Min Hun Lee

Logan Stapleton, Min Hun Lee, Diana Qing et al.

Child welfare agencies across the United States are turning to data-driven predictive technologies (commonly called predictive analytics) which use government administrative data to assist workers' decision-making. While some prior work has explored impacted stakeholders' concerns with current uses of data-driven predictive risk models (PRMs), less work has asked stakeholders whether such tools ought to be used in the first place. In this work, we conducted a set of seven design workshops with 35 stakeholders who have been impacted by the child welfare system or who work in it to understand their beliefs and concerns around PRMs, and to engage them in imagining new uses of data and technologies in the child welfare system. We found that participants worried current PRMs perpetuate or exacerbate existing problems in child welfare. Participants suggested new ways to use data and data-driven tools to better support impacted communities and suggested paths to mitigate possible harms of these tools. Participants also suggested low-tech or no-tech alternatives to PRMs to address problems in child welfare. Our study sheds light on how researchers and designers can work in solidarity with impacted communities, possibly to circumvent or oppose child welfare agencies.

Min Hun Lee, Chong Jun Chew

Artificial intelligence (AI) is increasingly being considered to assist human decision-making in high-stake domains (e.g. health). However, researchers have discussed an issue that humans can over-rely on wrong suggestions of the AI model instead of achieving human AI complementary performance. In this work, we utilized salient feature explanations along with what-if, counterfactual explanations to make humans review AI suggestions more analytically to reduce overreliance on AI and explored the effect of these explanations on trust and reliance on AI during clinical decision-making. We conducted an experiment with seven therapists and ten laypersons on the task of assessing post-stroke survivors' quality of motion, and analyzed their performance, agreement level on the task, and reliance on AI without and with two types of AI explanations. Our results showed that the AI model with both salient features and counterfactual explanations assisted therapists and laypersons to improve their performance and agreement level on the task when `right' AI outputs are presented. While both therapists and laypersons over-relied on `wrong' AI outputs, counterfactual explanations assisted both therapists and laypersons to reduce their over-reliance on `wrong' AI outputs by 21\% compared to salient feature explanations. Specifically, laypersons had higher performance degrades by 18.0 f1-score with salient feature explanations and 14.0 f1-score with counterfactual explanations than therapists with performance degrades of 8.6 and 2.8 f1-scores respectively. Our work discusses the potential of counterfactual explanations to better estimate the accuracy of an AI model and reduce over-reliance on `wrong' AI outputs and implications for improving human-AI collaborative decision-making.

Thuy Truong Tran, Minh Kha Do, Phuc Nguyen Duy et al.

Medical anomaly detection (MAD) and segmentation play a critical role in assisting clinical diagnosis by identifying abnormal regions in medical images and localizing pathological regions. Recent CLIP-based studies are promising for anomaly detection in zero-/few-shot settings, and typically rely on global representations and weak supervision, often producing coarse localization and limited segmentation quality. In this work, we study supervised adaptation of CLIP for MAD under a realistic clinical setting where a limited yet meaningful amount of labeled abnormal data is available. Our model MedSAD-CLIP leverages fine-grained text-visual cues via the Token-Patch Cross-Attention(TPCA) to improve lesion localization while preserving the generalization capability of CLIP representations. Lightweight image adapters and learnable prompt tokens efficiently adapt the pretrained CLIP encoder to the medical domain while preserving its rich semantic alignment. Furthermore, a Margin-based image-text Contrastive Loss is designed to enhance global feature discrimination between normal and abnormal representations. Extensive experiments on four diverse benchmarks-Brain, Retina, Lung, and Breast datasets-demonstrate the effectiveness of our approach, achieving superior performance in both pixel-level segmentation and image-level classification over state-of-the-art methods. Our results highlight the potential of supervised CLIP adaptation as a unified and scalable paradigm for medical anomaly understanding. Code will be made available at https://github.com/thuy4tbn99/MedSAD-CLIP

Min Hun Lee, Renee Bao Xuan Ng, Silvana Xinyi Choo et al.

A growing research explores the usage of AI explanations on user's decision phases for human-AI collaborative decision-making. However, previous studies found the issues of overreliance on `wrong' AI outputs. In this paper, we propose interactive example-based explanations to improve health professionals' onboarding with AI for their better reliance on AI during AI-assisted decision-making. We implemented an AI-based decision support system that utilizes a neural network to assess the quality of post-stroke survivors' exercises and interactive example-based explanations that systematically surface the nearest neighborhoods of a test/task sample from the training set of the AI model to assist users' onboarding with the AI model. To investigate the effect of interactive example-based explanations, we conducted a study with domain experts, health professionals to evaluate their performance and reliance on AI. Our interactive example-based explanations during onboarding assisted health professionals in having a better reliance on AI and making a higher ratio of making `right' decisions and a lower ratio of `wrong' decisions than providing only feature-based explanations during the decision-support phase. Our study discusses new challenges of assisting user's onboarding with AI for human-AI collaborative decision-making.

Pujun Feng, Xiaoyu Guo, Seyed Ehsan Saffari et al.

Clinical decision-making is a feedback system where risk estimates influence treatment, which in turn changes disease trajectories, and both shape clinicians' measurement practices. Static prediction often fails clinically: models trained on observational care logs conflate disease biology with clinician behavior, particularly under treatment confounder feedback and irregular or informative observation. This Review focuses on intervention-aware disease trajectory modeling in clinical AI--methods estimating patient-specific longitudinal disease evolution and assessing trajectory changes under alternative treatments. We organize the field around six linked components: three decision tasks (factual forecasting, counterfactual estimation, policy evaluation) and three data-generating mechanisms (disease evolution, treatment assignment, observation process) that determine identifiability. We present the first unified framework bridging forecasting, counterfactual trajectories, and policy evaluation across discrete/continuous time, explicitly addressing treatment assignment, time-varying confounding, and observation bias. We synthesize key method families (multistate/joint models, temporal point-process, deep sequence architectures, longitudinal causal inference), map them to relevant components, and align evaluation with claim strength via overlap diagnostics, uncertainty quantification, off-policy robustness, and target-trial validation. This synthesis advances benchmark prediction to decision-grade clinical evidence, enabling treatment-sensitive individualized futures, pre-deployment policy stress-testing, and safer closed-loop learning health systems that adapt/abstain when evidence is insufficient.

Min Hun Lee, Justin Yu Feng Teo

Despite the promise of AI to assist complex decisions, practitioners still lack ways to detect likely failures and inspect the consequences of model edits before committing them. We present RuleEdit, an interactive, rule-guided human-AI model editing system that (i) surfaces likely failures through interpretable mismatch signals from rule tables and (ii) supports user-authored rule feedback with prospective previews of projected performance changes and embedding shifts. We instantiate RuleEdit in stroke rehabilitation assessment and evaluate it with health professionals and students. Rule-guided failure detection significantly increased Human + AI performance by 14.16\% ($p<0.001$) while improving rejection of incorrect AI and reducing both over- and under- reliance as well as ChangedToWrong decisions. In addition, presenting prospective embedding previews improved participants' feedback for model adaptation, increasing post-update local performance gains from 11.50\% to 36.38\% after incorporating users' rule-based feedback ($p<0.001$). Our findings show that mismatch-based failure cues and prospective impact previews can support failure-aware human-AI model editing, while also revealing a local-global tradeoff: edits that help a specific case can degrade performance when transferred globally. We discuss implications of designing failure-aware and controllable human-AI systems.

Min Hun Lee

Artificial intelligence (AI) systems are deployed as collaborators in human decision-making. Yet, evaluation practices focus primarily on model accuracy rather than whether human-AI teams are prepared to collaborate safely and effectively. Empirical evidence shows that many failures arise from miscalibrated reliance, including overuse when AI is wrong and underuse when it is helpful. This paper proposes a measurement framework for evaluating human-AI decision-making centered on team readiness. We introduce a four part taxonomy of evaluation metrics spanning outcomes, reliance behavior, safety signals, and learning over time, and connect these metrics to the Understand-Control-Improve (U-C-I) lifecycle of human-AI onboarding and collaboration. By operationalizing evaluation through interaction traces rather than model properties or self-reported trust, our framework enables deployment-relevant assessment of calibration, error recovery, and governance. We aim to support more comparable benchmarks and cumulative research on human-AI readiness, advancing safer and more accountable human-AI collaboration.

Min Hun Lee

In this paper, we explore the feasibility of using a transformer-based, spatiotemporal attention network (STAN) for gradient-based time-series explanations. First, we trained the STAN model for video classifications using the global and local views of data and weakly supervised labels on time-series data (i.e. the type of an activity). We then leveraged a gradient-based XAI technique (e.g. saliency map) to identify salient frames of time-series data. According to the experiments using the datasets of four medically relevant activities, the STAN model demonstrated its potential to identify important frames of videos.

Min Hun Lee, Martyn Zhe Yu Tok

Despite the growing promise of artificial intelligence (AI) in supporting decision-making across domains, fostering appropriate human reliance on AI remains a critical challenge. In this paper, we investigate the utility of exploring distance-based uncertainty scores for task delegation to AI and describe how these scores can be visualized through embedding representations for human-AI decision-making. After developing an AI-based system for physical stroke rehabilitation assessment, we conducted a study with 19 health professionals and 10 students in medicine/health to understand the effect of exploring distance-based uncertainty scores on users' reliance on AI. Our findings showed that distance-based uncertainty scores outperformed traditional probability-based uncertainty scores in identifying uncertain cases. In addition, after exploring confidence scores for task delegation and reviewing embedding-based visualizations of distance-based uncertainty scores, participants achieved an 8.20% higher rate of correct decisions, a 7.15% higher rate of changing their decisions to correct ones, and a 7.14% lower rate of incorrect changes after reviewing AI outputs than those reviewing probability-based uncertainty scores ($p<0.01$). Our findings highlight the potential of distance-based uncertainty scores to enhance decision accuracy and appropriate reliance on AI while discussing ongoing challenges for human-AI collaborative decision-making.

Heng Yim Nicole Oo, Min Hun Lee, Jeong Hoon Lim

Algorithmic detection of facial palsy offers the potential to improve current practices, which usually involve labor-intensive and subjective assessments by clinicians. In this paper, we present a multimodal fusion-based deep learning model that utilizes an MLP mixer-based model to process unstructured data (i.e. RGB images or images with facial line segments) and a feed-forward neural network to process structured data (i.e. facial landmark coordinates, features of facial expressions, or handcrafted features) for detecting facial palsy. We then contribute to a study to analyze the effect of different data modalities and the benefits of a multimodal fusion-based approach using videos of 20 facial palsy patients and 20 healthy subjects. Our multimodal fusion model achieved 96.00 F1, which is significantly higher than the feed-forward neural network trained on handcrafted features alone (82.80 F1) and an MLP mixer-based model trained on raw RGB images (89.00 F1).

Min Hun Lee, Daniel P. Siewiorek, Alexandre Bernardino

Despite the growing potential of older adult care technologies, the adoption of these technologies remains challenging. In this work, we conducted a focus-group session with family caregivers to scope designs of the older adult care technology. We then developed a high-fidelity prototype and conducted its qualitative study with professional caregivers and older adults to understand their perspectives on the system functionalities. This system monitors abnormal activity patterns of older adults using wireless motion sensors and machine learning models and supports interactive dialogue responses to explain abnormal activity patterns of older adults to caregivers and allow older adults proactively sharing their status with caregivers for an adequate intervention. Both older adults and professional caregivers appreciated that our system can provide a faster, personalized service while proactively controlling what information is to be shared through interactive dialogue responses. We further discuss other considerations to realize older adult technology in practice.

Min Hun Lee, Daniel P. Siewiorek, Asim Smailagic et al.

Socially assistive robots are increasingly being explored to improve the engagement of older adults and people with disability in health and well-being-related exercises. However, even if people have various physical conditions, most prior work on social robot exercise coaching systems has utilized generic, predefined feedback. The deployment of these systems still remains a challenge. In this paper, we present our work of iteratively engaging therapists and post-stroke survivors to design, develop, and evaluate a social robot exercise coaching system for personalized rehabilitation. Through interviews with therapists, we designed how this system interacts with the user and then developed an interactive social robot exercise coaching system. This system integrates a neural network model with a rule-based model to automatically monitor and assess patients' rehabilitation exercises and can be tuned with individual patient's data to generate real-time, personalized corrective feedback for improvement. With the dataset of rehabilitation exercises from 15 post-stroke survivors, we demonstrated our system significantly improves its performance to assess patients' exercises while tuning with held-out patient's data. In addition, our real-world evaluation study showed that our system can adapt to new participants and achieved 0.81 average performance to assess their exercises, which is comparable to the experts' agreement level. We further discuss the potential benefits and limitations of our system in practice.

Min Hun Lee, Yi Jing Choy

Explainable artificial intelligence (AI) techniques are increasingly being explored to provide insights into why AI and machine learning (ML) models provide a certain outcome in various applications. However, there has been limited exploration of explainable AI techniques on time-series data, especially in the healthcare context. In this paper, we describe a threshold-based method that utilizes a weakly supervised model and a gradient-based explainable AI technique (i.e. saliency map) and explore its feasibility to identify salient frames of time-series data. Using the dataset from 15 post-stroke survivors performing three upper-limb exercises and labels on whether a compensatory motion is observed or not, we implemented a feed-forward neural network model and utilized gradients of each input on model outcomes to identify salient frames that involve compensatory motions. According to the evaluation using frame-level annotations, our approach achieved a recall of 0.96 and an F2-score of 0.91. Our results demonstrated the potential of a gradient-based explainable AI technique (e.g. saliency map) for time-series data, such as highlighting the frames of a video that therapists should focus on reviewing and reducing the efforts on frame-level labeling for model training.

Min Hun Lee, Daniel P. Siewiorek, Asim Smailagic et al.

Artificial intelligence (AI) and robotic coaches promise the improved engagement of patients on rehabilitation exercises through social interaction. While previous work explored the potential of automatically monitoring exercises for AI and robotic coaches, the deployment of these systems remains a challenge. Previous work described the lack of involving stakeholders to design such functionalities as one of the major causes. In this paper, we present our efforts on eliciting the detailed design specifications on how AI and robotic coaches could interact with and guide patient's exercises in an effective and acceptable way with four therapists and five post-stroke survivors. Through iterative questionnaires and interviews, we found that both post-stroke survivors and therapists appreciated the potential benefits of AI and robotic coaches to achieve more systematic management and improve their self-efficacy and motivation on rehabilitation therapy. In addition, our evaluation sheds light on several practical concerns (e.g. a possible difficulty with the interaction for people with cognitive impairment, system failures, etc.). We discuss the value of early involvement of stakeholders and interactive techniques that complement system failures, but also support a personalized therapy session for the better deployment of AI and robotic exercise coaches.

Min Hun Lee, Daniel P. Siewiorek, Asim Smailagic et al.

The research of a socially assistive robot has a potential to augment and assist physical therapy sessions for patients with neurological and musculoskeletal problems (e.g. stroke). During a physical therapy session, generating personalized feedback is critical to improve patient's engagement. However, prior work on socially assistive robotics for physical therapy has mainly utilized pre-defined corrective feedback even if patients have various physical and functional abilities. This paper presents an interactive approach of a socially assistive robot that can dynamically select kinematic features of assessment on individual patient's exercises to predict the quality of motion and provide patient-specific corrective feedback for personalized interaction of a robot exercise coach.

Min Hun Lee, Daniel P. Siewiorek, Asim Smailagic et al.

Rehabilitation assessment is critical to determine an adequate intervention for a patient. However, the current practices of assessment mainly rely on therapist's experience, and assessment is infrequently executed due to the limited availability of a therapist. In this paper, we identified the needs of therapists to assess patient's functional abilities (e.g. alternative perspective on assessment with quantitative information on patient's exercise motions). As a result, we developed an intelligent decision support system that can identify salient features of assessment using reinforcement learning to assess the quality of motion and summarize patient specific analysis. We evaluated this system with seven therapists using the dataset from 15 patient performing three exercises. The evaluation demonstrates that our system is preferred over a traditional system without analysis while presenting more useful information and significantly increasing the agreement over therapists' evaluation from 0.6600 to 0.7108 F1-scores ($p <0.05$). We discuss the importance of presenting contextually relevant and salient information and adaptation to develop a human and machine collaborative decision making system.

Benjamin Elizalde, Ankit Shah, Siddharth Dalmia et al.

Audio Event Detection (AED) aims to recognize sounds within audio and video recordings. AED employs machine learning algorithms commonly trained and tested on annotated datasets. However, available datasets are limited in number of samples and hence it is difficult to model acoustic diversity. Therefore, we propose combining labeled audio from a dataset and unlabeled audio from the web to improve the sound models. The audio event detectors are trained on the labeled audio and ran on the unlabeled audio downloaded from YouTube. Whenever the detectors recognized any of the known sounds with high confidence, the unlabeled audio was use to re-train the detectors. The performance of the re-trained detectors is compared to the one from the original detectors using the annotated test set. Results showed an improvement of the AED, and uncovered challenges of using web audio from videos.