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Rupali Bhati

Alumni

Publications

Use of an Integrated Knowledge Translation Approach to Develop an Electronic Patient-Reported Outcome System for Cancer Rehabilitation: Tutorial
Christian Lopez
Sarah E Neil-Sztramko
Kristin L Campbell
David M Langelier
Tran Truong
Yuliya Gavrylyuk
Pia Nyakairu
Laura Parente
Audrey Durand
Jackie L Bender
Gillian Strudwick
Rupali Bhati
Jonathan Greenland
Tony Reiman
Jennifer M Jones
Electronic prospective surveillance models (ePSMs) have the potential to improve the management of cancer-related impairments by systematica… (voir plus)lly screening patients using electronic patient-reported outcomes during and after treatment, and linking them to tailored self-management resources and rehabilitation programs. However, their successful implementation into routine care requires careful consideration of patient and provider needs and must align with clinical workflows, which may vary across settings and require adaptation to the local context. The aim of this paper is to describe the development of REACH, a web-based ePSM designed to remotely screen for physical cancer–related impairments and direct patients to rehabilitation resources based on need. The development of REACH followed an integrated knowledge translation (iKT) approach, engaging key knowledge users including patients, clinicians, administrators, and information technology specialists. The development process involved collaboration across 5 working groups. The system content and logic group selected the impairments to be screened, measures used, frequency of screening, and resources recommended based on results of a survey with oncology providers and researchers, patient feedback, a literature review, and an environmental scan. The machine learning group explored predictive modeling approaches to optimize the assessment frequency using retrospective patient data. The implementation group identified features from existing systems that could be built to promote assessment completion and integration into clinical workflows through a scoping review, interviews with clinic staff, and focus groups with patients. The design group conducted co-design workshops and usability testing with patients to iteratively refine the interface and develop a prototype. Finally, the software development group converted the prototype to a web-based application and conducted privacy and security assessments and quality assurance. The integration of key knowledge users through an iKT approach played a critical role in determining the design and functionality of REACH. REACH allows patients to remotely complete assessments tailored to their cancer type and treatment status on any electronic device. The system generates automated advice based on the assessment responses, including links to educational resources for self-management, suggestions for community programs to register for, and recommendations to contact their oncology team for further assessment and possible referral to rehabilitation services. These recommended resources are stored in the patient’s personalized library, organized by type and severity of cancer-related impairments reported, and are updated following each new electronic patient-reported outcomes assessment completed. Additional key system features include a patient-driven and structured process for managing high impairment scores, usability enhancements to improve navigation, and safeguards to ensure data security. The development of REACH demonstrates how an iKT approach can be used to design an ePSM that is user-friendly, clinically relevant, and aligned with implementation considerations. The system has been implemented at 4 Canadian cancer centers, and its implementation is being evaluated to inform future refinements.
2025-11-23
JMIR Cancer (publié)
doi.org
Scalable Approaches for a Theory of Many Minds
Maximilian Puelma Touzel
Amin Memarian
Matthew D Riemer
Andrei Mircea
Andrew Robert Williams
Elin Ahlstrand
Lucas Lehnert
Rupali Bhati
Guillaume Dumas
Irina Rish
A major challenge as we move towards building agents for real-world problems, which could involve a massive number of human and/or machine a… (voir plus)gents, is that we must learn to reason about the behavior of these many other agents. In this paper, we consider the problem of scaling a predictive Theory of Mind (ToM) model to a very large number of interacting agents with a fixed computational budget. Motivated by the limited diversity of agent types, existing approaches to scalable TOM learn versatile single-agent representations for quickly adapting to new agents encountered sequentially. We consider the more general setting that many agents are observed in parallel and formulate the corresponding Theory of Many Minds (ToMM) problem of estimating the joint policy. We frame the scaling behavior of solutions in terms of parameter sharing schemes and in particular propose two parameter-free architectural features that endow models with the ability to exploit action correlations: encoding a multi-agent context, and decoding through an abstracted joint action space. The increased predictive capabilities that have come with foundation models have made it easier to imagine the possibility of using these models to make simulations that imitate the behavior of many agents within complex real-world systems. Being able to perform these simulations in a general-purpose way would not only help make more capable agents, it also would be a very useful capability for applications in social science, political science, and economics.
2024-06-17
ICML.cc/2024/Workshop/Agentic_Markets (poster)
openreview.net
openreview.net
Interpret Your Care: Predicting the Evolution of Symptoms for Cancer Patients
Rupali Bhati
Jennifer Jones
Audrey Durand
Cancer treatment is an arduous process for patients and causes many side-effects during and post-treatment. The treatment can affect almost … (voir plus)all body systems and result in pain, fatigue, sleep disturbances, cognitive impairments, etc. These conditions are often under-diagnosed or under-treated. In this paper, we use patient data to predict the evolution of their symptoms such that treatment-related impairments can be prevented or effects meaningfully ameliorated. The focus of this study is on predicting the pain and tiredness level of a patient post their diagnosis. We implement an interpretable decision tree based model called LightGBM on real-world patient data consisting of 20163 patients. There exists a class imbalance problem in the dataset which we resolve using the oversampling technique of SMOTE. Our empirical results show that the value of the previous level of a symptom is a key indicator for prediction and the weighted average deviation in prediction of pain level is 3.52 and of tiredness level is 2.27.
2023-02-18
ArXiv (prépublication)
doi.org
arxiv.org
Performative Prediction in Time Series: A Case Study
Rupali Bhati
Jennifer Jones
David Langelier
Anthony Reiman
Jonathan Greenland
Kristin Campbell
Audrey Durand
2022-12-01
NeurIPS.cc/2022/Workshop/TS4H (poster)
openreview.net
openreview.net
Summarizing Societies: Agent Abstraction in Multi-Agent Reinforcement Learning
Maximilian Puelma Touzel
Matthew D Riemer
Rupali Bhati
Irina Rish
Agents cannot make sense of many-agent societies through direct consideration of small-scale, low-level agent identities, but instead must r… (voir plus)ecognize emergent collective identities. Here, we take a first step towards a framework for recognizing this structure in large groups of low-level agents so that they can be modeled as a much smaller number of high-level agents—a process that we call agent abstraction. We illustrate this process by extending bisimulation metrics for state abstraction in reinforcement learning to the setting of multi-agent reinforcement learning and analyze a straightforward, if crude, abstraction based on experienced joint actions. It addresses non-stationarity due to other learning agents by improving minimax regret by a intuitive factor. To test if this compression factor provides signal for higher-level agency, we applied it to a large dataset of human play of the popular social dilemma game Diplomacy. We find that it correlates strongly with the degree of ground-truth abstraction of low-level units into the human players.
2021-12-31
(publié)
openreview.net
openreview.net