Personality as Relational Infrastructure: User Perceptions of Personality-Trait-Infused LLM Messaging

Digital behaviour change systems increasingly rely on repeated, system-initiated messages to support users in everyday contexts. LLMs enable these messages to be personalised consistently across interactions, yet it remains unclear whether such personalisation improves individual messages or instead shapes users' perceptions through patterns of exposure. We explore this question in the context of LLM-generated JITAIs, which are short, context-aware messages delivered at moments deemed appropriate to support behaviour change, using physical activity as an application domain. In a controlled retrospective study, 90 participants evaluated messages generated using four LLM strategies: baseline prompting, few-shot prompting, fine-tuned models, and retrieval augmented generation, each implemented with and without Big Five Personality Traits to produce personality-aligned communication across multiple scenarios. Using ordinal multilevel models with within-between decomposition, we distinguish trial-level effects, whether personality information improves evaluations of individual messages, from person-level exposure effects, whether participants receiving higher proportions of personality-informed messages exhibit systematically different overall perceptions. Results showed no trial-level associations, but participants who received higher proportions of BFPT-informed messages rated the messages as more personalised, appropriate, and reported less negative affect. We use Communication Accommodation Theory for post-hoc analysis. These results suggest that personality-based personalisation in behaviour change systems may operate primarily through aggregate exposure rather than per-message optimisation, with implications for how adaptive systems are designed and evaluated in sustained human-AI interaction. In-situ longitudinal studies are needed to validate these findings in real-world contexts.

Exploring AI-Augmented Sensemaking of Patient-Generated Health Data: A Mixed-Method Study with Healthcare Professionals in Cardiac Risk Reduction

Individuals are increasingly generating substantial personal health and lifestyle data, e.g. through wearables and smartphones. While such data could transform preventative care, its integration into clinical practice is hindered by its scale, heterogeneity and the time pressure and data literacy of healthcare professionals (HCPs). We explore how large language models (LLMs) can support sensemaking of patient-generated health data (PGHD) with automated summaries and natural language data exploration. Using cardiovascular disease (CVD) risk reduction as a use case, 16 HCPs reviewed multimodal PGHD in a mixed-methods study with a prototype that integrated common charts, LLM-generated summaries, and a conversational interface. Findings show that AI summaries provided quick overviews that anchored exploration, while conversational interaction supported flexible analysis and bridged data-literacy gaps. However, HCPs raised concerns about transparency, privacy, and overreliance. We contribute empirical insights and sociotechnical design implications for integrating AI-driven summarization and conversation into clinical workflows to support PGHD sensemaking.