Publications
Our teams aspire to make discoveries that impact everyone, and core to our approach is sharing our research and tools to fuel progress in the field.
Our teams aspire to make discoveries that impact everyone, and core to our approach is sharing our research and tools to fuel progress in the field.
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1 - 15 of 236 publications
Generative AI in Creative Practice: ML-Artist Folk Theories of T2I Use, Harm, and Harm-Reduction
Shalaleh Rismani
Proceedings of the CHI Conference on Human Factors in Computing Systems (CHI '24), Association for Computing Machinery (2024), pp. 1-17 (to appear)
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Understanding how communities experience algorithms is necessary to mitigate potential harmful impacts. This paper presents folk theories of text-to-image (T2I) models to enrich understanding of how artist communities experience creative machine learning (ML) systems. This research draws on data collected from a workshop with 15 artists from 10 countries who incorporate T2I models in their creative practice. Through reflexive thematic analysis of workshop data, we highlight theorization of T2I use, harm, and harm-reduction. Folk theories of use envision T2I models as an artistic medium, a mundane tool, and locate true creativity as rising above model affordances. Theories of harm articulate T2I models as harmed by engineering efforts to eliminate glitches and product policy efforts to limit functionality. Theories of harm-reduction orient towards protecting T2I models for creative practice through transparency and distributed governance. We examine how these theories relate, and conclude by discussing how folk theorization informs responsible AI efforts.
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Take it, Leave it, or Fix it: Measuring Productivity and Trust in Human-AI Collaboration
29th International Conference on Intelligent User Interfaces (IUI ’24), ACM, New York, NY, USA (2024)
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Although recent developments in generative AI have greatly enhanced the capabilities of conversational agents such as Google's Bard or OpenAI's ChatGPT, it's unclear whether the usage of these agents aids users across various contexts. To better understand how access to conversational AI affects productivity and trust, we conducted a mixed-methods, task-based user study, observing 76 software engineers (N=76) as they completed a programming exam with and without access to Bard. Effects on performance, efficiency, satisfaction, and trust vary depending on user expertise, question type (open-ended "solve" questions vs. definitive "search" questions), and measurement type (demonstrated vs. self-reported). Our findings include evidence of automation complacency, increased reliance on the AI over the course of the task, and increased performance for novices on “solve”-type questions when using the AI. We discuss common behaviors, design recommendations, and impact considerations to improve collaborations with conversational AI.
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Generative models improve fairness of medical classifiers under distribution shifts
Ira Ktena
Olivia Wiles
Isabela Albuquerque
Sylvestre-Alvise Rebuffi
Ryutaro Tanno
Danielle Belgrave
Taylan Cemgil
Nature Medicine (2024)
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Domain generalization is a ubiquitous challenge for machine learning in healthcare. Model performance in real-world conditions might be lower than expected because of discrepancies between the data encountered during deployment and development. Underrepresentation of some groups or conditions during model development is a common cause of this phenomenon. This challenge is often not readily addressed by targeted data acquisition and ‘labeling’ by expert clinicians, which can be prohibitively expensive or practically impossible because of the rarity of conditions or the available clinical expertise. We hypothesize that advances in generative artificial intelligence can help mitigate this unmet need in a steerable fashion, enriching our training dataset with synthetic examples that address shortfalls of underrepresented conditions or subgroups. We show that diffusion models can automatically learn realistic augmentations from data in a label-efficient manner. We demonstrate that learned augmentations make models more robust and statistically fair in-distribution and out of distribution. To evaluate the generality of our approach, we studied three distinct medical imaging contexts of varying difficulty: (1) histopathology, (2) chest X-ray and (3) dermatology images. Complementing real samples with synthetic ones improved the robustness of models in all three medical tasks and increased fairness by improving the accuracy of clinical diagnosis within underrepresented groups, especially out of distribution.
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Automatic Speech Recognition of Conversational Speech in Individuals with Disordered Speech
Bob MacDonald
Rus Heywood
Richard Cave
Katie Seaver
Antoine Desjardins
Jordan Green
Journal of Speech, Language, and Hearing Research (2024) (to appear)
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Purpose: This study examines the effectiveness of automatic speech recognition (ASR) for individuals with speech disorders, addressing the gap in performance between read and conversational ASR. We analyze the factors influencing this disparity and the effect of speech mode-specific training on ASR accuracy.
Method: Recordings of read and conversational speech from 27 individuals with various speech disorders were analyzed using both (1) one speaker-independent ASR system trained and optimized for typical speech and (2) multiple ASR models that were personalized to the speech of the participants with disordered speech. Word Error Rates (WERs) were calculated for each speech mode, read vs conversational, and subject. Linear mixed-effect models were used to assess the impact of speech mode and disorder severity on ASR accuracy. We investigated nine variables, classified as technical, linguistic, or speech impairment factors, for their potential influence on the performance gap.
Results: We found a significant performance gap between read and conversational speech in both personalized and unadapted ASR models. Speech impairment severity notably impacted recognition accuracy in unadapted models for both speech modes and in personalized models for read speech. Linguistic attributes of utterances were the most influential on accuracy, though atypical speech characteristics also played a role. Including conversational speech samples in model training notably improved recognition accuracy.
Conclusions: We observed a significant performance gap in ASR accuracy between read and conversational speech for individuals with speech disorders. This gap was largely due to the linguistic complexity and unique characteristics of speech disorders in conversational speech. Training personalized ASR models using conversational speech significantly improved recognition accuracy, demonstrating the importance of domain-specific training and highlighting the need for further research into ASR systems capable of handling disordered conversational speech effectively.
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Large Language Models as a Proxy For Human Evaluation in Assessing the Comprehensibility of Disordered Speech Transcription
Richard Cave
Katie Seaver
Jordan Green
Rus Heywood
Proceedings of ICASSP, IEEE (2024)
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Automatic Speech Recognition (ASR) systems, despite significant advances in recent years, still have much room for improvement particularly in the recognition of disordered speech. Even so, erroneous transcripts from ASR models can help people with disordered speech be better understood, especially if the transcription doesn’t significantly change the intended meaning. Evaluating the efficacy of ASR for this use case requires a methodology for measuring the impact of transcription errors on the intended meaning and comprehensibility. Human evaluation is the gold standard for this, but it can be laborious, slow, and expensive. In this work, we tune and evaluate large language models for this task and find them to be a much better proxy for human evaluators than other metrics commonly used. We further present a case-study using the presented approach to assess the quality of personalized ASR models to make model deployment decisions and correctly set user expectations for model quality as part of our trusted tester program.
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Generative AI (GAI) is proliferating, and among its many applications are to support creative work (e.g., generating text, images, music) and to enhance accessibility (e.g., captions of images and audio). As GAI evolves, creatives must consider how (or how not) to incorporate these tools into their practices. In this paper, we present interviews at the intersection of these applications. We learned from 10 creatives with disabilities who intentionally use and do not use GAI in and around their creative work. Their mediums ranged from audio engineering to leatherwork, and they collectively experienced a variety of disabilities, from sensory to motor to invisible disabilities. We share cross-cutting themes of their access hacks, how creative practice and access work become entangled, and their perspectives on how GAI should and should not fit into their workflows. In turn, we offer qualities of accessible creativity with responsible AI that can inform future research.
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The Case for Globalizing Fairness: A Mixed Methods Study on the Perceptions of Colonialism, AI and Health in Africa
Iskandar Haykel
Aisha Walcott-Bryant
Sanmi Koyejo
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With growing machine learning (ML) and large language model applications in healthcare, there have been calls for fairness in ML to understand and mitigate ethical concerns these systems may pose. Fairness has implications for health in Africa, which already has inequitable power imbalances between the Global North and South. This paper seeks to explore fairness for global health, with Africa as a case study.
We conduct a scoping review to propose fairness attributes for consideration in the African context and delineate where they may come into play in different ML-enabled medical modalities. We then conduct qualitative research studies with 625 general population study participants in 5 countries in Africa and 28 experts in ML, Health, and/or policy focussed on Africa to obtain feedback on the proposed attributes. We delve specifically into understanding the interplay between AI, health and colonialism.
Our findings demonstrate that among experts there is a general mistrust that technologies that are solely developed by former colonizers can benefit Africans, and that associated resource constraints due to pre-existing economic and infrastructure inequities can be linked to colonialism. General population survey responses found about an average of 40% of people associate an undercurrent of colonialism to AI and this was most dominant amongst participants from South Africa. However the majority of the general population participants surveyed did not think there was a direct link between AI and colonialism.Colonial history, country of origin, National income level were specific axes of disparities that participants felt would cause an AI tool to be biased
This work serves as a basis for policy development around Artificial Intelligence for health in Africa and can be expanded to other regions.
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Nteasee: A qualitative study of expert and general population perspectives on deploying AI for health in African countries
Iskandar Haykel
Kerrie Kauer
Florence Ofori
Tousif Ahmad
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Background: Artificial Intelligence for health has the potential to significantly change and improve healthcare. However in most African countries identifying culturally and contextually attuned approaches for deploying these solutions is not well understood. To bridge this gap, we conduct a qualitative study to investigate the best practices, fairness indicators and potential biases to mitigate when deploying AI for health in African countries, as well as explore opportunities where artificial intelligence could make a positive impact in health.
Methods: We used a mixed methods approach combining in-depth interviews (IDIs) and surveys. We conduct 1.5-2 hour long IDIs with 50 experts in health, policy and AI across 17 countries, and through an inductive approach we conduct a qualitative thematic analysis on expert IDI responses. We administer a blinded 30-minute survey with thought-cases to 672 general population participants across 5 countries in Africa (Ghana, South Africa, Rwanda, Kenya and Nigeria), and analyze responses on quantitative scales, statistically comparing responses by country, age, gender, and level of familiarity with AI. We thematically summarize open-ended responses from surveys.
Results and Conclusion: Our results find generally positive attitudes, high levels of trust, accompanied by moderate levels of concern among general population participants for AI usage for health in Africa. This contrasts with expert responses, where major themes revolved around trust/mistrust, AI ethics concerns, and systemic barriers to overcome, among others. This work presents the first-of-its-kind qualitative research study of the potential of AI for health in Africa with perspectives from both experts and the general population. We hope that this work guides policy makers and drives home the need for education and the inclusion of general population perspectives in decision-making around AI usage.
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The Case for Globalizing Fairness: A Mixed Methods Study on the Perceptions of Colonialism, AI and Health in Africa
Iskandar Haykel
Aisha Walcott-Bryant
Sanmi Koyejo
Preview abstract
With growing machine learning (ML) and large language model applications in healthcare, there have been calls for fairness in ML to understand and mitigate ethical concerns these systems may pose. Fairness has implications for health in Africa, which already has inequitable power imbalances between the Global North and South. This paper seeks to explore fairness for global health, with Africa as a case study.
We conduct a scoping review to propose fairness attributes for consideration in the African context and delineate where they may come into play in different ML-enabled medical modalities. We then conduct qualitative research studies with 625 general population study participants in 5 countries in Africa and 28 experts in ML, Health, and/or policy focussed on Africa to obtain feedback on the proposed attributes. We delve specifically into understanding the interplay between AI, health and colonialism.
Our findings demonstrate that among experts there is a general mistrust that technologies that are solely developed by former colonizers can benefit Africans, and that associated resource constraints due to pre-existing economic and infrastructure inequities can be linked to colonialism. General population survey responses found about an average of 40% of people associate an undercurrent of colonialism to AI and this was most dominant amongst participants from South Africa. However the majority of the general population participants surveyed did not think there was a direct link between AI and colonialism.Colonial history, country of origin, National income level were specific axes of disparities that participants felt would cause an AI tool to be biased
This work serves as a basis for policy development around Artificial Intelligence for health in Africa and can be expanded to other regions.
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TRINDs: Assessing the Diagnostic Capabilities of Large Language Models for Tropical and Infectious Diseases
Nenad Tomašev
Chintan Ghate
Steve Adudans
Oluwatosin Akande
Sylvanus Aitkins
Geoffrey Siwo
Lynda Osadebe
Eric Ndombi
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Neglected tropical diseases (NTDs) and infectious diseases disproportionately affect the poorest regions of the world. While large language models (LLMs) have shown promise for medical question answering, there is limited work focused on tropical and infectious disease-specific explorations. We introduce TRINDs, a dataset of 52 tropical and infectious diseases with demographic and semantic clinical and consumer augmentations. We evaluate various context and counterfactual locations to understand their influence on LLM performance. Results show that LLMs perform best when provided with contextual information such as demographics, location, and symptoms. We also develop TRINDs-LM, a tool that enables users to enter symptoms and contextual information to receive a most likely diagnosis. In addition to the LLM evaluations, we also conducted a human expert baseline study to assess the accuracy of human experts in diagnosing tropical and infectious diseases with 7 medical and public health experts. This work demonstrates methods for creating and evaluating datasets for testing and optimizing LLMs, and the use of a tool that could improve digital diagnosis and tracking of NTDs.
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Language models still struggle on moral reasoning, despite their impressive performance in many other tasks. In particular, the Moral Scenarios task in MMLU (Multi-task Language Understanding) is among the worst performing tasks for many language models, including GPT-3. In this work, we propose a new prompting framework, Thought Experiments, to teach language models to do better moral reasoning using counterfactuals. Experiment results show that our framework elicits counterfactual questions and answers from the model, which in turn helps improve the accuracy on Moral Scenarios task by 9-16% compared to other zero-shot baselines. Interestingly, unlike math reasoning tasks, zero-shot Chain-of-Thought (CoT) reasoning doesn't work out of the box, and even reduces accuracy by around 4% compared to direct zero-shot. We further observed that with minimal human supervision in the form of 5 few-shot examples, the accuracy of the task can be improved to as much as 80%.
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As new forms of data capture emerge to power new AI applications, questions abound about the ethical implications of these data collection practices. In this paper, we present clinicians' perspectives on the prospective benefits and harms of voice data collection during health consultations. Such data collection is being proposed as a means to power models to assist clinicians with medical data entry, administrative tasks, and consultation analysis. Yet, clinicians' attitudes and concerns are largely absent from the AI narratives surrounding these use cases, and the academic literature investigating them. Our qualitative interview study used the concept of an informed consent process as a type of design fiction, to support elicitation of clinicians' perspectives on voice data collection and use associated with a fictional, near-term AI assistant. Through reflexive thematic analysis of in-depth sessions with physicians, we distilled eight classes of potential risks that clinicians are concerned about, including workflow disruptions, self-censorship, and errors that could impact patient eligibility for services. We conclude with an in-depth discussion of these prospective risks, reflect on the use of the speculative processes that illuminated them, and reconsider evaluation criteria for AI-assisted clinical documentation technologies in light of our findings.
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Public Health Calls for/with AI: An Ethnographic Perspective
Azra Ismail
Neha Kumar
Neha Madhiwalla
ACM Conference On Computer-Supported Cooperative Work And Social Computing (2023)
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Artificial Intelligence (AI) based technologies are increasingly being integrated into public sector programs to help with decision-support and effective distribution of constrained resources. The field of Computer Supported Cooperative Work (CSCW) has begun to examine how the resultant sociotechnical systems may be designed appropriately when targeting underserved populations. We present an ethnographic study of a largescale real-world integration of an AI system for resource allocation in a call-based maternal and child health
program in India. Our findings uncover complexities around determining who benefits from the intervention, how the human-AI collaboration is managed, when intervention must take place in alignment with various priorities, and why the AI is sought, for what purpose. Our paper offers takeaways for human-centered AI integration in public health, drawing attention to the work done by the AI as actor, the work of configuring the human-AI partnership with multiple diverse stakeholders, and the work of aligning program goals for design and implementation through continual dialogue across stakeholders.
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Along with the recent advances in large language modeling, there is growing concern that language technologies may reflect, propagate, and amplify various social stereotypes about groups of people. Publicly available stereotype benchmarks play a crucial role in detecting and mitigating this issue in language technologies to prevent both representational and allocational harms in downstream applications. However, existing stereotype benchmarks are limited in their size and coverage, largely restricted to stereotypes prevalent in the Western society. This is especially problematic as language technologies are gaining hold across the globe. To address this gap, we present SeeGULL, a broad-coverage stereotype dataset, expanding the coverage by utilizing the generative capabilities of large language models such as PaLM and GPT-3, and leveraging a globally diverse rater pool to validate prevalence of those stereotypes in society. SeeGULL is an order of magnitude larger in terms of size, and contains stereotypes for 179 identity groups spanning 6 continents, 8 different regions, 178 countries, 50 US states, and 31 Indian states and union territories. We also get fine-grained offensiveness scores for different stereotypes and demonstrate how stereotype perceptions for the same identity group differs across in-region vs out-region annotators.
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Infrastructuring Care: How Trans and Non-Binary People Meet Health and Well-Being Needs through Technology
Lauren Wilcox
Rajesh Veeraraghavan
Oliver Haimson
Gabi Erickson
Michael Turken
Beka Gulotta
ACM Conference on Human Factors in Computing Systems (ACM CHI) 2023, Association for Computing Machinery, ACM (2023)
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We present a cross-cultural diary study with 64 transgender (trans) and non-binary (TGNB) adults in Mexico, the U.S., and India, to understand experiences keeping track of and managing aspects of personal health and well-being. Based on a reflexive thematic analysis of diary data, we highlight sociotechnical interactions that shape how transgender and non-binary people track and manage aspects of their health and well-being. Specifically, we surface the ways in which transgender and non-binary people infrastructure forms of care, by assembling together elements of informal social ecologies, formalized knowledge sources, and self-reflective media. We then examine the forms of precarity that interact with care infrastructure and shape management of health and well-being, including management of gender identity transitions. We discuss the ways in which our findings extend knowledge at the intersection of technology and marginalized health needs, and conclude by arguing for the importance of a research agenda to move toward TGNB-inclusive design.
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