Can Language Models Understand Social Behavior in Clinical Conversations?

Effective communication between providers and their patients influences health and care outcomes. The effectiveness of such conversations has been linked not only to the exchange of clinical information, but also to a range of interpersonal behaviors; commonly referred to as social signals, which are often conveyed through non-verbal cues and shape the quality of the patient-provider relationship. Recent advances in large language models (LLMs) have demonstrated an increasing ability to infer emotional and social behaviors even when analyzing only textual information. As automation increases also in clinical settings, such as for transcription of patient-provider conversations, there is growing potential for LLMs to automatically analyze and extract social behaviors from these interactions. To explore the foundational capabilities of LLMs in tracking social signals in clinical dialogue, we designed task-specific prompts and evaluated model performance across multiple architectures and prompting styles using a highly imbalanced, annotated dataset spanning 20 distinct social signals such as provider dominance, patient warmth, etc. We present the first system capable of tracking all these 20 coded signals, and uncover patterns in LLM behavior. Further analysis of model configurations and clinical context provides insights for enhancing LLM performance on social signal processing tasks in healthcare settings.

Predicting Trust In Autonomous Vehicles: Modeling Young Adult Psychosocial Traits, Risk-Benefit Attitudes, And Driving Factors With Machine Learning

Low trust remains a significant barrier to Autonomous Vehicle (AV) adoption. To design trustworthy AVs, we need to better understand the individual traits, attitudes, and experiences that impact people's trust judgements. We use machine learning to understand the most important factors that contribute to young adult trust based on a comprehensive set of personal factors gathered via survey (n = 1457). Factors ranged from psychosocial and cognitive attributes to driving style, experiences, and perceived AV risks and benefits. Using the explainable AI technique SHAP, we found that perceptions of AV risks and benefits, attitudes toward feasibility and usability, institutional trust, prior experience, and a person's mental model are the most important predictors. Surprisingly, psychosocial and many technology- and driving-specific factors were not strong predictors. Results highlight the importance of individual differences for designing trustworthy AVs for diverse groups and lead to key implications for future design and research.