MedReadCtrl: Personalizing medical text generation with readability-controlled instruction learning

Fuente: arXiv
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Auteurs principaux: Tran, Hieu, Yao, Zonghai, Jang, Won Seok, Sultana, Sharmin, Chang, Allen, Zhang, Yuan, Yu, Hong
Format: Preprint
Publié: 2025
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author Tran, Hieu
Yao, Zonghai
Jang, Won Seok
Sultana, Sharmin
Chang, Allen
Zhang, Yuan
Yu, Hong
author_facet Tran, Hieu
Yao, Zonghai
Jang, Won Seok
Sultana, Sharmin
Chang, Allen
Zhang, Yuan
Yu, Hong
contents Generative AI has demonstrated strong potential in healthcare, from clinical decision support to patient-facing chatbots that improve outcomes. A critical challenge for deployment is effective human-AI communication, where content must be both personalized and understandable. We introduce MedReadCtrl, a readability-controlled instruction tuning framework that enables LLMs to adjust output complexity without compromising meaning. Evaluations of nine datasets and three tasks across medical and general domains show that MedReadCtrl achieves significantly lower readability instruction-following errors than GPT-4 (e.g., 1.39 vs. 1.59 on ReadMe, p<0.001) and delivers substantial gains on unseen clinical tasks (e.g., +14.7 ROUGE-L, +6.18 SARI on MTSamples). Experts consistently preferred MedReadCtrl (71.7% vs. 23.3%), especially at low literacy levels. These gains reflect MedReadCtrl's ability to restructure clinical content into accessible, readability-aligned language while preserving medical intent, offering a scalable solution to support patient education and expand equitable access to AI-enabled care.
format Preprint
id arxiv_https___arxiv_org_abs_2507_07419
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedReadCtrl: Personalizing medical text generation with readability-controlled instruction learning
Tran, Hieu
Yao, Zonghai
Jang, Won Seok
Sultana, Sharmin
Chang, Allen
Zhang, Yuan
Yu, Hong
Computation and Language
Artificial Intelligence
Generative AI has demonstrated strong potential in healthcare, from clinical decision support to patient-facing chatbots that improve outcomes. A critical challenge for deployment is effective human-AI communication, where content must be both personalized and understandable. We introduce MedReadCtrl, a readability-controlled instruction tuning framework that enables LLMs to adjust output complexity without compromising meaning. Evaluations of nine datasets and three tasks across medical and general domains show that MedReadCtrl achieves significantly lower readability instruction-following errors than GPT-4 (e.g., 1.39 vs. 1.59 on ReadMe, p<0.001) and delivers substantial gains on unseen clinical tasks (e.g., +14.7 ROUGE-L, +6.18 SARI on MTSamples). Experts consistently preferred MedReadCtrl (71.7% vs. 23.3%), especially at low literacy levels. These gains reflect MedReadCtrl's ability to restructure clinical content into accessible, readability-aligned language while preserving medical intent, offering a scalable solution to support patient education and expand equitable access to AI-enabled care.
title MedReadCtrl: Personalizing medical text generation with readability-controlled instruction learning
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2507.07419