arXiv subjects

Bram van Dijk

Publications and source records attributed to Bram van Dijk.

8 recordsLinked to original sources

arXiv2026

COACH meets QUORUM: A Framework and Pipeline for Aligning User, Expert and Developer Perspectives in LLM-generated Health Counselling

Systems that collect data on sleep, mood, and activities can provide valuable lifestyle counselling to populations affected by chronic disease and its consequences. Such systems are, however, challenging to develop; besides reliably extracting patterns from user-specific data, systems should also contextualise these patterns with validated medical knowledge to ensure the quality of counselling, and generate counselling that is relevant to a real user. We present QUORUM, a new evaluation framework that unifies these developer-, expert-, and user-centric perspectives, and show with a real case study that it meaningfully tracks convergence and divergence in stakeholder perspectives. We also present COACH, a Large Language Model-driven pipeline to generate personalised lifestyle counselling for our Healthy Chronos use case, a diary app for cancer patients and survivors. Applying our framework shows that overall, users, medical experts, and developers converge on the opinion that the generated counselling is relevant, of good quality, and reliable. However, stakeholders also diverge on the tone of the counselling, sensitivity to errors in pattern-extraction, and potential hallucinations. These findings highlight the importance of multi-stakeholder evaluation for consumer health language technologies and illustrate how a unified evaluation framework can support trustworthy, patient-centered NLP systems in real-world settings.

cs.CL↗

arXiv2026

XGenBoost: Synthesizing Small and Large Tabular Datasets with XGBoost

Tree ensembles such as XGBoost are often preferred for discriminative tasks in mixed-type tabular data, due to their inductive biases, minimal hyperparameter tuning, and training efficiency. We argue that these qualities, when leveraged correctly, can make for better generative models as well. As such, we present XGenBoost, a pair of generative models based on XGBoost: i) a Denoising Diffusion Implicit Model (DDIM) with XGBoost as score-estimator suited for smaller datasets, and ii) a hierarchical autoregressive model whose conditionals are learned via XGBoost classifiers, suited for large-scale tabular synthesis. The architectures follow from the natural constraints imposed by tree-based learners, e.g., in the diffusion model, combining Gaussian and multinomial diffusion to leverage native categorical splits and avoid one-hot encoding while accurately modelling mixed data types. In the autoregressive model, we use a fixed-order factorization, a hierarchical classifier to impose ordinal inductive biases when modelling numerical features, and de-quantization based on empirical quantile functions to model the non-continuous nature of most real-world tabular datasets. Through two benchmarks, one containing smaller and the other larger datasets, we show that our proposed architectures outperform previous neural- and tree-based generative models for mixed-type tabular synthesis at lower training cost.

cs.LG↗

arXiv2025

Out of the Box, into the Clinic? Evaluating State-of-the-Art ASR for Clinical Applications for Older Adults

Voice-controlled interfaces can support older adults in clinical contexts -- with chatbots being a prime example -- but reliable Automatic Speech Recognition (ASR) for underrepresented groups remains a bottleneck. This study evaluates state-of-the-art ASR models on language use of older Dutch adults, who interacted with the Welzijn.AI chatbot designed for geriatric contexts. We benchmark generic multilingual ASR models, and models fine-tuned for Dutch spoken by older adults, while also considering processing speed. Our results show that generic multilingual models outperform fine-tuned models, which suggests recent ASR models can generalise well out of the box to real-world datasets. Moreover, our results indicate that truncating generic models is helpful in balancing the accuracy-speed trade-off. Nonetheless, we also find inputs which cause a high word error rate and place them in context.

cs.CL↗

arXiv2025

Welzijn.AI: Developing Responsible Conversational AI for Elderly Care through Stakeholder Involvement

We present Welzijn.AI as new digital solution for monitoring (mental) well-being in elderly populations, and illustrate how development of systems like Welzijn.AI can align with guidelines on responsible AI development. Three evaluations with different stakeholders were designed to disclose new perspectives on the strengths, weaknesses, design characteristics, and value requirements of Welzijn.AI. Evaluations concerned expert panels and involved patient federations, general practitioners, researchers, and the elderly themselves. Panels concerned interviews, a co-creation session, and feedback on a proof-of-concept implementation. Interview results were summarized in terms of Welzijn.AI's strengths, weaknesses, opportunities and threats. The co-creation session ranked a variety of value requirements of Welzijn.AI with the Hundred Dollar Method. User evaluation comprised analysing proportions of (dis)agreement on statements targeting Welzijn.AI's design characteristics, and ranking desired social characteristics. Experts in the panel interviews acknowledged Welzijn.AI's potential to combat loneliness and extract patterns from elderly behaviour. The proof-of-concept evaluation complemented the design characteristics most appealing to the elderly to potentially achieve this: empathetic and varying interactions. Stakeholders also link the technology to the implementation context: it could help activate an individual's social network, but support should also be available to empower users. Yet, non-elderly and elderly experts also disclose challenges in properly understanding the application; non-elderly experts also highlight issues concerning privacy. In sum, incorporating all stakeholder perspectives in system development remains challenging. Still, our results benefit researchers, policy makers, and health professionals that aim to improve elderly care with technology.

cs.CY↗

arXiv2025

The Data Sharing Paradox of Synthetic Data in Healthcare

Synthetic data offers a promising solution to privacy concerns in healthcare by generating useful datasets in a privacy-aware manner. However, although synthetic data is typically developed with the intention of sharing said data, ambiguous reidentification risk assessments often prevent synthetic data from seeing the light of day. One of the main causes is that privacy metrics for synthetic data, which inform on reidentification risks, are not well-aligned with practical requirements and regulations regarding data sharing in healthcare. This article discusses the paradoxical situation where synthetic data is designed for data sharing but is often still restricted. We also discuss how the field should move forward to mitigate this issue.

cs.DB↗

arXiv2024

A Review of Challenges in Speech-based Conversational AI for Elderly Care

Artificially intelligent systems optimized for speech conversation are appearing at a fast pace. Such models are interesting from a healthcare perspective, as these voice-controlled assistants may support the elderly and enable remote health monitoring. The bottleneck for efficacy, however, is how well these devices work in practice and how the elderly experience them, but research on this topic is scant. We review elderly use of voice-controlled AI and highlight various user- and technology-centered issues, that need to be considered before effective speech-controlled AI for elderly care can be realized.

cs.CL↗

arXiv2024

A Novel Taxonomy for Navigating and Classifying Synthetic Data in Healthcare Applications

Data-driven technologies have improved the efficiency, reliability and effectiveness of healthcare services, but come with an increasing demand for data, which is challenging due to privacy-related constraints on sharing data in healthcare contexts. Synthetic data has recently gained popularity as potential solution, but in the flurry of current research it can be hard to oversee its potential. This paper proposes a novel taxonomy of synthetic data in healthcare to navigate the landscape in terms of three main varieties. Data Proportion comprises different ratios of synthetic data in a dataset and associated pros and cons. Data Modality refers to the different data formats amenable to synthesis and format-specific challenges. Data Transformation concerns improving specific aspects of a dataset like its utility or privacy with synthetic data. Our taxonomy aims to help researchers in the healthcare domain interested in synthetic data to grasp what types of datasets, data modalities, and transformations are possible with synthetic data, and where the challenges and overlaps between the varieties lie.

cs.CY↗

arXiv2024

The Curious Case of Representational Alignment: Unravelling Visio-Linguistic Tasks in Emergent Communication

Natural language has the universal properties of being compositional and grounded in reality. The emergence of linguistic properties is often investigated through simulations of emergent communication in referential games. However, these experiments have yielded mixed results compared to similar experiments addressing linguistic properties of human language. Here we address representational alignment as a potential contributing factor to these results. Specifically, we assess the representational alignment between agent image representations and between agent representations and input images. Doing so, we confirm that the emergent language does not appear to encode human-like conceptual visual features, since agent image representations drift away from inputs whilst inter-agent alignment increases. We moreover identify a strong relationship between inter-agent alignment and topographic similarity, a common metric for compositionality, and address its consequences. To address these issues, we introduce an alignment penalty that prevents representational drift but interestingly does not improve performance on a compositional discrimination task. Together, our findings emphasise the key role representational alignment plays in simulations of language emergence.

cs.CL↗