Investigating key contributors to hospital appointment no-shows using explainable AI.

The healthcare sector has suffered from wastage of resources and poor service delivery due to the significant impact of appointment no-shows. To address this issue, this paper uses explainable artificial intelligence (XAI) to identify major predictors of no-show behaviours among patients. Six machine learning models were developed and evaluated on this task using Area Under the Precision-Recall Curve (AUC-PR) and F1-score as metrics. Our experiment demonstrates that Support Vector Classifier and Multilayer Perceptron perform the best, with both scoring the same AUC-PR of 0.56, but different F1-scores of 0.91 and 0.92, respectively. We analysed the interpretability of the models using Local Interpretable Model-agnostic Explanation (LIME) and SHapley Additive exPlanations (SHAP). The outcome of the analyses demonstrates that predictors such as the patients' history of missed appointments, the waiting time from scheduling time to the appointments, patients' age, and existing medical conditions such as diabetes and hypertension are essential flags for no-show behaviours. Following the insights gained from the analyses, this paper recommends interventions for addressing the issue of medical appointment no-shows

Explainable Active Learning for Preference Elicitation

Gaining insights into the preferences of new users and subsequently personalizing recommendations necessitate managing user interactions intelligently, namely, posing pertinent questions to elicit valuable information effectively. In this study, our focus is on a specific scenario of the cold-start problem, where the recommendation system lacks adequate user presence or access to other users' data is restricted, obstructing employing user profiling methods utilizing existing data in the system. We employ Active Learning (AL) to solve the addressed problem with the objective of maximizing information acquisition with minimal user effort. AL operates for selecting informative data from a large unlabeled set to inquire an oracle to label them and eventually updating a machine learning (ML) model. We operate AL in an integrated process of unsupervised, semi-supervised, and supervised ML within an explanatory preference elicitation process. It harvests user feedback (given for the system's explanations on the presented items) over informative samples to update an underlying ML model estimating user preferences. The designed user interaction facilitates personalizing the system by incorporating user feedback into the ML model and also enhances user trust by refining the system's explanations on recommendations. We implement the proposed preference elicitation methodology for food recommendation. We conducted human experiments to assess its efficacy in the short term and also experimented with several AL strategies over synthetic user profiles that we created for two food datasets, aiming for long-term performance analysis. The experimental results demonstrate the efficiency of the proposed preference elicitation with limited user-labeled data while also enhancing user trust through accurate explanations.Comment: Preprin

The AI Revolution: Opportunities and Challenges for the Finance Sector

This report examines Artificial Intelligence (AI) in the financial sector, outlining its potential to revolutionise the industry and identify its challenges. It underscores the criticality of a well-rounded understanding of AI, its capabilities, and its implications to effectively leverage its potential while mitigating associated risks. The potential of AI potential extends from augmenting existing operations to paving the way for novel applications in the finance sector. The application of AI in the financial sector is transforming the industry. Its use spans areas from customer service enhancements, fraud detection, and risk management to credit assessments and high-frequency trading. However, along with these benefits, AI also presents several challenges. These include issues related to transparency, interpretability, fairness, accountability, and trustworthiness. The use of AI in the financial sector further raises critical questions about data privacy and security. A further issue identified in this report is the systemic risk that AI can introduce to the financial sector. Being prone to errors, AI can exacerbate existing systemic risks, potentially leading to financial crises. Regulation is crucial to harnessing the benefits of AI while mitigating its potential risks. Despite the global recognition of this need, there remains a lack of clear guidelines or legislation for AI use in finance. This report discusses key principles that could guide the formation of effective AI regulation in the financial sector, including the need for a risk-based approach, the inclusion of ethical considerations, and the importance of maintaining a balance between innovation and consumer protection. The report provides recommendations for academia, the finance industry, and regulators

TransNets: Learning to Transform for Recommendation

Recently, deep learning methods have been shown to improve the performance of recommender systems over traditional methods, especially when review text is available. For example, a recent model, DeepCoNN, uses neural nets to learn one latent representation for the text of all reviews written by a target user, and a second latent representation for the text of all reviews for a target item, and then combines these latent representations to obtain state-of-the-art performance on recommendation tasks. We show that (unsurprisingly) much of the predictive value of review text comes from reviews of the target user for the target item. We then introduce a way in which this information can be used in recommendation, even when the target user's review for the target item is not available. Our model, called TransNets, extends the DeepCoNN model by introducing an additional latent layer representing the target user-target item pair. We then regularize this layer, at training time, to be similar to another latent representation of the target user's review of the target item. We show that TransNets and extensions of it improve substantially over the previous state-of-the-art.Comment: Accepted for publication in the 11th ACM Conference on Recommender Systems (RecSys 2017

Co-design of human-centered, explainable AI for clinical decision support

eXplainable AI (XAI) involves two intertwined but separate challenges: the development of techniques to extract explanations from black-box AI models, and the way such explanations are presented to users, i.e., the explanation user interface. Despite its importance, the second aspect has received limited attention so far in the literature. Effective AI explanation interfaces are fundamental for allowing human decision-makers to take advantage and oversee high-risk AI systems effectively. Following an iterative design approach, we present the first cycle of prototyping-testing-redesigning of an explainable AI technique, and its explanation user interface for clinical Decision Support Systems (DSS). We first present an XAI technique that meets the technical requirements of the healthcare domain: sequential, ontology-linked patient data, and multi-label classification tasks. We demonstrate its applicability to explain a clinical DSS, and we design a first prototype of an explanation user interface. Next, we test such a prototype with healthcare providers and collect their feedback, with a two-fold outcome: first, we obtain evidence that explanations increase users’ trust in the XAI system, and second, we obtain useful insights on the perceived deficiencies of their interaction with the system, so that we can re-design a better, more human-centered explanation interface

Improving explainable recommendations by deep review-based explanations

Many e-commerce sites encourage their users to write product reviews, in the knowledge that they exert a considerable influence on users’ decision-making processes. These snippets of real-world experience provide an essential source of data for interpretable recommendations. However, current methods relying on user-generated content to make recommendations can run into problems because of well-known issues with reviews, such as noise, sparsity and irrelevant content. On the other hand, recent advances in text generation methods demonstrate significant text quality improvements and show promise in their ability to address these problems. In this paper, we develop two character-level deep neural network-based personalised review generation models, and improve recommendation accuracy by generating high-quality text which meets the input criteria of text-aware recommender systems. To make fair comparisons, we train review-aware recommender systems by human written reviews and attain advanced recommendations by feeding generated reviews at the inference step. Our experiments are conducted on four large review datasets from multiple domains. We leverage our methods’ performance by comparing with non-review based recommender systems and advanced review-aware recommender systems. The results demonstrate that we beat baselines on a range of metrics and obtain state-of-the-art performance on both rating prediction and top- N ranking. Our sparsity experiments validate that our generation models can produce high-quality text to tackle the sparsity problem. We also demonstrate the generation of useful reviews so that we can achieve up to 13.53% RMSE improvements. For explanation evaluation, quantitative analyses reveal good understandable scores for our generated review-based explanations, and qualitative case studies substantiate we can capture critical aspects in generating explanations.Science Foundation IrelandInsight Research Centre2021-06-14 JG: broken PDF replace

New accurate, explainable, and unbiased machine learning models for recommendation with implicit feedback.

Recommender systems have become ubiquitous Artificial Intelligence (AI) tools that play an important role in filtering online information in our daily lives. Whether we are shopping, browsing movies, or listening to music online, AI recommender systems are working behind the scene to provide us with curated and personalized content, that has been predicted to be relevant to our interest. The increasing prevalence of recommender systems has challenged researchers to develop powerful algorithms that can deliver recommendations with increasing accuracy. In addition to the predictive accuracy of recommender systems, recent research has also started paying attention to their fairness, in particular with regard to the bias and transparency of their predictions. This dissertation contributes to advancing the state of the art in fairness in AI by proposing new Machine Learning models and algorithms that aim to improve the user\u27s experience when receiving recommendations, with a focus that is positioned at the nexus of three objectives, namely accuracy, transparency, and unbiasedness of the predictions. In our research, we focus on state-of-the-art Collaborative Filtering (CF) recommendation approaches trained on implicit feedback data. More specifically, we address the limitations of two established deep learning approaches in two distinct recommendation settings, namely recommendation with user profiles and sequential recommendation. First, we focus on a state of the art pairwise ranking model, namely Bayesian Personalized Ranking (BPR), which has been found to outperform pointwise models in predictive accuracy in the recommendation with the user profiles setting. Specifically, we address two limitations of BPR: (1) BPR is a black box model that does not explain its outputs, thus limiting the user\u27s trust in the recommendations, and the analyst\u27s ability to scrutinize a model\u27s outputs; and (2) BPR is vulnerable to exposure bias due to the data being Missing Not At Random (MNAR). This exposure bias usually translates into an unfairness against the least popular items because they risk being under-exposed by the recommender system. We propose a novel explainable loss function and a corresponding model called Explainable Bayesian Personalized Ranking (EBPR) that generates recommendations along with item-based explanations. Then, we theoretically quantify the additional exposure bias resulting from the explainability, and use it as a basis to propose an unbiased estimator for the ideal EBPR loss. This being done, we perform an empirical study on three real-world benchmarking datasets that demonstrate the advantages of our proposed models, compared to existing state of the art techniques. Next, we shift our attention to sequential recommendation systems and focus on modeling and mitigating exposure bias in BERT4Rec, which is a state-of-the-art recommendation approach based on bidirectional transformers. The bi-directional representation capacity in BERT4Rec is based on the Cloze task, a.k.a. Masked Language Model, which consists of predicting randomly masked items within the sequence, assuming that the true interacted item is the most relevant one. This results in an exposure bias, where non-interacted items with low exposure propensities are assumed to be irrelevant. Thus far, the most common approach to mitigating exposure bias in recommendation has been Inverse Propensity Scoring (IPS), which consists of down-weighting the interacted predictions in the loss function in proportion to their propensities of exposure, yielding a theoretically unbiased learning. We first argue and prove that IPS does not extend to sequential recommendation because it fails to account for the sequential nature of the problem. We then propose a novel propensity scoring mechanism, that we name Inverse Temporal Propensity Scoring (ITPS), which is used to theoretically debias the Cloze task in sequential recommendation. We also rely on the ITPS framework to propose a bidirectional transformer-based model called ITPS-BERT4Rec. Finally, we empirically demonstrate the debiasing capabilities of our proposed approach and its robustness to the severity of exposure bias. Our proposed explainable approach in recommendation with user profiles, EBPR, showed an increase in ranking accuracy of about 4% and an increase in explainability of about 7% over the baseline BPR model when performing experiments on real-world recommendation datasets. Moreover, experiments on a real-world unbiased dataset demonstrated the importance of coupling explainability and exposure debiasing in capturing the true preferences of the user with a significant improvement of 1% over the baseline unbiased model UBPR. Furthermore, coupling explainability with exposure debiasing was also empirically proven to mitigate popularity bias with an improvement in popularity debiasing metrics of over 10% on three real-world recommendation tasks over the unbiased UBPR model. These results demonstrate the viability of our proposed approaches in recommendation with user profiles and their capacity to improve the user\u27s experience in recommendation by better capturing and modeling their true preferences, improving the explainability of the recommendations, and presenting them with more diverse recommendations that span a larger portion of the item catalog. On the other hand, our proposed approach in sequential recommendation ITPS-BERT4Rec has demonstrated a significant increase of 1% in terms of modeling the true preferences of the user in a semi-synthetic setting over the state-of-the-art sequential recommendation model BERT4Rec while also being unbiased in terms of exposure. Similarly, ITPS-BERT4Rec showed an average increase of 8.7% over BERT4Rec in three real-world recommendation settings. Moreover, empirical experiments demonstrated the robustness of our proposed ITPS-BERT4Rec model to increasing levels of exposure bias and its stability in terms of variance. Furthermore, experiments on popularity debiasing showed a significant advantage of our proposed ITPS-BERT4Rec model for both the short and long term sequences. Finally, ITPS-BERT4Rec showed respective improvements of around 60%, 470%, and 150% over vanilla BERT4Rec in capturing the temporal dependencies between the items within the sequences of interactions for three different evaluation metrics. These results demonstrate the potential of our proposed unbiased estimator to improve the user experience in the context of sequential recommendation by presenting them with more accurate and diverse recommendations that better match their true preferences and the sequential dependencies between the recommended items

KnAC: an approach for enhancing cluster analysis with background knowledge and explanations

Pattern discovery in multidimensional data sets has been the subject of research for decades. There exists a wide spectrum of clustering algorithms that can be used for this purpose. However, their practical applications share a common post-clustering phase, which concerns expert-based interpretation and analysis of the obtained results. We argue that this can be the bottleneck in the process, especially in cases where domain knowledge exists prior to clustering. Such a situation requires not only a proper analysis of automatically discovered clusters but also conformance checking with existing knowledge. In this work, we present Knowledge Augmented Clustering (KnAC). Its main goal is to confront expert-based labelling with automated clustering for the sake of updating and refining the former. Our solution is not restricted to any existing clustering algorithm. Instead, KnAC can serve as an augmentation of an arbitrary clustering algorithm, making the approach robust and a model-agnostic improvement of any state-of-the-art clustering method. We demonstrate the feasibility of our method on artificially, reproducible examples and in a real life use case scenario. In both cases, we achieved better results than classic clustering algorithms without augmentation.Comment: Accepted to Applied Intelligenc

Leveraging Large Language Models in Conversational Recommender Systems

A Conversational Recommender System (CRS) offers increased transparency and control to users by enabling them to engage with the system through a real-time multi-turn dialogue. Recently, Large Language Models (LLMs) have exhibited an unprecedented ability to converse naturally and incorporate world knowledge and common-sense reasoning into language understanding, unlocking the potential of this paradigm. However, effectively leveraging LLMs within a CRS introduces new technical challenges, including properly understanding and controlling a complex conversation and retrieving from external sources of information. These issues are exacerbated by a large, evolving item corpus and a lack of conversational data for training. In this paper, we provide a roadmap for building an end-to-end large-scale CRS using LLMs. In particular, we propose new implementations for user preference understanding, flexible dialogue management and explainable recommendations as part of an integrated architecture powered by LLMs. For improved personalization, we describe how an LLM can consume interpretable natural language user profiles and use them to modulate session-level context. To overcome conversational data limitations in the absence of an existing production CRS, we propose techniques for building a controllable LLM-based user simulator to generate synthetic conversations. As a proof of concept we introduce RecLLM, a large-scale CRS for YouTube videos built on LaMDA, and demonstrate its fluency and diverse functionality through some illustrative example conversations