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LLM-based Agent Simulation for Maternal Health Interventions: Uncertainty Estimation and Decision-focused Evaluation

Martinson, Sarah, Kong, Lingkai, Kim, Cheol Woo, Taneja, Aparna, Tambe, Milind

arXiv.org Artificial Intelligence

Agent-based simulation is crucial for modeling complex human behavior, yet traditional approaches require extensive domain knowledge and large datasets. In data-scarce healthcare settings where historic and counterfactual data are limited, large language models (LLMs) offer a promising alternative by leveraging broad world knowledge. This study examines an LLM-driven simulation of a maternal mobile health program, predicting beneficiaries' listening behavior when they receive health information via automated messages (control) or live representatives (intervention). Since uncertainty quantification is critical for decision-making in health interventions, we propose an LLM epistemic uncertainty estimation method based on binary entropy across multiple samples. We enhance model robustness through ensemble approaches, improving F1 score and model calibration compared to individual models. Beyond direct evaluation, we take a decision-focused approach, demonstrating how LLM predictions inform intervention feasibility and trial implementation in data-limited settings. The proposed method extends to public health, disaster response, and other domains requiring rapid intervention assessment under severe data constraints. All code and prompts used for this work can be found at https://github.com/sarahmart/LLM-ABS-ARMMAN-prediction.


Reviews: Bootstrap Model Aggregation for Distributed Statistical Learning

Neural Information Processing Systems

This is a successive work correcting previous research on using KL averaging combining subset estimators. I think the most appealing point for using KL averaging, despite the computational issue, is its power in dealing with latent variable models. There is another line of work in using geometric median to combine subset estimators the authors might want to compare to, for example, Minsker (2013) and Hsu and Sabato (2013). These algorithms are simple and efficient in most cases, but might not be doing well for latent variable models. The variance reduction technique used in this article is very similar to the de-bias technique used in Javanmard and Montanari (2015) and Lee et a. (2015), so the theoretical contribution is kind of limited.