Nabila El-Bassel

Chenghao Yang, Tuhin Chakrabarty, Karli R Hochstatter et al.

In the last decade, the United States has lost more than 500,000 people from an overdose involving prescription and illicit opioids making it a national public health emergency (USDHHS, 2017). Medical practitioners require robust and timely tools that can effectively identify at-risk patients. Community-based social media platforms such as Reddit allow self-disclosure for users to discuss otherwise sensitive drug-related behaviors. We present a moderate size corpus of 2500 opioid-related posts from various subreddits labeled with six different phases of opioid use: Medical Use, Misuse, Addiction, Recovery, Relapse, Not Using. For every post, we annotate span-level extractive explanations and crucially study their role both in annotation quality and model development. We evaluate several state-of-the-art models in a supervised, few-shot, or zero-shot setting. Experimental results and error analysis show that identifying the phases of opioid use disorder is highly contextual and challenging. However, we find that using explanations during modeling leads to a significant boost in classification accuracy demonstrating their beneficial role in a high-stakes domain such as studying the opioid use disorder continuum.

Zhihan Jiang, Mengyuan Millie Wu, Ruishi Zou et al.

Individuals frequently form deep attachments to physical objects (e.g., plush toys) that usually cannot sense or respond to their emotions. While AI companions offer responsiveness and personalization, they exist independently of these physical objects and lack an ongoing connection to them. To bridge this gap, we conducted a formative study (N=9) to explore how digital agents could inherit and extend the emotional bond, deriving four design principles (Faithful Identity, Calibrated Agency, Ambient Presence, and Reciprocal Memory). We then present the Dual-Embodiment Companion Framework, instantiated as Deco, a mobile system integrating multimodal Large Language Models (LLMs) and Augmented Reality to create synchronized digital embodiments of users' physical companions. A within-subjects study (N=25) showed Deco significantly outperformed a personalized LLM-empowered digital companion baseline on perceived companionship, emotional bond, and design-principle scales (all p<0.01). A seven-day field deployment (N=17) showed sustained engagement, subjective well-being improvement (p=.040), and three key relational patterns: digital activities retroactively vitalized physical objects, bond deepening was driven by emotional engagement depth rather than interaction frequency, and users sustained bonds while actively navigating digital companions' AI nature. This work highlights a promising alternative for designing digital companions: moving from creating new relationships to dual embodiment, where digital agents seamlessly extend the emotional history of physical objects.