From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset
For clinicians and researchers in autism intervention, this work addresses data scarcity and strategy adherence in AI-assisted therapy, though it is an incremental application of LLMs with a specialized reasoning loop.
The paper introduces ASDAgent, a framework that generates high-fidelity intervention dialogues and provides clinical decision support for autism therapy, achieving 80% strategic consistency with human experts and a KL divergence of 0.083 from therapist strategy distributions.
The development of AI-assisted Early Intensive Behavioral Intervention (EIBI) for Autism Spectrum Disorder (ASD) is severely constrained by data scarcity. Furthermore, while Applied Behavior Analysis (ABA) serves as the gold standard for clinical intervention, general-purpose Large Language Models (LLMs) struggle to strictly adhere to its standardized procedures, often resulting in interactions that are linguistically fluent but strategically inconsistent. To address these challenges, we introduce \textsc{ASDAgent}, a strategy-aware framework designed to unify high-fidelity intervention dialogue synthesis and clinical decision support. \textsc{ASDAgent} incorporates two specialized components to solve distinct problems: (i) a \textsc{DoctorAgent} equipped with an Observe-Think-Act-Correct (O-T-A-C) reasoning loop, which resolves the issue of strategy collapse in LLMs by making ABA execution explicit and controllable; and (ii) a \textsc{ChildAgent} that utilizes probabilistic behavior modeling to mitigate data homogeneity, simulating diverse and non-deterministic ASD response patterns. Experiments demonstrate that dialogues generated by \textsc{ASDAgent} closely mirror the strategy distribution of human therapists (KL divergence: 0.083). In real autism intervention, \textsc{ASDAgent} achieves nearly 80\% strategic consistency with human experts. Moreover, we show that synthetic data produced by \textsc{ASDAgent} effectively distills professional clinical knowledge into small language models (SLMs), significantly enhancing their therapeutic capabilities.