This paper introduces an unobtrusive in-situ measurement method to detect user behavior changes during arbitrary exposures in XR systems. Here, such behavior changes are typically associated with the Proteus effect or bodily affordances elicited by different avatars that the users embody in XR. We present a biometric user model based on deep metric similarity learning, which uses high-dimensional embeddings as reference vectors to identify behavior changes of individual users. We evaluate our model against two alternative approaches: a (non-learned) motion analysis based on central tendencies of movement patterns and subjective post-exposure embodiment questionnaires frequently used in various XR exposures. In a within-subject study, participants performed a fruit collection task while embodying avatars of different body heights (short, actual-height, and tall). Subjective assessments confirmed the effective manipulation of perceived body schema, while the (non-learned) objective analyses of head and hand movements revealed significant differences across conditions. Our similarity learning model trained on the motion data successfully identified the elicited behavior change for various query and reference data pairings of the avatar conditions. The approach has several advantages in comparison to existing methods: 1) In-situ measurement without additional user input, 2) generalizable and scalable motion analysis for various use cases, 3) user-specific analysis on the individual level, and 4) with a trained model, users can be added and evaluated in real time to study how avatar changes affect behavior.

We present a low-compute non-generative system for implementing interview-style conversational agents which can be used to facilitate qualitative data collection through controlled interactions and quantitative analysis. Use cases include applications to tracking attitude formation or behavior change, where control or standardization over the conversational flow is desired. We show how our system can be easily adjusted through an online administrative panel to create new interviews, making the tool accessible without coding. Two case studies are presented as example applications, one regarding the Expressive Interviewing system for COVID-19 and the other a semi-structured interview to survey public opinion on emerging neurotechnology. Our code is open-source, allowing others to build off of our work and develop extensions for additional functionality.

Textual data from social platforms captures various aspects of mental health through discussions around and across issues, while users reach out for help and others sympathize and offer support. We propose a comprehensive framework that leverages Natural Language Processing (NLP) and Generative AI techniques to identify and assess mental health disorders, detect their severity, and create recommendations for behavior change and therapeutic interventions based on users' posts on Reddit. To classify the disorders, we use rule-based labeling methods as well as advanced pre-trained NLP models to extract nuanced semantic features from the data. We fine-tune domain-adapted and generic pre-trained NLP models based on predictions from specialized Large Language Models (LLMs) to improve classification accuracy. Our hybrid approach combines the generalization capabilities of pre-trained models with the domain-specific insights captured by LLMs, providing an improved understanding of mental health discourse. Our findings highlight the strengths and limitations of each model, offering valuable insights into their practical applicability. This research potentially facilitates early detection and personalized care to aid practitioners and aims to facilitate timely interventions and improve overall well-being, thereby contributing to the broader field of mental health surveillance and digital health analytics.

Despite the prevalence of sleep-tracking devices, many individuals struggle to translate data into actionable improvements in sleep health. Current methods often provide data-driven suggestions but may not be feasible and adaptive to real-life constraints and individual contexts. We present HealthGuru, a novel large language model-powered chatbot to enhance sleep health through data-driven, theory-guided, and adaptive recommendations with conversational behavior change support. HealthGuru's multi-agent framework integrates wearable device data, contextual information, and a contextual multi-armed bandit model to suggest tailored sleep-enhancing activities. The system facilitates natural conversations while incorporating data-driven insights and theoretical behavior change techniques. Our eight-week in-the-wild deployment study with 16 participants compared HealthGuru to a baseline chatbot. Results show improved metrics like sleep duration and activity scores, higher quality responses, and increased user motivation for behavior change with HealthGuru. We also identify challenges and design considerations for personalization and user engagement in health chatbots.

To design social robots to effectively promote health behavior change, it is essential to understand how people respond to various health communication strategies employed by these robots. This study examines the effectiveness of two types of social control strategies from a social robot, relationship-focused strategies (emphasizing relational consequences) and target-focused strategies (emphasizing health consequences), in encouraging people to reduce sedentary behavior. A two-session lab experiment was conducted (n = 135), where participants first played a game with a robot, followed by the robot persuading them to stand up and move using one of the strategies. Half of the participants joined a second session to have a repeated interaction with the robot. Results showed that relationship-focused strategies motivated participants to stay active longer. Repeated sessions did not strengthen participants' relationship with the robot, but those who felt more attached to the robot responded more actively to the target-focused strategies. These findings offer valuable insights for designing persuasive strategies for social robots in health communication contexts.

To facilitate human-robot interaction and gain human trust, a robot should recognize and adapt to changes in human behavior. This work documents different human behaviors observed while taking objects from an interactive robot in an experimental study, categorized across two dimensions: pull force applied and handedness. We also present the changes observed in human behavior upon repeated interaction with the robot to take various objects.

This paper presents the iterative development of Habit Coach, a GPT-based chatbot designed to support users in habit change through personalized interaction. Employing a user-centered design approach, we developed the chatbot using a Retrieval-Augmented Generation (RAG) system, which enables behavior personalization without retraining the underlying language model (GPT-4). The system leverages document retrieval and specialized prompts to tailor interactions, drawing from Cognitive Behavioral Therapy (CBT) and narrative therapy techniques. A key challenge in the development process was the difficulty of translating declarative knowledge into effective interaction behaviors. In the initial phase, the chatbot was provided with declarative knowledge about CBT via reference textbooks and high-level conversational goals. However, this approach resulted in imprecise and inefficient behavior, as the GPT model struggled to convert static information into dynamic and contextually appropriate interactions. This highlighted the limitations of relying solely on declarative knowledge to guide chatbot behavior, particularly in nuanced, therapeutic conversations. Over four iterations, we addressed this issue by gradually transitioning towards procedural knowledge, refining the chatbot's interaction strategies, and improving its overall effectiveness. In the final evaluation, 5 participants engaged with the chatbot over five consecutive days, receiving individualized CBT interventions. The Self-Report Habit Index (SRHI) was used to measure habit strength before and after the intervention, revealing a reduction in habit strength post-intervention. These results underscore the importance of procedural knowledge in driving effective, personalized behavior change support in RAG-based systems.

Effective management of cardiometabolic conditions requires sustained positive nutrition habits, often hindered by complex and individualized barriers. Direct human management is simply not scalable, while previous attempts aimed at automating nutrition coaching lack the personalization needed to address these diverse challenges. This paper introduces a novel LLM-powered agentic workflow designed to provide personalized nutrition coaching by directly targeting and mitigating patient-specific barriers. Grounded in behavioral science principles, the workflow leverages a comprehensive mapping of nutrition-related barriers to corresponding evidence-based strategies. A specialized LLM agent intentionally probes for and identifies the root cause of a patient's dietary struggles. Subsequently, a separate LLM agent delivers tailored tactics designed to overcome those specific barriers with patient context. We designed and validated our approach through a user study with individuals with cardiometabolic conditions, demonstrating the system's ability to accurately identify barriers and provide personalized guidance. Furthermore, we conducted a large-scale simulation study, grounding on real patient vignettes and expert-validated metrics, to evaluate the system's performance across a wide range of scenarios. Our findings demonstrate the potential of this LLM-powered agentic workflow to improve nutrition coaching by providing personalized, scalable, and behaviorally-informed interventions.

The ability to shape health behaviors of large populations automatically, across wearable types and disease conditions at scale has tremendous potential to improve global health outcomes. We designed and implemented an AI driven platform for digital algorithmic nudging, enabled by a Graph-Neural Network (GNN) based Recommendation System, and granular health behavior data from wearable fitness devices. Here we describe the efficacy results of this platform with its capabilities of personalized and contextual nudging to $n=84,764$ individuals over a 12-week period in Singapore. We statistically validated that participants in the target group who received such AI optimized daily nudges increased daily physical activity like step count by 6.17% ($p = 3.09\times10^{-4}$) and weekly minutes of Moderate to Vigorous Physical Activity (MVPA) by 7.61% ($p = 1.16\times10^{-2}$), compared to matched participants in control group who did not receive any nudges. Further, such nudges were very well received, with a 13.1% of nudges sent being opened (open rate), and 11.7% of the opened nudges rated useful compared to 1.9% rated as not useful thereby demonstrating significant improvement in population level engagement metrics.

Relationships are essential to our happiness and wellbeing. The dissolution of a relationship, the final stage of relationship's lifecycle and one of the most stressful events in an individual's life, can have profound and long-lasting impacts on people. With the breakup process increasingly facilitated by computer-mediated communication (CMC), and the likely future influence of AI-mediated communication (AIMC) tools, we conducted a semi-structured interview study with 21 participants. We aim to understand: 1) the current role of technology in the breakup process, 2) the needs and support individuals have during the process, and 3) how AI might address these needs. Our research shows that people have distinct needs at various stages of ending a relationship. Presently, technology is used for information gathering and community support, acting as a catalyst for breakups, enabling ghosting and blocking, and facilitating communication. Participants anticipate that AI could aid in sense-making of their relationship leading up to the breakup, act as a mediator, assist in crafting appropriate wording, tones, and language during breakup conversations, and support companionship, reflection, recovery, and growth after a breakup. Our findings also demonstrate an overlap between the breakup process and the Transtheoretical Model (TTM) of behavior change. Through the lens of TTM, we explore the potential support and affordances AI could offer in breakups, including its benefits and the necessary precautions regarding AI's role in this sensitive process.