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

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This paper proposes ASDAgent, a strategy-aware framework that addresses data scarcity and strategy consistency issues in AI-assisted early intensive behavioral intervention for autism. It includes a DoctorAgent with O-T-A-C reasoning loop and a ChildAgent with probabilistic behavior modeling. Experiments show generated dialogues closely match therapist strategy distribution (KL divergence 0.083), achieve nearly 80% strategic consistency with human experts, and distills clinical knowledge into small language models.

SourcearXiv Machine LearningAuthor: Junhong Lai, Shuzhong Lai, Yanhao Yu, Wanlin Chen, Chenyu Yan, Haifeng Li, Lin Yao, Yueming Wang
From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset
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[2605.02916] From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset

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Computer Science > Machine Learning

arXiv:2605.02916 (cs)

[Submitted on 9 Apr 2026]

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

Authors:Junhong Lai, Shuzhong Lai, Yanhao Yu, Wanlin Chen, Chenyu Yan, Haifeng Li, Lin Yao, Yueming Wang

View a PDF of the paper titled From Synthesis to Clinical Assistance: A Strategy-Aware Agent Framework for Autism Intervention based on Real Clinical Dataset, by Junhong Lai and 7 other authors

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Abstract: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.

Comments: Accepted to 2026 ACL Main Conference

Subjects:

Machine Learning (cs.LG)

Cite as: arXiv:2605.02916 [cs.LG]

(or arXiv:2605.02916v1 [cs.LG] for this version)

https://doi.org/10.48550/arXiv.2605.02916

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arXiv-issued DOI via DataCite

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From: Junhong Lai [view email] [v1] Thu, 9 Apr 2026 03:28:46 UTC (24,155 KB)

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Key points

  • ASDAgent features DoctorAgent (Observe-Think-Act-Correct loop) and ChildAgent (probabilistic behavior modeling) to tackle strategy collapse and data homogeneity.
  • Generated dialogues achieve KL divergence of 0.083 against human therapist strategy distribution.
  • Real intervention shows nearly 80% strategic consistency with human experts.
  • Synthetic data effectively distills clinical knowledge into small language models, enhancing their therapeutic capabilities.

Highlights and analysis are generated automatically and may contain errors. Check the original source.