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Adam Perer

Publications and source records attributed to Adam Perer.

At least 19 recordsLinked to original sources

Boundary-targeted Membership Inference Attacks on Safety Classifiers

Safety classifiers are essential safeguards within generative AI systems, filtering harmful content or identifying at-risk users when interacting with large language models. Despite their necessity, these models are trained on sensitive datasets including discussions of self-harm and mental health, raising important, yet poorly understood, privacy concerns. Membership inference attacks (MIAs) allow adversaries to infer membership of examples used to train models. In this work, we hypothesize that identifying the examples on which the classifier is least confident are informative for an adversary to infer membership. This reflects a localized failure of generalization, where the model relies on memorization to resolve ambiguity in the training set. To investigate this, we introduce a new boundary-targeted selection strategy that identifies low confidence examples that amplify the signal of an examples membership within a training set. Our experimental results show that an adversary can recover 19% of the conversations a safety classifier flagged as indicating user distress, at a 5% false-positive rate, on a classifier fine-tuned for detecting a user who may require emotional support. This is $3.5$ times more than attacking using state-of-the-art MIA methods alone. Finally, we characterize the boundary laying examples and show that content-based filtering is ineffective for protection, and existing noise strategies can effectively mitigate susceptibility of these examples.

cs.LG

More Than "Means to an End": Supporting Reasoning with Transparently Designed AI Data Science Processes

Generative artificial intelligence (AI) tools can now help people perform complex data science tasks regardless of their expertise. While these tools have great potential to help more people work with data, their end-to-end approach does not support users in evaluating alternative approaches and reformulating problems, both critical to solving open-ended tasks in high-stakes domains. In this paper, we reflect on two AI data science systems designed for the medical setting and how they function as tools for thought. We find that success in these systems was driven by constructing AI workflows around intentionally-designed intermediate artifacts, such as readable query languages, concept definitions, or input-output examples. Despite opaqueness in other parts of the AI process, these intermediates helped users reason about important analytical choices, refine their initial questions, and contribute their unique knowledge. We invite the HCI community to consider when and how intermediate artifacts should be designed to promote effective data science thinking.

cs.HC

MM-SCALE: Grounded Multimodal Moral Reasoning via Scalar Judgment and Listwise Alignment

Vision-Language Models (VLMs) continue to struggle to make morally salient judgments in multimodal and socially ambiguous contexts. Prior works typically rely on binary or pairwise supervision, which often fail to capture the continuous and pluralistic nature of human moral reasoning. We present MM-SCALE (Multimodal Moral Scale), a large-scale dataset for aligning VLMs with human moral preferences through 5-point scalar ratings and explicit modality grounding. Each image-scenario pair is annotated with moral acceptability scores and grounded reasoning labels by humans using an interface we tailored for data collection, enabling listwise preference optimization over ranked scenario sets. By moving from discrete to scalar supervision, our framework provides richer alignment signals and finer calibration of multimodal moral reasoning. Experiments show that VLMs fine-tuned on MM-SCALE achieve higher ranking fidelity and more stable safety calibration than those trained with binary signals.

cs.CV

Intelligent Reasoning Cues: A Framework and Case Study of the Roles of AI Information in Complex Decisions

Artificial intelligence (AI)-based decision support systems can be highly accurate yet still fail to support users or improve decisions. Existing theories of AI-assisted decision-making focus on calibrating reliance on AI advice, leaving it unclear how different system designs might influence the reasoning processes underneath. We address this gap by reconsidering AI interfaces as collections of intelligent reasoning cues: discrete pieces of AI information that can individually influence decision-making. We then explore the roles of eight types of reasoning cues in a high-stakes clinical decision (treating patients with sepsis in intensive care). Through contextual inquiries with six teams and a think-aloud study with 25 physicians, we find that reasoning cues have distinct patterns of influence that can directly inform design. Our results also suggest that reasoning cues should prioritize tasks with high variability and discretion, adapt to ensure compatibility with evolving decision needs, and provide complementary, rigorous insights on complex cases.

cs.HC

TempoQL: A Readable, Precise, and Portable Query System for Electronic Health Record Data

Electronic health record (EHR) data is an essential data source for machine learning for health, but researchers and clinicians face steep barriers in extracting and validating EHR data for modeling. Existing tools incur trade-offs between expressivity and usability and are typically specialized to a single data standard, making it difficult to write temporal queries that are ready for modern model-building pipelines and adaptable to new datasets. This paper introduces TempoQL, a Python-based toolkit designed to lower these barriers. TempoQL provides a simple, human-readable language for temporal queries; support for multiple EHR data standards, including OMOP, MEDS, and others; and an interactive notebook-based query interface with optional large language model (LLM) authoring assistance. Through a performance evaluation and two use cases on different datasets, we demonstrate that TempoQL simplifies the creation of cohorts for machine learning while maintaining precision, speed, and reproducibility.

cs.HC

Vipera: Blending Visual and LLM-Driven Guidance for Systematic Auditing of Text-to-Image Generative AI

Despite their increasing capabilities, text-to-image generative AI systems are known to produce biased, offensive, and otherwise problematic outputs. While recent advancements have supported testing and auditing of generative AI, existing auditing methods still face challenges in supporting effectively explore the vast space of AI-generated outputs in a structured way. To address this gap, we conducted formative studies with five AI auditors and synthesized five design goals for supporting systematic AI audits. Based on these insights, we developed Vipera, an interactive auditing interface that employs multiple visual cues including a scene graph to facilitate image sensemaking and inspire auditors to explore and hierarchically organize the auditing criteria. Additionally, Vipera leverages LLM-powered suggestions to facilitate exploration of unexplored auditing directions. Through a controlled experiment with 24 participants experienced in AI auditing, we demonstrate Vipera's effectiveness in helping auditors navigate large AI output spaces and organize their analyses while engaging with diverse criteria.

cs.HC

A Human-Centered Approach to Identifying Promises, Risks, & Challenges of Text-to-Image Generative AI in Radiology

As text-to-image generative models rapidly improve, AI researchers are making significant advances in developing domain-specific models capable of generating complex medical imagery from text prompts. Despite this, these technical advancements have overlooked whether and how medical professionals would benefit from and use text-to-image generative AI (GenAI) in practice. By developing domain-specific GenAI without involving stakeholders, we risk the potential of building models that are either not useful or even more harmful than helpful. In this paper, we adopt a human-centered approach to responsible model development by involving stakeholders in evaluating and reflecting on the promises, risks, and challenges of a novel text-to-CT Scan GenAI model. Through exploratory model prompting activities, we uncover the perspectives of medical students, radiology trainees, and radiologists on the role that text-to-CT Scan GenAI can play across medical education, training, and practice. This human-centered approach additionally enabled us to surface technical challenges and domain-specific risks of generating synthetic medical images. We conclude by reflecting on the implications of medical text-to-image GenAI.

cs.HC

Design Patterns of Human-AI Interfaces in Healthcare

Human-AI interfaces play a pivotal role in integrating clinicians' expertise with artificial intelligence to enhance both healthcare practice and research. However, designing effective interfaces in this domain remains a significant challenge. The inherent complexity of medical data, the influence of domain-specific conventions, and the diverse needs of clinical users compound the challenge of developing practical and usable solutions. In this study, we review existing solutions and synthesize a set of design patterns - recurring approaches that support the design of human-AI interfaces in clinical settings. We conducted a comprehensive literature review of human-AI interaction designs in clinical contexts, through which we identified 15 information entities commonly presented to users and 12 design patterns used to organize and communicate this information effectively. For each design pattern, we summarize the underlying design problem, the proposed solution, and the rationale for when the pattern should or should not be applied, based on insights from both the literature and semi-structured interviews with 12 healthcare professionals. We evaluated the proposed design patterns through an online workshop involving 14 experienced UI designers. During the workshop, participants were asked to create interface sketches for healthcare-related scenarios drawn from their own professional experience, using our design patterns as guidance. Our findings show that the proposed design patterns helped participants ground their designs in user needs, generate a wider range of design alternatives, and simplify complex interface structures. We further analyzed and summarized the participants' usage strategies and feedback regarding the applicability and usefulness of the design patterns.

cs.HC

Texture: Structured Exploration of Text Datasets

Exploratory analysis of a text corpus is essential for assessing data quality and developing meaningful hypotheses. Text analysis relies on understanding documents through structured attributes spanning various granularities of the documents such as words, phrases, sentences, topics, or clusters. However, current text visualization tools typically adopt a fixed representation tailored to specific tasks or domains, requiring users to switch tools as their analytical goals change. To address this limitation, we present Texture, a general-purpose interactive text exploration tool. Texture introduces a configurable data schema for representing text documents enriched with descriptive attributes. These attributes can appear at arbitrary levels of granularity in the text and possibly have multiple values, including document-level attributes, multi-valued attributes (e.g., topics), fine-grained span-level attributes (e.g., words), and vector embeddings. The system then combines existing interactive methods for text exploration into a single interface that provides attribute overview visualizations, supports cross-filtering attribute charts to explore subsets, uses embeddings for a dataset overview and similar instance search, and contextualizes filters in the actual documents. We evaluated Texture through a two-part user study with 10 participants from varied domains who each analyzed their own dataset in a baseline session and then with Texture. Texture was able to represent all of the previously derived dataset attributes, enabled participants to more quickly iterate during their exploratory analysis, and discover new insights about their data. Our findings contribute to the design of scalable, interactive, and flexible exploration systems that improve users' ability to make sense of text data.

cs.HC

Over-Relying on Reliance: Towards Realistic Evaluations of AI-Based Clinical Decision Support

As AI-based clinical decision support (AI-CDS) is introduced in more and more aspects of healthcare services, HCI research plays an increasingly important role in designing for complementarity between AI and clinicians. However, current evaluations of AI-CDS often fail to capture when AI is and is not useful to clinicians. This position paper reflects on our work and influential AI-CDS literature to advocate for moving beyond evaluation metrics like Trust, Reliance, Acceptance, and Performance on the AI's task (what we term the "trap" of human-AI collaboration). Although these metrics can be meaningful in some simple scenarios, we argue that optimizing for them ignores important ways that AI falls short of clinical benefit, as well as ways that clinicians successfully use AI. As the fields of HCI and AI in healthcare develop new ways to design and evaluate CDS tools, we call on the community to prioritize ecologically valid, domain-appropriate study setups that measure the emergent forms of value that AI can bring to healthcare professionals.

cs.HC

Vipera: Towards systematic auditing of generative text-to-image models at scale

Generative text-to-image (T2I) models are known for their risks related such as bias, offense, and misinformation. Current AI auditing methods face challenges in scalability and thoroughness, and it is even more challenging to enable auditors to explore the auditing space in a structural and effective way. Vipera employs multiple visual cues including a scene graph to facilitate image collection sensemaking and inspire auditors to explore and hierarchically organize the auditing criteria. Additionally, it leverages LLM-powered suggestions to facilitate exploration of unexplored auditing directions. An observational user study demonstrates Vipera's effectiveness in helping auditors organize their analyses while engaging with diverse criteria.

cs.HC

StructVizor: Interactive Profiling of Semi-Structured Textual Data

Data profiling plays a critical role in understanding the structure of complex datasets and supporting numerous downstream tasks, such as social media analytics and financial fraud detection. While existing research predominantly focuses on structured data formats, a substantial portion of semi-structured textual data still requires ad-hoc and arduous manual profiling to extract and comprehend its internal structures. In this work, we propose StructVizor, an interactive profiling system that facilitates sensemaking and transformation of semi-structured textual data. Our tool mainly addresses two challenges: a) extracting and visualizing the diverse structural patterns within data, such as how information is organized or related, and b) enabling users to efficiently perform various wrangling operations on textual data. Through automatic data parsing and structure mining, StructVizor enables visual analytics of structural patterns, while incorporating novel interactions to enable profile-based data wrangling. A comparative user study involving 12 participants demonstrates the system's usability and its effectiveness in supporting exploratory data analysis and transformation tasks.

cs.HC

Divisi: Interactive Search and Visualization for Scalable Exploratory Subgroup Analysis

Analyzing data subgroups is a common data science task to build intuition about a dataset and identify areas to improve model performance. However, subgroup analysis is prohibitively difficult in datasets with many features, and existing tools limit unexpected discoveries by relying on user-defined or static subgroups. We propose exploratory subgroup analysis as a set of tasks in which practitioners discover, evaluate, and curate interesting subgroups to build understanding about datasets and models. To support these tasks we introduce Divisi, an interactive notebook-based tool underpinned by a fast approximate subgroup discovery algorithm. Divisi's interface allows data scientists to interactively re-rank and refine subgroups and to visualize their overlap and coverage in the novel Subgroup Map. Through a think-aloud study with 13 practitioners, we find that Divisi can help uncover surprising patterns in data features and their interactions, and that it encourages more thorough exploration of subtypes in complex data.

cs.HC

Tempo: Helping Data Scientists and Domain Experts Collaboratively Specify Predictive Modeling Tasks

Temporal predictive models have the potential to improve decisions in health care, public services, and other domains, yet they often fail to effectively support decision-makers. Prior literature shows that many misalignments between model behavior and decision-makers' expectations stem from issues of model specification, namely how, when, and for whom predictions are made. However, model specifications for predictive tasks are highly technical and difficult for non-data-scientist stakeholders to interpret and critique. To address this challenge we developed Tempo, an interactive system that helps data scientists and domain experts collaboratively iterate on model specifications. Using Tempo's simple yet precise temporal query language, data scientists can quickly prototype specifications with greater transparency about pre-processing choices. Moreover, domain experts can assess performance within data subgroups to validate that models behave as expected. Through three case studies, we demonstrate how Tempo helps multidisciplinary teams quickly prune infeasible specifications and identify more promising directions to explore.

cs.HC

Static Algorithm, Evolving Epidemic: Understanding the Potential of Human-AI Risk Assessment to Support Regional Overdose Prevention

Drug overdose deaths, including those due to prescription opioids, represent a critical public health issue in the United States and worldwide. Artificial intelligence (AI) approaches have been developed and deployed to help prescribers assess a patient's risk for overdose-related death, but it is unknown whether public health experts can leverage similar predictions to make local resource allocation decisions more effectively. In this work, we evaluated how AI-based overdose risk assessment could be used to inform local public health decisions using a working prototype system. Experts from three health departments, of varying locations and sizes with respect to staff and population served, were receptive to the potential benefits of algorithmic risk prediction and of using AI-augmented visualization to connect across data sources. However, they also expressed concerns about whether the risk prediction model's formulation and underlying data would match the state of the overdose epidemic as it evolved in their specific locations. Our findings extend those of other studies on algorithmic systems in the public sector, and they present opportunities for future human-AI collaborative tools to support decision-making in local, time-varying contexts.

cs.HC

Counterpoint: Orchestrating Large-Scale Custom Animated Visualizations

Custom animated visualizations of large, complex datasets are helpful across many domains, but they are hard to develop. Much of the difficulty arises from maintaining visualization state across many animated graphical elements that may change in number over time. We contribute Counterpoint, a framework for state management designed to help implement such visualizations in JavaScript. Using Counterpoint, developers can manipulate large collections of marks with reactive attributes that are easy to render in scalable APIs such as Canvas and WebGL. Counterpoint also helps orchestrate the entry and exit of graphical elements using the concept of a rendering "stage." Through a performance evaluation, we show that Counterpoint adds minimal overhead over current high-performance rendering techniques while simplifying implementation. We provide two examples of visualizations created using Counterpoint that illustrate its flexibility and compatibility with other visualization toolkits as well as considerations for users with disabilities. Counterpoint is open-source and available at https://github.com/cmudig/counterpoint.

cs.GR

Guided Statistical Workflows with Interactive Explanations and Assumption Checking

Statistical practices such as building regression models or running hypothesis tests rely on following rigorous procedures of steps and verifying assumptions on data to produce valid results. However, common statistical tools do not verify users' decision choices and provide low-level statistical functions without instructions on the whole analysis practice. Users can easily misuse analysis methods, potentially decreasing the validity of results. To address this problem, we introduce GuidedStats, an interactive interface within computational notebooks that encapsulates guidance, models, visualization, and exportable results into interactive workflows. It breaks down typical analysis processes, such as linear regression and two-sample T-tests, into interactive steps supplemented with automatic visualizations and explanations for step-wise evaluation. Users can iterate on input choices to refine their models, while recommended actions and exports allow the user to continue their analysis in code. Case studies show how GuidedStats offers valuable instructions for conducting fluid statistical analyses while finding possible assumption violations in the underlying data, supporting flexible and accurate statistical analyses.

cs.HC

How Consistent are Clinicians? Evaluating the Predictability of Sepsis Disease Progression with Dynamics Models

Reinforcement learning (RL) is a promising approach to generate treatment policies for sepsis patients in intensive care. While retrospective evaluation metrics show decreased mortality when these policies are followed, studies with clinicians suggest their recommendations are often spurious. We propose that these shortcomings may be due to lack of diversity in observed actions and outcomes in the training data, and we construct experiments to investigate the feasibility of predicting sepsis disease severity changes due to clinician actions. Preliminary results suggest incorporating action information does not significantly improve model performance, indicating that clinician actions may not be sufficiently variable to yield measurable effects on disease progression. We discuss the implications of these findings for optimizing sepsis treatment.

cs.LG