A Decision-Language Model (DLM) for Dynamic Restless Multi-Armed Bandit Tasks in Public Health

Efforts to reduce maternal mortality rate, a key UN Sustainable Development target (SDG Target 3.1), rely largely on preventative care programs to spread critical health information to high-risk populations. These programs face two important challenges: efficiently allocating limited health resources to large beneficiary populations, and adapting to evolving policy priorities. While prior works in restless multi-armed bandit (RMAB) demonstrated success in public health allocation tasks, they lack flexibility to adapt to evolving policy priorities. Concurrently, Large Language Models (LLMs) have emerged as adept, automated planners in various domains, including robotic control and navigation. In this paper, we propose DLM: a Decision Language Model for RMABs. To enable dynamic fine-tuning of RMAB policies for challenging public health settings using human-language commands, we propose using LLMs as automated planners to (1) interpret human policy preference prompts, (2) propose code reward functions for a multi-agent RL environment for RMABs, and (3) iterate on the generated reward using feedback from RMAB simulations to effectively adapt policy outcomes. In collaboration with ARMMAN, an India-based public health organization promoting preventative care for pregnant mothers, we conduct a simulation study, showing DLM can dynamically shape policy outcomes using only human language commands as input.

Social Environment Design

Artificial Intelligence (AI) holds promise as a technology that can be used to improve government and economic policy-making. This paper proposes a new research agenda towards this end by introducing Social Environment Design, a general framework for the use of AI for automated policy-making that connects with the Reinforcement Learning, EconCS, and Computational Social Choice communities. The framework seeks to capture general economic environments, includes voting on policy objectives, and gives a direction for the systematic analysis of government and economic policy through AI simulation. We highlight key open problems for future research in AI-based policy-making. By solving these challenges, we hope to achieve various social welfare objectives, thereby promoting more ethical and responsible decision making.

Evaluating the Effectiveness of Index-Based Treatment Allocation

When resources are scarce, an allocation policy is needed to decide who receives a resource. This problem occurs, for instance, when allocating scarce medical resources and is often solved using modern ML methods. This paper introduces methods to evaluate index-based allocation policies -- that allocate a fixed number of resources to those who need them the most -- by using data from a randomized control trial. Such policies create dependencies between agents, which render the assumptions behind standard statistical tests invalid and limit the effectiveness of estimators. Addressing these challenges, we translate and extend recent ideas from the statistics literature to present an efficient estimator and methods for computing asymptotically correct confidence intervals. This enables us to effectively draw valid statistical conclusions, a critical gap in previous work. Our extensive experiments validate our methodology in practical settings, while also showcasing its statistical power. We conclude by proposing and empirically verifying extensions of our methodology that enable us to reevaluate a past randomized control trial to evaluate different ML allocation policies in the context of a mHealth program, drawing previously invisible conclusions.

A Bayesian Approach to Online Learning for Contextual Restless Bandits with Applications to Public Health

Restless multi-armed bandits (RMABs) are used to model sequential resource allocation in public health intervention programs. In these settings, the underlying transition dynamics are often unknown a priori, requiring online reinforcement learning (RL). However, existing methods in online RL for RMABs cannot incorporate properties often present in real-world public health applications, such as contextual information and non-stationarity. We present Bayesian Learning for Contextual RMABs (BCoR), an online RL approach for RMABs that novelly combines techniques in Bayesian modeling with Thompson sampling to flexibly model a wide range of complex RMAB settings, such as contextual and non-stationary RMABs. A key contribution of our approach is its ability to leverage shared information within and between arms to learn unknown RMAB transition dynamics quickly in budget-constrained settings with relatively short time horizons. Empirically, we show that BCoR achieves substantially higher finite-sample performance than existing approaches over a range of experimental settings, including one constructed from a real-world public health campaign in India.

Toward Computationally Efficient Inverse Reinforcement Learning via Reward Shaping

Inverse reinforcement learning (IRL) is computationally challenging, with common approaches requiring the solution of multiple reinforcement learning (RL) sub-problems. This work motivates the use of potential-based reward shaping to reduce the computational burden of each RL sub-problem. This work serves as a proof-of-concept and we hope will inspire future developments towards computationally efficient IRL.

Analyzing and Predicting Low-Listenership Trends in a Large-Scale Mobile Health Program: A Preliminary Investigation

Mobile health programs are becoming an increasingly popular medium for dissemination of health information among beneficiaries in less privileged communities. Kilkari is one of the world's largest mobile health programs which delivers time sensitive audio-messages to pregnant women and new mothers. We have been collaborating with ARMMAN, a non-profit in India which operates the Kilkari program, to identify bottlenecks to improve the efficiency of the program. In particular, we provide an initial analysis of the trajectories of beneficiaries' interaction with the mHealth program and examine elements of the program that can be potentially enhanced to boost its success. We cluster the cohort into different buckets based on listenership so as to analyze listenership patterns for each group that could help boost program success. We also demonstrate preliminary results on using historical data in a time-series prediction to identify beneficiary dropouts and enable NGOs in devising timely interventions to strengthen beneficiary retention.

Towards Zero Shot Learning in Restless Multi-armed Bandits

Restless multi-arm bandits (RMABs), a class of resource allocation problems with broad application in areas such as healthcare, online advertising, and anti-poaching, have recently been studied from a multi-agent reinforcement learning perspective. Prior RMAB research suffers from several limitations, e.g., it fails to adequately address continuous states, and requires retraining from scratch when arms opt-in and opt-out over time, a common challenge in many real world applications. We address these limitations by developing a neural network-based pre-trained model (PreFeRMAB) that has general zero-shot ability on a wide range of previously unseen RMABs, and which can be fine-tuned on specific instances in a more sample-efficient way than retraining from scratch. Our model also accommodates general multi-action settings and discrete or continuous state spaces. To enable fast generalization, we learn a novel single policy network model that utilizes feature information and employs a training procedure in which arms opt-in and out over time. We derive a new update rule for a crucial $\lambda$-network with theoretical convergence guarantees and empirically demonstrate the advantages of our approach on several challenging, real-world inspired problems.

Equitable Restless Multi-Armed Bandits: A General Framework Inspired By Digital Health

Restless multi-armed bandits (RMABs) are a popular framework for algorithmic decision making in sequential settings with limited resources. RMABs are increasingly being used for sensitive decisions such as in public health, treatment scheduling, anti-poaching, and -- the motivation for this work -- digital health. For such high stakes settings, decisions must both improve outcomes and prevent disparities between groups (e.g., ensure health equity). We study equitable objectives for RMABs (ERMABs) for the first time. We consider two equity-aligned objectives from the fairness literature, minimax reward and max Nash welfare. We develop efficient algorithms for solving each -- a water filling algorithm for the former, and a greedy algorithm with theoretically motivated nuance to balance disparate group sizes for the latter. Finally, we demonstrate across three simulation domains, including a new digital health model, that our approaches can be multiple times more equitable than the current state of the art without drastic sacrifices to utility. Our findings underscore our work's urgency as RMABs permeate into systems that impact human and wildlife outcomes. Code is available at https://github.com/google-research/socialgood/tree/equitable-rmab

Reflections from the Workshop on AI-Assisted Decision Making for Conservation

In this white paper, we synthesize key points made during presentations and discussions from the AI-Assisted Decision Making for Conservation workshop, hosted by the Center for Research on Computation and Society at Harvard University on October 20-21, 2022. We identify key open research questions in resource allocation, planning, and interventions for biodiversity conservation, highlighting conservation challenges that not only require AI solutions, but also require novel methodological advances. In addition to providing a summary of the workshop talks and discussions, we hope this document serves as a call-to-action to orient the expansion of algorithmic decision-making approaches to prioritize real-world conservation challenges, through collaborative efforts of ecologists, conservation decision-makers, and AI researchers.

Leaving the Nest: Going Beyond Local Loss Functions for Predict-Then-Optimize

Predict-then-Optimize is a framework for using machine learning to perform decision-making under uncertainty. The central research question it asks is, "How can the structure of a decision-making task be used to tailor ML models for that specific task?" To this end, recent work has proposed learning task-specific loss functions that capture this underlying structure. However, current approaches make restrictive assumptions about the form of these losses and their impact on ML model behavior. These assumptions both lead to approaches with high computational cost, and when they are violated in practice, poor performance. In this paper, we propose solutions to these issues, avoiding the aforementioned assumptions and utilizing the ML model's features to increase the sample efficiency of learning loss functions. We empirically show that our method achieves state-of-the-art results in four domains from the literature, often requiring an order of magnitude fewer samples than comparable methods from past work. Moreover, our approach outperforms the best existing method by nearly 200% when the localness assumption is broken.