A Short Review of Ethical Challenges in Clinical Natural Language Processing

Clinical NLP has an immense potential in contributing to how clinical practice will be revolutionized by the advent of large scale processing of clinical records. However, this potential has remained largely untapped due to slow progress primarily caused by strict data access policies for researchers. In this paper, we discuss the concern for privacy and the measures it entails. We also suggest sources of less sensitive data. Finally, we draw attention to biases that can compromise the validity of empirical research and lead to socially harmful applications.Comment: First Workshop on Ethics in Natural Language Processing (EACL'17

Prompt engineering for digital mental health: a short review

Prompt engineering, the process of arranging input or prompts given to a large language model to guide it in producing desired outputs, is an emerging field of research that shapes how these models understand tasks, process information, and generate responses in a wide range of natural language processing (NLP) applications. Digital mental health, on the other hand, is becoming increasingly important for several reasons including early detection and intervention, and to mitigate limited availability of highly skilled medical staff for clinical diagnosis. This short review outlines the latest advances in prompt engineering in the field of NLP for digital mental health. To our knowledge, this review is the first attempt to discuss the latest prompt engineering types, methods, and tasks that are used in digital mental health applications. We discuss three types of digital mental health tasks: classification, generation, and question answering. To conclude, we discuss the challenges, limitations, ethical considerations, and future directions in prompt engineering for digital mental health. We believe that this short review contributes a useful point of departure for future research in prompt engineering for digital mental health

Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia

Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials

Understanding and Measuring Psychological Stress using Social Media

A body of literature has demonstrated that users' mental health conditions, such as depression and anxiety, can be predicted from their social media language. There is still a gap in the scientific understanding of how psychological stress is expressed on social media. Stress is one of the primary underlying causes and correlates of chronic physical illnesses and mental health conditions. In this paper, we explore the language of psychological stress with a dataset of 601 social media users, who answered the Perceived Stress Scale questionnaire and also consented to share their Facebook and Twitter data. Firstly, we find that stressed users post about exhaustion, losing control, increased self-focus and physical pain as compared to posts about breakfast, family-time, and travel by users who are not stressed. Secondly, we find that Facebook language is more predictive of stress than Twitter language. Thirdly, we demonstrate how the language based models thus developed can be adapted and be scaled to measure county-level trends. Since county-level language is easily available on Twitter using the Streaming API, we explore multiple domain adaptation algorithms to adapt user-level Facebook models to Twitter language. We find that domain-adapted and scaled social media-based measurements of stress outperform sociodemographic variables (age, gender, race, education, and income), against ground-truth survey-based stress measurements, both at the user- and the county-level in the U.S. Twitter language that scores higher in stress is also predictive of poorer health, less access to facilities and lower socioeconomic status in counties. We conclude with a discussion of the implications of using social media as a new tool for monitoring stress levels of both individuals and counties.Comment: Accepted for publication in the proceedings of ICWSM 201

Invited commentary on Stewart and Davis " 'Big data' in mental health research-current status and emerging possibilities"

No abstract available

Empowerment or Engagement? Digital Health Technologies for Mental Healthcare

We argue that while digital health technologies (e.g. artificial intelligence, smartphones, and virtual reality) present significant opportunities for improving the delivery of healthcare, key concepts that are used to evaluate and understand their impact can obscure significant ethical issues related to patient engagement and experience. Specifically, we focus on the concept of empowerment and ask whether it is adequate for addressing some significant ethical concerns that relate to digital health technologies for mental healthcare. We frame these concerns using five key ethical principles for AI ethics (i.e. autonomy, beneficence, non-maleficence, justice, and explicability), which have their roots in the bioethical literature, in order to critically evaluate the role that digital health technologies will have in the future of digital healthcare

Named Entity Recognition in Electronic Health Records Using Transfer Learning Bootstrapped Neural Networks

Neural networks (NNs) have become the state of the art in many machine learning applications, especially in image and sound processing [1]. The same, although to a lesser extent [2,3], could be said in natural language processing (NLP) tasks, such as named entity recognition. However, the success of NNs remains dependent on the availability of large labelled datasets, which is a significant hurdle in many important applications. One such case are electronic health records (EHRs), which are arguably the largest source of medical data, most of which lies hidden in natural text [4,5]. Data access is difficult due to data privacy concerns, and therefore annotated datasets are scarce. With scarce data, NNs will likely not be able to extract this hidden information with practical accuracy. In our study, we develop an approach that solves these problems for named entity recognition, obtaining 94.6 F1 score in I2B2 2009 Medical Extraction Challenge [6], 4.3 above the architecture that won the competition. Beyond the official I2B2 challenge, we further achieve 82.4 F1 on extracting relationships between medical terms. To reach this state-of-the-art accuracy, our approach applies transfer learning to leverage on datasets annotated for other I2B2 tasks, and designs and trains embeddings that specially benefit from such transfer.Comment: 11 pages, 4 figures, 8 table

Artificial intelligence and UK national security: Policy considerations

RUSI was commissioned by GCHQ to conduct an independent research study into the use of artificial intelligence (AI) for national security purposes. The aim of this project is to establish an independent evidence base to inform future policy development regarding national security uses of AI. The findings are based on in-depth consultation with stakeholders from across the UK national security community, law enforcement agencies, private sector companies, academic and legal experts, and civil society representatives. This was complemented by a targeted review of existing literature on the topic of AI and national security. The research has found that AI offers numerous opportunities for the UK national security community to improve efficiency and effectiveness of existing processes. AI methods can rapidly derive insights from large, disparate datasets and identify connections that would otherwise go unnoticed by human operators. However, in the context of national security and the powers given to UK intelligence agencies, use of AI could give rise to additional privacy and human rights considerations which would need to be assessed within the existing legal and regulatory framework. For this reason, enhanced policy and guidance is needed to ensure the privacy and human rights implications of national security uses of AI are reviewed on an ongoing basis as new analysis methods are applied to data