Koustuv Saha

Shreya Chowdhary, Anna Kawakami, Mary L. Gray et al. · cmu

Sensing technologies deployed in the workplace can unobtrusively collect detailed data about individual activities and group interactions that are otherwise difficult to capture. A hopeful application of these technologies is that they can help businesses and workers optimize productivity and wellbeing. However, given the workplace's inherent and structural power dynamics, the prevalent approach of accepting tacit compliance to monitor work activities rather than seeking workers' meaningful consent raises privacy and ethical concerns. This paper unpacks the challenges workers face when consenting to workplace wellbeing technologies. Using a hypothetical case to prompt reflection among six multi-stakeholder focus groups involving 15 participants, we explored participants' expectations and capacity to consent to these technologies. We sketched possible interventions that could better support meaningful consent to workplace wellbeing technologies by drawing on critical computing and feminist scholarship -- which reframes consent from a purely individual choice to a structural condition experienced at the individual level that needs to be freely given, reversible, informed, enthusiastic, and specific (FRIES). The focus groups revealed how workers are vulnerable to "meaningless" consent -- as they may be subject to power dynamics that minimize their ability to withhold consent and may thus experience an erosion of autonomy, also undermining the value of data gathered in the name of "wellbeing." To meaningfully consent, participants wanted changes to the technology and to the policies and practices surrounding the technology. Our mapping of what prevents workers from meaningfully consenting to workplace wellbeing technologies (challenges) and what they require to do so (interventions) illustrates how the lack of meaningful consent is a structural problem requiring socio-technical solutions.

Upol Ehsan, Koustuv Saha, Munmun De Choudhury et al. · gatech

Explainable AI (XAI) systems are sociotechnical in nature; thus, they are subject to the sociotechnical gap--divide between the technical affordances and the social needs. However, charting this gap is challenging. In the context of XAI, we argue that charting the gap improves our problem understanding, which can reflexively provide actionable insights to improve explainability. Utilizing two case studies in distinct domains, we empirically derive a framework that facilitates systematic charting of the sociotechnical gap by connecting AI guidelines in the context of XAI and elucidating how to use them to address the gap. We apply the framework to a third case in a new domain, showcasing its affordances. Finally, we discuss conceptual implications of the framework, share practical considerations in its operationalization, and offer guidance on transferring it to new contexts. By making conceptual and practical contributions to understanding the sociotechnical gap in XAI, the framework expands the XAI design space.

Yunhao Yuan, Koustuv Saha, Barbara Keller et al.

The Papageno effect concerns how media can play a positive role in preventing and mitigating suicidal ideation and behaviors. With the increasing ubiquity and widespread use of social media, individuals often express and share lived experiences and struggles with mental health. However, there is a gap in our understanding about the existence and effectiveness of the Papageno effect in social media, which we study in this paper. In particular, we adopt a causal-inference framework to examine the impact of exposure to mental health coping stories on individuals on Twitter. We obtain a Twitter dataset with $\sim$2M posts by $\sim$10K individuals. We consider engaging with coping stories as the Treatment intervention, and adopt a stratified propensity score approach to find matched cohorts of Treatment and Control individuals. We measure the psychosocial shifts in affective, behavioral, and cognitive outcomes in longitudinal Twitter data before and after engaging with the coping stories. Our findings reveal that, engaging with coping stories leads to decreased stress and depression, and improved expressive writing, diversity, and interactivity. Our work discusses the practical and platform design implications in supporting mental wellbeing.

Adam Valen Levinson, Abhay Goyal, Roger Ho Chun Man et al.

Telehealth is a valuable tool for primary health care (PHC), where depression is a common condition. PHC is the first point of contact for most people with depression, but about 25% of diagnoses made by PHC physicians are inaccurate. Many other barriers also hinder depression detection and treatment in PHC. Artificial intelligence (AI) may help reduce depression misdiagnosis in PHC and improve overall diagnosis and treatment outcomes. Telehealth consultations often have video issues, such as poor connectivity or dropped calls. Audio-only telehealth is often more practical for lower-income patients who may lack stable internet connections. Thus, our study focused on using audio data to predict depression risk. The objectives were to: 1) Collect audio data from 24 people (12 with depression and 12 without mental health or major health condition diagnoses); 2) Build a machine learning model to predict depression risk. TPOT, an autoML tool, was used to select the best machine learning algorithm, which was the K-nearest neighbors classifier. The selected model had high performance in classifying depression risk (Precision: 0.98, Recall: 0.93, F1-Score: 0.96). These findings may lead to a range of tools to help screen for and treat depression. By developing tools to detect depression risk, patients can be routed to AI-driven chatbots for initial screenings. Partnerships with a range of stakeholders are crucial to implementing these solutions. Moreover, ethical considerations, especially around data privacy and potential biases in AI models, need to be at the forefront of any AI-driven intervention in mental health care.

Agam Goyal, Olivia Pal, Hari Sundaram et al.

As autonomous LLM-based agents increasingly populate social platforms, understanding the dynamics of AI-agent communities becomes essential for both communication research and platform governance. We present the first large-scale empirical comparison of AI-agent and human online communities, analyzing 73,899 Moltbook and 189,838 Reddit posts across five matched communities. Structurally, we find that Moltbook exhibits extreme participation inequality (Gini = 0.84 vs. 0.47) and high cross-community author overlap (33.8\% vs. 0.5\%). In terms of linguistic attributes, content generated by AI-agents is emotionally flattened, cognitively shifted toward assertion over exploration, and socially detached. These differences give rise to apparent community-level homogenization, but we show this is primarily a structural artifact of shared authorship. At the author level, individual agents are more identifiable than human users, driven by outlier stylistic profiles amplified by their extreme posting volume. As AI-mediated communication reshapes online discourse, our work offers an empirical foundation for understanding how multi-agent interaction gives rise to collective communication dynamics distinct from those of human communities.

Xianyang Zhan, Agam Goyal, Yilun Chen et al.

Large language models (LLMs) have shown promise in many natural language understanding tasks, including content moderation. However, these models can be expensive to query in real-time and do not allow for a community-specific approach to content moderation. To address these challenges, we explore the use of open-source small language models (SLMs) for community-specific content moderation tasks. We fine-tune and evaluate SLMs (less than 15B parameters) by comparing their performance against much larger open- and closed-sourced models in both a zero-shot and few-shot setting. Using 150K comments from 15 popular Reddit communities, we find that SLMs outperform zero-shot LLMs at content moderation -- 11.5% higher accuracy and 25.7% higher recall on average across all communities. Moreover, few-shot in-context learning leads to only a marginal increase in the performance of LLMs, still lacking compared to SLMs. We further show the promise of cross-community content moderation, which has implications for new communities and the development of cross-platform moderation techniques. Finally, we outline directions for future work on language model based content moderation. Code and models can be found at https://github.com/AGoyal0512/SLM-Mod.

Michelle Huang, Violeta J. Rodriguez, Koustuv Saha et al.

Limited English proficiency (LEP) patients in the U.S. face systemic barriers to healthcare beyond language and interpreter access, encompassing procedural and institutional constraints. AI advances may support communication and care through on-demand translation and visit preparation, but also risk exacerbating existing inequalities. We conducted storyboard-driven interviews with 14 patient navigators to explore how AI could shape care experiences for Spanish-speaking LEP individuals. We identified tensions around linguistic and cultural misunderstandings, privacy concerns, and opportunities and risks for AI to augment care workflows. Participants highlighted structural factors that can undermine trust in AI systems, including sensitive information disclosure, unstable technology access, and low digital literacy. While AI tools can potentially alleviate social barriers and institutional constraints, there are risks of misinformation and uprooting human camaraderie. Our findings contribute design considerations for AI that support LEP patients and care teams via rapport-building, education, and language support, and minimizing disruptions to existing practices.

Soorya Ram Shimgekar, Abhay Goyal, Lam Yin Cheung et al.

Conspiratorial discourse is increasingly embedded within digital communication ecosystems, yet its structure and spread remain difficult to study. This work analyzes conspiratorial narratives in Singapore-based Telegram groups, showing that such content is woven into everyday discussions rather than confined to isolated echo chambers. We propose a two-stage computational framework. First, we fine-tune RoBERTa-large to classify messages as conspiratorial or not, achieving an F1-score of 0.866 on 2,000 expert-labeled messages. Second, we build a signed belief graph in which nodes represent messages and edge signs reflect alignment in belief labels, weighted by textual similarity. We introduce a Signed Belief Graph Neural Network (SiBeGNN) that uses a Sign Disentanglement Loss to learn embeddings that separate ideological alignment from stylistic features. Using hierarchical clustering on these embeddings, we identify seven narrative archetypes across 553,648 messages: legal topics, medical concerns, media discussions, finance, contradictions in authority, group moderation, and general chat. SiBeGNN yields stronger clustering quality (cDBI = 8.38) than baseline methods (13.60 to 67.27), supported by 88 percent inter-rater agreement in expert evaluations. Our analysis shows that conspiratorial messages appear not only in clusters focused on skepticism or distrust, but also within routine discussions of finance, law, and everyday matters. These findings challenge common assumptions about online radicalization by demonstrating that conspiratorial discourse operates within ordinary social interaction. The proposed framework advances computational methods for belief-driven discourse analysis and offers applications for stance detection, political communication studies, and content moderation policy.

Dong Whi Yoo, Jiayue Melissa Shi, Violeta J. Rodriguez et al.

Recent advancements in LLMs enable chatbots to interact with individuals on a range of queries, including sensitive mental health contexts. Despite uncertainties about their effectiveness and reliability, the development of LLMs in these areas is growing, potentially leading to harms. To better identify and mitigate these harms, it is critical to understand how the values of people with lived experiences relate to the harms. In this study, we developed a technology probe, a GPT-4o based chatbot called Zenny, enabling participants to engage with depression self-management scenarios informed by previous research. We used Zenny to interview 17 individuals with lived experiences of depression. Our thematic analysis revealed key values: informational support, emotional support, personalization, privacy, and crisis management. This work explores the relationship between lived experience values, potential harms, and design recommendations for mental health AI chatbots, aiming to enhance self-management support while minimizing risks.

Vedant Das Swain, Qiuyue "Joy" Zhong, Jash Rajesh Parekh et al.

Client-Service Representatives (CSRs) are vital to organizations. Frequent interactions with disgruntled clients, however, disrupt their mental well-being. To help CSRs regulate their emotions while interacting with uncivil clients, we designed Care-Pilot, an LLM-powered assistant, and evaluated its efficacy, perception, and use. Our comparative analyses between 665 human and Care-Pilot-generated support messages highlight Care-Pilot's ability to adapt to and demonstrate empathy in various incivility incidents. Additionally, 143 CSRs assessed Care-Pilot's empathy as more sincere and actionable than human messages. Finally, we interviewed 20 CSRs who interacted with Care-Pilot in a simulation exercise. They reported that Care-Pilot helped them avoid negative thinking, recenter thoughts, and humanize clients; showing potential for bridging gaps in coworker support. Yet, they also noted deployment challenges and emphasized the indispensability of shared experiences. We discuss future designs and societal implications of AI-mediated emotional labor, underscoring empathy as a critical function for AI assistants for worker mental health.

Soorya Ram Shimgekar, Shayan Vassef, Abhay Goyal et al.

Building and deploying machine learning solutions in healthcare remains expensive and labor-intensive due to fragmented preprocessing workflows, model compatibility issues, and stringent data privacy constraints. In this work, we introduce an Agentic AI framework that automates the entire clinical data pipeline, from ingestion to inference, through a system of modular, task-specific agents. These agents handle both structured and unstructured data, enabling automatic feature selection, model selection, and preprocessing recommendation without manual intervention. We evaluate the system on publicly available datasets from geriatrics, palliative care, and colonoscopy imaging. For example, in the case of structured data (anxiety data) and unstructured data (colonoscopy polyps data), the pipeline begins with file-type detection by the Ingestion Identifier Agent, followed by the Data Anonymizer Agent ensuring privacy compliance, where we first identify the data type and then anonymize it. The Feature Extraction Agent identifies features using an embedding-based approach for tabular data, extracting all column names, and a multi-stage MedGemma-based approach for image data, which infers modality and disease name. These features guide the Model-Data Feature Matcher Agent in selecting the best-fit model from a curated repository. The Preprocessing Recommender Agent and Preprocessing Implementor Agent then apply tailored preprocessing based on data type and model requirements. Finally, the ``Model Inference Agent" runs the selected model on the uploaded data and generates interpretable outputs using tools like SHAP, LIME, and DETR attention maps. By automating these high-friction stages of the ML lifecycle, the proposed framework reduces the need for repeated expert intervention, offering a scalable, cost-efficient pathway for operationalizing AI in clinical environments.

Agam Goyal, Xianyang Zhan, Yilun Chen et al.

Large language models (LLMs) have shown great potential in flagging harmful content in online communities. Yet, existing approaches for moderation require a separate model for every community and are opaque in their decision-making, limiting real-world adoption. We introduce Mixture of Moderation Experts (MoMoE), a modular, cross-community framework that adds post-hoc explanations to scalable content moderation. MoMoE orchestrates four operators -- Allocate, Predict, Aggregate, Explain -- and is instantiated as seven community-specialized experts (MoMoE-Community) and five norm-violation experts (MoMoE-NormVio). On 30 unseen subreddits, the best variants obtain Micro-F1 scores of 0.72 and 0.67, respectively, matching or surpassing strong fine-tuned baselines while consistently producing concise and reliable explanations. Although community-specialized experts deliver the highest peak accuracy, norm-violation experts provide steadier performance across domains. These findings show that MoMoE yields scalable, transparent moderation without needing per-community fine-tuning. More broadly, they suggest that lightweight, explainable expert ensembles can guide future NLP and HCI research on trustworthy human-AI governance of online communities.

Jiayue Melissa Shi, Dong Whi Yoo, Keran Wang et al.

Family caregivers of individuals with Alzheimer's Disease and Related Dementia (AD/ADRD) face significant emotional and logistical challenges that place them at heightened risk for stress, anxiety, and depression. Although recent advances in generative AI -- particularly large language models (LLMs) -- offer new opportunities to support mental health, little is known about how caregivers perceive and engage with such technologies. To address this gap, we developed Carey, a GPT-4o-based chatbot designed to provide informational and emotional support to AD/ADRD caregivers. Using Carey as a technology probe, we conducted semi-structured interviews with 16 family caregivers following scenario-driven interactions grounded in common caregiving stressors. Through inductive coding and reflexive thematic analysis, we surface a systemic understanding of caregiver needs and expectations across six themes -- on-demand information access, emotional support, safe space for disclosure, crisis management, personalization, and data privacy. For each of these themes, we also identified the nuanced tensions in the caregivers' desires and concerns. We present a mapping of caregiver needs, AI chatbot's strengths, gaps, and design recommendations. Our findings offer theoretical and practical insights to inform the design of proactive, trustworthy, and caregiver-centered AI systems that better support the evolving mental health needs of AD/ADRD caregivers.

Jiayue Melissa Shi, Keran Wang, Dong Whi Yoo et al.

Alzheimer's Disease and Related Dementias (AD/ADRD) are progressive neurodegenerative conditions that impair memory, thought processes, and functioning. Family caregivers of individuals with AD/ADRD face significant mental health challenges due to long-term caregiving responsibilities. Yet, current support systems often overlook the evolving nature of their mental wellbeing needs. Our study examines caregivers' mental wellbeing concerns, focusing on the practices they adopt to manage the burden of caregiving and the technologies they use for support. Through semi-structured interviews with 25 family caregivers of individuals with AD/ADRD, we identified the key causes and effects of mental health challenges, and developed a temporal mapping of how caregivers' mental wellbeing evolves across three distinct stages of the caregiving journey. Additionally, our participants shared insights into improvements for existing mental health technologies, emphasizing the need for accessible, scalable, and personalized solutions that adapt to caregivers' changing needs over time. These findings offer a foundation for designing dynamic, stage-sensitive interventions that holistically support caregivers' mental wellbeing, benefiting both caregivers and care recipients.

Koustuv Saha, Yoshee Jain, Munmun De Choudhury

The ubiquity and widespread use of digital and online technologies have transformed mental health support, with online mental health communities (OMHCs) providing safe spaces for peer support. More recently, generative AI and large language models (LLMs) have introduced new possibilities for scalable, around-the-clock mental health assistance that could potentially augment and supplement the capabilities of OMHCs. Although genAI shows promise in delivering immediate and personalized responses, their effectiveness in replicating the nuanced, experience-based support of human peers remains an open question. In this study, we harnessed 24,114 posts and 138,758 online community (OC) responses from 55 OMHCs on Reddit. We prompted several state-of-the-art LLMs (GPT-4-Turbo, Llama-3, and Mistral-7B) with these posts, and compared their (AI) responses to human-written (OC) responses based on a variety of linguistic measures across psycholinguistics and lexico-semantics. Our findings revealed that AI responses are more verbose, readable, and analytically structured, but lack linguistic diversity and personal narratives inherent in human-human interactions. Through a qualitative examination, we found validation as well as complementary insights into the nature of AI responses, such as its neutrality of stance and the absence of seeking back-and-forth clarifications. We discuss the ethical and practical implications of integrating generative AI into OMHCs, advocating for frameworks that balance AI's scalability and timeliness with the irreplaceable authenticity, social interactiveness, and expertise of human connections that form the ethos of online support communities.

Veda Duddu, Jash Rajesh Parekh, Andy Mao et al.

Workplace negotiations are undermined by psychological barriers, which can even derail well-prepared tactics. AI offers personalized and always -- available negotiation coaching, yet its effectiveness for negotiation preparedness remains unclear. We built Trucey, a prototype AI coach grounded in Brett's negotiation model. We conducted a between-subjects experiment (N=267), comparing Trucey, ChatGPT, and a traditional negotiation Handbook, followed by in-depth interviews (N=15). While Trucey showed the strongest reductions in fear relative to both comparison conditions, the Handbook outperformed both AIs in usability and psychological empowerment. Interviews revealed that the Handbook's comprehensive, reviewable content was crucial for participants' confidence and preparedness. In contrast, although participants valued AI's rehearsal capability, its guidance often felt verbose and fragmented -- delivered in bits and pieces that required additional effort -- leaving them uncertain or overwhelmed. These findings challenge assumptions of AI superiority and motivate hybrid designs that integrate structured, theory-driven content with targeted rehearsal, clear boundaries, and adaptive scaffolds to address psychological barriers and support negotiation preparedness.

Shayan Vassef, Soorya Ram Shimegekar, Abhay Goyal et al.

Clinical ML workflows are often fragmented and inefficient: triage, task selection, and model deployment are handled by a patchwork of task-specific networks. These pipelines are rarely aligned with data-science practice, reducing efficiency and increasing operational cost. They also lack data-driven model identification (from imaging/tabular inputs) and standardized delivery of model outputs. We present a framework that employs a single vision-language model (VLM) in two complementary, modular roles. First (Solution 1): the VLM acts as an aware model-card matcher that routes an incoming image to the appropriate specialist model via a three-stage workflow (modality -> primary abnormality -> model-card ID). Reliability is improved by (i) stage-wise prompts enabling early termination via "None"/"Other" and (ii) a calibrated top-2 answer selector with a stage-wise cutoff. This raises routing accuracy by +9 and +11 percentage points on the training and held-out splits, respectively, compared with a baseline router, and improves held-out calibration (lower Expected Calibration Error, ECE). Second (Solution 2): we fine-tune the same VLM on specialty-specific datasets so that one model per specialty covers multiple downstream tasks, simplifying deployment while maintaining performance. Across gastroenterology, hematology, ophthalmology, pathology, and radiology, this single-model deployment matches or approaches specialized baselines. Together, these solutions reduce data-science effort through more accurate selection, simplify monitoring and maintenance by consolidating task-specific models, and increase transparency via per-stage justifications and calibrated thresholds. Each solution stands alone, and in combination they offer a practical, modular path from triage to deployment.

Saharsh Barve, Andy Mao, Jiayue Melissa Shi et al.

Recent advances in generative AI have enabled visual content creation through text-to-image (T2I) generation. However, despite their creative potential, T2I models often replicate and amplify societal stereotypes -- particularly those related to gender, race, and culture -- raising important ethical concerns. This paper proposes a theory-driven bias detection rubric and a Social Stereotype Index (SSI) to systematically evaluate social biases in T2I outputs. We audited three major T2I model outputs -- DALL-E-3, Midjourney-6.1, and Stability AI Core -- using 100 queries across three categories -- geocultural, occupational, and adjectival. Our analysis reveals that initial outputs are prone to include stereotypical visual cues, including gendered professions, cultural markers, and western beauty norms. To address this, we adopted our rubric to conduct targeted prompt refinement using LLMs, which significantly reduced bias -- SSI dropped by 61% for geocultural, 69% for occupational, and 51% for adjectival queries. We complemented our quantitative analysis through a user study examining perceptions, awareness, and preferences around AI-generated biased imagery. Our findings reveal a key tension -- although prompt refinement can mitigate stereotypes, it can limit contextual alignment. Interestingly, users often perceived stereotypical images to be more aligned with their expectations. We discuss the need to balance ethical debiasing with contextual relevance and call for T2I systems that support global diversity and inclusivity while not compromising the reflection of real-world social complexity.

Subigya K. Nepal, Gonzalo J. Martinez, Arvind Pillai et al.

The modern workplace is undergoing a radical transformation, driven by technological advances that blur the boundaries between human capability and digital augmentation. At the forefront of this evolution is passive sensing technology - a suite of tools that quietly monitor and interpret human behavior without active user engagement. This paper examines how these technologies are reshaping our understanding of workplace dynamics, with a particular focus on employee wellbeing and productivity. Through a comprehensive review of recent research, we explore both the transformative potential and inherent challenges of passive sensing in professional environments. Our analysis reveals emerging patterns in how these technologies can support worker health and performance, while also highlighting critical gaps in current research and opportunities for future innovation. We conclude by outlining a roadmap for integrating passive sensing into future workplaces in ways that enhance human potential while preserving dignity and autonomy.

Pablo Robles-Granda, Suwen Lin, Xian Wu et al.

Assessment of job performance, personalized health and psychometric measures are domains where data-driven and ubiquitous computing exhibits the potential of a profound impact in the future. Existing techniques use data extracted from questionnaires, sensors (wearable, computer, etc.), or other traits, to assess well-being and cognitive attributes of individuals. However, these techniques can neither predict individual's well-being and psychological traits in a global manner nor consider the challenges associated to processing the data available, that is incomplete and noisy. In this paper, we create a benchmark for predictive analysis of individuals from a perspective that integrates: physical and physiological behavior, psychological states and traits, and job performance. We design data mining techniques as benchmark and uses real noisy and incomplete data derived from wearable sensors to predict 19 constructs based on 12 standardized well-validated tests. The study included 757 participants who were knowledge workers in organizations across the USA with varied work roles. We developed a data mining framework to extract the meaningful predictors for each of the 19 variables under consideration. Our model is the first benchmark that combines these various instrument-derived variables in a single framework to understand people's behavior by leveraging real uncurated data from wearable, mobile, and social media sources. We verify our approach experimentally using the data obtained from our longitudinal study. The results show that our framework is consistently reliable and capable of predicting the variables under study better than the baselines when prediction is restricted to the noisy, incomplete data.