No perspective, no perception!! Perspective-aware Healthcare Answer Summarization

Healthcare Community Question Answering (CQA) forums offer an accessible platform for individuals seeking information on various healthcare-related topics. People find such platforms suitable for self-disclosure, seeking medical opinions, finding simplified explanations for their medical conditions, and answering others' questions. However, answers on these forums are typically diverse and prone to off-topic discussions. It can be challenging for readers to sift through numerous answers and extract meaningful insights, making answer summarization a crucial task for CQA forums. While several efforts have been made to summarize the community answers, most of them are limited to the open domain and overlook the different perspectives offered by these answers. To address this problem, this paper proposes a novel task of perspective-specific answer summarization. We identify various perspectives, within healthcare-related responses and frame a perspective-driven abstractive summary covering all responses. To achieve this, we annotate 3167 CQA threads with 6193 perspective-aware summaries in our PUMA dataset. Further, we propose PLASMA, a prompt-driven controllable summarization model. To encapsulate the perspective-specific conditions, we design an energy-controlled loss function for the optimization. We also leverage the prefix tuner to learn the intricacies of the health-care perspective summarization. Our evaluation against five baselines suggests the superior performance of PLASMA by a margin of 1.5-21% improvement. We supplement our experiments with ablation and qualitative analysis.

Aspect-oriented Consumer Health Answer Summarization

Community Question-Answering (CQA) forums have revolutionized how people seek information, especially those related to their healthcare needs, placing their trust in the collective wisdom of the public. However, there can be several answers in response to a single query, which makes it hard to grasp the key information related to the specific health concern. Typically, CQA forums feature a single top-voted answer as a representative summary for each query. However, a single answer overlooks the alternative solutions and other information frequently offered in other responses. Our research focuses on aspect-based summarization of health answers to address this limitation. Summarization of responses under different aspects such as suggestions, information, personal experiences, and questions can enhance the usability of the platforms. We formalize a multi-stage annotation guideline and contribute a unique dataset comprising aspect-based human-written health answer summaries. We build an automated multi-faceted answer summarization pipeline with this dataset based on task-specific fine-tuning of several state-of-the-art models. The pipeline leverages question similarity to retrieve relevant answer sentences, subsequently classifying them into the appropriate aspect type. Following this, we employ several recent abstractive summarization models to generate aspect-based summaries. Finally, we present a comprehensive human analysis and find that our summaries rank high in capturing relevant content and a wide range of solutions.

Towards Enhancing Health Coaching Dialogue in Low-Resource Settings

Health coaching helps patients identify and accomplish lifestyle-related goals, effectively improving the control of chronic diseases and mitigating mental health conditions. However, health coaching is cost-prohibitive due to its highly personalized and labor-intensive nature. In this paper, we propose to build a dialogue system that converses with the patients, helps them create and accomplish specific goals, and can address their emotions with empathy. However, building such a system is challenging since real-world health coaching datasets are limited and empathy is subtle. Thus, we propose a modularized health coaching dialogue system with simplified NLU and NLG frameworks combined with mechanism-conditioned empathetic response generation. Through automatic and human evaluation, we show that our system generates more empathetic, fluent, and coherent responses and outperforms the state-of-the-art in NLU tasks while requiring less annotation. We view our approach as a key step towards building automated and more accessible health coaching systems.

CHQ-Summ: A Dataset for Consumer Healthcare Question Summarization

The quest for seeking health information has swamped the web with consumers' health-related questions. Generally, consumers use overly descriptive and peripheral information to express their medical condition or other healthcare needs, contributing to the challenges of natural language understanding. One way to address this challenge is to summarize the questions and distill the key information of the original question. To address this issue, we introduce a new dataset, CHQ-Summ that contains 1507 domain-expert annotated consumer health questions and corresponding summaries. The dataset is derived from the community question-answering forum and therefore provides a valuable resource for understanding consumer health-related posts on social media. We benchmark the dataset on multiple state-of-the-art summarization models to show the effectiveness of the dataset.

Multimodal Graph-based Transformer Framework for Biomedical Relation Extraction

The recent advancement of pre-trained Transformer models has propelled the development of effective text mining models across various biomedical tasks. However, these models are primarily learned on the textual data and often lack the domain knowledge of the entities to capture the context beyond the sentence. In this study, we introduced a novel framework that enables the model to learn multi-omnics biological information about entities (proteins) with the help of additional multi-modal cues like molecular structure. Towards this, rather developing modality-specific architectures, we devise a generalized and optimized graph based multi-modal learning mechanism that utilizes the GraphBERT model to encode the textual and molecular structure information and exploit the underlying features of various modalities to enable end-to-end learning. We evaluated our proposed method on ProteinProtein Interaction task from the biomedical corpus, where our proposed generalized approach is observed to be benefited by the additional domain-specific modality.

Reinforcement Learning for Abstractive Question Summarization with Question-aware Semantic Rewards

The growth of online consumer health questions has led to the necessity for reliable and accurate question answering systems. A recent study showed that manual summarization of consumer health questions brings significant improvement in retrieving relevant answers. However, the automatic summarization of long questions is a challenging task due to the lack of training data and the complexity of the related subtasks, such as the question focus and type recognition. In this paper, we introduce a reinforcement learning-based framework for abstractive question summarization. We propose two novel rewards obtained from the downstream tasks of (i) question-type identification and (ii) question-focus recognition to regularize the question generation model. These rewards ensure the generation of semantically valid questions and encourage the inclusion of key medical entities/foci in the question summary. We evaluated our proposed method on two benchmark datasets and achieved higher performance over state-of-the-art models. The manual evaluation of the summaries reveals that the generated questions are more diverse and have fewer factual inconsistencies than the baseline summaries

Question-aware Transformer Models for Consumer Health Question Summarization

Searching for health information online is becoming customary for more and more consumers every day, which makes the need for efficient and reliable question answering systems more pressing. An important contributor to the success rates of these systems is their ability to fully understand the consumers' questions. However, these questions are frequently longer than needed and mention peripheral information that is not useful in finding relevant answers. Question summarization is one of the potential solutions to simplifying long and complex consumer questions before attempting to find an answer. In this paper, we study the task of abstractive summarization for real-world consumer health questions. We develop an abstractive question summarization model that leverages the semantic interpretation of a question via recognition of medical entities, which enables the generation of informative summaries. Towards this, we propose multiple Cloze tasks (i.e. the task of filing missing words in a given context) to identify the key medical entities that enforce the model to have better coverage in question-focus recognition. Additionally, we infuse the decoder inputs with question-type information to generate question-type driven summaries. When evaluated on the MeQSum benchmark corpus, our framework outperformed the state-of-the-art method by 10.2 ROUGE-L points. We also conducted a manual evaluation to assess the correctness of the generated summaries.

Identifying Depressive Symptoms from Tweets: Figurative Language Enabled Multitask Learning Framework

Existing studies on using social media for deriving mental health status of users focus on the depression detection task. However, for case management and referral to psychiatrists, healthcare workers require practical and scalable depressive disorder screening and triage system. This study aims to design and evaluate a decision support system (DSS) to reliably determine the depressive triage level by capturing fine-grained depressive symptoms expressed in user tweets through the emulation of Patient Health Questionnaire-9 (PHQ-9) that is routinely used in clinical practice. The reliable detection of depressive symptoms from tweets is challenging because the 280-character limit on tweets incentivizes the use of creative artifacts in the utterances and figurative usage contributes to effective expression. We propose a novel BERT based robust multi-task learning framework to accurately identify the depressive symptoms using the auxiliary task of figurative usage detection. Specifically, our proposed novel task sharing mechanism, co-task aware attention, enables automatic selection of optimal information across the BERT layers and tasks by soft-sharing of parameters. Our results show that modeling figurative usage can demonstrably improve the model's robustness and reliability for distinguishing the depression symptoms.

Medical Knowledge-enriched Textual Entailment Framework

One of the cardinal tasks in achieving robust medical question answering systems is textual entailment. The existing approaches make use of an ensemble of pre-trained language models or data augmentation, often to clock higher numbers on the validation metrics. However, two major shortcomings impede higher success in identifying entailment: (1) understanding the focus/intent of the question and (2) ability to utilize the real-world background knowledge to capture the context beyond the sentence. In this paper, we present a novel Medical Knowledge-Enriched Textual Entailment framework that allows the model to acquire a semantic and global representation of the input medical text with the help of a relevant domain-specific knowledge graph. We evaluate our framework on the benchmark MEDIQA-RQE dataset and manifest that the use of knowledge enriched dual-encoding mechanism help in achieving an absolute improvement of 8.27% over SOTA language models. We have made the source code available here.

"When they say weed causes depression, but it's your fav antidepressant": Knowledge-aware Attention Framework for Relationship Extraction

With the increasing legalization of medical and recreational use of cannabis, more research is needed to understand the association between depression and consumer behavior related to cannabis consumption. Big social media data has potential to provide deeper insights about these associations to public health analysts. In this interdisciplinary study, we demonstrate the value of incorporating domain-specific knowledge in the learning process to identify the relationships between cannabis use and depression. We develop an end-to-end knowledge infused deep learning framework (Gated-K-BERT) that leverages the pre-trained BERT language representation model and domain-specific declarative knowledge source (Drug Abuse Ontology (DAO)) to jointly extract entities and their relationship using gated fusion sharing mechanism. Our model is further tailored to provide more focus to the entities mention in the sentence through entity-position aware attention layer, where ontology is used to locate the target entities position. Experimental results show that inclusion of the knowledge-aware attentive representation in association with BERT can extract the cannabis-depression relationship with better coverage in comparison to the state-of-the-art relation extractor.