Natural Language Processing (NLP) methods have been broadly applied to clinical tasks. Machine learning and deep learning approaches have been used to improve the performance of clinical NLP. However, these approaches require sufficiently large datasets for training, and trained models have been shown to transfer poorly across sites. These issues have led to the promotion of data collection and integration across different institutions for accurate and portable models. However, this can introduce a form of bias called confounding by provenance. When source-specific data distributions differ at deployment, this may harm model performance. To address this issue, we evaluate the utility of backdoor adjustment for text classification in a multi-site dataset of clinical notes annotated for mentions of substance abuse. Using an evaluation framework devised to measure robustness to distributional shifts, we assess the utility of backdoor adjustment. Our results indicate that backdoor adjustment can effectively mitigate for confounding shift.

Despite large-scale pre-trained language models have achieved striking results for text classificaion, recent work has raised concerns about the challenge of shortcut learning. In general, a keyword is regarded as a shortcut if it creates a superficial association with the label, resulting in a false prediction. Conversely, shortcut learning can be mitigated if the model relies on robust causal features that help produce sound predictions. To this end, many studies have explored post-hoc interpretable methods to mine shortcuts and causal features for robustness and generalization. However, most existing methods focus only on single word in a sentence and lack consideration of word-group, leading to wrong causal features. To solve this problem, we propose a new Word-Group mining approach, which captures the causal effect of any keyword combination and orders the combinations that most affect the prediction. Our approach bases on effective post-hoc analysis and beam search, which ensures the mining effect and reduces the complexity. Then, we build a counterfactual augmentation method based on the multiple word-groups, and use an adaptive voting mechanism to learn the influence of different augmentated samples on the prediction results, so as to force the model to pay attention to effective causal features. We demonstrate the effectiveness of the proposed method by several tasks on 8 affective review datasets and 4 toxic language datasets, including cross-domain text classificaion, text attack and gender fairness test.

As statistical classifiers become integrated into real-world applications, it is important to consider not only their accuracy but also their robustness to changes in the data distribution. Although identifying and controlling for confounding variables Z - correlated with both the input X of a classifier and its output Y - has been assiduously studied in empirical social science, it is often neglected in text classification. This can be understood by the fact that, if we assume that the impact of confounding variables does not change between the time we fit a model and the time we use it, then prediction accuracy should only be slightly affected. We show in this paper that this assumption often does not hold and that when the influence of a confounding variable changes from training time to prediction time (i.e. under confounding shift), the classifier accuracy can degrade rapidly. We use Pearl's back-door adjustment as a predictive framework to develop a model robust to confounding shift under the condition that Z is observed at training time. Our approach does not make any causal conclusions but by experimenting on 6 datasets, we show that our approach is able to outperform baselines 1) in controlled cases where confounding shift is manually injected between fitting time and prediction time 2) in natural experiments where confounding shift appears either abruptly or gradually 3) in cases where there is one or multiple confounders. Finally, we discuss multiple issues we encountered during this research such as the effect of noise in the observation of Z and the importance of only controlling for confounding variables.