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Assessing the Human-Likeness of LLM-Driven Digital Twins in Simulating Health Care System Trust

arXiv.org Artificial Intelligence

Serving as an emerging and powerful tool, Large Language Model (LLM) - driven Human Digital Twins are showing great potential in healthcare system research. However, its actual simulation ability for complex human psychological traits, such as distrust in the healthcare system, remains unclear. This research gap particularly impacts health professionals' trust and usage of LLM - based Artificial Intelligence (AI) systems in assisting their routine work. In this study, based on the Twin-2K-500 dataset, we systematically evaluated the simulation results of the LLM-driven human digital twin using the Health Care System Distrust Scale (HCSDS) with an established human-subject sample, analyzing item-level distributions, summary statistics, and demographic subgroup patterns. Results show ed that the simulated responses by the digital twin were significantly more centralized with lower variance and had fewer selections of extreme options (all p<0.001) . While the digital twin broa dly reproduces human results in major demographic patterns, such as age and gender, it exhibits relatively low sensitivity in capturing minor differences in education levels. The LLMbased digital twin simulation has the potential to simulate population trends, but it also presents challenges in making detailed, specific distinction s in subgroups of human beings. This study suggests that the current LLM - driven Digital Twins have limitations in modeling complex human attitudes, which require careful calibration and validation before applying them in inferential analyses or policy simulations in health systems engineering. Future studies are necessary to examine the emotional reasonin g mechanism of LLMs before their use, particularly for studies that involve simulations sensitive to social topics, such as human-automation trust.


When AI Gives Advice: Evaluating AI and Human Responses to Online Advice-Seeking for Well-Being

arXiv.org Artificial Intelligence

Seeking advice is a core human behavior that the Internet has reinvented twice: first through forums and Q\&A communities that crowdsource public guidance, and now through large language models (LLMs) that deliver private, on-demand counsel at scale. Yet the quality of this synthesized LLM advice remains unclear. How does it compare, not only against arbitrary human comments, but against the wisdom of the online crowd? We conducted two studies (N = 210) in which experts compared top-voted Reddit advice with LLM-generated advice. LLMs ranked significantly higher overall and on effectiveness, warmth, and willingness to seek advice again. GPT-4o beat GPT-5 on all metrics except sycophancy, suggesting that benchmark gains need not improve advice-giving. In our second study, we examined how human and algorithmic advice could be combined, and found that human advice can be unobtrusively polished to compete with AI-generated comments. Finally, to surface user expectations, we ran an exploratory survey with undergraduates (N=148) that revealed heterogeneous, persona-dependent preferences for agent qualities (e.g., coach-like: goal-focused structure; friend-like: warmth and humor). We conclude with design implications for advice-giving agents and ecosystems blending AI, crowd input, and expert oversight.


Motion2Meaning: A Clinician-Centered Framework for Contestable LLM in Parkinson's Disease Gait Interpretation

arXiv.org Artificial Intelligence

AI-assisted gait analysis holds promise for improving Parkinson's Disease (PD) care, but current clinical dashboards lack transparency and offer no meaningful way for clinicians to interrogate or contest AI decisions. To address this issue, we present Motion2Meaning, a clinician-centered framework that advances Contestable AI through a tightly integrated interface designed for interpretability, oversight, and procedural recourse. Our approach leverages vertical Ground Reaction Force (vGRF) time-series data from wearable sensors as an objective biomarker of PD motor states. The system comprises three key components: a Gait Data Visualization Interface (GDVI), a one-dimensional Convolutional Neural Network (1D-CNN) that predicts Hoehn & Yahr severity stages, and a Contestable Interpretation Interface (CII) that combines our novel Cross-Modal Explanation Discrepancy (XMED) safeguard with a contestable Large Language Model (LLM). Our 1D-CNN achieves 89.0% F1-score on the public PhysioNet gait dataset. XMED successfully identifies model unreliability by detecting a five-fold increase in explanation discrepancies in incorrect predictions (7.45%) compared to correct ones (1.56%), while our LLM-powered interface enables clinicians to validate correct predictions and successfully contest a portion of the model's errors. A human-centered evaluation of this contestable interface reveals a crucial trade-off between the LLM's factual grounding and its readability and responsiveness to clinical feedback. This work demonstrates the feasibility of combining wearable sensor analysis with Explainable AI (XAI) and contestable LLMs to create a transparent, auditable system for PD gait interpretation that maintains clinical oversight while leveraging advanced AI capabilities. Our implementation is publicly available at: https://github.com/hungdothanh/motion2meaning.


Agentic AI as Undercover Teammates: Argumentative Knowledge Construction in Hybrid Human-AI Collaborative Learning

arXiv.org Artificial Intelligence

Generative artificial intelligence (AI) agents are increasingly embedded in collaborative learning environments, yet their impact on the processes of argumentative knowledge construction remains insufficiently understood. Emerging conceptualisations of agentic AI and artificial agency suggest that such systems possess bounded autonomy, interactivity, and adaptability, allowing them to engage as epistemic participants rather than mere instructional tools. Building on this theoretical foundation, the present study investigates how agentic AI, designed as undercover teammates with either supportive or contrarian personas, shapes the epistemic and social dynamics of collaborative reasoning. Drawing on Weinberger and Fischer's (2006) four-dimensional framework, participation, epistemic reasoning, argument structure, and social modes of co-construction, we analysed synchronous discourse data from 212 human and 64 AI participants (92 triads) engaged in an analytical problem-solving task. Mixed-effects and epistemic network analyses revealed that AI teammates maintained balanced participation but substantially reorganised epistemic and social processes: supportive personas promoted conceptual integration and consensus-oriented reasoning, whereas contrarian personas provoked critical elaboration and conflict-driven negotiation. Epistemic adequacy, rather than participation volume, predicted individual learning gains, indicating that agentic AI's educational value lies in enhancing the quality and coordination of reasoning rather than amplifying discourse quantity. These findings extend CSCL theory by conceptualising agentic AI as epistemic and social participants, bounded yet adaptive collaborators that redistribute cognitive and argumentative labour in hybrid human-AI learning environments.


Decoupling Template Bias in CLIP: Harnessing Empty Prompts for Enhanced Few-Shot Learning

arXiv.org Artificial Intelligence

Our study shows that template-sample similarity (TSS), defined as the resemblance between a text template and an image sample, introduces bias. This bias leads the model to rely on template proximity rather than true sample-to-category alignment, reducing both accuracy and robustness in classification. We present a framework that uses empty prompts, textual inputs that convey the idea of "emptiness" without category information. These prompts capture unbiased template features and offset TSS bias. The framework employs two stages. During pre-training, empty prompts reveal and reduce template-induced bias within the CLIP encoder. During few-shot fine-tuning, a bias calibration loss enforces correct alignment between images and their categories, ensuring the model focuses on relevant visual cues. Experiments across multiple benchmarks demonstrate that our template correction method significantly reduces performance fluctuations caused by TSS, yielding higher classification accuracy and stronger robustness.


Mind to Hand: Purposeful Robotic Control via Embodied Reasoning

arXiv.org Artificial Intelligence

Humans act with context and intention, with reasoning playing a central role. While internet-scale data has enabled broad reasoning capabilities in AI systems, grounding these abilities in physical action remains a major challenge. We introduce Lumo-1, a generalist vision-language-action (VLA) model that unifies robot reasoning ("mind") with robot action ("hand"). Our approach builds upon the general multi-modal reasoning capabilities of pre-trained vision-language models (VLMs), progressively extending them to embodied reasoning and action prediction, and ultimately towards structured reasoning and reasoning-action alignment. This results in a three-stage pre-training pipeline: (1) Continued VLM pre-training on curated vision-language data to enhance embodied reasoning skills such as planning, spatial understanding, and trajectory prediction; (2) Co-training on cross-embodiment robot data alongside vision-language data; and (3) Action training with reasoning process on trajectories collected on Astribot S1, a bimanual mobile manipulator with human-like dexterity and agility. Finally, we integrate reinforcement learning to further refine reasoning-action consistency and close the loop between semantic inference and motor control. Extensive experiments demonstrate that Lumo-1 achieves significant performance improvements in embodied vision-language reasoning, a critical component for generalist robotic control. Real-world evaluations further show that Lumo-1 surpasses strong baselines across a wide range of challenging robotic tasks, with strong generalization to novel objects and environments, excelling particularly in long-horizon tasks and responding to human-natural instructions that require reasoning over strategy, concepts and space.


SensHRPS: Sensing Comfortable Human-Robot Proxemics and Personal Space With Eye-Tracking

arXiv.org Artificial Intelligence

Social robots must adjust to human proxemic norms to ensure user comfort and engagement. While prior research demonstrates that eye-tracking features reliably estimate comfort in human-human interactions, their applicability to interactions with humanoid robots remains unexplored. In this study, we investigate user comfort with the robot "Ameca" across four experimentally controlled distances (0.5 m to 2.0 m) using mobile eye-tracking and subjective reporting (N=19). We evaluate multiple machine learning and deep learning models to estimate comfort based on gaze features. Contrary to previous human-human studies where Transformer models excelled, a Decision Tree classifier achieved the highest performance (F1-score = 0.73), with minimum pupil diameter identified as the most critical predictor. These findings suggest that physiological comfort thresholds in human-robot interaction differ from human-human dynamics and can be effectively modeled using interpretable logic.


Optimal Perturbation Budget Allocation for Data Poisoning in Offline Reinforcement Learning

arXiv.org Artificial Intelligence

Offline Reinforcement Learning (RL) enables policy optimization from static datasets but is inherently vulnerable to data poisoning attacks. Existing attack strategies typically rely on locally uniform perturbations, which treat all samples indiscriminately. This approach is inefficient, as it wastes the perturbation budget on low-impact samples, and lacks stealthiness due to significant statistical deviations. In this paper, we propose a novel Global Budget Allocation attack strategy. Leveraging the theoretical insight that a sample's influence on value function convergence is proportional to its Temporal Difference (TD) error, we formulate the attack as a global resource allocation problem. We derive a closed-form solution where perturbation magnitudes are assigned proportional to the TD-error sensitivity under a global L2 constraint. Empirical results on D4RL benchmarks demonstrate that our method significantly outperforms baseline strategies, achieving up to 80% performance degradation with minimal perturbations that evade detection by state-of-the-art statistical and spectral defenses.


Solving Oversmoothing in GNNs via Nonlocal Message Passing: Algebraic Smoothing and Depth Scalability

arXiv.org Artificial Intelligence

The relationship between Layer Normalization (LN) placement and the oversmoothing phenomenon remains underexplored. We identify a critical dilemma: Pre-LN architectures avoid oversmoothing but suffer from the curse of depth, while Post-LN architectures bypass the curse of depth but experience oversmoothing. To resolve this, we propose a new method based on Post-LN that induces algebraic smoothing, preventing oversmoothing without the curse of depth. Empirical results across five benchmarks demonstrate that our approach supports deeper networks (up to 256 layers) and improves performance, requiring no additional parameters. Key contributions: Theoretical Characterization: Analysis of LN dynamics and their impact on oversmoothing and the curse of depth. A Principled Solution: A parameter-efficient method that induces algebraic smoothing and avoids oversmoothing and the curse of depth. Empirical Validation: Extensive experiments showing the effectiveness of the method in deeper GNNs.


GeoDM: Geometry-aware Distribution Matching for Dataset Distillation

arXiv.org Artificial Intelligence

Dataset distillation aims to synthesize a compact subset of the original data, enabling models trained on it to achieve performance comparable to those trained on the original large dataset. Existing distribution-matching methods are confined to Euclidean spaces, making them only capture linear structures and overlook the intrinsic geometry of real data, e.g., curvature. However, high-dimensional data often lie on low-dimensional manifolds, suggesting that dataset distillation should have the distilled data manifold aligned with the original data manifold. In this work, we propose a geometry-aware distribution-matching framework, called \textbf{GeoDM}, which operates in the Cartesian product of Euclidean, hyperbolic, and spherical manifolds, with flat, hierarchical, and cyclical structures all captured by a unified representation. To adapt to the underlying data geometry, we introduce learnable curvature and weight parameters for three kinds of geometries. At the same time, we design an optimal transport loss to enhance the distribution fidelity. Our theoretical analysis shows that the geometry-aware distribution matching in a product space yields a smaller generalization error bound than the Euclidean counterparts. Extensive experiments conducted on standard benchmarks demonstrate that our algorithm outperforms state-of-the-art data distillation methods and remains effective across various distribution-matching strategies for the single geometries.