Navin Kumar

Type 2 Diabetes Mellitus (T2DM) is a prevalent and costly condition, particularly affecting racial/ethnic minorities and low‐income populations in the United States. Comprehensive Medication Management (CMM) programs, where clinical pharmacists co‐manage patients alongside primary care physicians, offer a team‐based approach that has been shown to improve diabetes care. However, managing CMM programs across multiple sites presents operational challenges that can be addressed through digital tools. This “how‐to” guide provides an overview of developing and implementing a CMM Dashboard to enhance program management and patient outcomes in a large municipal health care system. Key components include tracking patient demographics, clinical outcomes (e.g., hemoglobin A1c, blood pressure), and operational metrics across 21 sites. Practical applications of the dashboard are outlined with a focus on real‐time data analysis, care gap identification, and optimizing resource utilization. By consolidating comprehensive program data, the CMM Dashboard supports clinical decision‐making, informs leadership on program performance, and enables targeted interventions to improve health outcomes for underserved populations.

Voice-only telehealth is often more practical for lower-income patients who may lack stable internet connections. Thus, our study focused on using voice data to predict depression risk. The objectives were to: 1) Collect voice data from 24 people (12 with depression and 12 without mental health or major health condition diagnoses); 2) Build a machine learning model to predict depression risk. TPOT, an autoML tool, was used to select the best machine learning algorithm, which was the K-nearest neighbors classifier. The selected model had high performance in classifying depression risk (Precision: 0.98, Recall: 0.93, F1-Score: 0.96), compared to previous models. These findings may lead to a range of tools to help screen for and treat depression.

Telehealth is a valuable tool for primary health care (PHC), where depression is a common condition. PHC is the first point of contact for most people with depression, but about 25% of diagnoses made by PHC physicians are inaccurate. Many other barriers also hinder depression detection and treatment in PHC. Artificial intelligence (AI) may help reduce depression misdiagnosis in PHC and improve overall diagnosis and treatment outcomes. Telehealth consultations often have video issues, such as poor connectivity or dropped calls. Audio-only telehealth is often more practical for lower-income patients who may lack stable internet connections. Thus, our study focused on using audio data to predict depression risk. The objectives were to: 1) Collect audio data from 24 people (12 with depression and 12 without mental health or major health condition diagnoses); 2) Build a machine learning model to predict depression risk. TPOT, an autoML tool, was used to select the best machine learning algorithm, which was the K-nearest neighbors classifier. The selected model had high performance in classifying depression risk (Precision: 0.98, Recall: 0.93, F1-Score: 0.96). These findings may lead to a range of tools to help screen for and treat depression. By developing tools to detect depression risk, patients can be routed to AI-driven chatbots for initial screenings. Partnerships with a range of stakeholders are crucial to implementing these solutions. Moreover, ethical considerations, especially around data privacy and potential biases in AI models, need to be at the forefront of any AI-driven intervention in mental health care.

In this paper, we provide a descriptive overview of how vaping is framed differently between various online platforms (Wikipedia, Quora, Medium, Reddit, Stack Exchange, wikiHow, Facebook, and online news media). We provide an overview of >1 million posts and news articles about vaping to study the differences in framing between online platforms. Findings indicate an inconsistent framing around vaping across platforms. Stakeholders may utilize our findings to intervene around the framing of vaping and may design communications campaigns that improve the way society sees vaping, possibly aiding smoking cessation and reducing youth vaping.

The spread of information through social media platforms can create environments possibly hostile to vulnerable communities and silence certain groups in society. To mitigate such instances, several models have been developed to detect hate and offensive speech. Since detecting hate and offensive speech in social media platforms could incorrectly exclude individuals from social media platforms, which can reduce trust, there is a need to create explainable and interpretable models. Thus, we build an explainable and interpretable high performance model based on the XGBoost algorithm, trained on Twitter data. For unbalanced Twitter data, XGboost outperformed the LSTM, AutoGluon, and ULMFiT models on hate speech detection with an F1 score of 0.75 compared to 0.38 and 0.37, and 0.38 respectively. When we down-sampled the data to three separate classes of approximately 5000 tweets, XGBoost performed better than LSTM, AutoGluon, and ULMFiT; with F1 scores for hate speech detection of 0.79 vs 0.69, 0.77, and 0.66 respectively. XGBoost also performed better than LSTM, AutoGluon, and ULMFiT in the down-sampled version for offensive speech detection with F1 score of 0.83 vs 0.88, 0.82, and 0.79 respectively. We use Shapley Additive Explanations (SHAP) on our XGBoost models' outputs to makes it explainable and interpretable compared to LSTM, AutoGluon and ULMFiT that are black-box models.

Recent developments in natural language processing have demonstrated the potential of large language models (LLMs) to improve a range of educational and learning outcomes. Of recent chatbots based on LLMs, ChatGPT and Bard have made it clear that artificial intelligence (AI) technology will have significant implications on the way we obtain and search for information. However, these tools sometimes produce text that is convincing, but often incorrect, known as hallucinations. As such, their use can distort scientific facts and spread misinformation. To counter polarizing responses on these tools, it is critical to provide an overview of such responses so stakeholders can determine which topics tend to produce more contentious responses -- key to developing targeted regulatory policy and interventions. In addition, there currently exists no annotated dataset of ChatGPT and Bard responses around possibly polarizing topics, central to the above aims. We address the indicated issues through the following contribution: Focusing on highly polarizing topics in the US, we created and described a dataset of ChatGPT and Bard responses. Broadly, our results indicated a left-leaning bias for both ChatGPT and Bard, with Bard more likely to provide responses around polarizing topics. Bard seemed to have fewer guardrails around controversial topics, and appeared more willing to provide comprehensive, and somewhat human-like responses. Bard may thus be more likely abused by malicious actors. Stakeholders may utilize our findings to mitigate misinformative and/or polarizing responses from LLMs

The proliferation of discussion about fatherhood in Singapore attests to its significance, indicating the need for an exploration of how fatherhood is framed, aiding policy-making around fatherhood in Singapore. Sound and holistic policy around fatherhood in Singapore may reduce stigma and apprehension around being a parent, critical to improving the nations flagging birth rate. We analyzed 15,705 articles and 56,221 posts to study how fatherhood is framed in Singapore across a range of online platforms (news outlets, parenting forums, Twitter). We used NLP techniques to understand these differences. While fatherhood was framed in a range of ways on the Singaporean online environment, it did not seem that fathers were framed as central to the Singaporean family unit. A strength of our work is how the different techniques we have applied validate each other.