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.

What Did My Car Say? Impact of Autonomous Vehicle Explanation Errors and Driving Context On Comfort, Reliance, Satisfaction, and Driving Confidence

Explanations for autonomous vehicle (AV) decisions may build trust, however, explanations can contain errors. In a simulated driving study (n = 232), we tested how AV explanation errors, driving context characteristics (perceived harm and driving difficulty), and personal traits (prior trust and expertise) affected a passenger's comfort in relying on an AV, preference for control, confidence in the AV's ability, and explanation satisfaction. Errors negatively affected all outcomes. Surprisingly, despite identical driving, explanation errors reduced ratings of the AV's driving ability. Severity and potential harm amplified the negative impact of errors. Contextual harm and driving difficulty directly impacted outcome ratings and influenced the relationship between errors and outcomes. Prior trust and expertise were positively associated with outcome ratings. Results emphasize the need for accurate, contextually adaptive, and personalized AV explanations to foster trust, reliance, satisfaction, and confidence. We conclude with design, research, and deployment recommendations for trustworthy AV explanation systems.

Developing Situational Awareness for Joint Action with Autonomous Vehicles

Unanswered questions about how human-AV interaction designers can support rider's informational needs hinders Autonomous Vehicles (AV) adoption. To achieve joint human-AV action goals - such as safe transportation, trust, or learning from an AV - sufficient situational awareness must be held by the human, AV, and human-AV system collectively. We present a systems-level framework that integrates cognitive theories of joint action and situational awareness as a means to tailor communications that meet the criteria necessary for goal success. This framework is based on four components of the shared situation: AV traits, action goals, subject-specific traits and states, and the situated driving context. AV communications should be tailored to these factors and be sensitive when they change. This framework can be useful for understanding individual, shared, and distributed human-AV situational awareness and designing for future AV communications that meet the informational needs and goals of diverse groups and in diverse driving contexts.