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Large language models (LLMs) are entering clinical workflows as decision support tools, yet how they respond to explicit patient value statements -- the core content of shared decision-making -- remains unmeasured. We conducted a factorial…

Computers and Society · Computer Science 2026-03-03 Sanjay Basu

The emergence of Large Language Models (LLMs) within the Traditional Chinese Medicine (TCM) domain presents an urgent need to assess their clinical application capabilities. However, such evaluations are challenged by the individualized,…

Computation and Language · Computer Science 2025-12-03 Kunning Li , Jianbin Guo , Zhaoyang Shang , Yiqing Liu , Hongmin Du , Lingling Liu , Yuping Zhao , Lifeng Dong

At the heart of medicine lies the physician-patient dialogue, where skillful history-taking paves the way for accurate diagnosis, effective management, and enduring trust. Artificial Intelligence (AI) systems capable of diagnostic dialogue…

In the U.S. inpatient payment system, the Diagnosis-Related Group (DRG) is pivotal, but its assignment process is inefficient. The study introduces DRG-LLaMA, an advanced large language model (LLM) fine-tuned on clinical notes to enhance…

Artificial Intelligence · Computer Science 2023-10-02 Hanyin Wang , Chufan Gao , Christopher Dantona , Bryan Hull , Jimeng Sun

The primary aim of this research was to address the limitations observed in the medical knowledge of prevalent large language models (LLMs) such as ChatGPT, by creating a specialized language model with enhanced accuracy in medical advice.…

Computation and Language · Computer Science 2023-06-27 Yunxiang Li , Zihan Li , Kai Zhang , Ruilong Dan , Steve Jiang , You Zhang

The conversation scenario is one of the most important and most challenging scenarios for speech processing technologies because people in conversation respond to each other in a casual style. Detecting the speech activities of each person…

Computation and Language · Computer Science 2022-08-18 Gaofeng Cheng , Yifan Chen , Runyan Yang , Qingxuan Li , Zehui Yang , Lingxuan Ye , Pengyuan Zhang , Qingqing Zhang , Lei Xie , Yanmin Qian , Kong Aik Lee , Yonghong Yan

Large language models (LLMs) are increasingly used in clinical and care settings. This exploratory study investigates whether LLMs exhibit sycophantic behavior - adapting their responses to social expectation signals rather than maintaining…

Computers and Society · Computer Science 2026-05-19 Christian Kolb

Dialogue level quality estimation is vital for optimizing data driven dialogue management. Current automated methods to estimate turn and dialogue level user satisfaction employ hand-crafted features and rely on complex annotation schemes,…

Computation and Language · Computer Science 2020-10-12 Praveen Kumar Bodigutla , Aditya Tiwari , Josep Valls Vargas , Lazaros Polymenakos , Spyros Matsoukas

Estimation of a model's confidence on its outputs is critical for Conversational AI systems based on large language models (LLMs), especially for reducing hallucination and preventing over-reliance. In this work, we provide an exhaustive…

Computation and Language · Computer Science 2024-09-24 Yi-Jyun Sun , Suvodip Dey , Dilek Hakkani-Tur , Gokhan Tur

Spoken Dialogue Models (SDMs) have advanced rapidly, yet their ability to sustain genuinely interactive multi-turn conversations remains underexplored, as most benchmarks focus on single-turn exchanges. We introduce Multi-Bench, the first…

Audio and Speech Processing · Electrical Eng. & Systems 2025-11-04 Yayue Deng , Guoqiang Hu , Haiyang Sun , Xiangyu Zhang , Haoyang Zhang , Fei Tian , Xuerui Yang , Gang Yu , Eng Siong Chng

Since the pre-trained language models are widely used, retrieval-based open-domain dialog systems, have attracted considerable attention from researchers recently. Most of the previous works select a suitable response only according to the…

Computation and Language · Computer Science 2020-12-22 Tian Lan , Xian-Ling Mao , Zhipeng Zhao , Wei Wei , Heyan Huang

This study addresses the interaction challenges encountered by spoken dialogue systems (SDSs) when engaging with users who exhibit distinct conversational behaviors, particularly minors, in scenarios where data are scarce. We propose a…

Computation and Language · Computer Science 2024-08-21 Zhiyang Qi , Michimasa Inaba

Alzheimer's disease (AD) constitutes a complex neurocognitive disease and is the main cause of dementia. Although many studies have been proposed targeting at diagnosing dementia through spontaneous speech, there are still limitations.…

Computation and Language · Computer Science 2023-08-24 Loukas Ilias , Dimitris Askounis

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic…

Computation and Language · Computer Science 2026-01-08 Lecheng Gong , Weimin Fang , Ting Yang , Dongjie Tao , Chunxiao Guo , Peng Wei , Bo Xie , Jinqun Guan , Zixiao Chen , Fang Shi , Jinjie Gu , Junwei Liu

Speech Language Models (SLMs) have made significant progress in spoken language understanding. Yet it remains unclear whether they can fully perceive non lexical vocal cues alongside spoken words, and respond with empathy that aligns with…

Computation and Language · Computer Science 2026-03-06 Li Zhou , Lutong Yu , You Lyu , Yihang Lin , Zefeng Zhao , Junyi Ao , Yuhao Zhang , Benyou Wang , Haizhou Li

Psychiatric intake is a sequential, high-stakes information-gathering process in which clinicians must decide what to ask, in what order, and how to interpret incomplete or ambiguous responses under limited time. Despite growing interest in…

Computation and Language · Computer Science 2026-04-29 Guan Gui , Peter Zandi , Jacob Taylor , Ananya Joshi

Follow-up conversations with virtual assistants (VAs) enable a user to seamlessly interact with a VA without the need to repeatedly invoke it using a keyword (after the first query). Therefore, accurate Device-directed Speech Detection…

Audio and Speech Processing · Electrical Eng. & Systems 2024-11-06 Ognjen , Rudovic , Pranay Dighe , Yi Su , Vineet Garg , Sameer Dharur , Xiaochuan Niu , Ahmed H. Abdelaziz , Saurabh Adya , Ahmed Tewfik

Large Language Models (LLMs) have grown exponentially since the release of ChatGPT. These models have gained attention due to their robust performance on various tasks, including language processing tasks. These models achieve understanding…

Computation and Language · Computer Science 2025-08-11 Ali Sarabadani , Maryam Abdollahi Shamami , Hamidreza Sadeghsalehi , Borhan Asadi , Saba Hesaraki

In recent years, Large Language Models (LLMs) have become increasingly more powerful in their ability to complete complex tasks. One such task in which LLMs are often employed is scoring, i.e., assigning a numerical value from a certain…

Computation and Language · Computer Science 2024-12-31 Henry J. Xie , Jinghan Zhang , Xinhao Zhang , Kunpeng Liu

What if large language models could not only infer human mindsets but also expose every blind spot in team dialogue such as discrepancies in the team members' joint understanding? We present a novel, two-step framework that leverages large…

Computation and Language · Computer Science 2025-09-03 Katharine Kowalyshyn , Matthias Scheutz