Understanding the Impact of Long-Term Memory on Self-Disclosure with Large Language Model-Driven Chatbots for Public Health Intervention

Recent large language models (LLMs) offer the potential to support public health monitoring by facilitating health disclosure through open-ended conversations but rarely preserve the knowledge gained about individuals across repeated interactions. Augmenting LLMs with long-term memory (LTM) presents an opportunity to improve engagement and self-disclosure, but we lack an understanding of how LTM impacts people's interaction with LLM-driven chatbots in public health interventions. We examine the case of CareCall -- an LLM-driven voice chatbot with LTM -- through the analysis of 1,252 call logs and interviews with nine users. We found that LTM enhanced health disclosure and fostered positive perceptions of the chatbot by offering familiarity. However, we also observed challenges in promoting self-disclosure through LTM, particularly around addressing chronic health conditions and privacy concerns. We discuss considerations for LTM integration in LLM-driven chatbots for public health monitoring, including carefully deciding what topics need to be remembered in light of public health goals.

Cardiac ultrasound simulation for autonomous ultrasound navigation

Ultrasound is well-established as an imaging modality for diagnostic and interventional purposes. However, the image quality varies with operator skills as acquiring and interpreting ultrasound images requires extensive training due to the imaging artefacts, the range of acquisition parameters and the variability of patient anatomies. Automating the image acquisition task could improve acquisition reproducibility and quality but training such an algorithm requires large amounts of navigation data, not saved in routine examinations. Thus, we propose a method to generate large amounts of ultrasound images from other modalities and from arbitrary positions, such that this pipeline can later be used by learning algorithms for navigation. We present a novel simulation pipeline which uses segmentations from other modalities, an optimized volumetric data representation and GPU-accelerated Monte Carlo path tracing to generate view-dependent and patient-specific ultrasound images. We extensively validate the correctness of our pipeline with a phantom experiment, where structures' sizes, contrast and speckle noise properties are assessed. Furthermore, we demonstrate its usability to train neural networks for navigation in an echocardiography view classification experiment by generating synthetic images from more than 1000 patients. Networks pre-trained with our simulations achieve significantly superior performance in settings where large real datasets are not available, especially for under-represented classes. The proposed approach allows for fast and accurate patient-specific ultrasound image generation, and its usability for training networks for navigation-related tasks is demonstrated.

MindfulDiary: Harnessing Large Language Model to Support Psychiatric Patients' Journaling

In the mental health domain, Large Language Models (LLMs) offer promising new opportunities, though their inherent complexity and low controllability have raised questions about their suitability in clinical settings. We present MindfulDiary, a mobile journaling app incorporating an LLM to help psychiatric patients document daily experiences through conversation. Designed in collaboration with mental health professionals (MHPs), MindfulDiary takes a state-based approach to safely comply with the experts' guidelines while carrying on free-form conversations. Through a four-week field study involving 28 patients with major depressive disorder and five psychiatrists, we found that MindfulDiary supported patients in consistently enriching their daily records and helped psychiatrists better empathize with their patients through an understanding of their thoughts and daily contexts. Drawing on these findings, we discuss the implications of leveraging LLMs in the mental health domain, bridging the technical feasibility and their integration into clinical settings.

EvalLM: Interactive Evaluation of Large Language Model Prompts on User-Defined Criteria

By simply composing prompts, developers can prototype novel generative applications with Large Language Models (LLMs). To refine prototypes into products, however, developers must iteratively revise prompts by evaluating outputs to diagnose weaknesses. Formative interviews (N=8) revealed that developers invest significant effort in manually evaluating outputs as they assess context-specific and subjective criteria. We present EvalLM, an interactive system for iteratively refining prompts by evaluating multiple outputs on user-defined criteria. By describing criteria in natural language, users can employ the system's LLM-based evaluator to get an overview of where prompts excel or fail, and improve these based on the evaluator's feedback. A comparative study (N=12) showed that EvalLM, when compared to manual evaluation, helped participants compose more diverse criteria, examine twice as many outputs, and reach satisfactory prompts with 59% fewer revisions. Beyond prompts, our work can be extended to augment model evaluation and alignment in specific application contexts.

PlanFitting: Tailoring Personalized Exercise Plans with Large Language Models

A personally tailored exercise regimen is crucial to ensuring sufficient physical activities, yet challenging to create as people have complex schedules and considerations and the creation of plans often requires iterations with experts. We present PlanFitting, a conversational AI that assists in personalized exercise planning. Leveraging generative capabilities of large language models, PlanFitting enables users to describe various constraints and queries in natural language, thereby facilitating the creation and refinement of their weekly exercise plan to suit their specific circumstances while staying grounded in foundational principles. Through a user study where participants (N=18) generated a personalized exercise plan using PlanFitting and expert planners (N=3) evaluated these plans, we identified the potential of PlanFitting in generating personalized, actionable, and evidence-based exercise plans. We discuss future design opportunities for AI assistants in creating plans that better comply with exercise principles and accommodate personal constraints.

ChaCha: Leveraging Large Language Models to Prompt Children to Share Their Emotions about Personal Events

Children typically learn to identify and express emotions through sharing their stories and feelings with others, particularly their family. However, it is challenging for parents or siblings to have emotional communication with children since children are still developing their communication skills. We present ChaCha, a chatbot that encourages and guides children to share personal events and associated emotions. ChaCha combines a state machine and large language models (LLMs) to keep the dialogue on track while carrying on free-form conversations. Through an exploratory study with 20 children (aged 8-12), we examine how ChaCha prompts children to share personal events and guides them to describe associated emotions. Participants perceived ChaCha as a close friend and shared their stories on various topics, such as family trips and personal achievements. Based on the quantitative and qualitative findings, we discuss opportunities for leveraging LLMs to design child-friendly chatbots to support children in sharing their emotions.

Computational Approaches for App-to-App Retrieval and Design Consistency Check

Extracting semantic representations from mobile user interfaces (UI) and using the representations for designers' decision-making processes have shown the potential to be effective computational design support tools. Current approaches rely on machine learning models trained on small-sized mobile UI datasets to extract semantic vectors and use screenshot-to-screenshot comparison to retrieve similar-looking UIs given query screenshots. However, the usability of these methods is limited because they are often not open-sourced and have complex training pipelines for practitioners to follow, and are unable to perform screenshot set-to-set (i.e., app-to-app) retrieval. To this end, we (1) employ visual models trained with large web-scale images and test whether they could extract a UI representation in a zero-shot way and outperform existing specialized models, and (2) use mathematically founded methods to enable app-to-app retrieval and design consistency analysis. Our experiments show that our methods not only improve upon previous retrieval models but also enable multiple new applications.

Designing a Direct Feedback Loop between Humans and Convolutional Neural Networks through Local Explanations

The local explanation provides heatmaps on images to explain how Convolutional Neural Networks (CNNs) derive their output. Due to its visual straightforwardness, the method has been one of the most popular explainable AI (XAI) methods for diagnosing CNNs. Through our formative study (S1), however, we captured ML engineers' ambivalent perspective about the local explanation as a valuable and indispensable envision in building CNNs versus the process that exhausts them due to the heuristic nature of detecting vulnerability. Moreover, steering the CNNs based on the vulnerability learned from the diagnosis seemed highly challenging. To mitigate the gap, we designed DeepFuse, the first interactive design that realizes the direct feedback loop between a user and CNNs in diagnosing and revising CNN's vulnerability using local explanations. DeepFuse helps CNN engineers to systemically search "unreasonable" local explanations and annotate the new boundaries for those identified as unreasonable in a labor-efficient manner. Next, it steers the model based on the given annotation such that the model doesn't introduce similar mistakes. We conducted a two-day study (S2) with 12 experienced CNN engineers. Using DeepFuse, participants made a more accurate and "reasonable" model than the current state-of-the-art. Also, participants found the way DeepFuse guides case-based reasoning can practically improve their current practice. We provide implications for design that explain how future HCI-driven design can move our practice forward to make XAI-driven insights more actionable.

Revealing User Familiarity Bias in Task-Oriented Dialogue via Interactive Evaluation

Most task-oriented dialogue (TOD) benchmarks assume users that know exactly how to use the system by constraining the user behaviors within the system's capabilities via strict user goals, namely "user familiarity" bias. This data bias deepens when it combines with data-driven TOD systems, as it is impossible to fathom the effect of it with existing static evaluations. Hence, we conduct an interactive user study to unveil how vulnerable TOD systems are against realistic scenarios. In particular, we compare users with 1) detailed goal instructions that conform to the system boundaries (closed-goal) and 2) vague goal instructions that are often unsupported but realistic (open-goal). Our study reveals that conversations in open-goal settings lead to catastrophic failures of the system, in which 92% of the dialogues had significant issues. Moreover, we conduct a thorough analysis to identify distinctive features between the two settings through error annotation. From this, we discover a novel "pretending" behavior, in which the system pretends to handle the user requests even though they are beyond the system's capabilities. We discuss its characteristics and toxicity while emphasizing transparency and a fallback strategy for robust TOD systems.

AI-based Agents for Automated Robotic Endovascular Guidewire Manipulation

Endovascular guidewire manipulation is essential for minimally-invasive clinical applications (Percutaneous Coronary Intervention (PCI), Mechanical thrombectomy techniques for acute ischemic stroke (AIS), or Transjugular intrahepatic portosystemic shunt (TIPS)). All procedures commonly require 3D vessel geometries from 3D CTA (Computed Tomography Angiography) images. During these procedures, the clinician generally places a guiding catheter in the ostium of the relevant vessel and then manipulates a wire through the catheter and across the blockage. The clinician only uses X-ray fluoroscopy intermittently to visualize and guide the catheter, guidewire, and other devices. However, clinicians still passively control guidewires/catheters by relying on limited indirect observation (i.e., 2D partial view of devices, and intermittent updates due to radiation limit) from X-ray fluoroscopy. Modeling and controlling the guidewire manipulation in coronary vessels remains challenging because of the complicated interaction between guidewire motions with different physical properties (i.e., loads, coating) and vessel geometries with lumen conditions resulting in a highly non-linear system. This paper introduces a scalable learning pipeline to train AI-based agent models toward automated endovascular predictive device controls. First, we create a scalable environment by pre-processing 3D CTA images, providing patient-specific 3D vessel geometry and the centerline of the coronary. Next, we apply a large quantity of randomly generated motion sequences from the proximal end to generate wire states associated with each environment using a physics-based device simulator. Then, we reformulate the control problem to a sequence-to-sequence learning problem, in which we use a Transformer-based model, trained to handle non-linear sequential forward/inverse transition functions.