Sleepless Nights, Sugary Days: Creating Synthetic Users with Health Conditions for Realistic Coaching Agent Interactions

We present an end-to-end framework for generating synthetic users for evaluating interactive agents designed to encourage positive behavior changes, such as in health and lifestyle coaching. The synthetic users are grounded in health and lifestyle conditions, specifically sleep and diabetes management in this study, to ensure realistic interactions with the health coaching agent. Synthetic users are created in two stages: first, structured data are generated grounded in real-world health and lifestyle factors in addition to basic demographics and behavioral attributes; second, full profiles of the synthetic users are developed conditioned on the structured data. Interactions between synthetic users and the coaching agent are simulated using generative agent-based models such as Concordia, or directly by prompting a language model. Using two independently-developed agents for sleep and diabetes coaching as case studies, the validity of this framework is demonstrated by analyzing the coaching agent's understanding of the synthetic users' needs and challenges. Finally, through multiple blinded evaluations of user-coach interactions by human experts, we demonstrate that our synthetic users with health and behavioral attributes more accurately portray real human users with the same attributes, compared to generic synthetic users not grounded in such attributes. The proposed framework lays the foundation for efficient development of conversational agents through extensive, realistic, and grounded simulated interactions.

Evaluating Spoken Language as a Biomarker for Automated Screening of Cognitive Impairment

Timely and accurate assessment of cognitive impairment is a major unmet need in populations at risk. Alterations in speech and language can be early predictors of Alzheimer's disease and related dementias (ADRD) before clinical signs of neurodegeneration. Voice biomarkers offer a scalable and non-invasive solution for automated screening. However, the clinical applicability of machine learning (ML) remains limited by challenges in generalisability, interpretability, and access to patient data to train clinically applicable predictive models. Using DementiaBank recordings (N=291, 64% female), we evaluated ML techniques for ADRD screening and severity prediction from spoken language. We validated model generalisability with pilot data collected in-residence from older adults (N=22, 59% female). Risk stratification and linguistic feature importance analysis enhanced the interpretability and clinical utility of predictions. For ADRD classification, a Random Forest applied to lexical features achieved a mean sensitivity of 69.4% (95% confidence interval (CI) = 66.4-72.5) and specificity of 83.3% (78.0-88.7). On real-world pilot data, this model achieved a mean sensitivity of 70.0% (58.0-82.0) and specificity of 52.5% (39.3-65.7). For severity prediction using Mini-Mental State Examination (MMSE) scores, a Random Forest Regressor achieved a mean absolute MMSE error of 3.7 (3.7-3.8), with comparable performance of 3.3 (3.1-3.5) on pilot data. Linguistic features associated with higher ADRD risk included increased use of pronouns and adverbs, greater disfluency, reduced analytical thinking, lower lexical diversity and fewer words reflecting a psychological state of completion. Our interpretable predictive modelling offers a novel approach for in-home integration with conversational AI to monitor cognitive health and triage higher-risk individuals, enabling earlier detection and intervention.

Soft and Compliant Contact-Rich Hair Manipulation and Care

Hair care robots can help address labor shortages in elderly care while enabling those with limited mobility to maintain their hair-related identity. We present MOE-Hair, a soft robot system that performs three hair-care tasks: head patting, finger combing, and hair grasping. The system features a tendon-driven soft robot end-effector (MOE) with a wrist-mounted RGBD camera, leveraging both mechanical compliance for safety and visual force sensing through deformation. In testing with a force-sensorized mannequin head, MOE achieved comparable hair-grasping effectiveness while applying significantly less force than rigid grippers. Our novel force estimation method combines visual deformation data and tendon tensions from actuators to infer applied forces, reducing sensing errors by up to 60.1% and 20.3% compared to actuator current load-only and depth image-only baselines, respectively. A user study with 12 participants demonstrated statistically significant preferences for MOE-Hair over a baseline system in terms of comfort, effectiveness, and appropriate force application. These results demonstrate the unique advantages of soft robots in contact-rich hair-care tasks, while highlighting the importance of precise force control despite the inherent compliance of the system.

Contrastive Learning from Exploratory Actions: Leveraging Natural Interactions for Preference Elicitation

People have a variety of preferences for how robots behave. To understand and reason about these preferences, robots aim to learn a reward function that describes how aligned robot behaviors are with a user's preferences. Good representations of a robot's behavior can significantly reduce the time and effort required for a user to teach the robot their preferences. Specifying these representations -- what "features" of the robot's behavior matter to users -- remains a difficult problem; Features learned from raw data lack semantic meaning and features learned from user data require users to engage in tedious labeling processes. Our key insight is that users tasked with customizing a robot are intrinsically motivated to produce labels through exploratory search; they explore behaviors that they find interesting and ignore behaviors that are irrelevant. To harness this novel data source of exploratory actions, we propose contrastive learning from exploratory actions (CLEA) to learn trajectory features that are aligned with features that users care about. We learned CLEA features from exploratory actions users performed in an open-ended signal design activity (N=25) with a Kuri robot, and evaluated CLEA features through a second user study with a different set of users (N=42). CLEA features outperformed self-supervised features when eliciting user preferences over four metrics: completeness, simplicity, minimality, and explainability.

Improving User Experience in Preference-Based Optimization of Reward Functions for Assistive Robots

Assistive robots interact with humans and must adapt to different users' preferences to be effective. An easy and effective technique to learn non-expert users' preferences is through rankings of robot behaviors, for example, robot movement trajectories or gestures. Existing techniques focus on generating trajectories for users to rank that maximize the outcome of the preference learning process. However, the generated trajectories do not appear to reflect the user's preference over repeated interactions. In this work, we design an algorithm to generate trajectories for users to rank that we call Covariance Matrix Adaptation Evolution Strategies with Information Gain (CMA-ES-IG). CMA-ES-IG prioritizes the user's experience of the preference learning process. We show that users find our algorithm more intuitive and easier to use than previous approaches across both physical and social robot tasks. This project's code is hosted at github.com/interaction-lab/CMA-ES-IG

Agents Thinking Fast and Slow: A Talker-Reasoner Architecture

Large language models have enabled agents of all kinds to interact with users through natural conversation. Consequently, agents now have two jobs: conversing and planning/reasoning. Their conversational responses must be informed by all available information, and their actions must help to achieve goals. This dichotomy between conversing with the user and doing multi-step reasoning and planning can be seen as analogous to the human systems of "thinking fast and slow" as introduced by Kahneman. Our approach is comprised of a "Talker" agent (System 1) that is fast and intuitive, and tasked with synthesizing the conversational response; and a "Reasoner" agent (System 2) that is slower, more deliberative, and more logical, and is tasked with multi-step reasoning and planning, calling tools, performing actions in the world, and thereby producing the new agent state. We describe the new Talker-Reasoner architecture and discuss its advantages, including modularity and decreased latency. We ground the discussion in the context of a sleep coaching agent, in order to demonstrate real-world relevance.

An Interactive Augmented Reality Interface for Personalized Proxemics Modeling

Understanding and respecting personal space preferences is essential for socially assistive robots designed for older adult users. This work introduces and evaluates a novel personalized context-aware method for modeling users' proxemics preferences during human-robot interactions. Using an interactive augmented reality interface, we collected a set of user-preferred distances from the robot and employed an active transfer learning approach to fine-tune a specialized deep learning model. We evaluated this approach through two user studies: 1) a convenience population study (N = 24) to validate the efficacy of the active transfer learning approach; and 2) a user study involving older adults (N = 15) to assess the system's usability. We compared the data collected with the augmented reality interface and with the physical robot to examine the relationship between proxemics preferences for a virtual robot versus a physically embodied robot. We found that fine-tuning significantly improved model performance: on average, the error in testing decreased by 26.97% after fine-tuning. The system was well-received by older adult participants, who provided valuable feedback and suggestions for future work.

Designing Robot Identity: The Role of Voice, Clothing, and Task on Robot Gender Perception

Perceptions of gender are a significant aspect of human-human interaction, and gender has wide-reaching social implications for robots deployed in contexts where they are expected to interact with humans. This work explored two flexible modalities for communicating gender in robots--voice and appearance--and we studied their individual and combined influences on a robot's perceived gender. We evaluated the perception of a robot's gender through three video-based studies. First, we conducted a study (n=65) on the gender perception of robot voices by varying speaker identity and pitch. Second, we conducted a study (n=93) on the gender perception of robot clothing designed for two different tasks. Finally, building on the results of the first two studies, we completed a large integrative video-based study (n=273) involving two human-robot interaction tasks. We found that voice and clothing can be used to reliably establish a robot's perceived gender, and that combining these two modalities can have different effects on the robot's perceived gender. Taken together, these results inform the design of robot voices and clothing as individual and interacting components in the perceptions of robot gender.

Using Causal Trees to Estimate Personalized Task Difficulty in Post-Stroke Individuals

Adaptive training programs are crucial for recovery post stroke. However, developing programs that automatically adapt depends on quantifying how difficult a task is for a specific individual at a particular stage of their recovery. In this work, we propose a method that automatically generates regions of different task difficulty levels based on an individual's performance. We show that this technique explains the variance in user performance for a reaching task better than previous approaches to estimating task difficulty.

Singing the Body Electric: The Impact of Robot Embodiment on User Expectations

Users develop mental models of robots to conceptualize what kind of interactions they can have with those robots. The conceptualizations are often formed before interactions with the robot and are based only on observing the robot's physical design. As a result, understanding conceptualizations formed from physical design is necessary to understand how users intend to interact with the robot. We propose to use multimodal features of robot embodiments to predict what kinds of expectations users will have about a given robot's social and physical capabilities. We show that using such features provides information about general mental models of the robots that generalize across socially interactive robots. We describe how these models can be incorporated into interaction design and physical design for researchers working with socially interactive robots.