Evaluating a Multi-Agent Voice-Enabled Smart Speaker for Care Homes: A Safety-Focused Framework

Artificial intelligence (AI) is increasingly being explored in health and social care to reduce administrative workload and allow staff to spend more time on patient care. This paper evaluates a voice-enabled Care Home Smart Speaker designed to support everyday activities in residential care homes, including spoken access to resident records, reminders, and scheduling tasks. A safety-focused evaluation framework is presented that examines the system end-to-end, combining Whisper-based speech recognition with retrieval-augmented generation (RAG) approaches (hybrid, sparse, and dense). Using supervised care-home trials and controlled testing, we evaluated 330 spoken transcripts across 11 care categories, including 184 reminder-containing interactions. These evaluations focus on (i) correct identification of residents and care categories, (ii) reminder recognition and extraction, and (iii) end-to-end scheduling correctness under uncertainty (including safe deferral/clarification). Given the safety-critical nature of care homes, particular attention is also paid to reliability in noisy environments and across diverse accents, supported by confidence scoring, clarification prompts, and human-in-the-loop oversight. In the best-performing configuration (GPT-5.2), resident ID and care category matching reached 100% (95% CI: 98.86-100), while reminder recognition reached 89.09\% (95% CI: 83.81-92.80) with zero missed reminders (100% recall) but some false positives. End-to-end scheduling via calendar integration achieved 84.65% exact reminder-count agreement (95% CI: 78.00-89.56), indicating remaining edge cases in converting informal spoken instructions into actionable events. The findings suggest that voice-enabled systems, when carefully evaluated and appropriately safeguarded, can support accurate documentation, effective task management, and trustworthy use of AI in care home settings.

Addressing Explainability of Generative AI using SMILE (Statistical Model-agnostic Interpretability with Local Explanations)

The rapid advancement of generative artificial intelligence has enabled models capable of producing complex textual and visual outputs; however, their decision-making processes remain largely opaque, limiting trust and accountability in high-stakes applications. This thesis introduces gSMILE, a unified framework for the explainability of generative models, extending the Statistical Model-agnostic Interpretability with Local Explanations (SMILE) method to generative settings. gSMILE employs controlled perturbations of textual input, Wasserstein distance metrics, and weighted surrogate modelling to quantify and visualise how specific components of a prompt or instruction influence model outputs. Applied to Large Language Models (LLMs), gSMILE provides fine-grained token-level attribution and generates intuitive heatmaps that highlight influential tokens and reasoning pathways. In instruction-based image editing models, the exact text-perturbation mechanism is employed, allowing for the analysis of how modifications to an editing instruction impact the resulting image. Combined with a scenario-based evaluation strategy grounded in the Operational Design Domain (ODD) framework, gSMILE allows systematic assessment of model behaviour across diverse semantic and environmental conditions. To evaluate explanation quality, we define rigorous attribution metrics, including stability, fidelity, accuracy, consistency, and faithfulness, and apply them across multiple generative architectures. Extensive experiments demonstrate that gSMILE produces robust, human-aligned attributions and generalises effectively across state-of-the-art generative models. These findings highlight the potential of gSMILE to advance transparent, reliable, and responsible deployment of generative AI technologies.

HybridVFL: Disentangled Feature Learning for Edge-Enabled Vertical Federated Multimodal Classification

Vertical Federated Learning (VFL) offers a privacy-preserving paradigm for Edge AI scenarios like mobile health diagnostics, where sensitive multimodal data reside on distributed, resource-constrained devices. Yet, standard VFL systems often suffer performance limitations due to simplistic feature fusion. This paper introduces HybridVFL, a novel framework designed to overcome this bottleneck by employing client-side feature disentanglement paired with a server-side cross-modal transformer for context-aware fusion. Through systematic evaluation on the multimodal HAM10000 skin lesion dataset, we demonstrate that HybridVFL significantly outperforms standard federated baselines, validating the criticality of advanced fusion mechanisms in robust, privacy-preserving systems.

Mitigating Individual Skin Tone Bias in Skin Lesion Classification through Distribution-Aware Reweighting

Skin color has historically been a focal point of discrimination, yet fairness research in machine learning for medical imaging often relies on coarse subgroup categories, overlooking individual-level variations. Such group-based approaches risk obscuring biases faced by outliers within subgroups. This study introduces a distribution-based framework for evaluating and mitigating individual fairness in skin lesion classification. We treat skin tone as a continuous attribute rather than a categorical label, and employ kernel density estimation (KDE) to model its distribution. We further compare twelve statistical distance metrics to quantify disparities between skin tone distributions and propose a distance-based reweighting (DRW) loss function to correct underrepresentation in minority tones. Experiments across CNN and Transformer models demonstrate: (i) the limitations of categorical reweighting in capturing individual-level disparities, and (ii) the superior performance of distribution-based reweighting, particularly with Fidelity Similarity (FS), Wasserstein Distance (WD), Hellinger Metric (HM), and Harmonic Mean Similarity (HS). These findings establish a robust methodology for advancing fairness at individual level in dermatological AI systems, and highlight broader implications for sensitive continuous attributes in medical image analysis.

Explainable Knowledge Graph Retrieval-Augmented Generation (KG-RAG) with KG-SMILE

Generative AI, such as Large Language Models (LLMs), has achieved impressive progress but still produces hallucinations and unverifiable claims, limiting reliability in sensitive domains. Retrieval-Augmented Generation (RAG) improves accuracy by grounding outputs in external knowledge, especially in domains like healthcare, where precision is vital. However, RAG remains opaque and essentially a black box, heavily dependent on data quality. We developed a method-agnostic, perturbation-based framework that provides token and component-level interoperability for Graph RAG using SMILE and named it as Knowledge-Graph (KG)-SMILE. By applying controlled perturbations, computing similarities, and training weighted linear surrogates, KG-SMILE identifies the graph entities and relations most influential to generated outputs, thereby making RAG more transparent. We evaluate KG-SMILE using comprehensive attribution metrics, including fidelity, faithfulness, consistency, stability, and accuracy. Our findings show that KG-SMILE produces stable, human-aligned explanations, demonstrating its capacity to balance model effectiveness with interpretability and thereby fostering greater transparency and trust in machine learning technologies.

Explainability of Large Language Models using SMILE: Statistical Model-agnostic Interpretability with Local Explanations

Large language models like GPT, LLAMA, and Claude have become incredibly powerful at generating text, but they are still black boxes, so it is hard to understand how they decide what to say. That lack of transparency can be problematic, especially in fields where trust and accountability matter. To help with this, we introduce SMILE, a new method that explains how these models respond to different parts of a prompt. SMILE is model-agnostic and works by slightly changing the input, measuring how the output changes, and then highlighting which words had the most impact. Create simple visual heat maps showing which parts of a prompt matter the most. We tested SMILE on several leading LLMs and used metrics such as accuracy, consistency, stability, and fidelity to show that it gives clear and reliable explanations. By making these models easier to understand, SMILE brings us one step closer to making AI more transparent and trustworthy.

Mapping the Mind of an Instruction-based Image Editing using SMILE

Despite recent advancements in Instruct-based Image Editing models for generating high-quality images, they are known as black boxes and a significant barrier to transparency and user trust. To solve this issue, we introduce SMILE (Statistical Model-agnostic Interpretability with Local Explanations), a novel model-agnostic for localized interpretability that provides a visual heatmap to clarify the textual elements' influence on image-generating models. We applied our method to various Instruction-based Image Editing models like Pix2Pix, Image2Image-turbo and Diffusers-Inpaint and showed how our model can improve interpretability and reliability. Also, we use stability, accuracy, fidelity, and consistency metrics to evaluate our method. These findings indicate the exciting potential of model-agnostic interpretability for reliability and trustworthiness in critical applications such as healthcare and autonomous driving while encouraging additional investigation into the significance of interpretability in enhancing dependable image editing models.