The dark patterns, deceptive interface designs manipulating user behaviors, have been extensively studied for their effects on human decision-making and autonomy. Yet, with the rising prominence of LLM-powered GUI agents that automate tasks from high-level intents, understanding how dark patterns affect agents is increasingly important. We present a two-phase empirical study examining how agents, human participants, and human-AI teams respond to 16 types of dark patterns across diverse scenarios. Phase 1 highlights that agents often fail to recognize dark patterns, and even when aware, prioritize task completion over protective action. Phase 2 revealed divergent failure modes: humans succumb due to cognitive shortcuts and habitual compliance, while agents falter from procedural blind spots. Human oversight improved avoidance but introduced costs such as attentional tunneling and cognitive load. Our findings show neither humans nor agents are uniformly resilient, and collaboration introduces new vulnerabilities, suggesting design needs for transparency, adjustable autonomy, and oversight.
A/B testing is central to UI/UX design, yet our formative study with six industry practitioners revealed that it is slowed by scarce user traffic, long runtimes, and high operational costs. To address these challenges, we introduce Agent A/B, an end-to-end system that deploys large language model (LLM) agents with structured personas to interact with live webpages and generate scalable behavioral evidence before launch. In a case study on Amazon.com, Agent A/B simulated a between-subjects A/B test of filter panel designs with 1,000 agents and found that the reduced filter list produced more purchases, reproducing directional outcomes also observed in a parallel large-scale human experiment. Results further suggest that agent-based simulations can detect interface-sensitive behavioral differences and surface subgroup patterns while offering faster, lower-risk insights. We position Agent A/B as a complement to human testing, enabling earlier prototyping, pre-deployment validation, and hypothesis-driven UX evaluation. We will release our code upon paper acceptance.
Individuals frequently form deep attachments to physical objects (e.g., plush toys) that usually cannot sense or respond to their emotions. While AI companions offer responsiveness and personalization, they exist independently of these physical objects and lack an ongoing connection to them. To bridge this gap, we conducted a formative study (N=9) to explore how digital agents could inherit and extend the emotional bond, deriving four design principles (Faithful Identity, Calibrated Agency, Ambient Presence, and Reciprocal Memory). We then present the Dual-Embodiment Companion Framework, instantiated as Deco, a mobile system integrating multimodal Large Language Models (LLMs) and Augmented Reality to create synchronized digital embodiments of users' physical companions. A within-subjects study (N=25) showed Deco significantly outperformed a personalized LLM-empowered digital companion baseline on perceived companionship, emotional bond, and design-principle scales (all p<0.01). A seven-day field deployment (N=17) showed sustained engagement, subjective well-being improvement (p=.040), and three key relational patterns: digital activities retroactively vitalized physical objects, bond deepening was driven by emotional engagement depth rather than interaction frequency, and users sustained bonds while actively navigating digital companions' AI nature. This work highlights a promising alternative for designing digital companions: moving from creating new relationships to dual embodiment, where digital agents seamlessly extend the emotional history of physical objects.
Intelligent systems have traditionally been designed as tools rather than collaborators, often lacking critical characteristics that collaboration partnerships require. Recent advances in large language model (LLM) agents open new opportunities for human-LLM-agent collaboration by enabling natural communication and various social and cognitive behaviors. Yet it remains unclear whether principles of computer-mediated collaboration established in HCI and CSCW persist, change, or fail when humans collaborate with LLM agents. To support systematic investigations of these questions, we introduce an open and configurable research platform for HCI researchers1. The platform’s modular design allows seamless adaptation of classic CSCW experiments and manipulation of theory-grounded interaction controls. We demonstrate the platform’s research efficacy and usability through three case studies: (1) two Shape FactoryHidden Profile experiment for information pooling with 16 participants, and (3) a participatory cognitive walkthrough with five HCI researchers to refine workflows of researcher interface for experiment setup and analysis.
Foreign language speaking anxiety (FLSA) poses a major challenge for English-language learners, suppressing confidence and triggering a cycle of avoidance that hinders language acquisition. To address this, we explored the use of LLM-based embodied conversational agents (ECA) in social virtual reality (VR), which provide personalized support and multimodal interaction in a contextualized environment. We developed three English-language learning scenarios in social VR and conducted a five-day mixed-methods study where participants (N=20) engaged in daily 30-minute role-play practice with an LLM-based ECA to evaluate the efficacy of the system. Quantitative results showed a significant reduction in self-reported FLAS after 3 days, along with subtle gains in speaking proficiency measures. Qualitatively, learners perceived increased confidence, attributing it to the LLM-based ECA’s non-judgmental stance, linguistic scaffolding, affective encouragement, and adaptive feedback. Our findings suggest the potential of LLM-based ECAs in social VR for language learning and offer considerations for future agent design.
Recent research shows that LLM Agents can generate “believable” human behaviors via prompt-only methods, and such agents have been increasingly adopted in downstream applications. However, existing evaluation of these agents only focuses on qualitative believability (whether human raters think they are accurate), leaving open questions of whether LLM agents can accurately generate step-by-step actions mimicking a particular human’s behavior in a multi-turn interaction task. In this work, we take shopping as a case study and present the first large-scale quantitative evaluation of state-of-the-art LLMs’ ability to accurately simulate human behavior. Using real-world data from 31,865 online shopping sessions containing 230,965 user actions, our evaluation reveals that prompt-based LLMs (DeepSeek-R1, Llama, Claude) achieve only 11.86% accuracy in generating human actions, highlighting a substantial gap in actual behavioral accuracy. Through experiments, we also showcase that strategies as simple as fine-tuning LLMs on real human click-through data augmented with synthesized reasoning traces can greatly enhance models’ performance. The fine-tuned Qwen2.5-7B achieves 17.26% action generation accuracy and 33.86% F1 score on final purchase prediction, representing substantial improvements of 5.4% and 13.85% over prompt-only baselines. This work establishes the first rigorous benchmark and dataset for human behavior simulation and provides actionable insights for developing more accurate LLM agents for future downstream applications.
Cancer surgery is a key treatment for gastrointestinal (GI) cancers, a group of cancers that account for more than 35% of cancer-related deaths worldwide, but postoperative complications are unpredictable and can be life-threatening. In this paper, we investigate how recent advancements in large language models (LLMs) can benefit remote patient monitoring (RPM) systems through clinical integration by designing RECOVER, an LLM-powered RPM system for postoperative GI cancer care. To closely engage stakeholders in the design process, we first conducted seven participatory design sessions with five clinical staff and interviewed five cancer patients to derive six major design strategies for integrating clinical guidelines and information needs into LLM-based RPM systems. We then designed and implemented RECOVER, which features an LLM-powered conversational agent for cancer patients and an interactive dashboard for clinical staff to enable efficient postoperative RPM. Finally, we used RECOVER as a pilot system to assess the implementation of our design strategies with four clinical staff and five patients, providing design implications by identifying crucial design elements, offering insights on responsible AI, and outlining opportunities for future LLM-powered RPM systems.
Surgical site infection (SSI) is one of the most common and costly healthcare-associated infections, and surgical wound care remains a significant challenge for preventing SSIs and improving patient outcomes. Although deep learning has been explored for preliminary surgical wound screening, progress is limited by data privacy concerns and the high cost of expert annotation. Consequently, no publicly available dataset or benchmark currently covers diverse surgical wound types, hindering the development of open-source surgical wound screening tools. To address this gap: (1) we present SurgWound, the first open-source dataset featuring diverse surgical wound types. It contains 686 surgical wound images annotated by three professional surgeons with eight fine-grained clinical attributes. (2) Based on SurgWound, we introduce the first benchmark for surgical wound diagnosis, which includes visual question answering (VQA) and report generation tasks for comprehensive evaluation. (3) Furthermore, we propose a three-stage learning framework, WoundQwen, for surgical wound diagnosis. The first stage predicts detailed wound characteristics using multiple MLLMs. The second stage uses these predictions as additional knowledge to assess infection risk and clinical urgency. The third stage integrates the diagnostic results to produce a comprehensive report. Our dataset and code are publicly available.
The emergence of Large Language Model (LLM) agents enables us to build agent-based intelligent systems that move beyond the role of a “tool” to become genuine collaborators with humans, thereby realizing a novel human-agent collaboration paradigm. Our vision is that LLM agents should resemble remote human collaborators, which allows HCI researchers to ground the future exploration in decades of research on trust, awareness, and common ground in remote human collaboration, while also revealing the unique opportunities and challenges that emerge when one or more partners are AI agents. This workshop1 establishes a foundational research agenda for the new era by posing the question: How can the rich understanding of remote human collaboration inspire and inform the design and study of human-agent collaboration? We will bring together an interdisciplinary group from HCI, CSCW, and AI to explore this critical transition. The 180-minute workshop will be highly interactive, featuring a keynote speaker, a series of invited lightning talks, and an exploratory group design session where participants will storyboard novel paradigms of human-agent partnership. Our goal is to enlighten the research community by cultivating a shared vocabulary and producing a research agenda that charts the future of collaborative agents.
Recent advances in LLM agents have enabled complex cognitive capabilities, such as multi-step reasoning, planning, and tool use, that increasingly position these agents as human collaborators. Effective collaboration, however, requires collaborators to continuously maintain and align mental models of their own reasoning,partners' intentions, and shared goals during the collaborative process. Today's agents rarely develop such capabilities since they are primarily optimized for task completion, and the community lacks authentic human collaboration data with action-level mental model annotations that could guide agents toward process-level collaborative competence. To bridge this gap, we present ALMANAC, a dataset of Action-Level Mental model ANnotations for Agent Collaboration built from the Map Task, a classic dyadic routing task from social science. ALMANAC contains 2,987 collaboration actions, each paired with theory-informed mental model annotations that record the participants' self-reasoning, perceived partner intent, and perceived team goal. We benchmark six LLMs on predicting humans' next-turn behavior and mental models. Our results demonstrate ALMANAC's utility in evaluating models' ability to simulate human collaborative behaviors and infer their underlying mental models.
Serious Illness Conversations (SICs), discussions about values and care preferences for patients with life-threatening illness, rarely occur in Emergency Departments (EDs), despite evidence that early conversations improve care alignment and reduce unnecessary interventions. We interviewed 11 ED providers to identify challenges in SICs and opportunities for technology support, with a focus on AI. Our analysis revealed a four-stage SIC workflow (identification, preparation, conduction, documentation) and barriers at each stage, including fragmented patient information, limited time and space, lack of conversational guidance, and burdensome documentation. Providers expressed interest in AI systems for synthesizing information, supporting real-time conversations, and automating documentation, but emphasized concerns about preserving human connection and clinical autonomy. This tension highlights the need for technologies that enhance efficiency without undermining the interpersonal nature of SICs. We propose design guidelines for ambient and peripheral AI systems to support providers while preserving the essential humanity of these conversations.
Decision-makers consult multiple forecasts to account for uncertainties when forming judgments about future events. While prior works have compared unaggregated and highly-aggregated designs for displaying multiple forecasts (e.g., Multiple Forecast Visualizations versus confidence interval plots), it remains unclear how partial aggregation impacts judgment. To investigate the effect of partial aggregation, we curated three designs that partially aggregate multiple forecasts. Through two large-scale studies (Experiment 1 n = 695 and Experiment 2 n = 389) across 14 judgment-related metrics, we observed that one design (Horizon Sampled MFV) significantly enhanced participants’ ability to predict future trends, thereby reducing their surprise when confronted with the actual outcomes. Grounded in empirical evidence, we provide insights into how to design visualizations for multiple forecasts to communicate uncertainty more effectively. Specifically, since no approach excels in all metrics, we advise choosing different designs based on communication goals and prior knowledge of forecasts.
Post-surgery care involves ongoing collaboration between provider teams and patients, which starts from post-surgery hospitalization through home recovery after discharge. While prior HCI research has primarily examined patients' challenges at home, less is known about how provider teams coordinate discharge preparation and care handoffs, and how breakdowns in communication and care pathways may affect patient recovery. To investigate this gap, we conducted semi-structured interviews with 13 healthcare providers and 4 patients in the context of gastrointestinal (GI) surgery. We found coordination boundaries between in- and out-patient teams, coupled with complex organizational structures within teams, impeded the "invisible work" of preparing patients' home care plans and triaging patient information. For patients, these breakdowns resulted in inadequate preparation for home transition and fragmented self-collected data, both of which undermine timely clinical decision-making. Based on these findings, we outline design opportunities to formalize task ownership and handoffs, contextualize co-temporal signals, and align care plans with home resources.
Nearly all human work is collaborative; thus, the evaluation of real-world NLP applications often requires multiple dimensions that align with diverse human perspectives. As real human evaluator resources are often scarce and costly, the emerging "LLM-as-a-judge" paradigm sheds light on a promising approach to leverage LLM agents to believably simulate human evaluators. Yet, to date, existing LLM-as-a-judge approaches face two limitations: persona descriptions of agents are often arbitrarily designed, and the frameworks are not generalizable to other tasks. To address these challenges, we propose MAJ-EVAL, a Multi-Agent-as-Judge evaluation framework that can automatically construct multiple evaluator personas with distinct dimensions from relevant text documents (e.g., research papers), instantiate LLM agents with the personas, and engage in-group debates with multi-agents to Generate multi-dimensional feedback. Our evaluation experiments in both the educational and medical domains demonstrate that MAJ-EVAL can generate evaluation results that better align with human experts' ratings compared with conventional automated evaluation metrics and existing LLM-as-a-judge methods.
Multi-agent systems (MAS) built on large language models have shown growing promise, with their effectiveness resting on agents' ability to coordinate through text-based channels much as human teams do. Yet recent study suggests that MAS often falter not because agents lack individual task-solving ability, but because they lack collaborative competence: the capacity to establish common ground, maintain shared task understanding, balance individual and collective incentives, and repair misalignment as interaction unfolds. Decades of research in Computer-Supported Cooperative Work have characterized these requirements for human teams coordinating under constrained communication, yet existing MAS evaluations focus mainly on task outcomes or single-agent proficiency in reasoning, planning, and tool use. To enable a systematic analysis of agents' collaborative competence in MAS, we introduce CollabSim, a configurable simulation framework that combines a theory-grounded definition of collaborative capabilities, controlled manipulation of interaction conditions, and action-level probing of agents' internal states. Experiments across four LLMs show that CollabSim can capture condition effects, separate model performance patterns, and reveal task-dependent effects of agent design.
Educational inequalities in disadvantaged areas have long been a global concern. While Information and Communication Technologies (ICTs) have shown great potential in addressing this issue, the unique challenges in disadvantaged areas often hinder the practical effectiveness of such technologies. This paper examines live-streaming-based dual-teacher classes (LSDC) through a qualitative study in disadvantaged regions of China. Our findings indicate that, although LSDC offers students in these regions access to high-quality educational resources, its practical implementation is fraught with challenges. Specifically, we foreground the pivotal role of local teachers in mitigating these challenges. Through a series of situated efforts, local teachers contextualize high-quality lectures to the local classroom environment, ensuring the expected educational outcomes. Based on our findings, we argue that greater recognition and support for the situational practices of local teachers is essential for fostering a more equitable, sustainable, and scalable technology-driven educational model in disadvantaged areas.
Despite recent advances in cancer treatments that prolong patients’ lives, treatment-induced cardiotoxicity (i.e., the various heart damages caused by cancer treatments) emerges as one major side effect. The clinical decision-making process of cardiotoxicity is challenging, as early symptoms may happen in non-clinical settings and are too subtle to be noticed until life-threatening events occur at a later stage; clinicians already have a high workload focusing on the cancer treatment, no additional effort to spare on the cardiotoxicity side effect. Our project starts with a participatory design study with 11 clinicians to understand their decision-making practices and their feedback on an initial design of an AI-based decision-support system. Based on their feedback, we then propose a multimodal AI system, CardioAI, that can integrate wearables data and voice assistant data to model a patient’s cardiotoxicity risk to support clinicians’ decision-making. We conclude our paper with a small-scale heuristic evaluation with four experts and the discussion of future design considerations.
While just-in-time interventions (JITIs) have effectively targeted common health behaviors, individuals often have unique needs to intervene in personal undesirable actions that can negatively affect physical, mental, and social well-being. We present WatchGuardian, a smartwatch-based JITI system that empowers users to define custom interventions for these personal actions with a small number of samples. For the model to detect new actions based on limited new data samples, we developed a few-shot learning pipeline that finetuned a pre-trained inertial measurement unit (IMU) model on public hand-gesture datasets. We then designed a data augmentation and synthesis process to train additional classification layers for customization. Our offline evaluation with 26 participants showed that with three, five, and ten examples, our approach achieved an average accuracy of 76.8 74.8 compare WatchGuardian against a rule-based intervention. Our results demonstrated that our system led to a significant reduction by 64.0 +- 22.6 undesirable actions, substantially outperforming the baseline by 29.0 findings underscore the effectiveness of a customizable, AI-driven JITI system for individuals in need of behavioral intervention in personal undesirable actions. We envision that our work can inspire broader applications of user-defined personalized intervention with advanced AI solutions.
The advancements of Large Language Models (LLMs) have decentralized the responsibility for the transparency of AI usage. Specifically, LLM users are now encouraged or required to disclose the use of LLM-generated content for varied types of real-world tasks. However, an emerging phenomenon, users' secret use of LLM, raises challenges in ensuring end users adhere to the transparency requirement. Our study used mixed-methods with an exploratory survey (125 real-world secret use cases reported) and a controlled experiment among 300 users to investigate the contexts and causes behind the secret use of LLMs. We found that such secretive behavior is often triggered by certain tasks, transcending demographic and personality differences among users. Task types were found to affect users' intentions to use secretive behavior, primarily through influencing perceived external judgment regarding LLM usage. Our results yield important insights for future work on designing interventions to encourage more transparent disclosure of the use of LLMs or other AI technologies.