Recognizing medical self-disclosure is important in many healthcare contexts, but it has been under-explored by the NLP community. We conduct a three-pronged investigation of this task. We (1) manually expand and refine the only existing medical self-disclosure corpus, resulting in a new, publicly available dataset of 3,919 social media posts with clinically validated labels and high compatibility with the existing task-specific protocol. We also (2) study the merits of pretraining task domain and text style by comparing Transformer-based models for this task, pretrained from general, medical, and social media sources. Our BERTweet condition outperforms the existing state of the art for this task by a relative F1 score increase of 16.73%. Finally, we (3) compare data augmentation techniques for this task, to assess the extent to which medical self-disclosure data may be further synthetically expanded. We discover that this task poses many challenges for data augmentation techniques, and we provide an in-depth analysis of identified trends.

Task-oriented dialogue systems are increasingly prevalent in healthcare settings, and have been characterized by a diverse range of architectures and objectives. Although these systems have been surveyed in the medical community from a non-technical perspective, a systematic review from a rigorous computational perspective has to date remained noticeably absent. As a result, many important implementation details of healthcare-oriented dialogue systems remain limited or underspecified, slowing the pace of innovation in this area. To fill this gap, we investigated an initial pool of 4070 papers from well-known computer science, natural language processing, and artificial intelligence venues, identifying 70 papers discussing the system-level implementation of task-oriented dialogue systems for healthcare applications. We conducted a comprehensive technical review of these papers, and present our key findings including identified gaps and corresponding recommendations.

Self-disclosure in online health conversations may offer a host of benefits, including earlier detection and treatment of medical issues that may have otherwise gone unaddressed. However, research analyzing medical self-disclosure in online communities is limited. We address this shortcoming by introducing a new dataset of health-related posts collected from online social platforms, categorized into three groups (No Self-Disclosure, Possible Self-Disclosure, and Clear Self-Disclosure) with high inter-annotator agreement (_k_=0.88). We make this data available to the research community. We also release a predictive model trained on this dataset that achieves an accuracy of 81.02%, establishing a strong performance benchmark for this task.

Automating straightforward clinical tasks can reduce workload for healthcare professionals, increase accessibility for geographically-isolated patients, and alleviate some of the economic burdens associated with healthcare. A variety of preliminary screening procedures are potentially suitable for automation, and one such domain that has remained underexplored to date is that of structured clinical interviews. A task-specific dialogue agent is needed to automate the collection of conversational speech for further (either manual or automated) analysis, and to build such an agent, a dialogue manager must be trained to respond to patient utterances in a manner similar to a human interviewer. To facilitate the development of such an agent, we propose an annotation schema for assigning dialogue act labels to utterances in patient-interviewer conversations collected as part of a clinically-validated cognitive health screening task. We build a labeled corpus using the schema, and show that it is characterized by high inter-annotator agreement. We establish a benchmark dialogue act classification model for the corpus, thereby providing a proof of concept for the proposed annotation schema. The resulting dialogue act corpus is the first such corpus specifically designed to facilitate automated cognitive health screening, and lays the groundwork for future exploration in this area.