Temporal information extraction from unstructured text is essential for contextualizing events and deriving actionable insights, particularly in the medical domain. We address the task of extracting clinical events and their temporal relations using the well-studied I2B2 2012 Temporal Relations Challenge corpus. This task is inherently challenging due to complex clinical language, long documents, and sparse annotations. We introduce GRAPHTREX, a novel method integrating span-based entity-relation extraction, clinical large pre-trained language models (LPLMs), and Heterogeneous Graph Transformers (HGT) to capture local and global dependencies. Our HGT component facilitates information propagation across the document through innovative global landmarks that bridge distant entities. Our method improves the state-of-the-art with 5.5% improvement in the tempeval $F_1$ score over the previous best and up to 8.9% improvement on long-range relations, which presents a formidable challenge. This work not only advances temporal information extraction but also lays the groundwork for improved diagnostic and prognostic models through enhanced temporal reasoning.

This paper studies the performance of large language models (LLMs), particularly regarding demographic fairness, in solving real-world healthcare tasks. We evaluate state-of-the-art LLMs with three prevalent learning frameworks across six diverse healthcare tasks and find significant challenges in applying LLMs to real-world healthcare tasks and persistent fairness issues across demographic groups. We also find that explicitly providing demographic information yields mixed results, while LLM's ability to infer such details raises concerns about biased health predictions. Utilizing LLMs as autonomous agents with access to up-to-date guidelines does not guarantee performance improvement. We believe these findings reveal the critical limitations of LLMs in healthcare fairness and the urgent need for specialized research in this area.

We find that language models have difficulties generating fallacious and deceptive reasoning. When asked to generate deceptive outputs, language models tend to leak honest counterparts but believe them to be false. Exploiting this deficiency, we propose a jailbreak attack method that elicits an aligned language model for malicious output. Specifically, we query the model to generate a fallacious yet deceptively real procedure for the harmful behavior. Since a fallacious procedure is generally considered fake and thus harmless by LLMs, it helps bypass the safeguard mechanism. Yet the output is factually harmful since the LLM cannot fabricate fallacious solutions but proposes truthful ones. We evaluate our approach over five safety-aligned large language models, comparing four previous jailbreak methods, and show that our approach achieves competitive performance with more harmful outputs. We believe the findings could be extended beyond model safety, such as self-verification and hallucination.

Health coaching helps patients achieve personalized and lifestyle-related goals, effectively managing chronic conditions and alleviating mental health issues. It is particularly beneficial, however cost-prohibitive, for low-socioeconomic status populations due to its highly personalized and labor-intensive nature. In this paper, we propose a neuro-symbolic goal summarizer to support health coaches in keeping track of the goals and a text-units-text dialogue generation model that converses with patients and helps them create and accomplish specific goals for physical activities. Our models outperform previous state-of-the-art while eliminating the need for predefined schema and corresponding annotation. We also propose a new health coaching dataset extending previous work and a metric to measure the unconventionality of the patient's response based on data difficulty, facilitating potential coach alerts during deployment.

Health coaching helps patients identify and accomplish lifestyle-related goals, effectively improving the control of chronic diseases and mitigating mental health conditions. However, health coaching is cost-prohibitive due to its highly personalized and labor-intensive nature. In this paper, we propose to build a dialogue system that converses with the patients, helps them create and accomplish specific goals, and can address their emotions with empathy. However, building such a system is challenging since real-world health coaching datasets are limited and empathy is subtle. Thus, we propose a modularized health coaching dialogue system with simplified NLU and NLG frameworks combined with mechanism-conditioned empathetic response generation. Through automatic and human evaluation, we show that our system generates more empathetic, fluent, and coherent responses and outperforms the state-of-the-art in NLU tasks while requiring less annotation. We view our approach as a key step towards building automated and more accessible health coaching systems.

We propose a dialogue system that enables heart failure patients to inquire about salt content in foods and help them monitor and reduce salt intake. Addressing the lack of specific datasets for food-based salt content inquiries, we develop a template-based conversational dataset. The dataset is structured to ask clarification questions to identify food items and their salt content. Our findings indicate that while fine-tuning transformer-based models on the dataset yields limited performance, the integration of Neuro-Symbolic Rules significantly enhances the system's performance. Our experiments show that by integrating neuro-symbolic rules, our system achieves an improvement in joint goal accuracy of over 20% across different data sizes compared to naively fine-tuning transformer-based models.

Physical Human-Human Interaction (pHHI) involves the use of multiple sensory modalities. Studies of communication through spoken utterances and gestures are well established, but communication through force signals is not well understood. In this paper, we focus on investigating the mechanisms employed by humans during the negotiation through force signals, and how the robot can communicate task goals, comprehend human intent, and take the lead as needed. To achieve this, we formulate a task that requires active force communication and propose a taxonomy that extends existing literature. Also, we conducted a study to observe how humans behave during collaborative manipulation tasks. An important contribution of this work is the novel features based on force-kinematic signals that demonstrate predictive power to recognize symbolic human intent. Further, we show the feasibility of developing a real-time intent classifier based on the novel features and speculate the role it plays in high-level robot controllers for physical Human-Robot Interaction (pHRI). This work provides important steps to achieve more human-like fluid interaction in physical co-manipulation tasks that are applicable and not limited to humanoid, assistive robots, and human-in-the-loop automation.

This paper proposes a neural network-based user simulator that can provide a multimodal interactive environment for training Reinforcement Learning (RL) agents in collaborative tasks involving multiple modes of communication. The simulator is trained on the existing ELDERLY-AT-HOME corpus and accommodates multiple modalities such as language, pointing gestures, and haptic-ostensive actions. The paper also presents a novel multimodal data augmentation approach, which addresses the challenge of using a limited dataset due to the expensive and time-consuming nature of collecting human demonstrations. Overall, the study highlights the potential for using RL and multimodal user simulators in developing and improving domestic assistive robots.

Robot assistants for older adults and people with disabilities need to interact with their users in collaborative tasks. The core component of these systems is an interaction manager whose job is to observe and assess the task, and infer the state of the human and their intent to choose the best course of action for the robot. Due to the sparseness of the data in this domain, the policy for such multi-modal systems is often crafted by hand; as the complexity of interactions grows this process is not scalable. In this paper, we propose a reinforcement learning (RL) approach to learn the robot policy. In contrast to the dialog systems, our agent is trained with a simulator developed by using human data and can deal with multiple modalities such as language and physical actions. We conducted a human study to evaluate the performance of the system in the interaction with a user. Our designed system shows promising preliminary results when it is used by a real user.

We outline our work on evaluating robots that assist older adults by engaging with them through multiple modalities that include physical interaction. Our thesis is that to increase the effectiveness of assistive robots: 1) robots need to understand and effect multimodal actions, 2) robots should not only react to the human, they need to take the initiative and lead the task when it is necessary. We start by briefly introducing our proposed framework for multimodal interaction and then describe two different experiments with the actual robots. In the first experiment, a Baxter robot helps a human find and locate an object using the Multimodal Interaction Manager (MIM) framework. In the second experiment, a NAO robot is used in the same task, however, the roles of the robot and the human are reversed. We discuss the evaluation methods that were used in these experiments, including different metrics employed to characterize the performance of the robot in each case. We conclude by providing our perspective on the challenges and opportunities for the evaluation of assistive robots for older adults in realistic settings.