Jinsu Eun

Sora Kang, Soyun Jeon, Jinsu Eun et al.

Conversational AI increasingly supports everyday decision-making, yet most systems rely on data-centric reasoning rather than the heuristic and interactional strategies people use in natural conversation. To ground design in actual human practice, we analyze 955 real-world Korean conversations (15,476 utterances) involving food and travel decisions, applying a decision-making codebook through an LLM-assisted coding pipeline. Our findings reveal that people prioritize satisficing over optimization, relying heavily on internal knowledge and interactional strategies to manage cognitive load. Critically, we identify a frequency-efficiency mismatch: the most prevalent heuristics sustain conversational flow during exploration, whereas infrequent, rule-based strategies are highly effective at driving resolution during exploitation. By mapping how these patterns transfer across the spectrum of human-AI interaction, this work provides empirical grounding consistent with cognitive theories of decision-making and offers design implications that align AI systems with human heuristic processes.

Keyeun Lee, Seolhee Lee, Esther Hehsun Kim et al.

Effective communication training is essential to preparing nurses for high-quality patient care. While standardized patient (SP) simulations provide valuable experiential learning, they are often costly and inflexible. Virtual patient (VP) systems offer a scalable alternative, but most fail to adapt to the varying communication skills of trainees. In particular, when trainees respond ineffectively, VPs should escalate in hostility or become uncooperative--yet this level of adaptive interaction remains largely unsupported. To address this gap, we introduce Adaptive-VP, a VP dialogue generation framework that leverages large language models (LLMs) to dynamically adapt VP behavior based on trainee input. The framework features a pipeline for constructing clinically grounded yet flexible VP scenarios and a modular system for assessing trainee communication and adjusting VP responses in real time, while ensuring learner safety. We validated Adaptive-VP by simulating challenging patient conversations. Automated evaluation using a corpus from practicing nurses showed that our communication skill evaluation mechanism reflected real-world proficiency levels. Expert nurses further confirmed that Adaptive-VP produced more natural and realistic interactions than existing approaches, demonstrating its potential as a scalable and effective tool for nursing communication training.