For ALS patients who have to rely on their caretaker for their day-to-day activities, we want to empower them to have more autonomy through the assistance of the chatbot. Below we carry out a full-on research to create a chatbot for hospitalized patients using SoTA deep learning models hosted in Vertex AI. To learn more about the project refer to https://github.com/NeuroTech-UCSD/Oz-Speller. To see the full video explaination of the project, please go to Oz-Speller, the SSVEP EEG Virtual Keyboard | Triton NeuroTech 2022
In recent years, the popularity of voice assistants such as Alexa and Siri has grown exponentially, but most are catered to serve general populations. Voice assistive technology could prove invaluable if properly integrated into the hospital setting to serve hospitalized patients. To this end, we set about designing a conversational agent capable of classifying five patient-centric intents: making a call, sending a text, asking about visitors, asking for help, and asking about food or drink, as well as a category for out-of-scope (OOS) commands. This was accomplished via a two-stage process: first, by training a few-shot learningush (FSL) BERT model on artificially generated data corresponding to each of the six intents (including the OOS category); and second, by using Facebook’s zero-shot learning (ZSL) model, bart-large, to further specify the nature of the intent of the patient query. The bart-large model returns the probability scores for a given set of labels, and the highest-scoring label is selected as the sub-intent. Due to the nature of this two-stage process, the proposed approach can easily be integrated into standard hospital care pathways, as the bart-large model does not need to be pre-trained on labeled data. We achieved 99% test accuracy on the intent classification task, and the second model performed satisfactorily based on the results of manual testing. However, since our data was self-generated, the BERT model may not generalize well on natural data, which often includes filler words or blatant violations of grammatical rules. Furthermore, the bot currently only classifies commands into five meaningful intents, acting as a damper on its functionality. Thus, additional work may be required to fine-tune the model using real-life data, optimize the value of the confidence threshold, and expand the range of intents it can handle while maintaining accuracy.
How can we formulate an intelligent bot response based on queries from hospitalized patients?
Previous studies have shown that a specialized voice assistant could answer many of the basic questions asked by patients, giving nurses and physicians more time to handle urgent tasks [1]. Furthermore, there have been instances in which a patient has shown a greater sense of confidence and joy by simply interacting with Alexa [5]. While state-of-the-art conversational agents such as Google Assistant, Alexa, and Siri have begun gaining a foothold in improving hospitalized patient’s well-being, these devices cannot be directly employed in the hospitalized setting as they are not trained for commands specific to the hospitalized patients. For example, “call the nurse to bring some water” might be a common query from hospitalized patients, but it would not be well-understood by existing voice assistive technologies. Therefore, the goal of this research is to develop a conversational agent adapted to the frequent needs of hospitalized patients that formulates intelligent bot responses accordingly.
docker pull ghcr.io/neurotech-ucsd/conversational-agents-for-hospitalized-agents:main
docker run -e APP_PORT=4002 -e HOST_ADDR=100.112.254.11 ghcr.io/neurotech-ucsd/conversational-agents-for-hospitalized-agents:main
- make sure the
APP_PORT
andHOST_ADDR
are the same forssvep-ui
andOzSpeller
- Note that this docker image will stop working after 12/1/2022, as we'll stop hosting our model in VertexAI. You
can build the image locally then using
Dockerfile
- make sure the
pip install -e .
to activatesetup.py
pip install -r requirements.txt
to download dependencies necessarypip install -r requirements_dev.txt
to download dependencies for the notebookpython scripts/download_model.py
to download pretrained layerspython scripts/train_model.py
to generate dataset, train model, and save the model tomodels
folderpython scripts/predict_model.py
to play around with the modelpython scripts/chatbot.py
to activate the chatbot agent to communicate with server inOzSpeller
- Feel free to play around with the Jupyter notebooks for some deeper analysis that covers gated prediction, confusion matrix, and how the data is generated
- You can host your trained model in Vertex AI using the instruction here: https://cloud.google.com/vertex-ai, we're currently paying minimum to host the model in Vertex AI but will stop hosting it beginning 12/1/2022
Other implementations of conversational agents that generate responses to closed domain tasks have used the Rasa framework to train a model on sentences with labeled intents and entities [2, 8]. Owing to time limitations and a shortage of relevant datasets, we elected to create our own labeled artificial dataset using a specialized Python package called Chatette. Chatette (which is based off of the NLP dataset generator Chatito) generates examples of sentences corresponding to specific intents based on specific structures and keywords defined by the user [4]. The programmer provides lists of tags, aliases, and other modifiers that will then be used in various combinations in custom-defined sentence structures corresponding to specific intents. The intent labels remain attached to the generated sentences, and the resultant labeled dataset can then be used to train the model. One of the program’s built-in features enabled us to manually adjust the probabilities of generating certain sentence structures to minimize imbalance that would otherwise have arisen in the data (e.g., if the same sentence was generated over and over, with the only difference being the specific person’s name used). Likewise, in order to ensure that the number of examples generated for each category was roughly equal, a cap of five hundred examples was set for each intent.
BERT (Bidirectional Encoder Representations from Transformers) is a recent paper published by researchers at Google AI Language. It has caused a stir in the Machine Learning community by presenting state-of-the-art results in a wide variety of NLP tasks, including Question Answering (SQuAD v1.1), Natural Language Inference (MNLI), and others.
The Bart model was proposed by Mike Lewis, Yinhan Liu, Naman Goyal, Marjan Ghazvininejad, Abdelrahman Mohamed, Omer Levy, Ves Stoyanov and Luke Zettlemoyer on 29 Oct, 2019. According to the abstract, Bart uses a standard seq2seq/machine translation architecture with a bidirectional encoder (like BERT) and a left-to-right decoder (like GPT).
For each user query, the agent engaged in a multi-stage process to produce an intelligent response. The first component of the pipeline always involved an intent recognition task that would classify a text-based query into one of six categories: making a call, sending a text, asking for help, asking about visitors, asking about food, and out-of-scope queries. This classification was handled using four different approaches, and performance was compared across methods. Method 1 utilized a BERT model and treated the out-of-scope class as a sixth category, identical to the others, such that classification was performed in a single run. Methods 2-4 consisted of two distinct steps: first, a classifier was trained to divide the data based on in-class versus out-of-class (AKA out-of-scope) categories, a process known as “hardgating”, and then a separate classifier was trained to further sort the in-class examples into one of the five intent categories. Methods 2-4 all utilized BERT for the hardgating step, but they differed in the model used for the second step: either BERT, Sentence-BERT (SBERT), or bart-large.
After the general topic had been discerned, stage two of the process enabled the response to be personalized based on specific entities present in the user’s query, rather than simply generating a blanket response for each of the five intents. Depending on the intent, this stage could consist of multiple components: further classifying the query into a sub-intent category, searching the sentence for foods or names present in a list, or some combination of the two. Bart-large was used universally for the sub-intent classification task, as its zero-shot classification pipeline proved quite adept at classifying sentences into more specific categories. The model returned confidence scores corresponding to each of the provided labels, and the label with the highest score was selected as the sub-intent. The final response was formulated based on pre-written templates for the intent (or subintent) that were then customized with any additional information extracted in the second stage.
Please refer to GUI.ipynb
for more details
[1] Comstock, Jonah (2019). How a voice assistant can be a constant companion for hospital-bound patients.
Www.Mobihealthnews.Com. https://www.mobihealthnews.com/news/how-voice-assistant-can-be-constant-companion-hospital-bound-patients
[2] Bhattacharyya, S., Ray, S., & Dey, M. (2020). Context-Aware Conversational Agent for a Closed Domain Task. In:
Mandal J., Mukhopadhyay S. (eds) Proceedings of the Global AI Congress 2019. Advances in Intelligent Systems and
Computing, vol 1112. Springer, Singapore. https://doi.org/10.1007/978-981-15-2188-1_24
[3] Larson, S., Mahendran, A., Peper, J. J., Clarke, C., Lee, A., Hill, P., ... & Mars, J. (2019). An evaluation dataset
for intent classification and out-of-scope prediction. arXiv preprint arXiv:1909.02027.
[4] SimGus (2018). Chatette: A data generator for Rasa NLU [Electronic resource: Python source code]
. https://github.com/SimGus/Chatette
[5] How one hospital is incorporating voice assistants into care delivery (2020). www.advisory.com
. https://www.advisory.com/blog/2020/03/voice-assistant-technology
[6] Mike Lewis, Yinhan Liu, Naman Goyal, Marjan Ghazvininejad, Abdelrahman Mohamed, Omer Levy, Ves Stoyanov, Luke
Zettlemoyer. (2019) BART: Denoising Sequence-to-Sequence Pre-training for Natural Language Generation, Translation, and
Comprehension. arXiv:1910.13461
[7] Jacob Devlin, Ming-Wei Chang, Kenton Lee, Kristina Toutanova (2018). BERT: Pre-training of Deep Bidirectional
Transformers for Language Understanding. arXiv:1810.04805.
[8] Braun, D., Hernandez-Mendez, A., Matthes, F., Langen, M. (2017). Evaluating natural language understanding services
for conversational question answering systems. In: SIGDIAL Conference. https://doi.org/10.18653/v1/W17-5522