningful understanding. These apps commonly support engagement through goals, reminders, and structured targets, which can reinforce comparison, judgment, and performance anxiety. To explore a complementary approach that prioritizes self-reflection, we design KRIYA, an AI wellbeing companion that supports co-interpretive engagement with personal wellbeing data. KRIYA aims to collaborate with users to explore questions, explanations, and future scenarios through features such as Comfort Zone, Detective Mode, and What-If Planning. We conducted semi-structured interviews with 18 college students interacting with a KRIYA prototype using hypothetical data. Our findings show that through KRIYA interaction, users framed engaging with wellbeing data as interpretation rather than performance, experienced reflection as supportive or pressuring depending on emotional framing, and developed trust through transparency. We discuss design implications for AI companions that support curiosity, self-compassion, and reflective sensemaking of personal health data.
Abstract:News consumption on social media has become ubiquitous, yet how different forms of engagement shape psychosocial outcomes remains unclear. To address this gap, we leveraged a large-scale dataset of ~26M posts and ~45M comments on the BlueSky platform, and conducted a quasi-experimental study, matching 81,345 Treated users exposed to News feeds with 83,711 Control users using stratified propensity score analysis. We examined psychosocial wellbeing, in terms of affective, behavioral, and cognitive outcomes. Our findings reveal that news engagement produces systematic trade-offs: increased depression, stress, and anxiety, yet decreased loneliness and increased social interaction on the platform. Regression models reveal that News feed bookmarking is associated with greater psychosocial deterioration compared to commenting or quoting, with magnitude differences exceeding tenfold. These per-engagement effects accumulate with repeated exposure, showing significant psychosocial impacts. Our work extends theories of news effects beyond crisis-centric frameworks by demonstrating that routine consumption creates distinct psychological dynamics depending on engagement type, and bears implications for tools and interventions for mitigating the psychosocial costs of news consumption on social media.
Abstract:Caregivers seeking AI-mediated support express complex needs -- information-seeking, emotional validation, and distress cues -- that warrant careful evaluation of response safety and appropriateness. Existing AI evaluation frameworks, primarily focused on general risks (toxicity, hallucinations, policy violations, etc), may not adequately capture the nuanced risks of LLM-responses in caregiving-contexts. We introduce RubRIX (Rubric-based Risk Index), a theory-driven, clinician-validated framework for evaluating risks in LLM caregiving responses. Grounded in the Elements of an Ethic of Care, RubRIX operationalizes five empirically-derived risk dimensions: Inattention, Bias & Stigma, Information Inaccuracy, Uncritical Affirmation, and Epistemic Arrogance. We evaluate six state-of-the-art LLMs on over 20,000 caregiver queries from Reddit and ALZConnected. Rubric-guided refinement consistently reduced risk-components by 45-98% after one iteration across models. This work contributes a methodological approach for developing domain-sensitive, user-centered evaluation frameworks for high-burden contexts. Our findings highlight the importance of domain-sensitive, interactional risk evaluation for the responsible deployment of LLMs in caregiving support contexts. We release benchmark datasets to enable future research on contextual risk evaluation in AI-mediated support.
Abstract:Large language models (LLMs) are increasingly used for mental health support, yet they can produce responses that are overly directive, inconsistent, or clinically misaligned, particularly in sensitive or high-risk contexts. Existing approaches to mitigating these risks largely rely on implicit alignment through training or prompting, offering limited transparency and runtime accountability. We introduce PAIR-SAFE, a paired-agent framework for auditing and refining AI-generated mental health support that integrates a Responder agent with a supervisory Judge agent grounded in the clinically validated Motivational Interviewing Treatment Integrity (MITI-4) framework. The Judgeaudits each response and provides structuredALLOW or REVISE decisions that guide runtime response refinement. We simulate counseling interactions using a support-seeker simulator derived from human-annotated motivational interviewing data. We find that Judge-supervised interactions show significant improvements in key MITI dimensions, including Partnership, Seek Collaboration, and overall Relational quality. Our quantitative findings are supported by qualitative expert evaluation, which further highlights the nuances of runtime supervision. Together, our results reveal that such pairedagent approach can provide clinically grounded auditing and refinement for AI-assisted conversational mental health support.
Abstract:Conspiratorial discourse is increasingly embedded within digital communication ecosystems, yet its structure and spread remain difficult to study. This work analyzes conspiratorial narratives in Singapore-based Telegram groups, showing that such content is woven into everyday discussions rather than confined to isolated echo chambers. We propose a two-stage computational framework. First, we fine-tune RoBERTa-large to classify messages as conspiratorial or not, achieving an F1-score of 0.866 on 2,000 expert-labeled messages. Second, we build a signed belief graph in which nodes represent messages and edge signs reflect alignment in belief labels, weighted by textual similarity. We introduce a Signed Belief Graph Neural Network (SiBeGNN) that uses a Sign Disentanglement Loss to learn embeddings that separate ideological alignment from stylistic features. Using hierarchical clustering on these embeddings, we identify seven narrative archetypes across 553,648 messages: legal topics, medical concerns, media discussions, finance, contradictions in authority, group moderation, and general chat. SiBeGNN yields stronger clustering quality (cDBI = 8.38) than baseline methods (13.60 to 67.27), supported by 88 percent inter-rater agreement in expert evaluations. Our analysis shows that conspiratorial messages appear not only in clusters focused on skepticism or distrust, but also within routine discussions of finance, law, and everyday matters. These findings challenge common assumptions about online radicalization by demonstrating that conspiratorial discourse operates within ordinary social interaction. The proposed framework advances computational methods for belief-driven discourse analysis and offers applications for stance detection, political communication studies, and content moderation policy.




Abstract:Limited English proficiency (LEP) patients in the U.S. face systemic barriers to healthcare beyond language and interpreter access, encompassing procedural and institutional constraints. AI advances may support communication and care through on-demand translation and visit preparation, but also risk exacerbating existing inequalities. We conducted storyboard-driven interviews with 14 patient navigators to explore how AI could shape care experiences for Spanish-speaking LEP individuals. We identified tensions around linguistic and cultural misunderstandings, privacy concerns, and opportunities and risks for AI to augment care workflows. Participants highlighted structural factors that can undermine trust in AI systems, including sensitive information disclosure, unstable technology access, and low digital literacy. While AI tools can potentially alleviate social barriers and institutional constraints, there are risks of misinformation and uprooting human camaraderie. Our findings contribute design considerations for AI that support LEP patients and care teams via rapport-building, education, and language support, and minimizing disruptions to existing practices.




Abstract:AI-powered companion chatbots (AICCs) such as Replika are increasingly popular, offering empathetic interactions, yet their psychosocial impacts remain unclear. We examined how engaging with AICCs shaped wellbeing and how users perceived these experiences. First, we conducted a large-scale quasi-experimental study of longitudinal Reddit data, applying stratified propensity score matching and Difference-in-Differences regression. Findings revealed mixed effects -- greater affective and grief expression, readability, and interpersonal focus, alongside increases in language about loneliness and suicidal ideation. Second, we complemented these results with 15 semi-structured interviews, which we thematically analyzed and contextualized using Knapp's relationship development model. We identified trajectories of initiation, escalation, and bonding, wherein AICCs provided emotional validation and social rehearsal but also carried risks of over-reliance and withdrawal. Triangulating across methods, we offer design implications for AI companions that scaffold healthy boundaries, support mindful engagement, support disclosure without dependency, and surface relationship stages -- maximizing psychosocial benefits while mitigating risks.




Abstract:Workplace negotiations are undermined by psychological barriers, which can even derail well-prepared tactics. AI offers personalized and always -- available negotiation coaching, yet its effectiveness for negotiation preparedness remains unclear. We built Trucey, a prototype AI coach grounded in Brett's negotiation model. We conducted a between-subjects experiment (N=267), comparing Trucey, ChatGPT, and a traditional negotiation Handbook, followed by in-depth interviews (N=15). While Trucey showed the strongest reductions in fear relative to both comparison conditions, the Handbook outperformed both AIs in usability and psychological empowerment. Interviews revealed that the Handbook's comprehensive, reviewable content was crucial for participants' confidence and preparedness. In contrast, although participants valued AI's rehearsal capability, its guidance often felt verbose and fragmented -- delivered in bits and pieces that required additional effort -- leaving them uncertain or overwhelmed. These findings challenge assumptions of AI superiority and motivate hybrid designs that integrate structured, theory-driven content with targeted rehearsal, clear boundaries, and adaptive scaffolds to address psychological barriers and support negotiation preparedness.
Abstract:Family caregivers of individuals with Alzheimer's Disease and Related Dementia (AD/ADRD) face significant emotional and logistical challenges that place them at heightened risk for stress, anxiety, and depression. Although recent advances in generative AI -- particularly large language models (LLMs) -- offer new opportunities to support mental health, little is known about how caregivers perceive and engage with such technologies. To address this gap, we developed Carey, a GPT-4o-based chatbot designed to provide informational and emotional support to AD/ADRD caregivers. Using Carey as a technology probe, we conducted semi-structured interviews with 16 family caregivers following scenario-driven interactions grounded in common caregiving stressors. Through inductive coding and reflexive thematic analysis, we surface a systemic understanding of caregiver needs and expectations across six themes -- on-demand information access, emotional support, safe space for disclosure, crisis management, personalization, and data privacy. For each of these themes, we also identified the nuanced tensions in the caregivers' desires and concerns. We present a mapping of caregiver needs, AI chatbot's strengths, gaps, and design recommendations. Our findings offer theoretical and practical insights to inform the design of proactive, trustworthy, and caregiver-centered AI systems that better support the evolving mental health needs of AD/ADRD caregivers.




Abstract:Alzheimer's Disease and Related Dementias (AD/ADRD) are progressive neurodegenerative conditions that impair memory, thought processes, and functioning. Family caregivers of individuals with AD/ADRD face significant mental health challenges due to long-term caregiving responsibilities. Yet, current support systems often overlook the evolving nature of their mental wellbeing needs. Our study examines caregivers' mental wellbeing concerns, focusing on the practices they adopt to manage the burden of caregiving and the technologies they use for support. Through semi-structured interviews with 25 family caregivers of individuals with AD/ADRD, we identified the key causes and effects of mental health challenges, and developed a temporal mapping of how caregivers' mental wellbeing evolves across three distinct stages of the caregiving journey. Additionally, our participants shared insights into improvements for existing mental health technologies, emphasizing the need for accessible, scalable, and personalized solutions that adapt to caregivers' changing needs over time. These findings offer a foundation for designing dynamic, stage-sensitive interventions that holistically support caregivers' mental wellbeing, benefiting both caregivers and care recipients.