In healthcare, the ability to care for oneself is reflected in the “Activities of Daily Living (ADL),” which serve as a measure of functional ability (functioning). A lack of functioning may lead to poor living conditions requiring personal care and assistance. To accurately identify those in need of support, assistance programs continuously evaluate participants’ functioning across various domains. However, the assessment process may encounter consistency issues when multiple assessors with varying levels of expertise are involved. Novice assessors, in particular, may lack the necessary preparation for real-world interactions with participants. To address this issue, we developed a dialogue system that simulates interactions between assessors and individuals of varying functioning in a natural and reproducible way. The dialogue system consists of two major modules, one for natural language understanding (NLU) and one for natural language generation (NLG), respectively. In order to generate responses consistent with the underlying knowledge base, the dialogue system requires both an understanding of the user’s query and of biographical details of an individual being simulated. To fulfill this requirement, we experimented with query classification and generated responses based on those biographical details using some recently released InstructGPT-like models.

Conversational Agent for Daily Living Assessment Coaching (CADLAC) is a multi-modal conversational agent system designed to impersonate “individuals” with various levels of ability in activities of daily living (ADLs: e.g., dressing, bathing, mobility, etc.) for use in training professional assessors how to conduct interviews to determine one’s level of functioning. The system is implemented on the MindMeld platform for conversational AI and features a Bidirectional Long Short-Term Memory topic tracker that allows the agent to navigate conversations spanning 18 different ADL domains, a dialogue manager that interfaces with a database of over 10,000 historical ADL assessments, a rule-based Natural Language Generation (NLG) module, and a pre-trained open-domain conversational sub-agent (based on GPT-2) for handling conversation turns outside of the 18 ADL domains. CADLAC is delivered via state-of-the-art web frameworks to handle multiple conversations and users simultaneously and is enabled with voice interface. The paper includes a description of the system design and evaluation of individual components followed by a brief discussion of current limitations and next steps.