Beyond Believability: Accurate Human Behavior Simulation with Fine-Tuned LLMs

Recent research shows that LLMs can simulate ``believable'' human behaviors to power LLM agents via prompt-only methods. In this work, we focus on evaluating and improving LLM's objective ``accuracy'' rather than the subjective ``believability'' in the web action generation task, leveraging a large-scale, real-world dataset collected from online shopping human actions. We present the first comprehensive quantitative evaluation of state-of-the-art LLMs (e.g., DeepSeek-R1, Llama, and Claude) on the task of web action generation. Our results show that fine-tuning LLMs on real-world behavioral data substantially improves their ability to generate actions compared to prompt-only methods. Furthermore, incorporating synthesized reasoning traces into model training leads to additional performance gains, demonstrating the value of explicit rationale in behavior modeling. This work establishes a new benchmark for evaluating LLMs in behavior simulation and offers actionable insights into how real-world action data and reasoning augmentation can enhance the fidelity of LLM agents.

Towards a Design Guideline for RPA Evaluation: A Survey of Large Language Model-Based Role-Playing Agents

Role-Playing Agent (RPA) is an increasingly popular type of LLM Agent that simulates human-like behaviors in a variety of tasks. However, evaluating RPAs is challenging due to diverse task requirements and agent designs. This paper proposes an evidence-based, actionable, and generalizable evaluation design guideline for LLM-based RPA by systematically reviewing 1,676 papers published between Jan. 2021 and Dec. 2024. Our analysis identifies six agent attributes, seven task attributes, and seven evaluation metrics from existing literature. Based on these findings, we present an RPA evaluation design guideline to help researchers develop more systematic and consistent evaluation methods.

UXAgent: An LLM Agent-Based Usability Testing Framework for Web Design

Usability testing is a fundamental yet challenging (e.g., inflexible to iterate the study design flaws and hard to recruit study participants) research method for user experience (UX) researchers to evaluate a web design. Recent advances in Large Language Model-simulated Agent (LLM-Agent) research inspired us to design UXAgent to support UX researchers in evaluating and reiterating their usability testing study design before they conduct the real human subject study. Our system features an LLM-Agent module and a universal browser connector module so that UX researchers can automatically generate thousands of simulated users to test the target website. The results are shown in qualitative (e.g., interviewing how an agent thinks ), quantitative (e.g., # of actions), and video recording formats for UX researchers to analyze. Through a heuristic user evaluation with five UX researchers, participants praised the innovation of our system but also expressed concerns about the future of LLM Agent-assisted UX study.

Toward Metaphor-Fluid Conversation Design for Voice User Interfaces

Metaphors play a critical role in shaping user experiences with Voice User Interfaces (VUIs), yet existing designs often rely on static, human-centric metaphors that fail to adapt to diverse contexts and user needs. This paper introduces Metaphor-Fluid Design, a novel approach that dynamically adjusts metaphorical representations based on conversational use-contexts. We compare this approach to a Default VUI, which characterizes the present implementation of commercial VUIs commonly designed around the persona of an assistant, offering a uniform interaction style across contexts. In Study 1 (N=130), metaphors were mapped to four key use-contexts-commands, information seeking, sociality, and error recovery-along the dimensions of formality and hierarchy, revealing distinct preferences for task-specific metaphorical designs. Study 2 (N=91) evaluates a Metaphor-Fluid VUI against a Default VUI, showing that the Metaphor-Fluid VUI enhances perceived intention to adopt, enjoyment, and likability by aligning better with user expectations for different contexts. However, individual differences in metaphor preferences highlight the need for personalization. These findings challenge the one-size-fits-all paradigm of VUI design and demonstrate the potential of Metaphor-Fluid Design to create more adaptive and engaging human-AI interactions.

RECOVER: Designing a Large Language Model-based Remote Patient Monitoring System for Postoperative Gastrointestinal Cancer Care

Cancer surgery is a key treatment for gastrointestinal (GI) cancers, a group of cancers that account for more than 35% of cancer-related deaths worldwide, but postoperative complications are unpredictable and can be life-threatening. In this paper, we investigate how recent advancements in large language models (LLMs) can benefit remote patient monitoring (RPM) systems through clinical integration by designing RECOVER, an LLM-powered RPM system for postoperative GI cancer care. To closely engage stakeholders in the design process, we first conducted seven participatory design sessions with five clinical staff and interviewed five cancer patients to derive six major design strategies for integrating clinical guidelines and information needs into LLM-based RPM systems. We then designed and implemented RECOVER, which features an LLM-powered conversational agent for cancer patients and an interactive dashboard for clinical staff to enable efficient postoperative RPM. Finally, we used RECOVER as a pilot system to assess the implementation of our design strategies with four clinical staff and five patients, providing design implications by identifying crucial design elements, offering insights on responsible AI, and outlining opportunities for future LLM-powered RPM systems.

WatchGuardian: Enabling User-Defined Personalized Just-in-Time Intervention on Smartwatch

While just-in-time interventions (JITIs) have effectively targeted common health behaviors, individuals often have unique needs to intervene in personal undesirable actions that can negatively affect physical, mental, and social well-being. We present WatchGuardian, a smartwatch-based JITI system that empowers users to define custom interventions for these personal actions with a small number of samples. For the model to detect new actions based on limited new data samples, we developed a few-shot learning pipeline that finetuned a pre-trained inertial measurement unit (IMU) model on public hand-gesture datasets. We then designed a data augmentation and synthesis process to train additional classification layers for customization. Our offline evaluation with 26 participants showed that with three, five, and ten examples, our approach achieved an average accuracy of 76.8%, 84.7%, and 87.7%, and an F1 score of 74.8%, 84.2%, and 87.2% We then conducted a four-hour intervention study to compare WatchGuardian against a rule-based intervention. Our results demonstrated that our system led to a significant reduction by 64.0 +- 22.6% in undesirable actions, substantially outperforming the baseline by 29.0%. Our findings underscore the effectiveness of a customizable, AI-driven JITI system for individuals in need of behavioral intervention in personal undesirable actions. We envision that our work can inspire broader applications of user-defined personalized intervention with advanced AI solutions.

"It Felt Like I Was Left in the Dark": Exploring Information Needs and Design Opportunities for Family Caregivers of Older Adult Patients in Critical Care Settings

Older adult patients constitute a rapidly growing subgroup of Intensive Care Unit (ICU) patients. In these situations, their family caregivers are expected to represent the unconscious patients to access and interpret patients' medical information. However, caregivers currently have to rely on overloaded clinicians for information updates and typically lack the health literacy to understand complex medical information. Our project aims to explore the information needs of caregivers of ICU older adult patients, from which we can propose design opportunities to guide future AI systems. The project begins with formative interviews with 11 caregivers to identify their challenges in accessing and interpreting medical information; From these findings, we then synthesize design requirements and propose an AI system prototype to cope with caregivers' challenges. The system prototype has two key features: a timeline visualization to show the AI extracted and summarized older adult patients' key medical events; and an LLM-based chatbot to provide context-aware informational support. We conclude our paper by reporting on the follow-up user evaluation of the system and discussing future AI-based systems for ICU caregivers of older adults.

Zero-shot Large Language Models for Long Clinical Text Summarization with Temporal Reasoning

Recent advancements in large language models (LLMs) have shown potential for transforming data processing in healthcare, particularly in understanding complex clinical narratives. This study evaluates the efficacy of zero-shot LLMs in summarizing long clinical texts that require temporal reasoning, a critical aspect for comprehensively capturing patient histories and treatment trajectories. We applied a series of advanced zero-shot LLMs to extensive clinical documents, assessing their ability to integrate and accurately reflect temporal dynamics without prior task-specific training. While the models efficiently identified key temporal events, they struggled with chronological coherence over prolonged narratives. The evaluation, combining quantitative and qualitative methods, highlights the strengths and limitations of zero-shot LLMs in clinical text summarization. The results suggest that while promising, zero-shot LLMs require further refinement to effectively support clinical decision-making processes, underscoring the need for enhanced model training approaches that better capture the nuances of temporal information in long context medical documents.

SepsisCalc: Integrating Clinical Calculators into Early Sepsis Prediction via Dynamic Temporal Graph Construction

Sepsis is an organ dysfunction caused by a deregulated immune response to an infection. Early sepsis prediction and identification allow for timely intervention, leading to improved clinical outcomes. Clinical calculators (e.g., the six-organ dysfunction assessment of SOFA) play a vital role in sepsis identification within clinicians' workflow, providing evidence-based risk assessments essential for sepsis diagnosis. However, artificial intelligence (AI) sepsis prediction models typically generate a single sepsis risk score without incorporating clinical calculators for assessing organ dysfunctions, making the models less convincing and transparent to clinicians. To bridge the gap, we propose to mimic clinicians' workflow with a novel framework SepsisCalc to integrate clinical calculators into the predictive model, yielding a clinically transparent and precise model for utilization in clinical settings. Practically, clinical calculators usually combine information from multiple component variables in Electronic Health Records (EHR), and might not be applicable when the variables are (partially) missing. We mitigate this issue by representing EHRs as temporal graphs and integrating a learning module to dynamically add the accurately estimated calculator to the graphs. Experimental results on real-world datasets show that the proposed model outperforms state-of-the-art methods on sepsis prediction tasks. Moreover, we developed a system to identify organ dysfunctions and potential sepsis risks, providing a human-AI interaction tool for deployment, which can help clinicians understand the prediction outputs and prepare timely interventions for the corresponding dysfunctions, paving the way for actionable clinical decision-making support for early intervention.

Vital Insight: Assisting Experts' Sensemaking Process of Multi-modal Personal Tracking Data Using Visualization and LLM

Researchers have long recognized the socio-technical gaps in personal tracking research, where machines can never fully model the complexity of human behavior, making it only able to produce basic rule-based outputs or "black-box" results that lack clear explanations. Real-world deployments rely on experts for this complex translation from sparse data to meaningful insights. In this study, we consider this translation process from data to insights by experts as "sensemaking" and explore how HCI researchers can support it through Vital Insight, an evidence-based 'sensemaking' system that combines direct representation and indirect inference through visualization and Large Language Models. We evaluate Vital Insight in user testing sessions with 14 experts in multi-modal tracking, synthesize design implications, and develop an expert sensemaking model where they iteratively move between direct data representations and AI-supported inferences to explore, retrieve, question, and validate insights.