arXiv subjects

Wanda Pratt

Publications and source records attributed to Wanda Pratt.

5 recordsLinked to original sources

arXiv2026

Understanding Perspectives of Patients, Caregivers and Clinicians towards Emerging Collaborative-decision Making Technologies

In pediatrics, patients, caregivers, and clinicians share responsibility for health decisions, but limited collaboration can undermine outcomes. We conducted a qualitative study examining decision-makers perceptions toward collaborative decision-making technologies, including interactive dashboards, VR simulators, and AI voice assistants. Findings reveal differences in user opinions across groups and indicate technology acceptance is linked to users trust of these technologies. Technology developers and researchers need to explore design and implementation strategies that build and facilitate trust or appropriate distrust between users and these novel technologies before these tools can effectively support collaborative decision-making.

cs.HC↗

arXiv2026

Co-designing for the Triad: Design Considerations for Collaborative Decision-Making Technologies in Pediatric Chronic Care

In pediatric chronic care, the triadic relationship among patients, caregivers, and healthcare providers introduces unique challenges for youth in managing their conditions. Diverging values, roles, and asymmetrical situational awareness across decision-maker groups often hinder collaboration and affect health outcomes, highlighting the need to support collaborative decision-making. We conducted co-design workshops with 6 youth with chronic kidney disease, 6 caregivers, and 7 healthcare providers to explore how digital technologies can be designed to support collaborative decision-making. Findings identify barriers across all levels of situational awareness, ranging from individual cognitive and emotional constraints, misaligned mental models, to relational conflicts regarding care goals. We propose design implications that support continuous decision-making practice, align mental models, balance caregiver support and youth autonomy development, and surface potential care challenges. This work advances the design of collaborative decision-making technologies that promote shared understanding and empower families in pediatric chronic care.

cs.HC↗

arXiv2025

Relational Mediators: LLM Chatbots as Boundary Objects in Psychotherapy

As large language models (LLMs) are embedded into mental health technologies, they are often framed either as tools assisting therapists or autonomous therapeutic systems. Such perspectives overlook their potential to mediate relational complexities in therapy, particularly for systemically marginalized clients. Drawing on in-depth interviews with 12 therapists and 12 marginalized clients in China, including LGBTQ+ individuals or those from other marginalized backgrounds, we identify enduring relational challenges: difficulties building trust amid institutional barriers, the burden clients carry in educating therapists about marginalized identities, and challenges sustaining authentic self-disclosure across therapy and daily life. We argue that addressing these challenges requires AI systems capable of actively mediating underlying knowledge gaps, power asymmetries, and contextual disconnects. To this end, we propose the Dynamic Boundary Mediation Framework, which reconceptualizes LLM-enhanced systems as adaptive boundary objects that shift mediating roles across therapeutic stages. The framework delineates three forms of mediation: Epistemic (reducing knowledge asymmetries), Relational (rebalancing power dynamics), and Contextual (bridging therapy-life discontinuities). This framework offers a pathway toward designing relationally accountable AI systems that center the lived realities of marginalized users and more effectively support therapeutic relationships.

cs.HC↗

arXiv2024

Toward Automated Detection of Biased Social Signals from the Content of Clinical Conversations

Implicit bias can impede patient-provider interactions and lead to inequities in care. Raising awareness is key to reducing such bias, but its manifestations in the social dynamics of patient-provider communication are difficult to detect. In this study, we used automated speech recognition (ASR) and natural language processing (NLP) to identify social signals in patient-provider interactions. We built an automated pipeline to predict social signals from audio recordings of 782 primary care visits that achieved 90.1% average accuracy across codes, and exhibited fairness in its predictions for white and non-white patients. Applying this pipeline, we identified statistically significant differences in provider communication behavior toward white versus non-white patients. In particular, providers expressed more patient-centered behaviors towards white patients including more warmth, engagement, and attentiveness. Our study underscores the potential of automated tools in identifying subtle communication signals that may be linked with bias and impact healthcare quality and equity.

cs.CY↗

arXiv2023

Towards Enhanced Human Activity Recognition through Natural Language Generation and Pose Estimation

Vision-based human activity recognition (HAR) has made substantial progress in recognizing predefined gestures but lacks adaptability for emerging activities. This paper introduces a paradigm shift by harnessing generative modeling and large language models (LLMs) to enhance vision-based HAR. We propose utilizing LLMs to generate descriptive textual representations of activities using pose keypoints as an intermediate representation. Incorporating pose keypoints adds contextual depth to the recognition process, allowing for sequences of vectors resembling text chunks, compatible with LLMs. This innovative fusion of computer vision and natural language processing holds significant potential for revolutionizing activity recognition. A proof of concept study on a Kinetics700 dataset subset validates the approach's efficacy, highlighting improved accuracy and interpretability. Future implications encompass enhanced accuracy, novel research avenues, model generalization, and ethical considerations for transparency. This framework has real-world applications, including personalized gym workout feedback and nuanced sports training insights. By connecting visual cues to interpretable textual descriptions, the proposed framework advances HAR accuracy and applicability, shaping the landscape of pervasive computing and activity recognition research. As this approach evolves, it promises a more insightful understanding of human activities across diverse contexts, marking a significant step towards a better world.

cs.HC↗