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Mar 30

Moshi: a speech-text foundation model for real-time dialogue

We introduce Moshi, a speech-text foundation model and full-duplex spoken dialogue framework. Current systems for spoken dialogue rely on pipelines of independent components, namely voice activity detection, speech recognition, textual dialogue and text-to-speech. Such frameworks cannot emulate the experience of real conversations. First, their complexity induces a latency of several seconds between interactions. Second, text being the intermediate modality for dialogue, non-linguistic information that modifies meaning -- such as emotion or non-speech sounds -- is lost in the interaction. Finally, they rely on a segmentation into speaker turns, which does not take into account overlapping speech, interruptions and interjections. Moshi solves these independent issues altogether by casting spoken dialogue as speech-to-speech generation. Starting from a text language model backbone, Moshi generates speech as tokens from the residual quantizer of a neural audio codec, while modeling separately its own speech and that of the user into parallel streams. This allows for the removal of explicit speaker turns, and the modeling of arbitrary conversational dynamics. We moreover extend the hierarchical semantic-to-acoustic token generation of previous work to first predict time-aligned text tokens as a prefix to audio tokens. Not only this "Inner Monologue" method significantly improves the linguistic quality of generated speech, but we also illustrate how it can provide streaming speech recognition and text-to-speech. Our resulting model is the first real-time full-duplex spoken large language model, with a theoretical latency of 160ms, 200ms in practice, and is available at https://github.com/kyutai-labs/moshi.

kyutai Kyutai
·
Sep 17, 2024 3

Beyond the Turn-Based Game: Enabling Real-Time Conversations with Duplex Models

As large language models (LLMs) increasingly permeate daily lives, there is a growing demand for real-time interactions that mirror human conversations. Traditional turn-based chat systems driven by LLMs prevent users from verbally interacting with the system while it is generating responses. To overcome these limitations, we adapt existing LLMs to duplex models so that these LLMs can listen for users while generating output and dynamically adjust themselves to provide users with instant feedback. % such as in response to interruptions. Specifically, we divide the queries and responses of conversations into several time slices and then adopt a time-division-multiplexing (TDM) encoding-decoding strategy to pseudo-simultaneously process these slices. Furthermore, to make LLMs proficient enough to handle real-time conversations, we build a fine-tuning dataset consisting of alternating time slices of queries and responses as well as covering typical feedback types in instantaneous interactions. Our experiments show that although the queries and responses of conversations are segmented into incomplete slices for processing, LLMs can preserve their original performance on standard benchmarks with a few fine-tuning steps on our dataset. Automatic and human evaluation indicate that duplex models make user-AI interactions more natural and human-like, and greatly improve user satisfaction compared to vanilla LLMs. Our duplex model and dataset will be released.

  • 9 authors
·
Jun 21, 2024 2

ARIG: Autoregressive Interactive Head Generation for Real-time Conversations

Face-to-face communication, as a common human activity, motivates the research on interactive head generation. A virtual agent can generate motion responses with both listening and speaking capabilities based on the audio or motion signals of the other user and itself. However, previous clip-wise generation paradigm or explicit listener/speaker generator-switching methods have limitations in future signal acquisition, contextual behavioral understanding, and switching smoothness, making it challenging to be real-time and realistic. In this paper, we propose an autoregressive (AR) based frame-wise framework called ARIG to realize the real-time generation with better interaction realism. To achieve real-time generation, we model motion prediction as a non-vector-quantized AR process. Unlike discrete codebook-index prediction, we represent motion distribution using diffusion procedure, achieving more accurate predictions in continuous space. To improve interaction realism, we emphasize interactive behavior understanding (IBU) and detailed conversational state understanding (CSU). In IBU, based on dual-track dual-modal signals, we summarize short-range behaviors through bidirectional-integrated learning and perform contextual understanding over long ranges. In CSU, we use voice activity signals and context features of IBU to understand the various states (interruption, feedback, pause, etc.) that exist in actual conversations. These serve as conditions for the final progressive motion prediction. Extensive experiments have verified the effectiveness of our model.

  • 5 authors
·
Jul 1, 2025 1

TexPrax: A Messaging Application for Ethical, Real-time Data Collection and Annotation

Collecting and annotating task-oriented dialog data is difficult, especially for highly specific domains that require expert knowledge. At the same time, informal communication channels such as instant messengers are increasingly being used at work. This has led to a lot of work-relevant information that is disseminated through those channels and needs to be post-processed manually by the employees. To alleviate this problem, we present TexPrax, a messaging system to collect and annotate problems, causes, and solutions that occur in work-related chats. TexPrax uses a chatbot to directly engage the employees to provide lightweight annotations on their conversation and ease their documentation work. To comply with data privacy and security regulations, we use an end-to-end message encryption and give our users full control over their data which has various advantages over conventional annotation tools. We evaluate TexPrax in a user-study with German factory employees who ask their colleagues for solutions on problems that arise during their daily work. Overall, we collect 202 task-oriented German dialogues containing 1,027 sentences with sentence-level expert annotations. Our data analysis also reveals that real-world conversations frequently contain instances with code-switching, varying abbreviations for the same entity, and dialects which NLP systems should be able to handle.

  • 7 authors
·
Aug 16, 2022

GPT-Calls: Enhancing Call Segmentation and Tagging by Generating Synthetic Conversations via Large Language Models

Transcriptions of phone calls are of significant value across diverse fields, such as sales, customer service, healthcare, and law enforcement. Nevertheless, the analysis of these recorded conversations can be an arduous and time-intensive process, especially when dealing with extended or multifaceted dialogues. In this work, we propose a novel method, GPT-distilled Calls Segmentation and Tagging (GPT-Calls), for efficient and accurate call segmentation and topic extraction. GPT-Calls is composed of offline and online phases. The offline phase is applied once to a given list of topics and involves generating a distribution of synthetic sentences for each topic using a GPT model and extracting anchor vectors. The online phase is applied to every call separately and scores the similarity between the transcripted conversation and the topic anchors found in the offline phase. Then, time domain analysis is applied to the similarity scores to group utterances into segments and tag them with topics. The proposed paradigm provides an accurate and efficient method for call segmentation and topic extraction that does not require labeled data, thus making it a versatile approach applicable to various domains. Our algorithm operates in production under Dynamics 365 Sales Conversation Intelligence, and our research is based on real sales conversations gathered from various Dynamics 365 Sales tenants.

  • 7 authors
·
Jun 9, 2023

PragWorld: A Benchmark Evaluating LLMs' Local World Model under Minimal Linguistic Alterations and Conversational Dynamics

Real-world conversations are rich with pragmatic elements, such as entity mentions, references, and implicatures. Understanding such nuances is a requirement for successful natural communication, and often requires building a local world model which encodes such elements and captures the dynamics of their evolving states. However, it is not well-understood whether language models (LMs) construct or maintain a robust implicit representation of conversations. In this work, we evaluate the ability of LMs to encode and update their internal world model in dyadic conversations and test their malleability under linguistic alterations. To facilitate this, we apply seven minimal linguistic alterations to conversations sourced from popular datasets and construct two benchmarks comprising yes-no questions. We evaluate a wide range of open and closed source LMs and observe that they struggle to maintain robust accuracy. Our analysis unveils that LMs struggle to memorize crucial details, such as tracking entities under linguistic alterations to conversations. We then propose a dual-perspective interpretability framework which identifies transformer layers that are useful or harmful and highlights linguistic alterations most influenced by harmful layers, typically due to encoding spurious signals or relying on shortcuts. Inspired by these insights, we propose two layer-regularization based fine-tuning strategies that suppress the effect of the harmful layers.

  • 5 authors
·
Nov 17, 2025

Bridging the Novice-Expert Gap via Models of Decision-Making: A Case Study on Remediating Math Mistakes

Scaling high-quality tutoring remains a major challenge in education. Due to growing demand, many platforms employ novice tutors who, unlike experienced educators, struggle to address student mistakes and thus fail to seize prime learning opportunities. Our work explores the potential of large language models (LLMs) to close the novice-expert knowledge gap in remediating math mistakes. We contribute Bridge, a method that uses cognitive task analysis to translate an expert's latent thought process into a decision-making model for remediation. This involves an expert identifying (A) the student's error, (B) a remediation strategy, and (C) their intention before generating a response. We construct a dataset of 700 real tutoring conversations, annotated by experts with their decisions. We evaluate state-of-the-art LLMs on our dataset and find that the expert's decision-making model is critical for LLMs to close the gap: responses from GPT4 with expert decisions (e.g., "simplify the problem") are +76% more preferred than without. Additionally, context-sensitive decisions are critical to closing pedagogical gaps: random decisions decrease GPT4's response quality by -97% than expert decisions. Our work shows the potential of embedding expert thought processes in LLM generations to enhance their capability to bridge novice-expert knowledge gaps. Our dataset and code can be found at: https://github.com/rosewang2008/bridge.

  • 5 authors
·
Oct 16, 2023

The LLM Has Left The Chat: Evidence of Bail Preferences in Large Language Models

When given the option, will LLMs choose to leave the conversation (bail)? We investigate this question by giving models the option to bail out of interactions using three different bail methods: a bail tool the model can call, a bail string the model can output, and a bail prompt that asks the model if it wants to leave. On continuations of real world data (Wildchat and ShareGPT), all three of these bail methods find models will bail around 0.28-32\% of the time (depending on the model and bail method). However, we find that bail rates can depend heavily on the model used for the transcript, which means we may be overestimating real world bail rates by up to 4x. If we also take into account false positives on bail prompt (22\%), we estimate real world bail rates range from 0.06-7\%, depending on the model and bail method. We use observations from our continuations of real world data to construct a non-exhaustive taxonomy of bail cases, and use this taxonomy to construct BailBench: a representative synthetic dataset of situations where some models bail. We test many models on this dataset, and observe some bail behavior occurring for most of them. Bail rates vary substantially between models, bail methods, and prompt wordings. Finally, we study the relationship between refusals and bails. We find: 1) 0-13\% of continuations of real world conversations resulted in a bail without a corresponding refusal 2) Jailbreaks tend to decrease refusal rates, but increase bail rates 3) Refusal abliteration increases no-refuse bail rates, but only for some bail methods 4) Refusal rate on BailBench does not appear to predict bail rate.

  • 3 authors
·
Sep 4, 2025

AgMMU: A Comprehensive Agricultural Multimodal Understanding and Reasoning Benchmark

We curate a dataset AgMMU for evaluating and developing vision-language models (VLMs) to produce factually accurate answers for knowledge-intensive expert domains. Our AgMMU concentrates on one of the most socially beneficial domains, agriculture, which requires connecting detailed visual observation with precise knowledge to diagnose, e.g., pest identification, management instructions, etc. As a core uniqueness of our dataset, all facts, questions, and answers are extracted from 116,231 conversations between real-world users and authorized agricultural experts. After a three-step dataset curation pipeline with GPT-4o, LLaMA models, and human verification, AgMMU features an evaluation set of 5,460 multiple-choice questions (MCQs) and open-ended questions (OEQs). We also provide a development set that contains 205,399 pieces of agricultural knowledge information, including disease identification, symptoms descriptions, management instructions, insect and pest identification, and species identification. As a multimodal factual dataset, it reveals that existing VLMs face significant challenges with questions requiring both detailed perception and factual knowledge. Moreover, open-source VLMs still demonstrate a substantial performance gap compared to proprietary ones. To advance knowledge-intensive VLMs, we conduct fine-tuning experiments using our development set, which improves LLaVA-1.5 evaluation accuracy by up to 3.1%. We hope that AgMMU can serve both as an evaluation benchmark dedicated to agriculture and a development suite for incorporating knowledge-intensive expertise into general-purpose VLMs.

  • 6 authors
·
Apr 14, 2025

PersonaFuse: A Personality Activation-Driven Framework for Enhancing Human-LLM Interactions

Recent advancements in Large Language Models (LLMs) demonstrate remarkable capabilities across various fields. These developments have led to more direct communication between humans and LLMs in various situations, such as social companionship and psychological support. However, LLMs often exhibit limitations in emotional perception and social competence during real-world conversations. These limitations partly originate from their inability to adapt their communication style and emotional expression to different social and task contexts. In this work, we introduce PersonaFuse, a novel LLM post-training framework that enables LLMs to adapt and express different personalities for varying situations. Inspired by Trait Activation Theory and the Big Five personality model, PersonaFuse employs a Mixture-of-Expert architecture that combines persona adapters with a dynamic routing network, enabling contextual trait expression. Experimental results show that PersonaFuse substantially outperforms baseline models across multiple dimensions of social-emotional intelligence. Importantly, these gains are achieved without sacrificing general reasoning ability or model safety, which remain common limitations of direct prompting and supervised fine-tuning approaches. PersonaFuse also delivers consistent improvements in downstream human-centered applications, such as mental health counseling and review-based customer service. Finally, human preference evaluations against leading LLMs, including GPT-4o and DeepSeek, demonstrate that PersonaFuse achieves competitive response quality despite its comparatively smaller model size. These findings demonstrate that PersonaFuse~offers a theoretically grounded and practical approach for developing social-emotional enhanced LLMs, marking a significant advancement toward more human-centric AI systems.

  • 3 authors
·
Sep 8, 2025

A Few-Shot Semantic Parser for Wizard-of-Oz Dialogues with the Precise ThingTalk Representation

Previous attempts to build effective semantic parsers for Wizard-of-Oz (WOZ) conversations suffer from the difficulty in acquiring a high-quality, manually annotated training set. Approaches based only on dialogue synthesis are insufficient, as dialogues generated from state-machine based models are poor approximations of real-life conversations. Furthermore, previously proposed dialogue state representations are ambiguous and lack the precision necessary for building an effective agent. This paper proposes a new dialogue representation and a sample-efficient methodology that can predict precise dialogue states in WOZ conversations. We extended the ThingTalk representation to capture all information an agent needs to respond properly. Our training strategy is sample-efficient: we combine (1) fewshot data sparsely sampling the full dialogue space and (2) synthesized data covering a subset space of dialogues generated by a succinct state-based dialogue model. The completeness of the extended ThingTalk language is demonstrated with a fully operational agent, which is also used in training data synthesis. We demonstrate the effectiveness of our methodology on MultiWOZ 3.0, a reannotation of the MultiWOZ 2.1 dataset in ThingTalk. ThingTalk can represent 98% of the test turns, while the simulator can emulate 85% of the validation set. We train a contextual semantic parser using our strategy, and obtain 79% turn-by-turn exact match accuracy on the reannotated test set.

AI-in-the-Loop: Privacy Preserving Real-Time Scam Detection and Conversational Scambaiting by Leveraging LLMs and Federated Learning

Scams exploiting real-time social engineering -- such as phishing, impersonation, and phone fraud -- remain a persistent and evolving threat across digital platforms. Existing defenses are largely reactive, offering limited protection during active interactions. We propose a privacy-preserving, AI-in-the-loop framework that proactively detects and disrupts scam conversations in real time. The system combines instruction-tuned artificial intelligence with a safety-aware utility function that balances engagement with harm minimization, and employs federated learning to enable continual model updates without raw data sharing. Experimental evaluations show that the system produces fluent and engaging responses (perplexity as low as 22.3, engagement approx0.80), while human studies confirm significant gains in realism, safety, and effectiveness over strong baselines. In federated settings, models trained with FedAvg sustain up to 30 rounds while preserving high engagement (approx0.80), strong relevance (approx0.74), and low PII leakage (leq0.0085). Even with differential privacy, novelty and safety remain stable, indicating that robust privacy can be achieved without sacrificing performance. The evaluation of guard models (LlamaGuard, LlamaGuard2/3, MD-Judge) shows a straightforward pattern: stricter moderation settings reduce the chance of exposing personal information, but they also limit how much the model engages in conversation. In contrast, more relaxed settings allow longer and richer interactions, which improve scam detection, but at the cost of higher privacy risk. To our knowledge, this is the first framework to unify real-time scam-baiting, federated privacy preservation, and calibrated safety moderation into a proactive defense paradigm.

  • 4 authors
·
Sep 3, 2025

SalesRLAgent: A Reinforcement Learning Approach for Real-Time Sales Conversion Prediction and Optimization

Current approaches to sales conversation analysis and conversion prediction typically rely on Large Language Models (LLMs) combined with basic retrieval augmented generation (RAG). These systems, while capable of answering questions, fail to accurately predict conversion probability or provide strategic guidance in real time. In this paper, we present SalesRLAgent, a novel framework leveraging specialized reinforcement learning to predict conversion probability throughout sales conversations. Unlike systems from Kapa.ai, Mendable, Inkeep, and others that primarily use off-the-shelf LLMs for content generation, our approach treats conversion prediction as a sequential decision problem, training on synthetic data generated using GPT-4O to develop a specialized probability estimation model. Our system incorporates Azure OpenAI embeddings (3072 dimensions), turn-by-turn state tracking, and meta-learning capabilities to understand its own knowledge boundaries. Evaluations demonstrate that SalesRLAgent achieves 96.7% accuracy in conversion prediction, outperforming LLM-only approaches by 34.7% while offering significantly faster inference (85ms vs 3450ms for GPT-4). Furthermore, integration with existing sales platforms shows a 43.2% increase in conversion rates when representatives utilize our system's real-time guidance. SalesRLAgent represents a fundamental shift from content generation to strategic sales intelligence, providing moment-by-moment conversion probability estimation with actionable insights for sales professionals.

  • 1 authors
·
Mar 29, 2025

DeepPsy-Agent: A Stage-Aware and Deep-Thinking Emotional Support Agent System

This paper introduces DeepPsy-Agent, an innovative psychological support system that combines the three-stage helping theory in psychology with deep learning techniques. The system consists of two core components: (1) a multi-stage response-capable dialogue model (deeppsy-chat), which enhances reasoning capabilities through stage-awareness and deep-thinking analysis to generate high-quality responses; and (2) a real-time stage transition detection model that identifies contextual shifts to guide the dialogue towards more effective intervention stages. Based on 30,000 real psychological hotline conversations, we employ AI-simulated dialogues and expert re-annotation strategies to construct a high-quality multi-turn dialogue dataset. Experimental results demonstrate that DeepPsy-Agent outperforms general-purpose large language models (LLMs) in key metrics such as problem exposure completeness, cognitive restructuring success rate, and action adoption rate. Ablation studies further validate the effectiveness of stage-awareness and deep-thinking modules, showing that stage information contributes 42.3\% to performance, while the deep-thinking module increases root-cause identification by 58.3\% and reduces ineffective suggestions by 72.1\%. This system addresses critical challenges in AI-based psychological support through dynamic dialogue management and deep reasoning, advancing intelligent mental health services.

  • 2 authors
·
Mar 20, 2025

Aligning Language Models from User Interactions

Multi-turn user interactions are among the most abundant data produced by language models, yet we lack effective methods to learn from them. While typically discarded, these interactions often contain useful information: follow-up user messages may indicate that a response was incorrect, failed to follow an instruction, or did not align with the user's preferences. Importantly, language models are already able to make use of this information in context. After observing a user's follow-up, the same model is often able to revise its behavior. We leverage this ability to propose a principled and scalable method for learning directly from user interactions through self-distillation. By conditioning the model on the user's follow-up message and comparing the resulting token distribution with the original policy, we obtain a target for updating the policy that captures how the model's behavior changes in hindsight. We then distill this hindsight distribution back into the current policy. Remarkably, we show that training on real-world user conversations from WildChat improves language models across standard alignment and instruction-following benchmarks, without regressing other capabilities. The same mechanism enables personalization, allowing models to continually adapt to individual users through interaction without explicit feedback. Our results demonstrate that raw user interactions that arise naturally during deployment enable alignment, personalization, and continual adaptation.

VibeCheck: Discover and Quantify Qualitative Differences in Large Language Models

Large language models (LLMs) often exhibit subtle yet distinctive characteristics in their outputs that users intuitively recognize, but struggle to quantify. These "vibes" - such as tone, formatting, or writing style - influence user preferences, yet traditional evaluations focus primarily on the single axis of correctness. We introduce VibeCheck, a system for automatically comparing a pair of LLMs by discovering identifying traits of a model ("vibes") that are well-defined, differentiating, and user-aligned. VibeCheck iteratively discover vibes from model outputs, then utilizes a panel of LLM judges to quantitatively measure the utility of each vibe. We validate that the vibes generated by VibeCheck align with those found in human discovery and run VibeCheck on pairwise preference data from real-world user conversations with llama-3-70b VS GPT-4. VibeCheck reveals that Llama has a friendly, funny, and somewhat controversial vibe. These vibes predict model identity with 80% accuracy and human preference with 61% accuracy. Lastly, we run VibeCheck on a variety of models and tasks including summarization, math, and captioning to provide insight into differences in model behavior. Some of the vibes we find are that Command X prefers to add concrete intros and conclusions when summarizing in comparison to TNGL, Llama-405b often over-explains its thought process on math problems compared to GPT-4o, and GPT-4 prefers to focus on the mood and emotions of the scene when captioning compared to Gemini-1.5-Flash.

  • 5 authors
·
Oct 10, 2024

DeepPersona: A Generative Engine for Scaling Deep Synthetic Personas

Simulating human profiles by instilling personas into large language models (LLMs) is rapidly transforming research in agentic behavioral simulation, LLM personalization, and human-AI alignment. However, most existing synthetic personas remain shallow and simplistic, capturing minimal attributes and failing to reflect the rich complexity and diversity of real human identities. We introduce DEEPPERSONA, a scalable generative engine for synthesizing narrative-complete synthetic personas through a two-stage, taxonomy-guided method. First, we algorithmically construct the largest-ever human-attribute taxonomy, comprising over hundreds of hierarchically organized attributes, by mining thousands of real user-ChatGPT conversations. Second, we progressively sample attributes from this taxonomy, conditionally generating coherent and realistic personas that average hundreds of structured attributes and roughly 1 MB of narrative text, two orders of magnitude deeper than prior works. Intrinsic evaluations confirm significant improvements in attribute diversity (32 percent higher coverage) and profile uniqueness (44 percent greater) compared to state-of-the-art baselines. Extrinsically, our personas enhance GPT-4.1-mini's personalized question answering accuracy by 11.6 percent on average across ten metrics and substantially narrow (by 31.7 percent) the gap between simulated LLM citizens and authentic human responses in social surveys. Our generated national citizens reduced the performance gap on the Big Five personality test by 17 percent relative to LLM-simulated citizens. DEEPPERSONA thus provides a rigorous, scalable, and privacy-free platform for high-fidelity human simulation and personalized AI research.

  • 8 authors
·
Nov 10, 2025

Developer-LLM Conversations: An Empirical Study of Interactions and Generated Code Quality

Large Language Models (LLMs) are becoming integral to modern software development workflows, assisting developers with code generation, API explanation, and iterative problem-solving through natural language conversations. Despite widespread adoption, there is limited understanding of how developers interact with LLMs in practice and how these conversational dynamics influence task outcomes, code quality, and software engineering workflows. To address this, we leverage CodeChat, a large dataset comprising 82,845 real-world developer-LLM conversations, containing 368,506 code snippets generated across over 20 programming languages, derived from the WildChat dataset. We find that LLM responses are substantially longer than developer prompts, with a median token-length ratio of 14:1. Multi-turn conversations account for 68% of the dataset and often evolve due to shifting requirements, incomplete prompts, or clarification requests. Topic analysis identifies web design (9.6% of conversations) and neural network training (8.7% of conversations) as the most frequent LLM-assisted tasks. Evaluation across five languages (i.e., Python, JavaScript, C++, Java, and C#) reveals prevalent and language-specific issues in LLM-generated code: generated Python and JavaScript code often include undefined variables (83.4% and 75.3% of code snippets, respectively); Java code lacks required comments (75.9%); C++ code frequently omits headers (41.1%) and C# code shows unresolved namespaces (49.2%). During a conversation, syntax and import errors persist across turns; however, documentation quality in Java improves by up to 14.7%, and import handling in Python improves by 3.7% over 5 turns. Prompts that point out mistakes in code generated in prior turns and explicitly request a fix are most effective for resolving errors.

  • 3 authors
·
Sep 12, 2025 2

BurstGPT: A Real-world Workload Dataset to Optimize LLM Serving Systems

Serving systems for Large Language Models (LLMs) are often optimized to improve quality of service (QoS) and throughput. However, due to the lack of open-source LLM serving workloads, these systems are frequently evaluated under unrealistic workload assumptions. Consequently, performance may degrade when systems are deployed in real-world scenarios. This work presents BurstGPT, an LLM serving workload with 10.31 million traces from regional Azure OpenAI GPT services over 213 days. BurstGPT captures LLM serving characteristics from user, model and system perspectives: (1) User request concurrency: burstiness variations of requests in Azure OpenAI GPT services, revealing diversified concurrency patterns in different services and model types. (2) User conversation patterns: counts and intervals within conversations for service optimizations. (3) Model response lengths: auto-regressive serving processes of GPT models, showing statistical relations between requests and their responses. (4) System response failures: failures of conversation and API services, showing intensive resource needs and limited availability of LLM services in Azure. The details of the characteristics can serve multiple purposes in LLM serving optimizations, such as system evaluation and trace provisioning. In our demo evaluation with BurstGPT, frequent variations in BurstGPT reveal declines in efficiency, stability, or reliability in realistic LLM serving. We identify that the generalization of KV cache management, scheduling and disaggregation optimizations can be improved under realistic workload evaluations. BurstGPT is publicly available now at https://github.com/HPMLL/BurstGPT and is widely used to develop prototypes of LLM serving frameworks in the industry.

  • 14 authors
·
Jan 31, 2024

TalkToModel: Explaining Machine Learning Models with Interactive Natural Language Conversations

Machine Learning (ML) models are increasingly used to make critical decisions in real-world applications, yet they have become more complex, making them harder to understand. To this end, researchers have proposed several techniques to explain model predictions. However, practitioners struggle to use these explainability techniques because they often do not know which one to choose and how to interpret the results of the explanations. In this work, we address these challenges by introducing TalkToModel: an interactive dialogue system for explaining machine learning models through conversations. Specifically, TalkToModel comprises of three key components: 1) a natural language interface for engaging in conversations, making ML model explainability highly accessible, 2) a dialogue engine that adapts to any tabular model and dataset, interprets natural language, maps it to appropriate explanations, and generates text responses, and 3) an execution component that constructs the explanations. We carried out extensive quantitative and human subject evaluations of TalkToModel. Overall, we found the conversational system understands user inputs on novel datasets and models with high accuracy, demonstrating the system's capacity to generalize to new situations. In real-world evaluations with humans, 73% of healthcare workers (e.g., doctors and nurses) agreed they would use TalkToModel over baseline point-and-click systems for explainability in a disease prediction task, and 85% of ML professionals agreed TalkToModel was easier to use for computing explanations. Our findings demonstrate that TalkToModel is more effective for model explainability than existing systems, introducing a new category of explainability tools for practitioners. Code & demo released here: https://github.com/dylan-slack/TalkToModel.

  • 4 authors
·
Jul 8, 2022

TikTalk: A Video-Based Dialogue Dataset for Multi-Modal Chitchat in Real World

To facilitate the research on intelligent and human-like chatbots with multi-modal context, we introduce a new video-based multi-modal dialogue dataset, called TikTalk. We collect 38K videos from a popular video-sharing platform, along with 367K conversations posted by users beneath them. Users engage in spontaneous conversations based on their multi-modal experiences from watching videos, which helps recreate real-world chitchat context. Compared to previous multi-modal dialogue datasets, the richer context types in TikTalk lead to more diverse conversations, but also increase the difficulty in capturing human interests from intricate multi-modal information to generate personalized responses. Moreover, external knowledge is more frequently evoked in our dataset. These facts reveal new challenges for multi-modal dialogue models. We quantitatively demonstrate the characteristics of TikTalk, propose a video-based multi-modal chitchat task, and evaluate several dialogue baselines. Experimental results indicate that the models incorporating large language models (LLM) can generate more diverse responses, while the model utilizing knowledge graphs to introduce external knowledge performs the best overall. Furthermore, no existing model can solve all the above challenges well. There is still a large room for future improvements, even for LLM with visual extensions. Our dataset is available at https://ruc-aimind.github.io/projects/TikTalk/.

  • 11 authors
·
Jan 14, 2023

INFP: Audio-Driven Interactive Head Generation in Dyadic Conversations

Imagine having a conversation with a socially intelligent agent. It can attentively listen to your words and offer visual and linguistic feedback promptly. This seamless interaction allows for multiple rounds of conversation to flow smoothly and naturally. In pursuit of actualizing it, we propose INFP, a novel audio-driven head generation framework for dyadic interaction. Unlike previous head generation works that only focus on single-sided communication, or require manual role assignment and explicit role switching, our model drives the agent portrait dynamically alternates between speaking and listening state, guided by the input dyadic audio. Specifically, INFP comprises a Motion-Based Head Imitation stage and an Audio-Guided Motion Generation stage. The first stage learns to project facial communicative behaviors from real-life conversation videos into a low-dimensional motion latent space, and use the motion latent codes to animate a static image. The second stage learns the mapping from the input dyadic audio to motion latent codes through denoising, leading to the audio-driven head generation in interactive scenarios. To facilitate this line of research, we introduce DyConv, a large scale dataset of rich dyadic conversations collected from the Internet. Extensive experiments and visualizations demonstrate superior performance and effectiveness of our method. Project Page: https://grisoon.github.io/INFP/.

  • 6 authors
·
Dec 5, 2024

Amulet: Putting Complex Multi-Turn Conversations on the Stand with LLM Juries

Today, large language models are widely used as judges to evaluate responses from other language models. Hence, it is imperative to benchmark and improve these LLM-judges on real-world language model usage: a typical human-assistant conversation is lengthy, and shows significant diversity in topics, intents, and requirements across turns, e.g. social interactions, task requests, feedback. We present Amulet, a framework that leverages pertinent linguistic concepts of dialog-acts and maxims to improve the accuracy of LLM-judges on preference data with complex, multi-turn conversational context. Amulet presents valuable insights about (a) the communicative structures and intents present in the conversation (dialog acts), and (b) the satisfaction of conversational principles (maxims) by the preference responses, and uses them to make judgments. On four challenging datasets, Amulet shows that (a) humans frequently (60 to 70 percent of the time) change their intents from one turn of the conversation to the next, and (b) in 75 percent of instances, the preference responses can be differentiated via dialog acts and/or maxims, reiterating the latter's significance in judging such data. Amulet can be used either as a judge by applying the framework to a single LLM, or integrated into a jury with different LLM judges; our judges and juries show strong improvements on relevant baselines for all four datasets.

  • 5 authors
·
May 26, 2025

TravelBench: A Broader Real-World Benchmark for Multi-Turn and Tool-Using Travel Planning

Travel planning is a natural real-world task to test large language models (LLMs) planning and tool-use abilities. Although prior work has studied LLM performance on travel planning, existing settings still differ from real-world needs, mainly due to limited domain coverage, insufficient modeling of users' implicit preferences in multi-turn conversations, and a lack of clear evaluation of agents' capability boundaries. To mitigate these gaps, we propose TravelBench, a benchmark for fully real-world travel planning. We collect user queries, user profile and tools from real scenarios, and construct three subtasks-Single-Turn, Multi-Turn, and Unsolvable-to evaluate agent's three core capabilities in real settings: (1) solving problems autonomously, (2) interacting with users over multiple turns to refine requirements, and (3) recognizing the limits of own abilities. To enable stable tool invocation and reproducible evaluation, we cache real tool-call results and build a sandbox environment that integrates ten travel-related tools. Agents can combine these tools to solve most practical travel planning problems, and our systematic verification demonstrates the stability of the proposed benchmark. We further evaluate multiple LLMs on TravelBench and conduct an in-depth analysis of their behaviors and performance. TravelBench provides a practical and reproducible evaluation benchmark to advance research on LLM agents for travel planning.\footnote{Our code and data will be available after internal review.

  • 7 authors
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Dec 27, 2025

Synthetic Patients: Simulating Difficult Conversations with Multimodal Generative AI for Medical Education

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

  • 2 authors
·
May 30, 2024

RedditBias: A Real-World Resource for Bias Evaluation and Debiasing of Conversational Language Models

Text representation models are prone to exhibit a range of societal biases, reflecting the non-controlled and biased nature of the underlying pretraining data, which consequently leads to severe ethical issues and even bias amplification. Recent work has predominantly focused on measuring and mitigating bias in pretrained language models. Surprisingly, the landscape of bias measurements and mitigation resources and methods for conversational language models is still very scarce: it is limited to only a few types of bias, artificially constructed resources, and completely ignores the impact that debiasing methods may have on the final performance in dialog tasks, e.g., conversational response generation. In this work, we present RedditBias, the first conversational data set grounded in the actual human conversations from Reddit, allowing for bias measurement and mitigation across four important bias dimensions: gender, race, religion, and queerness. Further, we develop an evaluation framework which simultaneously 1) measures bias on the developed RedditBias resource, and 2) evaluates model capability in dialog tasks after model debiasing. We use the evaluation framework to benchmark the widely used conversational DialoGPT model along with the adaptations of four debiasing methods. Our results indicate that DialoGPT is biased with respect to religious groups and that some debiasing techniques can remove this bias while preserving downstream task performance.

  • 4 authors
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Jun 7, 2021

Reactive Transformer (RxT) -- Stateful Real-Time Processing for Event-Driven Reactive Language Models

The Transformer architecture has become the de facto standard for Large Language Models (LLMs), demonstrating remarkable capabilities in language understanding and generation. However, its application in conversational AI is fundamentally constrained by its stateless nature and the quadratic computational complexity (O(L^2)) with respect to sequence length L. Current models emulate memory by reprocessing an ever-expanding conversation history with each turn, leading to prohibitive costs and latency in long dialogues. This paper introduces the Reactive Transformer (RxT), a novel architecture designed to overcome these limitations by shifting from a data-driven to an event-driven paradigm. RxT processes each conversational turn as a discrete event in real-time, maintaining context in an integrated, fixed-size Short-Term Memory (STM) system. The architecture features a distinct operational cycle where a generator-decoder produces a response based on the current query and the previous memory state, after which a memory-encoder and a dedicated Memory Attention network asynchronously update the STM with a representation of the complete interaction. This design fundamentally alters the scaling dynamics, reducing the total user-facing cost of a conversation from quadratic (O(N^2 cdot T)) to linear (O(N cdot T)) with respect to the number of interactions N. By decoupling response generation from memory updates, RxT achieves low latency, enabling truly real-time, stateful, and economically viable long-form conversations. We validated our architecture with a series of proof-of-concept experiments on synthetic data, demonstrating superior performance and constant-time inference latency compared to a baseline stateless model of comparable size.

ReactiveAI Reactive AI
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Oct 3, 2025 2

Voila: Voice-Language Foundation Models for Real-Time Autonomous Interaction and Voice Role-Play

A voice AI agent that blends seamlessly into daily life would interact with humans in an autonomous, real-time, and emotionally expressive manner. Rather than merely reacting to commands, it would continuously listen, reason, and respond proactively, fostering fluid, dynamic, and emotionally resonant interactions. We introduce Voila, a family of large voice-language foundation models that make a step towards this vision. Voila moves beyond traditional pipeline systems by adopting a new end-to-end architecture that enables full-duplex, low-latency conversations while preserving rich vocal nuances such as tone, rhythm, and emotion. It achieves a response latency of just 195 milliseconds, surpassing the average human response time. Its hierarchical multi-scale Transformer integrates the reasoning capabilities of large language models (LLMs) with powerful acoustic modeling, enabling natural, persona-aware voice generation -- where users can simply write text instructions to define the speaker's identity, tone, and other characteristics. Moreover, Voila supports over one million pre-built voices and efficient customization of new ones from brief audio samples as short as 10 seconds. Beyond spoken dialogue, Voila is designed as a unified model for a wide range of voice-based applications, including automatic speech recognition (ASR), Text-to-Speech (TTS), and, with minimal adaptation, multilingual speech translation. Voila is fully open-sourced to support open research and accelerate progress toward next-generation human-machine interactions.

  • 7 authors
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May 5, 2025 4

Clio: Privacy-Preserving Insights into Real-World AI Use

How are AI assistants being used in the real world? While model providers in theory have a window into this impact via their users' data, both privacy concerns and practical challenges have made analyzing this data difficult. To address these issues, we present Clio (Claude insights and observations), a privacy-preserving platform that uses AI assistants themselves to analyze and surface aggregated usage patterns across millions of conversations, without the need for human reviewers to read raw conversations. We validate this can be done with a high degree of accuracy and privacy by conducting extensive evaluations. We demonstrate Clio's usefulness in two broad ways. First, we share insights about how models are being used in the real world from one million Claude.ai Free and Pro conversations, ranging from providing advice on hairstyles to providing guidance on Git operations and concepts. We also identify the most common high-level use cases on Claude.ai (coding, writing, and research tasks) as well as patterns that differ across languages (e.g., conversations in Japanese discuss elder care and aging populations at higher-than-typical rates). Second, we use Clio to make our systems safer by identifying coordinated attempts to abuse our systems, monitoring for unknown unknowns during critical periods like launches of new capabilities or major world events, and improving our existing monitoring systems. We also discuss the limitations of our approach, as well as risks and ethical concerns. By enabling analysis of real-world AI usage, Clio provides a scalable platform for empirically grounded AI safety and governance.

  • 21 authors
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Dec 18, 2024 1

PRSA: Prompt Stealing Attacks against Real-World Prompt Services

Recently, large language models (LLMs) have garnered widespread attention for their exceptional capabilities. Prompts are central to the functionality and performance of LLMs, making them highly valuable assets. The increasing reliance on high-quality prompts has driven significant growth in prompt services. However, this growth also expands the potential for prompt leakage, increasing the risk that attackers could replicate original functionalities, create competing products, and severely infringe on developers' intellectual property. Despite these risks, prompt leakage in real-world prompt services remains underexplored. In this paper, we present PRSA, a practical attack framework designed for prompt stealing. PRSA infers the detailed intent of prompts through very limited input-output analysis and can successfully generate stolen prompts that replicate the original functionality. Extensive evaluations demonstrate PRSA's effectiveness across two main types of real-world prompt services. Specifically, compared to previous works, it improves the attack success rate from 17.8% to 46.1% in prompt marketplaces and from 39% to 52% in LLM application stores, respectively. Notably, in the attack on "Math", one of the most popular educational applications in OpenAI's GPT Store with over 1 million conversations, PRSA uncovered a hidden Easter egg that had not been revealed previously. Besides, our analysis reveals that higher mutual information between a prompt and its output correlates with an increased risk of leakage. This insight guides the design and evaluation of two potential defenses against the security threats posed by PRSA. We have reported these findings to the prompt service vendors, including PromptBase and OpenAI, and actively collaborate with them to implement defensive measures.

  • 9 authors
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Feb 29, 2024

VitaBench: Benchmarking LLM Agents with Versatile Interactive Tasks in Real-world Applications

As LLM-based agents are increasingly deployed in real-life scenarios, existing benchmarks fail to capture their inherent complexity of handling extensive information, leveraging diverse resources, and managing dynamic user interactions. To address this gap, we introduce VitaBench, a challenging benchmark that evaluates agents on versatile interactive tasks grounded in real-world settings. Drawing from daily applications in food delivery, in-store consumption, and online travel services, VitaBench presents agents with the most complex life-serving simulation environment to date, comprising 66 tools. Through a framework that eliminates domain-specific policies, we enable flexible composition of these scenarios and tools, yielding 100 cross-scenario tasks (main results) and 300 single-scenario tasks. Each task is derived from multiple real user requests and requires agents to reason across temporal and spatial dimensions, utilize complex tool sets, proactively clarify ambiguous instructions, and track shifting user intent throughout multi-turn conversations. Moreover, we propose a rubric-based sliding window evaluator, enabling robust assessment of diverse solution pathways in complex environments and stochastic interactions. Our comprehensive evaluation reveals that even the most advanced models achieve only 30% success rate on cross-scenario tasks, and less than 50% success rate on others. Overall, we believe VitaBench will serve as a valuable resource for advancing the development of AI agents in practical real-world applications. The code, dataset, and leaderboard are available at https://vitabench.github.io/

meituan-longcat LongCat
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Sep 30, 2025 2

Make an Offer They Can't Refuse: Grounding Bayesian Persuasion in Real-World Dialogues without Pre-Commitment

Persuasion, a fundamental social capability for humans, remains a challenge for AI systems such as large language models (LLMs). Current studies often overlook the strategic use of information asymmetry in message design or rely on strong assumptions regarding pre-commitment. In this work, we explore the application of Bayesian Persuasion (BP) in natural language within single-turn dialogue settings, to enhance the strategic persuasion capabilities of LLMs. Our framework incorporates a commitment-communication mechanism, where the persuader explicitly outlines an information schema by narrating their potential types (e.g., honest or dishonest), thereby guiding the persuadee in performing the intended Bayesian belief update. We evaluate two variants of our approach: Semi-Formal-Natural-Language (SFNL) BP and Fully-Natural-Language (FNL) BP, benchmarking them against both naive and strong non-BP (NBP) baselines within a comprehensive evaluation framework. This framework covers a diverse set of persuadees -- including LLM instances with varying prompts and fine-tuning and human participants -- across tasks ranging from specially designed persuasion scenarios to general everyday situations. Experimental results on LLM-based agents reveal three main findings: (1) LLMs guided by BP strategies consistently achieve higher persuasion success rates than NBP baselines; (2) SFNL exhibits greater credibility and logical coherence, while FNL shows stronger emotional resonance and robustness in naturalistic conversations; (3) with supervised fine-tuning, smaller models can attain BP performance comparable to that of larger models.

  • 8 authors
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Oct 15, 2025

"Ask Me Anything": How Comcast Uses LLMs to Assist Agents in Real Time

Customer service is how companies interface with their customers. It can contribute heavily towards the overall customer satisfaction. However, high-quality service can become expensive, creating an incentive to make it as cost efficient as possible and prompting most companies to utilize AI-powered assistants, or "chat bots". On the other hand, human-to-human interaction is still desired by customers, especially when it comes to complex scenarios such as disputes and sensitive topics like bill payment. This raises the bar for customer service agents. They need to accurately understand the customer's question or concern, identify a solution that is acceptable yet feasible (and within the company's policy), all while handling multiple conversations at once. In this work, we introduce "Ask Me Anything" (AMA) as an add-on feature to an agent-facing customer service interface. AMA allows agents to ask questions to a large language model (LLM) on demand, as they are handling customer conversations -- the LLM provides accurate responses in real-time, reducing the amount of context switching the agent needs. In our internal experiments, we find that agents using AMA versus a traditional search experience spend approximately 10% fewer seconds per conversation containing a search, translating to millions of dollars of savings annually. Agents that used the AMA feature provided positive feedback nearly 80% of the time, demonstrating its usefulness as an AI-assisted feature for customer care.

  • 5 authors
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May 1, 2024

MIntRec2.0: A Large-scale Benchmark Dataset for Multimodal Intent Recognition and Out-of-scope Detection in Conversations

Multimodal intent recognition poses significant challenges, requiring the incorporation of non-verbal modalities from real-world contexts to enhance the comprehension of human intentions. Existing benchmark datasets are limited in scale and suffer from difficulties in handling out-of-scope samples that arise in multi-turn conversational interactions. We introduce MIntRec2.0, a large-scale benchmark dataset for multimodal intent recognition in multi-party conversations. It contains 1,245 dialogues with 15,040 samples, each annotated within a new intent taxonomy of 30 fine-grained classes. Besides 9,304 in-scope samples, it also includes 5,736 out-of-scope samples appearing in multi-turn contexts, which naturally occur in real-world scenarios. Furthermore, we provide comprehensive information on the speakers in each utterance, enriching its utility for multi-party conversational research. We establish a general framework supporting the organization of single-turn and multi-turn dialogue data, modality feature extraction, multimodal fusion, as well as in-scope classification and out-of-scope detection. Evaluation benchmarks are built using classic multimodal fusion methods, ChatGPT, and human evaluators. While existing methods incorporating nonverbal information yield improvements, effectively leveraging context information and detecting out-of-scope samples remains a substantial challenge. Notably, large language models exhibit a significant performance gap compared to humans, highlighting the limitations of machine learning methods in the cognitive intent understanding task. We believe that MIntRec2.0 will serve as a valuable resource, providing a pioneering foundation for research in human-machine conversational interactions, and significantly facilitating related applications. The full dataset and codes are available at https://github.com/thuiar/MIntRec2.0.

  • 9 authors
·
Mar 16, 2024

When Can We Trust LLMs in Mental Health? Large-Scale Benchmarks for Reliable LLM Evaluation

Evaluating Large Language Models (LLMs) for mental health support is challenging due to the emotionally and cognitively complex nature of therapeutic dialogue. Existing benchmarks are limited in scale, reliability, often relying on synthetic or social media data, and lack frameworks to assess when automated judges can be trusted. To address the need for large-scale dialogue datasets and judge reliability assessment, we introduce two benchmarks that provide a framework for generation and evaluation. MentalBench-100k consolidates 10,000 one-turn conversations from three real scenarios datasets, each paired with nine LLM-generated responses, yielding 100,000 response pairs. MentalAlign-70k}reframes evaluation by comparing four high-performing LLM judges with human experts across 70,000 ratings on seven attributes, grouped into Cognitive Support Score (CSS) and Affective Resonance Score (ARS). We then employ the Affective Cognitive Agreement Framework, a statistical methodology using intraclass correlation coefficients (ICC) with confidence intervals to quantify agreement, consistency, and bias between LLM judges and human experts. Our analysis reveals systematic inflation by LLM judges, strong reliability for cognitive attributes such as guidance and informativeness, reduced precision for empathy, and some unreliability in safety and relevance. Our contributions establish new methodological and empirical foundations for reliable, large-scale evaluation of LLMs in mental health. We release the benchmarks and codes at: https://github.com/abeerbadawi/MentalBench/

  • 9 authors
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Oct 21, 2025

Conv-FinRe: A Conversational and Longitudinal Benchmark for Utility-Grounded Financial Recommendation

Most recommendation benchmarks evaluate how well a model imitates user behavior. In financial advisory, however, observed actions can be noisy or short-sighted under market volatility and may conflict with a user's long-term goals. Treating what users chose as the sole ground truth, therefore, conflates behavioral imitation with decision quality. We introduce Conv-FinRe, a conversational and longitudinal benchmark for stock recommendation that evaluates LLMs beyond behavior matching. Given an onboarding interview, step-wise market context, and advisory dialogues, models must generate rankings over a fixed investment horizon. Crucially, Conv-FinRe provides multi-view references that distinguish descriptive behavior from normative utility grounded in investor-specific risk preferences, enabling diagnosis of whether an LLM follows rational analysis, mimics user noise, or is driven by market momentum. We build the benchmark from real market data and human decision trajectories, instantiate controlled advisory conversations, and evaluate a suite of state-of-the-art LLMs. Results reveal a persistent tension between rational decision quality and behavioral alignment: models that perform well on utility-based ranking often fail to match user choices, whereas behaviorally aligned models can overfit short-term noise. The dataset is publicly released on Hugging Face, and the codebase is available on GitHub.

TheFinAI The Fin AI
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Feb 18 2

MT-Eval: A Multi-Turn Capabilities Evaluation Benchmark for Large Language Models

Large language models (LLMs) are increasingly relied upon for complex multi-turn conversations across diverse real-world applications. However, existing benchmarks predominantly focus on single-turn evaluations, overlooking the models' capabilities in multi-turn interactions. To address this gap, we introduce MT-Eval, a comprehensive benchmark designed to evaluate multi-turn conversational abilities. By analyzing human-LLM conversations, we categorize interaction patterns into four types: recollection, expansion, refinement, and follow-up. We construct multi-turn queries for each category either by augmenting existing datasets or by creating new examples with GPT-4 to avoid data leakage. To study the factors impacting multi-turn abilities, we create single-turn versions of the 1170 multi-turn queries and compare performance. Our evaluation of 11 well-known LLMs shows that while closed-source models generally surpass open-source ones, certain open-source models exceed GPT-3.5-Turbo in specific tasks. We observe significant performance degradation in multi-turn settings compared to single-turn settings in most models, which is not correlated with the models' fundamental capabilities. Moreover, we identify the distance to relevant content and susceptibility to error propagation as the key factors influencing multi-turn performance. MT-Eval is released publicly to encourage future research towards more robust conversational models.

  • 9 authors
·
Jan 29, 2024 2

Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulators

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

  • 10 authors
·
Jan 16, 2025 4

Working with AI: Measuring the Occupational Implications of Generative AI

Given the rapid adoption of generative AI and its potential to impact a wide range of tasks, understanding the effects of AI on the economy is one of society's most important questions. In this work, we take a step toward that goal by analyzing the work activities people do with AI, how successfully and broadly those activities are done, and combine that with data on what occupations do those activities. We analyze a dataset of 200k anonymized and privacy-scrubbed conversations between users and Microsoft Bing Copilot, a publicly available generative AI system. We find the most common work activities people seek AI assistance for involve gathering information and writing, while the most common activities that AI itself is performing are providing information and assistance, writing, teaching, and advising. Combining these activity classifications with measurements of task success and scope of impact, we compute an AI applicability score for each occupation. We find the highest AI applicability scores for knowledge work occupation groups such as computer and mathematical, and office and administrative support, as well as occupations such as sales whose work activities involve providing and communicating information. Additionally, we characterize the types of work activities performed most successfully, how wage and education correlate with AI applicability, and how real-world usage compares to predictions of occupational AI impact.

  • 5 authors
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Jul 10, 2025