-
PATHFinder Agent for Tailored Prenatal Care
Authors:
Vaibhav Balloli,
Carissa Samuel,
Samia Abdelnabi,
Alex Peahl,
Elizabeth Bondi-Kelly
Abstract:
Prenatal care is an important preventive service designed to improve outcomes for pregnant individuals. The American College of Obstetricians and Gynecologists (ACOG) recently introduced guidelines advocating tailored prenatal care, called PATH (Plan for Tailored Healthcare). We present PATHFinder Agent(Planner for Appropriate Tailored Healthcare), an end-to-end conversational agentic system that…
▽ More
Prenatal care is an important preventive service designed to improve outcomes for pregnant individuals. The American College of Obstetricians and Gynecologists (ACOG) recently introduced guidelines advocating tailored prenatal care, called PATH (Plan for Tailored Healthcare). We present PATHFinder Agent(Planner for Appropriate Tailored Healthcare), an end-to-end conversational agentic system that gathers patient health and social context through structured dialogue, curates individualized prenatal care plans aligned with PATH guidelines, and surfaces community resources from Michigan 211. The system features a four-stage workflow spanning patient intake, dynamic interaction, plan synthesis, and clinician oversight. We evaluate frontier large language models (LLMs) on expert-curated rubrics across five clinical dimensions, finding that GPT-5.2 achieves the highest average score (77.6\%) while identifying key gaps in antenatal testing recommendations. We discuss future validation through human participant studies and randomized controlled trials.
△ Less
Submitted 8 June, 2026;
originally announced July 2026.
-
RELIANCE: Curating and Evaluating Reproductive Health Information on Social Media
Authors:
Vaibhav Balloli,
Laura Peyton Ellis,
Vishala Mishra,
Alice Chi,
Alex Peahl,
Elizabeth Bondi-Kelly
Abstract:
Social media platforms like TikTok have become a key source of health information, with studies reporting inaccuracies in posts. As Large Language Model (LLM) providers increasingly integrate LLMs into digital platforms to fact-check content (e.g., Grok and Perplexity on X and WhatsApp, respectively) and are being used by people to fact-check information, deploying these systems in critical areas…
▽ More
Social media platforms like TikTok have become a key source of health information, with studies reporting inaccuracies in posts. As Large Language Model (LLM) providers increasingly integrate LLMs into digital platforms to fact-check content (e.g., Grok and Perplexity on X and WhatsApp, respectively) and are being used by people to fact-check information, deploying these systems in critical areas such as reproductive health without rigorous evaluation can cause serious harm. We introduce RELIANCE, an expert-annotated dataset of health information on TikTok surrounding pregnancy and postpartum queries, serving as both an analysis of the reproductive health information landscape and an evaluation of LLMs' capabilities in fact-checking this content. Our dataset comprises 409 annotated sentences from 336 videos across 56 clinician-reviewed queries, annotated by three expert clinicians in Obstetrics, Gynecology, and Internal Medicine. Our findings reveal that nearly 60\% of the health information in the videos we sampled is accurate. Furthermore, LLM evaluations reveal a gap between evaluating specific claims and evaluating the entire content (15\%). We believe that our methodology, dataset, and tool will support the machine learning community in improving LLMs for important domains with real-world data, extending to other platforms and languages, and helping the health community further understand the information landscape on social media. Our dataset and code are made available at https://realize-lab.github.io/RELIANCE/.
△ Less
Submitted 10 June, 2026;
originally announced June 2026.
-
"Where is this coming from?" Uncovering Trustworthiness Ideals in AI-powered Peripartum Information Seeking
Authors:
Vaibhav Balloli,
Julia Erickson,
Xinyi Li,
Erin MacMurray van Liemt,
Alex Peahl,
Elizabeth Bondi-Kelly
Abstract:
AI-powered tools increasingly promise to fill information gaps in health, especially in domains like maternal and reproductive health that demand timely, accurate, and actionable information. This is extremely important, as the United States leads peer nations in preventable deaths, with stark racial disparities. However, current AI and NLP-powered systems aim to improve access to vetted maternal…
▽ More
AI-powered tools increasingly promise to fill information gaps in health, especially in domains like maternal and reproductive health that demand timely, accurate, and actionable information. This is extremely important, as the United States leads peer nations in preventable deaths, with stark racial disparities. However, current AI and NLP-powered systems aim to improve access to vetted maternal health information by routing user queries to a factual response while under-specifying the socio-technical governance structures that shape trust, use, and harm in practice. We report findings from four synchronous focus groups ($n=24$) with three stakeholder groups central to peripartum information support: birthing people, clinicians, and health workers (e.g., doulas, social workers, community health workers) exploring topics around information seeking, experience with current clinical infrastructure, misinformation, and an AI-enabled factual answering tool design probe. Our inductive analysis surfaces a central finding: in high-stakes health contexts shaped by historical inequities, trustworthiness must be inspectable and not asserted. While stakeholders diverge on what makes information credible, they converge on the need for transparency, recourse, and ecosystem complementarity. Based on the discussions, we identify four themes and governance requirements: (1) support for social and identity-based sensemaking, (2) pluralistic verification practices, (3) inspectable governance with recourse mechanisms, and (4) ecosystem-aware integration that avoids shifting burden. Building on these findings, we propose design artifacts that are mistrust-aware and promote principled governance mechanisms for transparent, pluralistic AI systems. Finally, we discuss the implications of our findings for expanding human-AI evaluations and improving the transparency of deployed AI systems.
△ Less
Submitted 8 June, 2026;
originally announced June 2026.
-
Adapting Actively on the Fly: Relevance-Guided Online Meta-Learning with Latent Concepts for Geospatial Discovery
Authors:
Jowaria Khan,
Anindya Sarkar,
Yevgeniy Vorobeychik,
Elizabeth Bondi-Kelly
Abstract:
In environmental monitoring, data collection is often costly, sparse, and shaped by urgent public-health needs. This is particularly true for cancer-causing PFAS (Per- and polyfluoroalkyl substances) contamination, where discussions with domain experts and environmental organizations highlight the need to strategically identify high-risk, under-observed regions under tight sampling budgets. More b…
▽ More
In environmental monitoring, data collection is often costly, sparse, and shaped by urgent public-health needs. This is particularly true for cancer-causing PFAS (Per- and polyfluoroalkyl substances) contamination, where discussions with domain experts and environmental organizations highlight the need to strategically identify high-risk, under-observed regions under tight sampling budgets. More broadly, similar challenges arise in disaster response and public health settings, where dynamic environments make it essential to efficiently uncover hidden targets from limited ground truth. Yet sparse and biased geospatial labels limit the applicability of existing learning-based methods, such as reinforcement learning. To address this, we propose a unified geospatial discovery framework that integrates active learning, online meta-learning, and concept-guided reasoning. Our approach introduces two key innovations built on a shared notion of *concept relevance*, capturing how domain-specific factors influence target presence: a *concept-weighted uncertainty sampling strategy*, where uncertainty is modulated by learned relevance from readily available concepts such as land cover and source proximity; and a *relevance-aware meta-batch formation strategy* that promotes semantic diversity during online-meta updates, improving generalization in dynamic environments. We evaluate our framework on PFAS contamination discovery as a real-world inspired environmental monitoring task, demonstrating robust target discovery under limited data and changing conditions.
△ Less
Submitted 25 May, 2026; v1 submitted 19 February, 2026;
originally announced February 2026.
-
RelAItionship Building: Analyzing Recruitment Strategies for Participatory AI
Authors:
Eugene Kim,
Vaibhav Balloli,
Berelian Karimian,
Elizabeth Bondi-Kelly,
Benjamin Fish
Abstract:
Participatory AI, in which impacted community members and other stakeholders are involved in the design and development of AI systems, holds promise as a way to ensure AI is developed to meet their needs and reflect their values. However, the process of identifying, reaching out, and engaging with all relevant stakeholder groups, which we refer to as recruitment methodology, is still a practical c…
▽ More
Participatory AI, in which impacted community members and other stakeholders are involved in the design and development of AI systems, holds promise as a way to ensure AI is developed to meet their needs and reflect their values. However, the process of identifying, reaching out, and engaging with all relevant stakeholder groups, which we refer to as recruitment methodology, is still a practical challenge in AI projects striving to adopt participatory practices. In this paper, we investigate the challenges that researchers face when designing and executing recruitment methodology for Participatory AI projects, and the implications of current recruitment practice for Participatory AI. First, we describe the recruitment methodologies used in AI projects using a corpus of 37 projects to capture the diversity of practices in the field and perform an initial analysis on the documentation of recruitment practices, as well as specific strategies that researchers use to meet goals of equity and empowerment. To complement this analysis, we interview five AI researchers to learn about the outcomes of recruitment methodologies. We find that these outcomes are shaped by structural conditions of their work, researchers' own goals and expectations, and the relationships built from the recruitment methodology and subsequent collaboration. Based on these analyses, we provide recommendations for designing and executing relationship-forward recruitment methods, as well as reflexive recruitment documentation practices for Participatory AI researchers.
△ Less
Submitted 27 August, 2025;
originally announced August 2025.
-
Evaluation Framework for AI Systems in "the Wild"
Authors:
Sarah Jabbour,
Trenton Chang,
Anindya Das Antar,
Joseph Peper,
Insu Jang,
Jiachen Liu,
Jae-Won Chung,
Shiqi He,
Michael Wellman,
Bryan Goodman,
Elizabeth Bondi-Kelly,
Kevin Samy,
Rada Mihalcea,
Mosharaf Chowdhury,
David Jurgens,
Lu Wang
Abstract:
Generative AI (GenAI) models have become vital across industries, yet current evaluation methods have not adapted to their widespread use. Traditional evaluations often rely on benchmarks and fixed datasets, frequently failing to reflect real-world performance, which creates a gap between lab-tested outcomes and practical applications. This white paper proposes a comprehensive framework for how we…
▽ More
Generative AI (GenAI) models have become vital across industries, yet current evaluation methods have not adapted to their widespread use. Traditional evaluations often rely on benchmarks and fixed datasets, frequently failing to reflect real-world performance, which creates a gap between lab-tested outcomes and practical applications. This white paper proposes a comprehensive framework for how we should evaluate real-world GenAI systems, emphasizing diverse, evolving inputs and holistic, dynamic, and ongoing assessment approaches. The paper offers guidance for practitioners on how to design evaluation methods that accurately reflect real-time capabilities, and provides policymakers with recommendations for crafting GenAI policies focused on societal impacts, rather than fixed performance numbers or parameter sizes. We advocate for holistic frameworks that integrate performance, fairness, and ethics and the use of continuous, outcome-oriented methods that combine human and automated assessments while also being transparent to foster trust among stakeholders. Implementing these strategies ensures GenAI models are not only technically proficient but also ethically responsible and impactful.
△ Less
Submitted 28 April, 2025; v1 submitted 23 April, 2025;
originally announced April 2025.
-
FOCUS on Contamination: Hydrology-Informed Noise-Aware Learning for Geospatial PFAS Mapping
Authors:
Jowaria Khan,
Alexa Friedman,
Sydney Evans,
Rachel Klein,
Runzi Wang,
Katherine E. Manz,
Kaley Beins,
David Q. Andrews,
Elizabeth Bondi-Kelly
Abstract:
Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants with significant public health impacts, yet large-scale monitoring remains severely limited due to the high cost and logistical challenges of field sampling. The lack of samples leads to difficulty simulating their spread with physical models and limited scientific understanding of PFAS transport in surface waters…
▽ More
Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants with significant public health impacts, yet large-scale monitoring remains severely limited due to the high cost and logistical challenges of field sampling. The lack of samples leads to difficulty simulating their spread with physical models and limited scientific understanding of PFAS transport in surface waters. Yet, rich geospatial and satellite-derived data describing land cover, hydrology, and industrial activity are widely available. We introduce FOCUS, a geospatial deep learning framework for PFAS contamination mapping that integrates sparse PFAS observations with large-scale environmental context, including priors derived from hydrological connectivity, land cover, source proximity, and sampling distance. These priors are integrated into a principled, noise-aware loss, yielding a robust training objective under sparse labels. Across extensive ablations, robustness analyses, and real-world validation, FOCUS consistently outperforms baselines including sparse segmentation, Kriging, and pollutant transport simulations, while preserving spatial coherence and scalability over large regions. Our results demonstrate how AI can support environmental science by providing screening-level risk maps that prioritize follow-up sampling and help connect potential sources to surface-water contamination patterns in the absence of complete physical models.
△ Less
Submitted 10 June, 2026; v1 submitted 17 February, 2025;
originally announced February 2025.
-
Find Rhinos without Finding Rhinos: Active Learning with Multimodal Imagery of South African Rhino Habitats
Authors:
Lucia Gordon,
Nikhil Behari,
Samuel Collier,
Elizabeth Bondi-Kelly,
Jackson A. Killian,
Catherine Ressijac,
Peter Boucher,
Andrew Davies,
Milind Tambe
Abstract:
Much of Earth's charismatic megafauna is endangered by human activities, particularly the rhino, which is at risk of extinction due to the poaching crisis in Africa. Monitoring rhinos' movement is crucial to their protection but has unfortunately proven difficult because rhinos are elusive. Therefore, instead of tracking rhinos, we propose the novel approach of mapping communal defecation sites, c…
▽ More
Much of Earth's charismatic megafauna is endangered by human activities, particularly the rhino, which is at risk of extinction due to the poaching crisis in Africa. Monitoring rhinos' movement is crucial to their protection but has unfortunately proven difficult because rhinos are elusive. Therefore, instead of tracking rhinos, we propose the novel approach of mapping communal defecation sites, called middens, which give information about rhinos' spatial behavior valuable to anti-poaching, management, and reintroduction efforts. This paper provides the first-ever mapping of rhino midden locations by building classifiers to detect them using remotely sensed thermal, RGB, and LiDAR imagery in passive and active learning settings. As existing active learning methods perform poorly due to the extreme class imbalance in our dataset, we design MultimodAL, an active learning system employing a ranking technique and multimodality to achieve competitive performance with passive learning models with 94% fewer labels. Our methods could therefore save over 76 hours in labeling time when used on a similarly-sized dataset. Unexpectedly, our midden map reveals that rhino middens are not randomly distributed throughout the landscape; rather, they are clustered. Consequently, rangers should be targeted at areas with high midden densities to strengthen anti-poaching efforts, in line with UN Target 15.7.
△ Less
Submitted 26 September, 2024;
originally announced September 2024.
-
Are They the Same Picture? Adapting Concept Bottleneck Models for Human-AI Collaboration in Image Retrieval
Authors:
Vaibhav Balloli,
Sara Beery,
Elizabeth Bondi-Kelly
Abstract:
Image retrieval plays a pivotal role in applications from wildlife conservation to healthcare, for finding individual animals or relevant images to aid diagnosis. Although deep learning techniques for image retrieval have advanced significantly, their imperfect real-world performance often necessitates including human expertise. Human-in-the-loop approaches typically rely on humans completing the…
▽ More
Image retrieval plays a pivotal role in applications from wildlife conservation to healthcare, for finding individual animals or relevant images to aid diagnosis. Although deep learning techniques for image retrieval have advanced significantly, their imperfect real-world performance often necessitates including human expertise. Human-in-the-loop approaches typically rely on humans completing the task independently and then combining their opinions with an AI model in various ways, as these models offer very little interpretability or \textit{correctability}. To allow humans to intervene in the AI model instead, thereby saving human time and effort, we adapt the Concept Bottleneck Model (CBM) and propose \texttt{CHAIR}. \texttt{CHAIR} (a) enables humans to correct intermediate concepts, which helps \textit{improve} embeddings generated, and (b) allows for flexible levels of intervention that accommodate varying levels of human expertise for better retrieval. To show the efficacy of \texttt{CHAIR}, we demonstrate that our method performs better than similar models on image retrieval metrics without any external intervention. Furthermore, we also showcase how human intervention helps further improve retrieval performance, thereby achieving human-AI complementarity.
△ Less
Submitted 11 July, 2024;
originally announced July 2024.
-
Impact of Large Language Model Assistance on Patients Reading Clinical Notes: A Mixed-Methods Study
Authors:
Niklas Mannhardt,
Elizabeth Bondi-Kelly,
Barbara Lam,
Hussein Mozannar,
Chloe O'Connell,
Mercy Asiedu,
Alejandro Buendia,
Tatiana Urman,
Irbaz B. Riaz,
Catherine E. Ricciardi,
Monica Agrawal,
Marzyeh Ghassemi,
David Sontag
Abstract:
Large language models (LLMs) have immense potential to make information more accessible, particularly in medicine, where complex medical jargon can hinder patient comprehension of clinical notes. We developed a patient-facing tool using LLMs to make clinical notes more readable by simplifying, extracting information from, and adding context to the notes. We piloted the tool with clinical notes don…
▽ More
Large language models (LLMs) have immense potential to make information more accessible, particularly in medicine, where complex medical jargon can hinder patient comprehension of clinical notes. We developed a patient-facing tool using LLMs to make clinical notes more readable by simplifying, extracting information from, and adding context to the notes. We piloted the tool with clinical notes donated by patients with a history of breast cancer and synthetic notes from a clinician. Participants (N=200, healthy, female-identifying patients) were randomly assigned three clinical notes in our tool with varying levels of augmentations and answered quantitative and qualitative questions evaluating their understanding of follow-up actions. Augmentations significantly increased their quantitative understanding scores. In-depth interviews were conducted with participants (N=7, patients with a history of breast cancer), revealing both positive sentiments about the augmentations and concerns about AI. We also performed a qualitative clinician-driven analysis of the model's error modes.
△ Less
Submitted 14 October, 2024; v1 submitted 17 January, 2024;
originally announced January 2024.
-
Reflections from the Workshop on AI-Assisted Decision Making for Conservation
Authors:
Lily Xu,
Esther Rolf,
Sara Beery,
Joseph R. Bennett,
Tanya Berger-Wolf,
Tanya Birch,
Elizabeth Bondi-Kelly,
Justin Brashares,
Melissa Chapman,
Anthony Corso,
Andrew Davies,
Nikhil Garg,
Angela Gaylard,
Robert Heilmayr,
Hannah Kerner,
Konstantin Klemmer,
Vipin Kumar,
Lester Mackey,
Claire Monteleoni,
Paul Moorcroft,
Jonathan Palmer,
Andrew Perrault,
David Thau,
Milind Tambe
Abstract:
In this white paper, we synthesize key points made during presentations and discussions from the AI-Assisted Decision Making for Conservation workshop, hosted by the Center for Research on Computation and Society at Harvard University on October 20-21, 2022. We identify key open research questions in resource allocation, planning, and interventions for biodiversity conservation, highlighting conse…
▽ More
In this white paper, we synthesize key points made during presentations and discussions from the AI-Assisted Decision Making for Conservation workshop, hosted by the Center for Research on Computation and Society at Harvard University on October 20-21, 2022. We identify key open research questions in resource allocation, planning, and interventions for biodiversity conservation, highlighting conservation challenges that not only require AI solutions, but also require novel methodological advances. In addition to providing a summary of the workshop talks and discussions, we hope this document serves as a call-to-action to orient the expansion of algorithmic decision-making approaches to prioritize real-world conservation challenges, through collaborative efforts of ecologists, conservation decision-makers, and AI researchers.
△ Less
Submitted 17 July, 2023;
originally announced July 2023.