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Calibrated Inference for the Conditional Average Treatment Effect in the Few-Placebo Regime via Gaussian Processes

arXiv.org Machine Learning

Estimating how much an intervention helps a given individual the conditional average treatment effect (CATE) is increasingly central to decision-making in medicine, economics, and policy, where an estimate is most useful when accompanied by a calibrated uncertainty interval. We study the few-placebo regime, in which one treatment arm is much smaller than the other, as arises in unequal-allocation trials and small-holdout $A/B$ tests. The standard estimator in this setting is the X-Learner, and a natural way to obtain credible intervals is to make its second stage Bayesian. We show that these intervals under-cover: they contain the true effect less often than their nominal level. We trace this to a structural cause the X-Learner's regression target inherits the bias of a nuisance model fitted to the small arm, so the posterior is centered away from the true effect and we find that the standard remedy, regressing an orthogonal doubly-robust score, is also unreliable here, since the regime's limited overlap leaves the estimator either highly variable or, once stabilized, biased once more. Both consequences reflect a pattern that extends beyond causal inference: a separately estimated variance is attached to a point estimate of a hard-to-learn quantity, and the point estimate's bias is not captured by that variance. We propose GP-CATE, which models each arm's outcome surface with a Gaussian process, so the scarce arm's uncertainty enters the posterior directly rather than as an unmodelled bias. Across synthetic and semi-synthetic benchmarks, GP-CATE attains calibrated coverage where the estimators we compare against including Causal Forest and BART do not, at the cost of intervals that are appropriately wide when the data are uninformative.


Uncertainty-aware classification and triage of structural heart disease using electrocardiography and echocardiography metrics

arXiv.org Machine Learning

Machine learning methods provide a methodological innovation that can help screen for cardiovascular disease through noninvasive and readily available measurement modalities. Recent investments in using electrocardiogram (ECG) data to screen for structural heart disease (SHD) are one example, where ECGs provide a low-cost, available modality for screening. This has led to the EchoNext dataset, a paired ECG-echocardiogram data repository for testing new methods of SHD detection. However, relatively few studies have investigated how more probabilistic classification through Bayesian inference may improve uncertainty quantification in this setting. Moreover, few studies have considered how triage systems can be developed to alleviate healthcare bottlenecks, such as the review of data from underserved, rural clinics by expert sonographers for SHD assessment. In this study, we leverage existing ECG-echocardiogram data to compare frequentist and Bayesian neural network classifiers. We show that the Bayesian approach is comparable or better than frequentist methods in SHD classification, and that they have a more robust uncertainty quantification attached to them. We provide an example of how this uncertainty-aware classification scheme can be used for screening SHD, providing a proof-of-concept for how machine learning can help with triage in getting individuals expert sonographer input when SHD is highly likely or measurements are highly uncertain.


Amortized Bayesian inference for actigraph time sheet data from mobile devices

arXiv.org Machine Learning

Mobile data technologies use ``actigraphs'' to furnish information on health variables as a function of a subject's movement. The advent of wearable devices and related technologies has propelled the creation of health databases consisting of human movement data to conduct research on mobility patterns and health outcomes. Statistical methods for analyzing high-resolution actigraph data depend on the specific inferential context, but the advent of Artificial Intelligence (AI) frameworks require that the methods be congruent to transfer learning and amortization. This article devises amortized Bayesian inference for actigraph time sheets. We pursue a Bayesian approach to ensure full propagation of uncertainty and its quantification using a hierarchical dynamic linear model. We build our analysis around actigraph data from the Physical Activity through Sustainable Transport Approaches in Los Angeles (PASTA-LA) study conducted by the Fielding School of Public Health in the University of California, Los Angeles. Apart from achieving probabilistic imputation of actigraph time sheets, we are also able to statistically learn about the time-varying impact of explanatory variables on the magnitude of acceleration (MAG) for a cohort of subjects.


Quantifying and Attributing Submodel Uncertainty in Stochastic Simulation Models and Digital Twins

arXiv.org Machine Learning

Stochastic simulation is widely used to study complex systems composed of various interconnected subprocesses, such as input processes, routing and control logic, optimization routines, and data-driven decision modules. In practice, these subprocesses may be inherently unknown or too computationally intensive to directly embed in the simulation model. Replacing these elements with estimated or learned approximations introduces a form of epistemic uncertainty that we refer to as submodel uncertainty. This paper investigates how submodel uncertainty affects the estimation of system performance metrics. We develop a framework for quantifying submodel uncertainty in stochastic simulation models and extend the framework to digital-twin settings, where simulation experiments are repeatedly conducted with the model initialized from observed system states. Building on approaches from input uncertainty analysis, we leverage bootstrapping and Bayesian model averaging to construct quantile-based confidence or credible intervals for key performance indicators. We propose a tree-based method that decomposes total output variability and attributes uncertainty to individual submodels in the form of importance scores. The proposed framework is model-agnostic and accommodates both parametric and nonparametric submodels under frequentist and Bayesian modeling paradigms. A synthetic numerical experiment and a more realistic digital-twin simulation of a contact center illustrate the importance of understanding how and how much individual submodels contribute to overall uncertainty.






176a579942089c4cdc70136c567932ab-Paper-Conference.pdf

Neural Information Processing Systems

We consider here the sparse Gaussian process regression (SGPR) approach introduced by Titsias [31], which is widely used in practice (see [1, 9] for implementations) and has been studied in many recent works [13,21,5,6,38,28,32,22,23].


Can we use LLMs to bootstrap reinforcement learning? -- A case study in digital health behavior change

arXiv.org Artificial Intelligence

Personalizing digital applications for health behavior change is a promising route to making them more engaging and effective. This especially holds for approaches that adapt to users and their specific states (e.g., motivation, knowledge, wants) over time. However, developing such approaches requires making many design choices, whose effectiveness is difficult to predict from literature and costly to evaluate in practice. In this work, we explore whether large language models (LLMs) can be used out-of-the-box to generate samples of user interactions that provide useful information for training reinforcement learning models for digital behavior change settings. Using real user data from four large behavior change studies as comparison, we show that LLM-generated samples can be useful in the absence of real data. Comparisons to the samples provided by human raters further show that LLM-generated samples reach the performance of human raters. Additional analyses of different prompting strategies including shorter and longer prompt variants, chain-of-thought prompting, and few-shot prompting show that the relative effectiveness of different strategies depends on both the study and the LLM with also relatively large differences between prompt paraphrases alone. We provide recommendations for how LLM-generated samples can be useful in practice.