Representation bias is one of the most common types of biases in artificial intelligence (AI) systems, causing AI models to perform poorly on underrepresented data segments. Although AI practitioners use various methods to reduce representation bias, their effectiveness is often constrained by insufficient domain knowledge in the debiasing process. To address this gap, this paper introduces a set of generic design guidelines for effectively involving domain experts in representation debiasing. We instantiated our proposed guidelines in a healthcare-focused application and evaluated them through a comprehensive mixed-methods user study with 35 healthcare experts. Our findings show that involving domain experts can reduce representation bias without compromising model accuracy. Based on our findings, we also offer recommendations for developers to build robust debiasing systems guided by our generic design guidelines, ensuring more effective inclusion of domain experts in the debiasing process.

Counterfactual explanations offer actionable insights by illustrating how changes to inputs can lead to different outcomes.However, these explanations often suffer from ambiguity and impracticality, limiting their utility for non-expert users with limited AI knowledge.Augmenting counterfactual explanations with Large Language Models (LLMs) has been proposed as a solution, but little research has examined their benefits and challenges for non-experts.To address this gap, we developed a healthcare-focused system that leverages conversational AI agents to enhance counterfactual explanations, offering clear, actionable recommendations to help patients at high risk of cardiovascular disease (CVD) reduce their risk.Evaluated through a mixed-methods study with 34 participants, our findings highlight the effectiveness of agent-augmented counterfactuals in improving actionable recommendations.Results further indicate that users with prior experience using conversational AI demonstrated greater effectiveness in utilising these explanations compared to novices.Furthermore, this paper introduces a set of generic guidelines for creating augmented counterfactual explanations, incorporating safeguards to mitigate common LLM pitfalls, such as hallucinations, and ensuring the explanations are both actionable and contextually relevant for non-expert users.

Explanations in interactive machine-learning systems facilitate debugging and improving prediction models. However, the effectiveness of various global model-centric and data-centric explanations in aiding domain experts to detect and resolve potential data issues for model improvement remains unexplored. This research investigates the influence of data-centric and model-centric global explanations in systems that support healthcare experts in optimising models through automated and manual data configurations. We conducted quantitative (n=70) and qualitative (n=30) studies with healthcare experts to explore the impact of different explanations on trust, understandability and model improvement. Our results reveal the insufficiency of global model-centric explanations for guiding users during data configuration. Although data-centric explanations enhanced understanding of post-configuration system changes, a hybrid fusion of both explanation types demonstrated the highest effectiveness. Based on our study results, we also present design implications for effective explanation-driven interactive machine-learning systems.

Explainable artificial intelligence is increasingly used in machine learning (ML) based decision-making systems in healthcare. However, little research has compared the utility of different explanation methods in guiding healthcare experts for patient care. Moreover, it is unclear how useful, understandable, actionable and trustworthy these methods are for healthcare experts, as they often require technical ML knowledge. This paper presents an explanation dashboard that predicts the risk of diabetes onset and explains those predictions with data-centric, feature-importance, and example-based explanations. We designed an interactive dashboard to assist healthcare experts, such as nurses and physicians, in monitoring the risk of diabetes onset and recommending measures to minimize risk. We conducted a qualitative study with 11 healthcare experts and a mixed-methods study with 45 healthcare experts and 51 diabetic patients to compare the different explanation methods in our dashboard in terms of understandability, usefulness, actionability, and trust. Results indicate that our participants preferred our representation of data-centric explanations that provide local explanations with a global overview over other methods. Therefore, this paper highlights the importance of visually directive data-centric explanation method for assisting healthcare experts to gain actionable insights from patient health records. Furthermore, we share our design implications for tailoring the visual representation of different explanation methods for healthcare experts.