Trust and Reliance on AI in Education: AI Literacy and Need for Cognition as Moderators

As generative AI systems are integrated into educational settings, students often encounter AI-generated output while working through learning tasks, either by requesting help or through integrated tools. Trust in AI can influence how students interpret and use that output, including whether they evaluate it critically or exhibit overreliance. We investigate how students' trust relates to their appropriate reliance on an AI assistant during programming problem-solving tasks, and whether this relationship differs by learner characteristics. With 432 undergraduate participants, students' completed Python output-prediction problems while receiving recommendations and explanations from an AI chatbot, including accurate and intentionally misleading suggestions. We operationalize reliance behaviorally as the extent to which students' responses reflected appropriate use of the AI assistant's suggestions, accepting them when they were correct and rejecting them when they were incorrect. Pre- and post-task surveys assessed trust in the assistant, AI literacy, need for cognition, programming self-efficacy, and programming literacy. Results showed a non-linear relationship in which higher trust was associated with lower appropriate reliance, suggesting weaker discrimination between correct and incorrect recommendations. This relationship was significantly moderated by students' AI literacy and need for cognition. These findings highlight the need for future work on instructional and system supports that encourage more reflective evaluation of AI assistance during problem-solving.

Maximizing T2-Only Prostate Cancer Localization from Expected Diffusion Weighted Imaging

Multiparametric MRI is increasingly recommended as a first-line noninvasive approach to detect and localize prostate cancer, requiring at minimum diffusion-weighted (DWI) and T2-weighted (T2w) MR sequences. Early machine learning attempts using only T2w images have shown promising diagnostic performance in segmenting radiologist-annotated lesions. Such uni-modal T2-only approaches deliver substantial clinical benefits by reducing costs and expertise required to acquire other sequences. This work investigates an arguably more challenging application using only T2w at inference, but to localize individual cancers based on independent histopathology labels. We formulate DWI images as a latent modality (readily available during training) to classify cancer presence at local Barzell zones, given only T2w images as input. In the resulting expectation-maximization algorithm, a latent modality generator (implemented using a flow matching-based generative model) approximates the latent DWI image posterior distribution in the E-steps, while in M-steps a cancer localizer is simultaneously optimized with the generative model to maximize the expected likelihood of cancer presence. The proposed approach provides a novel theoretical framework for learning from a privileged DWI modality, yielding superior cancer localization performance compared to approaches that lack training DWI images or existing frameworks for privileged learning and incomplete modalities. The proposed T2-only methods perform competitively or better than baseline methods using multiple input sequences (e.g., improving the patient-level F1 score by 14.4\% and zone-level QWK by 5.3\% over the T2w+DWI baseline). We present quantitative evaluations using internal and external datasets from 4,133 prostate cancer patients with histopathology-verified labels.

HabitatAgent: An End-to-End Multi-Agent System for Housing Consultation

Housing selection is a high-stakes and largely irreversible decision problem. We study housing consultation as a decision-support interface for housing selection. Existing housing platforms and many LLM-based assistants often reduce this process to ranking or recommendation, resulting in opaque reasoning, brittle multi-constraint handling, and limited guarantees on factuality. We present HabitatAgent, the first LLM-powered multi-agent architecture for end-to-end housing consultation. HabitatAgent comprises four specialized agent roles: Memory, Retrieval, Generation, and Validation. The Memory Agent maintains multi-layer user memory through internal stages for constraint extraction, memory fusion, and verification-gated updates; the Retrieval Agent performs hybrid vector--graph retrieval (GraphRAG); the Generation Agent produces evidence-referenced recommendations and explanations; and the Validation Agent applies multi-tier verification and targeted remediation. Together, these agents provide an auditable and reliable workflow for end-to-end housing consultation. We evaluate HabitatAgent on 100 real user consultation scenarios (300 multi-turn question--answer pairs) under an end-to-end correctness protocol. A strong single-stage baseline (Dense+Rerank) achieves 75% accuracy, while HabitatAgent reaches 95%.

GUIDE: Reinforcement Learning for Behavioral Action Support in Type 1 Diabetes

Type 1 Diabetes (T1D) management requires continuous adjustment of insulin and lifestyle behaviors to maintain blood glucose within a safe target range. Although automated insulin delivery (AID) systems have improved glycemic outcomes, many patients still fail to achieve recommended clinical targets, warranting new approaches to improve glucose control in patients with T1D. While reinforcement learning (RL) has been utilized as a promising approach, current RL-based methods focus primarily on insulin-only treatment and do not provide behavioral recommendations for glucose control. To address this gap, we propose GUIDE, an RL-based decision-support framework designed to complement AID technologies by providing behavioral recommendations to prevent abnormal glucose events. GUIDE generates structured actions defined by intervention type, magnitude, and timing, including bolus insulin administration and carbohydrate intake events. GUIDE integrates a patient-specific glucose level predictor trained on real-world continuous glucose monitoring data and supports both offline and online RL algorithms within a unified environment. We evaluate both off-policy and on-policy methods across 25 individuals with T1D using standardized glycemic metrics. Among the evaluated approaches, the CQL-BC algorithm demonstrates the highest average time-in-range, reaching 85.49% while maintaining low hypoglycemia exposures. Behavioral similarity analysis further indicates that the learned CQL-BC policy preserves key structural characteristics of patient action patterns, achieving a mean cosine similarity of 0.87 $\pm$ 0.09 across subjects. These findings suggest that conservative offline RL with a structured behavioral action space can provide clinically meaningful and behaviorally plausible decision support for personalized diabetes management.

When AI Gets it Wong: Reliability and Risk in AI-Assisted Medication Decision Systems

Artificial intelligence (AI) systems are increasingly integrated into healthcare and pharmacy workflows, supporting tasks such as medication recommendations, dosage determination, and drug interaction detection. While these systems often demonstrate strong performance under standard evaluation metrics, their reliability in real-world decision-making remains insufficiently understood. In high-risk domains such as medication management, even a single incorrect recommendation can result in severe patient harm. This paper examines the reliability of AI-assisted medication systems by focusing on system failures and their potential clinical consequences. Rather than evaluating performance solely through aggregate metrics, this work shifts attention towards how errors occur and what happens when AI systems produce incorrect outputs. Through a series of controlled, simulated scenarios involving drug interactions and dosage decisions, we analyse different types of system failures, including missed interactions, incorrect risk flagging, and inappropriate dosage recommendations. The findings highlight that AI errors in medication-related contexts can lead to adverse drug reactions, ineffective treatment, or delayed care, particularly when systems are used without sufficient human oversight. Furthermore, the paper discusses the risks of over-reliance on AI recommendations and the challenges posed by limited transparency in decision-making processes. This work contributes a reliability-focused perspective on AI evaluation in healthcare, emphasising the importance of understanding failure behavior and real-world impact. It highlights the need to complement traditional performance metrics with risk-aware evaluation approaches, particularly in safety-critical domains such as pharmacy practice.

Aligning Multimodal Sequential Recommendations via Robust Direct Preference Optimization with Sparse MoE

Preference-based alignment objectives have been widely adopted, from RLHF-style pairwise learning in large language models to emerging applications in recommender systems. Yet, existing work rarely examines how Direct Preference Optimization (DPO) behaves under implicit feedback, where unobserved items are not reliable negatives. We conduct systematic experiments on multimodal sequential recommendation to compare common negative-selection strategies and their interaction with DPO training. Our central finding is that a simple modification, replacing deterministic hard negatives with stochastic sampling from a dynamic top-K candidate pool, consistently improves ranking performance. We attribute its effectiveness to two factors: (1) reducing erroneous suppressive gradients caused by false negatives, and (2) retaining informative hard signals while smoothing optimization via controlled stochasticity. With an optional sparse Mixture-of-Experts encoder for efficient capacity scaling, RoDPO achieves up to 5.25% NDCG@5 on three Amazon benchmarks, with nearly unchanged inference cost.

ShapE-GRPO: Shapley-Enhanced Reward Allocation for Multi-Candidate LLM Training

In user-agent interaction scenarios such as recommendation, brainstorming, and code suggestion, Large Language Models (LLMs) often generate sets of candidate recommendations where the objective is to maximize the collective utility of the entire set rather than individual candidates independently. However, existing reinforcement learning post-training paradigms, such as Group Relative Policy Optimization (GRPO), typically assign the same set-level scalar reward to every candidate in the set. This leads to noisy training signals where poor candidates free-ride on the high reward produced by a single strong peer, resulting in suboptimal exploration. To address this, we propose Shapley-Enhanced GRPO (ShapE-GRPO). By leveraging the permutation-invariant nature of set-level utility, we derive a Shapley-enhanced formulation from cooperative game theory to decompose set-level rewards into granular, candidate-specific signals. We show that our formulation preserves the fundamental axioms of the Shapley value while remaining computationally efficient with polynomial-time complexity. Empirically, ShapE-GRPO consistently outperforms standard GRPO across diverse datasets with accelerated convergence during training.

GISTBench: Evaluating LLM User Understanding via Evidence-Based Interest Verification

We introduce GISTBench, a benchmark for evaluating Large Language Models' (LLMs) ability to understand users from their interaction histories in recommendation systems. Unlike traditional RecSys benchmarks that focus on item prediction accuracy, our benchmark evaluates how well LLMs can extract and verify user interests from engagement data. We propose two novel metric families: Interest Groundedness (IG), decomposed into precision and recall components to separately penalize hallucinated interest categories and reward coverage, and Interest Specificity (IS), which assesses the distinctiveness of verified LLM-predicted user profiles. We release a synthetic dataset constructed on real user interactions on a global short-form video platform. Our dataset contains both implicit and explicit engagement signals and rich textual descriptions. We validate our dataset fidelity against user surveys, and evaluate eight open-weight LLMs spanning 7B to 120B parameters. Our findings reveal performance bottlenecks in current LLMs, particularly their limited ability to accurately count and attribute engagement signals across heterogeneous interaction types.

AI-Mediated Explainable Regulation for Justice

Present practice of deciding on regulation faces numerous problems that make adopted regulations static, unexplained, unduly influenced by powerful interest groups, and stained with a perception of illegitimacy. These well-known problems with the regulatory process can lead to injustice and have substantial negative effects on society and democracy. We discuss a new approach that utilizes distributed artificial intelligence (AI) to make a regulatory recommendation that is explainable and adaptable by design. We outline the main components of a system that can implement this approach and show how it would resolve the problems with the present regulatory system. This approach models and reasons about stakeholder preferences with separate preference models, while it aggregates these preferences in a value sensitive way. Such recommendations can be updated due to changes in facts or in values and are inherently explainable. We suggest how stakeholders can make their preferences known to the system and how they can verify whether they were properly considered in the regulatory decision. The resulting system promises to support regulatory justice, legitimacy, and compliance.

Drift-Aware Continual Tokenization for Generative Recommendation

Generative recommendation commonly adopts a two-stage pipeline in which a learnable tokenizer maps items to discrete token sequences (i.e. identifiers) and an autoregressive generative recommender model (GRM) performs prediction based on these identifiers. Recent tokenizers further incorporate collaborative signals so that items with similar user-behavior patterns receive similar codes, substantially improving recommendation quality. However, real-world environments evolve continuously: new items cause identifier collision and shifts, while new interactions induce collaborative drift in existing items (e.g., changing co-occurrence patterns and popularity). Fully retraining both tokenizer and GRM is often prohibitively expensive, yet naively fine-tuning the tokenizer can alter token sequences for the majority of existing items, undermining the GRM's learned token-embedding alignment. To balance plasticity and stability for collaborative tokenizers, we propose DACT, a Drift-Aware Continual Tokenization framework with two stages: (i) tokenizer fine-tuning, augmented with a jointly trained Collaborative Drift Identification Module (CDIM) that outputs item-level drift confidence and enables differentiated optimization for drifting and stationary items; and (ii) hierarchical code reassignment using a relaxed-to-strict strategy to update token sequences while limiting unnecessary changes. Experiments on three real-world datasets with two representative GRMs show that DACT consistently achieves better performance than baselines, demonstrating effective adaptation to collaborative evolution with reduced disruption to prior knowledge. Our implementation is publicly available at https://github.com/HomesAmaranta/DACT for reproducibility.