搜索结果：Health and human rights

With the wide adoption of large language models (LLMs) in information assistance, it is essential to examine their alignment with human communication styles and values. We situate this study within the context of fact-checking health information, given the critical challenge of rectifying conceptions and building trust. Recent studies have explored the potential of LLM for health communication, but style differences between LLMs and human experts and associated reader perceptions remain under-explored. In this light, our study evaluates the communication styles of LLMs, focusing on how their explanations differ from those of humans in three core components of health communication: information, sender, and receiver. We compiled a dataset of 1498 health misinformation explanations from authoritative fact-checking organizations and generated LLM responses to inaccurate health information. Drawing from health communication theory, we evaluate communication styles across three key dimensions of information linguistic features, sender persuasive strategies, and receiver value alignments. We further assessed human perceptions through a blinded evaluation with 99 participants. Our findings

Contemplative traditions have long guided ethical behavior and prosocial interaction, and recent work suggests that contemplative principles (e.g., mindfulness, compassion, non-dual reasoning) may offer a promising paradigm for aligning large language models (LLMs), improving cooperation and reducing ethical violations in LLM outputs. However, as new models, evaluation metrics, and benchmarks emerge rapidly, it remains challenging to systematically assess whether and how contemplative principles enhance LLM alignment across diverse and evolving scenarios, and existing approaches are often ad hoc and fail to generalize. We present a modular, extensible evaluation framework, initially targeted at the mental health domain, that enables seamless integration of new models, metrics, and benchmarks through a reusable pipeline. The framework currently reproduces existing state-of-the-art results and supports systematic cross-evaluation by flexibly mixing and matching models, metrics, and benchmarks, enabling fair comparison and deeper insight. Its plug-and-play prompting module offers a principled pathway for incorporating ethical perspectives such as contemplative principles, allowing dom

Electronic health record (EHR) data is an essential data source for machine learning for health, but researchers and clinicians face steep barriers in extracting and validating EHR data for modeling. Existing tools incur trade-offs between expressivity and usability and are typically specialized to a single data standard, making it difficult to write temporal queries that are ready for modern model-building pipelines and adaptable to new datasets. This paper introduces TempoQL, a Python-based toolkit designed to lower these barriers. TempoQL provides a simple, human-readable language for temporal queries; support for multiple EHR data standards, including OMOP, MEDS, and others; and an interactive notebook-based query interface with optional large language model (LLM) authoring assistance. Through a performance evaluation and two use cases on different datasets, we demonstrate that TempoQL simplifies the creation of cohorts for machine learning while maintaining precision, speed, and reproducibility.

As AI technology continues to advance, the importance of human-AI collaboration becomes increasingly evident, with numerous studies exploring its potential in various fields. One vital field is data science, including feature engineering (FE), where both human ingenuity and AI capabilities play pivotal roles. Despite the existence of AI-generated recommendations for FE, there remains a limited understanding of how to effectively integrate and utilize humans' and AI's knowledge. To address this gap, we design a readily-usable prototype, human\&AI-assisted FE in Jupyter notebooks. It harnesses the strengths of humans and AI to provide feature suggestions to users, seamlessly integrating these recommendations into practical workflows. Using the prototype as a research probe, we conducted an exploratory study to gain valuable insights into data science practitioners' perceptions, usage patterns, and their potential needs when presented with feature suggestions from both humans and AI. Through qualitative analysis, we discovered that the Creator of the feature (i.e., AI or human) significantly influences users' feature selection, and the semantic clarity of the suggested feature gre

Current discourse on Artificial Intelligence (AI) ethics, dominated by "trustworthy" and "responsible" AI, overlooks a more fundamental human-computer interaction (HCI) crisis: the erosion of human agency. This paper argues that the primary challenge of high-stakes AI systems is not trust, but the preservation of human causal control. We posit that "bad AI" will function as "bad UI," a metaphor for catastrophic interface failures that misrepresent system state and lead to human error. Applying Marshall McLuhan's media theory, AI can be framed as a technology of "augmentation" that simultaneously "amputates" the user's direct perception of causality. This places the interface as the critical locus where a "double uncertainty"--that of the human user and that of the probabilistic model--must be mediated. We critique current Explainable AI (XAI) for its correlational focus and failure to represent uncertainty. We conclude by proposing a rigorous, nested Causal-Agency Framework (CAF) that integrates causal models, uncertainty quantification, and human-centered evaluation to restore agency at the interface.

YouTube has rapidly emerged as a predominant platform for content consumption, effectively displacing conventional media such as television and news outlets. A part of the enormous video stream uploaded to this platform includes health-related content, both from official public health organizations, and from any individual or group that can make an account. The quality of information available on YouTube is a critical point of public health safety, especially when concerning major interventions, such as vaccination. This study differentiates itself from previous efforts of auditing YouTube videos on this topic by conducting a systematic daily collection of posted videos mentioning vaccination for the duration of 3 months. We show that the competition for the public's attention is between public health messaging by institutions and individual educators on one side, and commentators on society and politics on the other, the latest contributing the most to the videos expressing stances against vaccination. Videos opposing vaccination are more likely to mention politicians and publication media such as podcasts, reports, and news analysis, on the other hand, videos in favor are more li

Our ability to build autonomous agents that leverage Generative AI continues to increase by the day. As builders and users of such agents it is unclear what parameters we need to align on before the agents start performing tasks on our behalf. To discover these parameters, we ran a qualitative empirical research study about designing agents that can negotiate during a fictional yet relatable task of selling a camera online. We found that for an agent to perform the task successfully, humans/users and agents need to align over 6 dimensions: 1) Knowledge Schema Alignment 2) Autonomy and Agency Alignment 3) Operational Alignment and Training 4) Reputational Heuristics Alignment 5) Ethics Alignment and 6) Human Engagement Alignment. These empirical findings expand previous work related to process and specification alignment and the need for values and safety in Human-AI interactions. Subsequently we discuss three design directions for designers who are imagining a world filled with Human-Agent collaborations.

Human-machine networks affect many aspects of our lives: from sharing experiences with family and friends, knowledge creation and distance learning, and managing utility bills or providing feedback on retail items, to more specialised networks providing decision support to human operators and the delivery of health care via a network of clinicians, family, friends, and both physical and virtual social robots. Such networks rely on increasingly sophisticated machine algorithms, e.g., to recommend friends or purchases, to track our online activities in order to optimise the services available, and assessing risk to help maintain or even enhance people's health. Users are being offered ever increasing power and reach through these networks by machines which have to support and allow users to be able to achieve goals such as maintaining contact, making better decisions, and monitoring their health. As such, this comes down to a synergy between human and machine agency in which one is dependent in complex ways on the other. With that agency questions arise about trust, risk and regulation, as well as social influence and potential for computer-mediated self-efficacy. In this paper, we e

Mobile health has the potential to revolutionize health care delivery and patient engagement. In this work, we discuss how integrating Artificial Intelligence into digital health applications-focused on supply chain, patient management, and capacity building, among other use cases-can improve the health system and public health performance. We present an Artificial Intelligence and Reinforcement Learning platform that allows the delivery of adaptive interventions whose impact can be optimized through experimentation and real-time monitoring. The system can integrate multiple data sources and digital health applications. The flexibility of this platform to connect to various mobile health applications and digital devices and send personalized recommendations based on past data and predictions can significantly improve the impact of digital tools on health system outcomes. The potential for resource-poor settings, where the impact of this approach on health outcomes could be more decisive, is discussed specifically. This framework is, however, similarly applicable to improving efficiency in health systems where scarcity is not an issue.

Precision Medicine (PM) transforms the traditional "one-drug-fits-all" paradigm by customising treatments based on individual characteristics, and is an emerging topic for HCI research on digital health. A key element of PM, the Polygenic Risk Score (PRS), uses genetic data to predict an individual's disease risk. Despite its potential, PRS faces barriers to adoption, such as data inclusivity, psychological impact, and public trust. We conducted a mixed-methods study to explore how people perceive PRS, formed of surveys (n=254) and interviews (n=11) with UK-based participants. The interviews were supplemented by interactive storyboards with the ContraVision technique to provoke deeper reflection and discussion. We identified ten key barriers and five themes to PRS adoption and proposed design implications for a responsible PRS framework. To address the complexities of PRS and enhance broader PM practices, we introduce the term Human-Precision Medicine Interaction (HPMI), which integrates, adapts, and extends HCI approaches to better meet these challenges.

Human-robot collaboration in surgery represents a significant area of research, driven by the increasing capability of autonomous robotic systems to assist surgeons in complex procedures. This systematic review examines the advancements and persistent challenges in the development of autonomous surgical robotic assistants (ASARs), focusing specifically on scenarios where robots provide meaningful and active support to human surgeons. Adhering to the PRISMA guidelines, a comprehensive literature search was conducted across the IEEE Xplore, Scopus, and Web of Science databases, resulting in the selection of 32 studies for detailed analysis. Two primary collaborative setups were identified: teleoperation-based assistance and direct hands-on interaction. The findings reveal a growing research emphasis on ASARs, with predominant applications currently in endoscope guidance, alongside emerging progress in autonomous tool manipulation. Several key challenges hinder wider adoption, including the alignment of robotic actions with human surgeon preferences, the necessity for procedural awareness within autonomous systems, the establishment of seamless human-robot information exchange, and th

The profound intertwining of digital interactions with traditional human interactions has spawned a novel mode of human interactions at both individual and population levels, carrying substantial ramifications for health. Digital mediation refers to the process by which digital interactions influence and facilitate human interactions. While digital mediations can bring benefits, they also pose potential health risks. We identify four levels where problems may arise: the medium itself, mediation architects, end users, and mediation orchestrators. Addressing the challenges associated with shaping digital mediation of human interactions for health requires strategies and future research. Shifting focus towards understanding the impact of digitally mediated interactions on health is crucial for advancing research, policy, and practice in this field.

The rapid advancement of Large Language Models (LLMs), reasoning models, and agentic AI approaches coincides with a growing global mental health crisis, where increasing demand has not translated into adequate access to professional support, particularly for underserved populations. This presents a unique opportunity for AI to complement human-led interventions, offering scalable and context-aware support while preserving human connection in this sensitive domain. We explore various AI applications in peer support, self-help interventions, proactive monitoring, and data-driven insights, using a human-centred approach that ensures AI supports rather than replaces human interaction. However, AI deployment in mental health fields presents challenges such as ethical concerns, transparency, privacy risks, and risks of over-reliance. We propose a hybrid ecosystem where where AI assists but does not replace human providers, emphasising responsible deployment and evaluation. We also present some of our early work and findings in several of these AI applications. Finally, we outline future research directions for refining AI-enhanced interventions while adhering to ethical and culturally se

The COVID-19 pandemic has highlighted the dire necessity to improve public health literacy for societal resilience. YouTube, the largest video-sharing social media platform, provides a vast repository of user-generated health information in a multi-media-rich format which may be easier for the public to understand and use if major concerns about content quality and accuracy are addressed. This study develops an automated solution to identify, retrieve and shortlist medically relevant and understandable YouTube videos that domain experts can subsequently review and recommend for disseminating and educating the public on the COVID-19 pandemic and similar public health outbreaks. Our approach leverages domain knowledge from human experts and machine learning and natural language processing methods to provide a scalable, replicable, and generalizable approach that can also be applied to enhance the management of many health conditions.

While generative artificial intelligence (Gen AI) increasingly transforms academic environments, a critical gap exists in understanding and mitigating human biases in AI interactions, such as anchoring and confirmation bias. This position paper advocates for metacognitive AI literacy interventions to help university students critically engage with AI and address biases across the Human-AI interaction workflows. The paper presents the importance of considering (1) metacognitive support with deliberate friction focusing on human bias; (2) bi-directional Human-AI interaction intervention addressing both input formulation and output interpretation; and (3) adaptive scaffolding that responds to diverse user engagement patterns. These frameworks are illustrated through ongoing work on "DeBiasMe," AIED (AI in Education) interventions designed to enhance awareness of cognitive biases while empowering user agency in AI interactions. The paper invites multiple stakeholders to engage in discussions on design and evaluation methods for scaffolding mechanisms, bias visualization, and analysis frameworks. This position contributes to the emerging field of AI-augmented learning by emphasizing the

Software engineering for digital health applications entails several challenges, including heterogeneous data acquisition, data standardization, software reuse, security, and privacy considerations. We explore these challenges and how our Stanford Spezi ecosystem addresses these challenges by providing a modular and standards-based open-source digital health ecosystem. Spezi enables developers to select and integrate modules according to their needs and facilitates an open-source community to democratize access to building digital health innovations.

Linking clinical narratives to standardized vocabularies and coding systems is a key component of unlocking the information in medical text for analysis. However, many domains of medical concepts lack well-developed terminologies that can support effective coding of medical text. We present a framework for developing natural language processing (NLP) technologies for automated coding of under-studied types of medical information, and demonstrate its applicability via a case study on physical mobility function. Mobility is a component of many health measures, from post-acute care and surgical outcomes to chronic frailty and disability, and is coded in the International Classification of Functioning, Disability, and Health (ICF). However, mobility and other types of functional activity remain under-studied in medical informatics, and neither the ICF nor commonly-used medical terminologies capture functional status terminology in practice. We investigated two data-driven paradigms, classification and candidate selection, to link narrative observations of mobility to standardized ICF codes, using a dataset of clinical narratives from physical therapy encounters. Recent advances in lang

High-quality human annotations are necessary for creating effective machine learning-driven stream processing systems. We study hybrid stream processing systems based on a Human-In-The-Loop Machine Learning (HITL-ML) paradigm, in which one or many human annotators and an automatic classifier (trained at least partially by the human annotators) label an incoming stream of instances. This is typical of many near-real-time social media analytics and web applications, including annotating social media posts during emergencies by digital volunteer groups. From a practical perspective, low-quality human annotations result in wrong labels for retraining automated classifiers and indirectly contribute to the creation of inaccurate classifiers. Considering human annotation as a psychological process allows us to address these limitations. We show that human annotation quality is dependent on the ordering of instances shown to annotators and can be improved by local changes in the instance sequence/order provided to the annotators, yielding a more accurate annotation of the stream. We adapt a theoretically-motivated human error framework of mistakes and slips for the human annotation task to

Selecting the right monitoring level in Remote Patient Monitoring (RPM) systems for e-healthcare is crucial for balancing patient outcomes, various resources, and patient's quality of life. A prior work has used one-dimensional health representations, but patient health is inherently multidimensional and typically consists of many measurable physiological factors. In this paper, we introduce a multidimensional health state model within the RPM framework and use dynamic programming to study optimal monitoring strategies. Our analysis reveals that the optimal control is characterized by switching curves (for two-dimensional health states) or switching hyper-surfaces (in general): patients switch to intensive monitoring when health measurements cross a specific multidimensional surface. We further study how the optimal switching curve varies for different medical conditions and model parameters. This finding of the optimal control structure provides actionable insights for clinicians and aids in resource planning. The tunable modeling framework enhances the applicability and effectiveness of RPM services across various medical conditions.

Heuristic evaluation is a widely used method in Human-Computer Interaction (HCI) to inspect interfaces and identify issues based on heuristics. Recently, Large Language Models (LLMs), such as GPT-4o, have been applied in HCI to assist in persona creation, the ideation process, and the analysis of semi-structured interviews. However, considering the need to understand heuristics and the high degree of abstraction required to evaluate them, LLMs may have difficulty conducting heuristic evaluation. However, prior research has not investigated GPT-4o's performance in heuristic evaluation compared to HCI experts in web-based systems. In this context, this study aims to compare the results of a heuristic evaluation performed by GPT-4o and human experts. To this end, we selected a set of screenshots from a web system and asked GPT-4o to perform a heuristic evaluation based on Nielsen's Heuristics from a literature-grounded prompt. Our results indicate that only 21.2% of the issues identified by human experts were also identified by GPT-4o, despite it found 27 new issues. We also found that GPT-4o performed better for heuristics related to aesthetic and minimalist design and match between