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Towards Enhancing Health Coaching Dialogue in Low-Resource Settings
Apr 13, 2024
Health coaching helps patients identify and accomplish lifestyle-related goals, effectively improving the control of chronic diseases and mitigating mental health conditions. However, health coaching is cost-prohibitive due to its highly personalized and labor-intensive nature. In this paper, we propose to build a dialogue system that converses with the patients, helps them create and accomplish specific goals, and can address their emotions with empathy. However, building such a system is challenging since real-world health coaching datasets are limited and empathy is subtle. Thus, we propose a modularized health coaching dialogue system with simplified NLU and NLG frameworks combined with mechanism-conditioned empathetic response generation. Through automatic and human evaluation, we show that our system generates more empathetic, fluent, and coherent responses and outperforms the state-of-the-art in NLU tasks while requiring less annotation. We view our approach as a key step towards building automated and more accessible health coaching systems.
CHQ-Summ: A Dataset for Consumer Healthcare Question Summarization
Jun 15, 2022
The quest for seeking health information has swamped the web with consumers' health-related questions. Generally, consumers use overly descriptive and peripheral information to express their medical condition or other healthcare needs, contributing to the challenges of natural language understanding. One way to address this challenge is to summarize the questions and distill the key information of the original question. To address this issue, we introduce a new dataset, CHQ-Summ that contains 1507 domain-expert annotated consumer health questions and corresponding summaries. The dataset is derived from the community question-answering forum and therefore provides a valuable resource for understanding consumer health-related posts on social media. We benchmark the dataset on multiple state-of-the-art summarization models to show the effectiveness of the dataset.
Multimodal Graph-based Transformer Framework for Biomedical Relation Extraction
Jul 01, 2021
The recent advancement of pre-trained Transformer models has propelled the development of effective text mining models across various biomedical tasks. However, these models are primarily learned on the textual data and often lack the domain knowledge of the entities to capture the context beyond the sentence. In this study, we introduced a novel framework that enables the model to learn multi-omnics biological information about entities (proteins) with the help of additional multi-modal cues like molecular structure. Towards this, rather developing modality-specific architectures, we devise a generalized and optimized graph based multi-modal learning mechanism that utilizes the GraphBERT model to encode the textual and molecular structure information and exploit the underlying features of various modalities to enable end-to-end learning. We evaluated our proposed method on ProteinProtein Interaction task from the biomedical corpus, where our proposed generalized approach is observed to be benefited by the additional domain-specific modality.
Reinforcement Learning for Abstractive Question Summarization with Question-aware Semantic Rewards
Jul 01, 2021
The growth of online consumer health questions has led to the necessity for reliable and accurate question answering systems. A recent study showed that manual summarization of consumer health questions brings significant improvement in retrieving relevant answers. However, the automatic summarization of long questions is a challenging task due to the lack of training data and the complexity of the related subtasks, such as the question focus and type recognition. In this paper, we introduce a reinforcement learning-based framework for abstractive question summarization. We propose two novel rewards obtained from the downstream tasks of (i) question-type identification and (ii) question-focus recognition to regularize the question generation model. These rewards ensure the generation of semantically valid questions and encourage the inclusion of key medical entities/foci in the question summary. We evaluated our proposed method on two benchmark datasets and achieved higher performance over state-of-the-art models. The manual evaluation of the summaries reveals that the generated questions are more diverse and have fewer factual inconsistencies than the baseline summaries
Question-aware Transformer Models for Consumer Health Question Summarization
Jun 01, 2021
Searching for health information online is becoming customary for more and more consumers every day, which makes the need for efficient and reliable question answering systems more pressing. An important contributor to the success rates of these systems is their ability to fully understand the consumers' questions. However, these questions are frequently longer than needed and mention peripheral information that is not useful in finding relevant answers. Question summarization is one of the potential solutions to simplifying long and complex consumer questions before attempting to find an answer. In this paper, we study the task of abstractive summarization for real-world consumer health questions. We develop an abstractive question summarization model that leverages the semantic interpretation of a question via recognition of medical entities, which enables the generation of informative summaries. Towards this, we propose multiple Cloze tasks (i.e. the task of filing missing words in a given context) to identify the key medical entities that enforce the model to have better coverage in question-focus recognition. Additionally, we infuse the decoder inputs with question-type information to generate question-type driven summaries. When evaluated on the MeQSum benchmark corpus, our framework outperformed the state-of-the-art method by 10.2 ROUGE-L points. We also conducted a manual evaluation to assess the correctness of the generated summaries.
Identifying Depressive Symptoms from Tweets: Figurative Language Enabled Multitask Learning Framework
Nov 12, 2020
Existing studies on using social media for deriving mental health status of users focus on the depression detection task. However, for case management and referral to psychiatrists, healthcare workers require practical and scalable depressive disorder screening and triage system. This study aims to design and evaluate a decision support system (DSS) to reliably determine the depressive triage level by capturing fine-grained depressive symptoms expressed in user tweets through the emulation of Patient Health Questionnaire-9 (PHQ-9) that is routinely used in clinical practice. The reliable detection of depressive symptoms from tweets is challenging because the 280-character limit on tweets incentivizes the use of creative artifacts in the utterances and figurative usage contributes to effective expression. We propose a novel BERT based robust multi-task learning framework to accurately identify the depressive symptoms using the auxiliary task of figurative usage detection. Specifically, our proposed novel task sharing mechanism, co-task aware attention, enables automatic selection of optimal information across the BERT layers and tasks by soft-sharing of parameters. Our results show that modeling figurative usage can demonstrably improve the model's robustness and reliability for distinguishing the depression symptoms.
Medical Knowledge-enriched Textual Entailment Framework
Nov 10, 2020
One of the cardinal tasks in achieving robust medical question answering systems is textual entailment. The existing approaches make use of an ensemble of pre-trained language models or data augmentation, often to clock higher numbers on the validation metrics. However, two major shortcomings impede higher success in identifying entailment: (1) understanding the focus/intent of the question and (2) ability to utilize the real-world background knowledge to capture the context beyond the sentence. In this paper, we present a novel Medical Knowledge-Enriched Textual Entailment framework that allows the model to acquire a semantic and global representation of the input medical text with the help of a relevant domain-specific knowledge graph. We evaluate our framework on the benchmark MEDIQA-RQE dataset and manifest that the use of knowledge enriched dual-encoding mechanism help in achieving an absolute improvement of 8.27% over SOTA language models. We have made the source code available here.
"When they say weed causes depression, but it's your fav antidepressant": Knowledge-aware Attention Framework for Relationship Extraction
Sep 21, 2020
With the increasing legalization of medical and recreational use of cannabis, more research is needed to understand the association between depression and consumer behavior related to cannabis consumption. Big social media data has potential to provide deeper insights about these associations to public health analysts. In this interdisciplinary study, we demonstrate the value of incorporating domain-specific knowledge in the learning process to identify the relationships between cannabis use and depression. We develop an end-to-end knowledge infused deep learning framework (Gated-K-BERT) that leverages the pre-trained BERT language representation model and domain-specific declarative knowledge source (Drug Abuse Ontology (DAO)) to jointly extract entities and their relationship using gated fusion sharing mechanism. Our model is further tailored to provide more focus to the entities mention in the sentence through entity-position aware attention layer, where ontology is used to locate the target entities position. Experimental results show that inclusion of the knowledge-aware attentive representation in association with BERT can extract the cannabis-depression relationship with better coverage in comparison to the state-of-the-art relation extractor.
Assessing the Severity of Health States based on Social Media Posts
Sep 21, 2020
The unprecedented growth of Internet users has resulted in an abundance of unstructured information on social media including health forums, where patients request health-related information or opinions from other users. Previous studies have shown that online peer support has limited effectiveness without expert intervention. Therefore, a system capable of assessing the severity of health state from the patients' social media posts can help health professionals (HP) in prioritizing the user's post. In this study, we inspect the efficacy of different aspects of Natural Language Understanding (NLU) to identify the severity of the user's health state in relation to two perspectives(tasks) (a) Medical Condition (i.e., Recover, Exist, Deteriorate, Other) and (b) Medication (i.e., Effective, Ineffective, Serious Adverse Effect, Other) in online health communities. We propose a multiview learning framework that models both the textual content as well as contextual-information to assess the severity of the user's health state. Specifically, our model utilizes the NLU views such as sentiment, emotions, personality, and use of figurative language to extract the contextual information. The diverse NLU views demonstrate its effectiveness on both the tasks and as well as on the individual disease to assess a user's health.
Relation Extraction from Biomedical and Clinical Text: Unified Multitask Learning Framework
Sep 20, 2020
To minimize the accelerating amount of time invested in the biomedical literature search, numerous approaches for automated knowledge extraction have been proposed. Relation extraction is one such task where semantic relations between the entities are identified from the free text. In the biomedical domain, extraction of regulatory pathways, metabolic processes, adverse drug reaction or disease models necessitates knowledge from the individual relations, for example, physical or regulatory interactions between genes, proteins, drugs, chemical, disease or phenotype. In this paper, we study the relation extraction task from three major biomedical and clinical tasks, namely drug-drug interaction, protein-protein interaction, and medical concept relation extraction. Towards this, we model the relation extraction problem in multi-task learning (MTL) framework and introduce for the first time the concept of structured self-attentive network complemented with the adversarial learning approach for the prediction of relationships from the biomedical and clinical text. The fundamental notion of MTL is to simultaneously learn multiple problems together by utilizing the concepts of the shared representation. Additionally, we also generate the highly efficient single task model which exploits the shortest dependency path embedding learned over the attentive gated recurrent unit to compare our proposed MTL models. The framework we propose significantly improves overall the baselines (deep learning techniques) and single-task models for predicting the relationships, without compromising on the performance of all the tasks.