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Medical Decision-Making (MDM) is a multi-faceted process that requires clinicians to assess complex multi-modal patient data patient, often collaboratively. Large Language Models (LLMs) promise to streamline this process by synthesizing vast medical knowledge and multi-modal health data. However, single-agent are often ill-suited for nuanced medical contexts requiring adaptable, collaborative problem-solving. Our MDAgents addresses this need by dynamically assigning collaboration structures to LLMs based on task complexity, mimicking real-world clinical collaboration and decision-making. This framework improves diagnostic accuracy and supports adaptive responses in complex, real-world medical scenarios, making it a valuable tool for clinicians in various healthcare settings, and at the same time, being more efficient in terms of computing cost than static multi-agent decision making methods., Comment: Under Review for ML4H 2024

Empathy serves as a cornerstone in enabling prosocial behaviors, and can be evoked through sharing of personal experiences in stories. While empathy is influenced by narrative content, intuitively, people respond to the way a story is told as well, through narrative style. Yet the relationship between empathy and narrative style is not fully understood. In this work, we empirically examine and quantify this relationship between style and empathy using LLMs and large-scale crowdsourcing studies. We introduce a novel, theory-based taxonomy, HEART (Human Empathy and Narrative Taxonomy) that delineates elements of narrative style that can lead to empathy with the narrator of a story. We establish the performance of LLMs in extracting narrative elements from HEART, showing that prompting with our taxonomy leads to reasonable, human-level annotations beyond what prior lexicon-based methods can do. To show empirical use of our taxonomy, we collect a dataset of empathy judgments of stories via a large-scale crowdsourcing study with N=2,624 participants. We show that narrative elements extracted via LLMs, in particular, vividness of emotions and plot volume, can elucidate the pathways by which narrative style cultivates empathy towards personal stories. Our work suggests that such models can be used for narrative analyses that lead to human-centered social and behavioral insights., Comment: Accepted to EMNLP 2024

Modeling empathy is a complex endeavor that is rooted in interpersonal and experiential dimensions of human interaction, and remains an open problem within AI. Existing empathy datasets fall short in capturing the richness of empathy responses, often being confined to in-lab or acted scenarios, lacking longitudinal data, and missing self-reported labels. We introduce a new multimodal dataset for empathy during personal experience sharing: the EmpathicStories++ dataset (https://mitmedialab.github.io/empathic-stories-multimodal/) containing 53 hours of video, audio, and text data of 41 participants sharing vulnerable experiences and reading empathically resonant stories with an AI agent. EmpathicStories++ is the first longitudinal dataset on empathy, collected over a month-long deployment of social robots in participants' homes, as participants engage in natural, empathic storytelling interactions with AI agents. We then introduce a novel task of predicting individuals' empathy toward others' stories based on their personal experiences, evaluated in two contexts: participants' own personal shared story context and their reflections on stories they read. We benchmark this task using state-of-the-art models to pave the way for future improvements in contextualized and longitudinal empathy modeling. Our work provides a valuable resource for further research in developing empathetic AI systems and understanding the intricacies of human empathy within genuine, real-world settings., Comment: Accepted to ACL 2024 Findings

Foundation models are becoming valuable tools in medicine. Yet despite their promise, the best way to leverage Large Language Models (LLMs) in complex medical tasks remains an open question. We introduce a novel multi-agent framework, named Medical Decision-making Agents (MDAgents) that helps address this gap by automatically assigning a collaboration structure to a team of LLMs. The assigned solo or group collaboration structure is tailored to the medical task at hand, emulating real-world medical decision-making processes adapted to tasks of varying complexities. We evaluate our framework and baseline methods using state-of-the-art LLMs across a suite of real-world medical knowledge and medical diagnosis benchmarks, including a comparison of LLMs' medical complexity classification against human physicians. MDAgents achieved the best performance in seven out of ten benchmarks on tasks requiring an understanding of medical knowledge and multi-modal reasoning, showing a significant improvement of up to 4.2% (p < 0.05) compared to previous methods' best performances. Ablation studies reveal that MDAgents effectively determines medical complexity to optimize for efficiency and accuracy across diverse medical tasks. Notably, the combination of moderator review and external medical knowledge in group collaboration resulted in an average accuracy improvement of 11.8%. Our code can be found at https://github.com/mitmedialab/MDAgents.

We describe an approach for aligning an LLM-based dialogue agent based on global (i.e., dialogue-level) rewards, while also taking into account naturally-occurring multimodal signals. At a high level, our approach (dubbed GELI) learns a local, turn-level reward model by decomposing the human-provided Global Explicit (GE) session-level reward, using Local Implicit (LI) multimodal reward signals to crossmodally shape the reward decomposition step. This decomposed reward model is then used as part of the standard RHLF pipeline improve an LLM-based dialog agent. We run quantitative and qualitative human studies to evaluate the performance of our GELI approach, and find that it shows consistent improvements across various conversational metrics compared to baseline methods., Comment: 10 pages, 3 figures, 2 tables

Large language models (LLMs) are capable of many natural language tasks, yet they are far from perfect. In health applications, grounding and interpreting domain-specific and non-linguistic data is crucial. This paper investigates the capacity of LLMs to make inferences about health based on contextual information (e.g. user demographics, health knowledge) and physiological data (e.g. resting heart rate, sleep minutes). We present a comprehensive evaluation of 12 state-of-the-art LLMs with prompting and fine-tuning techniques on four public health datasets (PMData, LifeSnaps, GLOBEM and AW_FB). Our experiments cover 10 consumer health prediction tasks in mental health, activity, metabolic, and sleep assessment. Our fine-tuned model, HealthAlpaca exhibits comparable performance to much larger models (GPT-3.5, GPT-4 and Gemini-Pro), achieving the best performance in 8 out of 10 tasks. Ablation studies highlight the effectiveness of context enhancement strategies. Notably, we observe that our context enhancement can yield up to 23.8% improvement in performance. While constructing contextually rich prompts (combining user context, health knowledge and temporal information) exhibits synergistic improvement, the inclusion of health knowledge context in prompts significantly enhances overall performance.

The most meaningful connections between people are often fostered through expression of shared vulnerability and emotional experiences in personal narratives. We introduce a new task of identifying similarity in personal stories based on empathic resonance, i.e., the extent to which two people empathize with each others' experiences, as opposed to raw semantic or lexical similarity, as has predominantly been studied in NLP. Using insights from social psychology, we craft a framework that operationalizes empathic similarity in terms of three key features of stories: main events, emotional trajectories, and overall morals or takeaways. We create EmpathicStories, a dataset of 1,500 personal stories annotated with our empathic similarity features, and 2,000 pairs of stories annotated with empathic similarity scores. Using our dataset, we fine-tune a model to compute empathic similarity of story pairs, and show that this outperforms semantic similarity models on automated correlation and retrieval metrics. Through a user study with 150 participants, we also assess the effect our model has on retrieving stories that users empathize with, compared to naive semantic similarity-based retrieval, and find that participants empathized significantly more with stories retrieved by our model. Our work has strong implications for the use of empathy-aware models to foster human connection and empathy between people., Comment: Published at EMNLP 2023

Automatic speech-based affect recognition of individuals in dyadic conversation is a challenging task, in part because of its heavy reliance on manual pre-processing. Traditional approaches frequently require hand-crafted speech features and segmentation of speaker turns. In this work, we design end-to-end deep learning methods to recognize each person's affective expression in an audio stream with two speakers, automatically discovering features and time regions relevant to the target speaker's affect. We integrate a local attention mechanism into the end-to-end architecture and compare the performance of three attention implementations -- one mean pooling and two weighted pooling methods. Our results show that the proposed weighted-pooling attention solutions are able to learn to focus on the regions containing target speaker's affective information and successfully extract the individual's valence and arousal intensity. Here we introduce and use a "dyadic affect in multimodal interaction - parent to child" (DAMI-P2C) dataset collected in a study of 34 families, where a parent and a child (3-7 years old) engage in reading storybooks together. In contrast to existing public datasets for affect recognition, each instance for both speakers in the DAMI-P2C dataset is annotated for the perceived affect by three labelers. To encourage more research on the challenging task of multi-speaker affect sensing, we make the annotated DAMI-P2C dataset publicly available, including acoustic features of the dyads' raw audios, affect annotations, and a diverse set of developmental, social, and demographic profiles of each dyad., Comment: Accepted by the 2020 International Conference on Multimodal Interaction (ICMI'20)