From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset

Fuente: arXiv
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Main Authors: Lai, Junhong, Lai, Shuzhong, Yu, Yanhao, Chen, Wanlin, Yan, Chenyu, Li, Haifeng, Yao, Lin, Wang, Yueming
Format: Preprint
Published: 2026
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author Lai, Junhong
Lai, Shuzhong
Yu, Yanhao
Chen, Wanlin
Yan, Chenyu
Li, Haifeng
Yao, Lin
Wang, Yueming
author_facet Lai, Junhong
Lai, Shuzhong
Yu, Yanhao
Chen, Wanlin
Yan, Chenyu
Li, Haifeng
Yao, Lin
Wang, Yueming
contents The development of AI-assisted Early Intensive Behavioral Intervention (EIBI) for Autism Spectrum Disorder (ASD) is severely constrained by data scarcity. Furthermore, while Applied Behavior Analysis (ABA) serves as the gold standard for clinical intervention, general-purpose Large Language Models (LLMs) struggle to strictly adhere to its standardized procedures, often resulting in interactions that are linguistically fluent but strategically inconsistent. To address these challenges, we introduce \textsc{ASDAgent}, a strategy-aware framework designed to unify high-fidelity intervention dialogue synthesis and clinical decision support. \textsc{ASDAgent} incorporates two specialized components to solve distinct problems: (i) a \textsc{DoctorAgent} equipped with an Observe-Think-Act-Correct (O-T-A-C) reasoning loop, which resolves the issue of strategy collapse in LLMs by making ABA execution explicit and controllable; and (ii) a \textsc{ChildAgent} that utilizes probabilistic behavior modeling to mitigate data homogeneity, simulating diverse and non-deterministic ASD response patterns. Experiments demonstrate that dialogues generated by \textsc{ASDAgent} closely mirror the strategy distribution of human therapists (KL divergence: 0.083). In real autism intervention, \textsc{ASDAgent} achieves nearly 80\% strategic consistency with human experts. Moreover, we show that synthetic data produced by \textsc{ASDAgent} effectively distills professional clinical knowledge into small language models (SLMs), significantly enhancing their therapeutic capabilities.
format Preprint
id arxiv_https___arxiv_org_abs_2605_02916
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset
Lai, Junhong
Lai, Shuzhong
Yu, Yanhao
Chen, Wanlin
Yan, Chenyu
Li, Haifeng
Yao, Lin
Wang, Yueming
Machine Learning
The development of AI-assisted Early Intensive Behavioral Intervention (EIBI) for Autism Spectrum Disorder (ASD) is severely constrained by data scarcity. Furthermore, while Applied Behavior Analysis (ABA) serves as the gold standard for clinical intervention, general-purpose Large Language Models (LLMs) struggle to strictly adhere to its standardized procedures, often resulting in interactions that are linguistically fluent but strategically inconsistent. To address these challenges, we introduce \textsc{ASDAgent}, a strategy-aware framework designed to unify high-fidelity intervention dialogue synthesis and clinical decision support. \textsc{ASDAgent} incorporates two specialized components to solve distinct problems: (i) a \textsc{DoctorAgent} equipped with an Observe-Think-Act-Correct (O-T-A-C) reasoning loop, which resolves the issue of strategy collapse in LLMs by making ABA execution explicit and controllable; and (ii) a \textsc{ChildAgent} that utilizes probabilistic behavior modeling to mitigate data homogeneity, simulating diverse and non-deterministic ASD response patterns. Experiments demonstrate that dialogues generated by \textsc{ASDAgent} closely mirror the strategy distribution of human therapists (KL divergence: 0.083). In real autism intervention, \textsc{ASDAgent} achieves nearly 80\% strategic consistency with human experts. Moreover, we show that synthetic data produced by \textsc{ASDAgent} effectively distills professional clinical knowledge into small language models (SLMs), significantly enhancing their therapeutic capabilities.
title From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset
topic Machine Learning
url https://arxiv.org/abs/2605.02916