Front-End Ethics for Sensor-Fused Health Conversational Agents: An Ethical Design Space for Biometrics
It tackles ethical front-end design for health AI agents, which is an incremental but critical gap in ensuring user autonomy and safety.
The paper addresses the ethical risks in sensor-fused health conversational agents, focusing on how biometric data translation can lead to harmful AI hallucinations and proposes a design space with dimensions like Biometric Disclosure and Contestability to mitigate these issues.
The integration of continuous data from built-in sensors and Large Language Models (LLMs) has fueled a surge of "Sensor-Fused LLM agents" for personal health and well-being support. While recent breakthroughs have demonstrated the technical feasibility of this fusion (e.g., Time-LLM, SensorLLM), research primarily focuses on "Ethical Back-End Design for Generative AI", concerns such as sensing accuracy, bias mitigation in training data, and multimodal fusion. This leaves a critical gap at the front end, where invisible biometrics are translated into language directly experienced by users. We argue that the "illusion of objectivity" provided by sensor data amplifies the risks of AI hallucinations, potentially turning errors into harmful medical mandates. This paper shifts the focus to "Ethical Front-End Design for AI", specifically, the ethics of biometric translation. We propose a design space comprising five dimensions: Biometric Disclosure, Monitoring Temporality, Interpretation Framing, AI Stance, and Contestability. We examine how these dimensions interact with context (user- vs. system-initiated) and identify the risk of biofeedback loops. Finally, we propose "Adaptive Disclosure" as a safety guardrail and offer design guidelines to help developers manage fallibility, ensuring that these cutting-edge health agents support, rather than destabilize, user autonomy.