arXiv subjects

Julia Liu

Publications and source records attributed to Julia Liu.

3 recordsLinked to original sources

arXiv2026

Misgendering as Breakdown in Human-Machine Communication: How AI Companion Chatbot Users Experience and Repair Misgendering

In recent years, large language model-based AI companion and role play chatbots have grown increasingly popular. People turn to these chatbots for emotional support and to engage in romantic and erotic role play. Although prior research suggests that digital role play can help people explore their gender and sexuality, LLM based technologies are also replete with gender and sexuality biases. In this study, we examine one way that AI chatbots can harm users: misgendering. In order to study chatbot misgendering we qualitatively analyzed 326 posts mentioning misgendering that were shared in AI companion or role play subreddits. We document how chatbot misgendering takes place and how, in response, users engage in ongoing work to curate their gender presentation to prevent and repair misgendering. We discuss how researchers and designers can mitigate chatbot misgendering and consider the implications of using AI chatbots for identity exploration.

cs.HC↗

arXiv2025

Voice-based AI Agents: Filling the Economic Gaps in Digital Health Delivery

The integration of voice-based AI agents in healthcare presents a transformative opportunity to bridge economic and accessibility gaps in digital health delivery. This paper explores the role of large language model (LLM)-powered voice assistants in enhancing preventive care and continuous patient monitoring, particularly in underserved populations. Drawing insights from the development and pilot study of Agent PULSE (Patient Understanding and Liaison Support Engine) -- a collaborative initiative between IBM Research, Cleveland Clinic Foundation, and Morehouse School of Medicine -- we present an economic model demonstrating how AI agents can provide cost-effective healthcare services where human intervention is economically unfeasible. Our pilot study with 33 inflammatory bowel disease patients revealed that 70\% expressed acceptance of AI-driven monitoring, with 37\% preferring it over traditional modalities. Technical challenges, including real-time conversational AI processing, integration with healthcare systems, and privacy compliance, are analyzed alongside policy considerations surrounding regulation, bias mitigation, and patient autonomy. Our findings suggest that AI-driven voice agents not only enhance healthcare scalability and efficiency but also improve patient engagement and accessibility. For healthcare executives, our cost-utility analysis demonstrates huge potential savings for routine monitoring tasks, while technologists can leverage our framework to prioritize improvements yielding the highest patient impact. By addressing current limitations and aligning AI development with ethical and regulatory frameworks, voice-based AI agents can serve as a critical entry point for equitable, sustainable digital healthcare solutions.

cs.AI↗

arXiv2024

Leveraging Large Language Models for Patient Engagement: The Power of Conversational AI in Digital Health

The rapid advancements in large language models (LLMs) have opened up new opportunities for transforming patient engagement in healthcare through conversational AI. This paper presents an overview of the current landscape of LLMs in healthcare, specifically focusing on their applications in analyzing and generating conversations for improved patient engagement. We showcase the power of LLMs in handling unstructured conversational data through four case studies: (1) analyzing mental health discussions on Reddit, (2) developing a personalized chatbot for cognitive engagement in seniors, (3) summarizing medical conversation datasets, and (4) designing an AI-powered patient engagement system. These case studies demonstrate how LLMs can effectively extract insights and summarizations from unstructured dialogues and engage patients in guided, goal-oriented conversations. Leveraging LLMs for conversational analysis and generation opens new doors for many patient-centered outcomes research opportunities. However, integrating LLMs into healthcare raises important ethical considerations regarding data privacy, bias, transparency, and regulatory compliance. We discuss best practices and guidelines for the responsible development and deployment of LLMs in healthcare settings. Realizing the full potential of LLMs in digital health will require close collaboration between the AI and healthcare professionals communities to address technical challenges and ensure these powerful tools' safety, efficacy, and equity.

cs.AI↗