PLOS Digital Health (Apr 2024)

Infusing behavior science into large language models for activity coaching.

  • Narayan Hegde,
  • Madhurima Vardhan,
  • Deepak Nathani,
  • Emily Rosenzweig,
  • Cathy Speed,
  • Alan Karthikesalingam,
  • Martin Seneviratne

DOI
https://doi.org/10.1371/journal.pdig.0000431
Journal volume & issue
Vol. 3, no. 4
p. e0000431

Abstract

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Large language models (LLMs) have shown promise for task-oriented dialogue across a range of domains. The use of LLMs in health and fitness coaching is under-explored. Behavior science frameworks such as COM-B, which conceptualizes behavior change in terms of capability (C), Opportunity (O) and Motivation (M), can be used to architect coaching interventions in a way that promotes sustained change. Here we aim to incorporate behavior science principles into an LLM using two knowledge infusion techniques: coach message priming (where exemplar coach responses are provided as context to the LLM), and dialogue re-ranking (where the COM-B category of the LLM output is matched to the inferred user need). Simulated conversations were conducted between the primed or unprimed LLM and a member of the research team, and then evaluated by 8 human raters. Ratings for the primed conversations were significantly higher in terms of empathy and actionability. The same raters also compared a single response generated by the unprimed, primed and re-ranked models, finding a significant uplift in actionability and empathy from the re-ranking technique. This is a proof of concept of how behavior science frameworks can be infused into automated conversational agents for a more principled coaching experience.