Smit Desai

Hasibur Rahman, Kenji Numata, Evelyn T Lai et al.

Serious illness conversations (SICs) align care with patients' values, goals, and preferences, yet they rarely occur in emergency departments (EDs), where time constraints and emotional burden often leave clinicians making high-stakes decisions without documented insight into what matters most to patients. We present a case study of ED GOAL-AI, a voice-based conversational agent for brief, structured values discussions with older adults in the ED, evaluated with 55 patients for feasibility and acceptability. Most participants completed the conversation and reported the interaction as acceptable and feasible, with ratings of feeling heard and understood comparable to clinicians. However, we also observed critical failure modes, including boundary violations such as hallucinated diagnostic statements, highlighting ethical and emotional risks. This work points to early promise for AI-mediated SICs while underscoring the need for careful boundary setting and participatory design before broader deployment.

Niharika Mathur, Smit Desai

As AI systems become increasingly conversational, a gap emerges wherein explanations are studied as static artifacts, yet in practice, are experienced as dialogue. In this provocation, we argue that the conversational layer around an explanation is not incidental to its effectiveness, but a critical constituent. Drawing on three illustrative scenarios, we invite the CUI community to study explanations as interactive, conversational exchanges shaped by timing, tone, persona and conversational history, and introduce our vision for Human-Centered Conversational XAI (HC2XAI).

Hasibur Rahman, Smit Desai

Large language model (LLM)-based conversational agents (CAs) are now ubiquitous, creating new opportunities for AI-mediated behavior change. Their capacity to project nuanced personalities and adopt diverse metaphorical roles raises a design question: how should an agent's persona and personality be calibrated to the moment? Recent evidence suggests that (i) moderate personality expression outperforms low or high extremes on trust, enjoyment, and intention to adopt in goal-oriented tasks, and (ii) context-appropriate metaphors outperform static one-note assistants on user experience and uptake. Yet most CAs still fix both persona and style, risking misalignment when dynamics, urgency, and formality vary, for example in medical information seeking, fitness coaching, and reflective learning. We propose a Fluid Personality Framework that jointly adapts (1) the agent's metaphorical persona, such as coach, tutor, librarian, or tool, and (2) its personality expression intensity, low, medium, or high, as a function of task context, user goals and traits, and situational urgency. We sketch the framework and its core design dimensions.