Identifying the underlying time-delayed latent causal processes in sequential data is vital for grasping temporal dynamics and making downstream reasoning. While some recent methods can robustly identify these latent causal variables, they rely on strict assumptions about the invertible generation process from latent variables to observed data. However, these assumptions are often hard to satisfy in real-world applications containing information loss. For instance, the visual perception process translates a 3D space into 2D images, or the phenomenon of persistence of vision incorporates historical data into current perceptions. To address this challenge, we establish an identifiability theory that allows for the recovery of independent latent components even when they come from a nonlinear and non-invertible mix. Using this theory as a foundation, we propose a principled approach, CaRiNG, to learn the CAusal RepresentatIon of Non-invertible Generative temporal data with identifiability guarantees. Specifically, we utilize temporal context to recover lost latent information and apply the conditions in our theory to guide the training process. Through experiments conducted on synthet
The ethics of AI as both material and medium for interaction remains in murky waters within the context of musical and artistic practice. The interdisciplinarity of the field is revealing matters of concern and care, which necessitate interdisciplinary methodologies for evaluation to trouble and critique the inheritance of "residue-laden" AI-tools in musical applications. Seeking to unsettle these murky waters, this paper critically examines the example of Holly+, a deep neural network that generates raw audio in the likeness of its creator Holly Herndon. Drawing from theoretical concerns and considerations from speculative feminism and care ethics, we care-fully trouble the structures, frameworks and assumptions that oscillate within and around Holly+. We contribute with several considerations and contemplate future directions for integrating speculative feminism and care into musical-AI agent and system design, derived from our critical feminist examination.
Software engineering researchers repeatedly argue that the impact of their research on industrial practice, while desired and intended, is rarely achieved. We believe that a possible explanation of this phenomenon is the opposition of "caring about" and "caring for", based on the ethics of care. Indeed, while software engineering is collaborative and hence builds on interpersonal relations, researchers tend to care about "industrial impact" and "practitioners" in abstract terms, but rarely care for specific individuals working in specific contexts facing specific challenges. In this position paper, we advocate for the adoption of ethics of care in software engineering and discuss the implications of this adoption for researchers and conference organizers.
People care about climate change, injustice, and humanitarian crises. The challenge is not apathy but capacity: sustained engagement with large-scale problems is psychologically costly, and social media architecture often amplifies awareness while providing few pathways to meaningful action. The result is rising distress, overwhelm, and disengagement -- particularly among young people who encounter global suffering through platforms designed for attention capture rather than constructive response. This workshop examines how social technology design shapes the conditions for sustained engagement with societal challenges. Drawing on Tronto's care ethics framework and research in moral psychology and platform studies, we ask why caring at scale is difficult and how social media can both exacerbate and potentially mitigate this difficulty. Tronto's framework shows that good care requires more than awareness: it demands responsibility, competence, and community. Dominant social media architectures stall the caring process at its earliest phase. We invite researchers and designers to identify platform designs that deplete or support the capacity to care, and to develop design directions
LLM-as-a-judge ensembles are the standard paradigm for scalable evaluation, but their aggregation mechanisms suffer from a fundamental flaw: they implicitly assume that judges provide independent estimates of true quality. However, in practice, LLM judges exhibit correlated errors caused by shared latent confounders -- such as verbosity, stylistic preferences, or training artifacts -- causing standard aggregation rules like majority vote or averaging to provide little gain or even amplify systematic mistakes. To address this, we introduce CARE, a confounder-aware aggregation framework that explicitly models LLM judge scores as arising from both a latent true-quality signal and shared confounding factors. Rather than heuristically re-weighting judges, CARE separates quality from confounders without access to ground-truth labels. We provide theoretical guarantees for identifiability and finite-sample recovery under shared confounders, and we quantify the systematic bias incurred when aggregation models omit confounding latent factors. Across 12 public benchmarks spanning continuous scoring, binary classification, and pairwise preference settings, CARE improves aggregation accuracy, r
Research in Human-Computer Interaction (HCI) has shown that caring for others, including both humans (e.g., close friends) and computers (e.g., Tamagotchi), can have a positive effect on people's wellbeing. However, we know less about the potential role of conversational AI in such settings. In this work, we explore how AI chatbots can support plant care and, in turn, positively influence people's well-being. We developed a mobile application that allows users to `talk' to their plants via chatbots. We evaluated the application with ten participants and conducted semi-structured interviews based on Seligman's PERMA model, which identifies pillars of psychological well-being. Our findings suggest positive effects, with participants reflecting on a sense of connection to their plants and corresponding feelings of accomplishment. While our findings suggest that participants were generally positive about the app, they also raised concerns about the diverse preferences and expectations of users regarding interactions with chatbots representing plants.
Relationship-centred care (RCC) recognises that healthcare quality depends not only on outcomes, but on how voice, responsibility, and emotional labour are negotiated among patients, caregivers, and providers. As AI systems enter sensitive care contexts, they introduce a new participant into these negotiations. Drawing on empirical work in Advance Care Planning (ACP) and peer support, we argue that AI's primary impact in high-subjectivity domains is not optimisation but redistribution: it reorganises who speaks, who decides, and who bears moral responsibility. Across both settings, participants were less concerned with technical accuracy than with relational consequences: whether AI would appropriately represent their decision, reduce burden, or blur accountability, scaffold connection, or subtly displace it. We identify three relational dimensions: authority, temporality, and visibility, through which AI reshapes care relationships, and propose design provocations centred on relational legibility, bounded agency, responsibility traceability, and non-substitutive scaffolding.
Demand for older-adult and patient care is growing rapidly as populations age worldwide. Foundation models are increasingly being integrated into robots and interactive agents, with the promise of more flexible communication and personalized assistance. However, care settings require reliable and workflow-compatible systems with accountable human oversight, and it remains unclear whether current embodied systems can translate technical advances into clinical impact. This Perspective synthesizes foundation model-based care robots across three areas: design features, user experience, and evidence for care-related outcomes. Current systems most commonly use foundation models as conversational and reasoning layers within voice-centered socially assistive embodiments, while multimodal grounding and physical autonomy remain limited. Empirical evaluations report positive usability and engagement benefits, but reliability failures persist across the interaction pipeline such as hallucinations and conversational breakdowns. Evidence for care impact remains concentrated in proximal outcomes such as cognitive engagement and participation, with limited evidence for validated clinical or care-r
Home-based care (HBC) delivers medical and care services in patients' living environments, offering unique opportunities for patient-centered care. However, patient agency is often inadequately represented in shared HBC planning processes. Through 23 multi-stakeholder interviews with HBC patients, healthcare professionals, and care workers, alongside 60 hours of ethnographic observations, we examined how patient agency manifests in HBC and why this representation gap occurs. Our findings reveal that patient agency is not a static individual attribute but a relational capacity shaped through maintaining everyday continuity, mutual recognition from care providers, and engagement with material home environments. Furthermore, we identified that structured documentation systems filter out contextual knowledge, informal communication channels fragment patient voices, and doctor-centered hierarchies position patients as passive recipients. Drawing on these insights, we propose design considerations to bridge this representation gap and to integrate patient agency into shared HBC plans.
The global ageing population necessitates new and emerging strategies for caring for older adults. In this article, we explore the potential for transformation in elderly care through Agentic Artificial Intelligence (AI), powered by Large Language Models (LLMs). We discuss the proactive and autonomous decision-making facilitated by Agentic AI in elderly care. Personalized tracking of health, cognitive care, and environmental management, all aimed at enhancing independence and high-level living for older adults, represents important areas of application. With a potential for significant transformation of elderly care, Agentic AI also raises profound concerns about data privacy and security, decision independence, and access. We share key insights to emphasize the need for ethical safeguards, privacy protections, and transparent decision-making. Our goal in this article is to provide a balanced discussion of both the potential and the challenges associated with Agentic AI, and to provide insights into its responsible use in elderly care, to bring Agentic AI into harmony with the requirements and vulnerabilities specific to the elderly. Finally, we identify the priorities for the acad
Despite a growing need for spiritual care in the US, it is often under-served, inaccessible, or misunderstood, while almost no prior work in CSCW/HCI research has engaged with professional chaplains and spiritual care providers. This interdisciplinary study aims to develop a foundational understanding of how spiritual care may (or may not) be expanded into online spaces -- especially focusing on anonymous, asynchronous, and text-based online communities. We conducted an exploratory mixed-methods study with chaplains (N=22) involving interviews and user testing sessions centered around Reddit support communities to understand participants' perspectives on technology and their ideations about the role of chaplaincy in prospective Online Spiritual Care Communities (OSCCs). Our Grounded Theory Method analysis highlighted benefits of OSCCs including: meeting patients where they are at; accessibility and scalability; and facilitating patient-initiated care. Chaplains highlighted how their presence in OSCCs could help with shaping peer interactions, moderation, synchronous chats for group care, and redirecting to external resources, while also raising important feasibility concerns, risks
Transitional care may play a vital role for the sustainability of Europe future healthcare system, offering solutions for relocating patient care from hospital to home therefore addressing the growing demand for medical care as the population is ageing. However, to be effective, it is essential to integrate innovative Information and Communications Technology technologies to ensure that patients with comorbidities experience a smooth and coordinated transition from hospitals or care centers to home, thereby reducing the risk of rehospitalization. In this paper, we present an overview of the integration of Internet of Things, artificial intelligence, and digital assistance technologies with traditional care pathways to address the challenges and needs of healthcare systems in Europe. We identify the current gaps in transitional care and define the technology mapping to enhance the care pathways, aiming to improve patient outcomes, safety, and quality of life avoiding hospital readmissions. Finally, we define the trial setup and evaluation methodology needed to provide clinical evidence that supports the positive impact of technology integration on patient care and discuss the potent
This paper introduces the "IoT Integration Protocol for Enhanced Hospital Care", a comprehensive framework designed to leverage Internet of Things (IoT) technology to enhance patient care, improve operational efficiency, and ensure data security in hospital settings. With the growing emphasis on utilizing advanced technologies in healthcare, this protocol aims to harness the potential of IoT devices to optimize patient monitoring, enable remote care, and support clinical decision-making. By integrating IoT seamlessly into nursing workflows and patient care plans, hospitals can achieve higher levels of patient-centric care and real-time data insights, leading to better treatment outcomes and resource allocation. This paper outlines the protocol's objectives, key components, and expected benefits, while emphasizing the importance of ethical considerations and ongoing evaluation to ensure successful implementation.
Autonomous interaction is crucial for the effective use of elderly care robots. However, developing universal AI architectures is extremely challenging due to the diversity in robot configurations and a lack of dataset. We proposed a universal architecture for the AI-ization of elderly care robots, called AoECR. Specifically, based on a nursing bed, we developed a patient-nurse interaction dataset tailored for elderly care scenarios and fine-tuned a large language model to enable it to perform nursing manipulations. Additionally, the inference process included a self-check chain to ensure the security of control commands. An expert optimization process further enhanced the humanization and personalization of the interactive responses. The physical experiment demonstrated that the AoECR exhibited zero-shot generalization capabilities across diverse scenarios, understood patients' instructions, implemented secure control commands, and delivered humanized and personalized interactive responses. In general, our research provides a valuable dataset reference and AI-ization solutions for elderly care robots.
Bias and inequity in palliative care disproportionately affect marginalised groups. Large language models (LLMs), such as GPT-4o, hold potential to enhance care but risk perpetuating biases present in their training data. This study aimed to systematically evaluate whether GPT-4o propagates biases in palliative care responses using adversarially designed datasets. In July 2024, GPT-4o was probed using the Palliative Care Adversarial Dataset (PCAD), and responses were evaluated by three palliative care experts in Canada and the United Kingdom using validated bias rubrics. The PCAD comprised PCAD-Direct (100 adversarial questions) and PCAD-Counterfactual (84 paired scenarios). These datasets targeted four care dimensions (access to care, pain management, advance care planning, and place of death preferences) and three identity axes (ethnicity, age, and diagnosis). Bias was detected in a substantial proportion of responses. For adversarial questions, the pooled bias rate was 0.33 (95% confidence interval [CI]: 0.28, 0.38); "allows biased premise" was the most frequently identified source of bias (0.47; 95% CI: 0.39, 0.55), such as failing to challenge stereotypes. For counterfactual s
Care is primarily a collective phenomenon, with a practice that involves sharing health and wellbeing information within a trusted "care circle" of family members and companions for sensemaking, interpretation, decision-making, and follow-through. However, current digital health tools and information systems are designed for individuals and primarily intended for Personal Health Informatics (PHI). This mismatch between collective practice and individualistic design creates new challenges for the proactive use of such systems in care settings and limits adoption, sustained engagement, and meaningful use. To examine how people practice collective care and how (if) they perceive, adopt, and integrate PHI systems for proactive care, we conducted a sequential mixed-methods study. Through an initial survey (n=87) and semi-structured interviews (n=22), we found that their practices involve collectively understanding, analyzing, and sensemaking health information. However, we also found that their use of existing systems to support such practices is constrained by factors at personal, relational, technological, and structural levels that evolve over time. To explore redesigning PHI toward
Under-resourced or rural hospitals have limited access to medical specialists and healthcare professionals, which can negatively impact patient outcomes in sepsis. To address this gap, we developed the MATEC (Multi-AI Agent Team Care) framework, which integrates a team of specialized AI agents for sepsis care. The sepsis AI agent team includes five doctor agents, four health professional agents, and a risk prediction model agent, with an additional 33 doctor agents available for consultations. Ten attending physicians at a teaching hospital evaluated this framework, spending approximately 40 minutes on the web-based MATEC application and participating in the 5-point Likert scale survey (rated from 1-unfavorable to 5-favorable). The physicians found the MATEC framework very useful (Median=4, P=0.01), and very accurate (Median=4, P<0.01). This pilot study demonstrates that a Multi-AI Agent Team Care framework (MATEC) can potentially be useful in assisting medical professionals, particularly in under-resourced hospital settings.
Large vision-language models (VLMs) commonly process images at native or high resolution to remain effective across tasks. This inflates visual tokens ofter to 97-99% of total tokens, resulting in high compute and latency, even when low-resolution images would suffice. We introduce \emph{CARES}-a \textbf{C}ontext-\textbf{A}ware \textbf{R}esolution \textbf{S}elector, a lightweight preprocessing module that, given an image-query pair, predicts the \emph{minimal} sufficient input resolution. CARES uses a compact VLM (350M) to extract features and predict when a target pretrained VLM's response converges to its peak ability to answer correctly. Though trained as a discrete classifier over a set of optional resolutions, CARES interpolates continuous resolutions at inference for fine-grained control. Across five multimodal benchmarks spanning documents and natural images, as well as diverse target VLMs, CARES preserves task performance while reducing compute by up to 80%.
Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of "care encounters" - serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of "care encounters" that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniqu
Clinical risk prediction models are regularly updated as new data, often with additional covariates, become available. We propose CARE (Convex Aggregation of relative Risk Estimators) as a general approach for combining existing "external" estimators with a new data set in a time-to-event survival analysis setting. Our method initially employs the new data to fit a flexible family of reproducing kernel estimators via penalised partial likelihood maximisation. The final relative risk estimator is then constructed as a convex combination of the kernel and external estimators, with the convex combination coefficients and regularisation parameters selected using cross-validation. We establish high-probability bounds for the $L_2$-error of our proposed aggregated estimator, showing that it achieves a rate of convergence that is at least as good as both the optimal kernel estimator and the best external model. Empirical results from simulation studies align with the theoretical results, and we illustrate the improvements our methods provide for cardiovascular disease risk modelling. Our methodology is implemented in the Python package care-survival.