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Towards culturally-appropriate conversational AI for health in the majority world: An exploratory study with citizens and professionals in Latin America

Created by
  • Haebom

Author

Dorian Peters, Fernanda Espinoza, Marco da Re, Guido Ivetta, Luciana Benotti, Rafael A. Calvo

Outline

This paper emphasizes the need to consider cultural and linguistic diversity in the application of conversational artificial intelligence (CAI) in health in developing countries. To overcome the limitations of existing large-scale language models (LLMs), we propose a bottom-up approach that complements the top-down approach based on qualitative data collected through participatory workshops centered in Latin America. The study aims to gain a deeper understanding of cultural mismatches in digital health, perspectives on chatbots in the Latin American region, and strategies for culturally appropriate CAI. The results of the study show that existing concepts of culture are limited in the real world, and that technology must be understood within a broader framework that intertwines economics, politics, geography, and regional logistics. Therefore, we propose a 'Pluriversal Conversational AI for Health' framework that values relationships and tolerance over more data.

Takeaways, Limitations

Takeaways:
Suggesting the importance of a bottom-up, local-centric approach to overcome the limitations of traditional LLMs.
Presenting a CAI development strategy that takes into account the cultural context of the Latin American region.
Proposing a new framework for cultural relevance: 'Pluralistic Conversational AI'.
Emphasizes the need to consider various factors such as economy, politics, geography, and logistics in cultural understanding.
Limitations:
Because the study was limited to Latin America, generalizability to other regions may be limited.
As this study is based on qualitative data, it requires review for generalizability and objectivity.
Lack of concrete implementation plans and validation of the effectiveness of the proposed ‘pluralistic conversational artificial intelligence’ framework.
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