SafeStep: AI-powered Travel Assistance for Elderly People with Frailty or Dementia

More than a million people in the UK suffer from frailty or dementia, which severely compromise their ability to travel in urban environments. This paper presents SafeStep, an AI-driven travel system that assists elderly users with their journeys. At the core of SafeStep is a novel travel graph representation, which integrates route planning with predictive modelling. For each stage of a journey, the system (i) generates personalized failure scenarios using a combi-nation of LLMs and the Anticip8 behavioral prediction engine, (ii) proposes targeted interventions, and (iii) estimates the impact of interventions on out-come probabilities. This enables SafeStep to select interventions that maximize the likelihood of the person reaching their destination. SafeStep was evaluated through experiments on travel graph generation and a field study involving 26 real-world journeys. Results showed that combining Anticip8 for failure pre-diction with GPT-based models for intervention evaluation yields the most re-liable performance. User feedback indicated that SafeStep improves confidence and perceived safety during travel, although interface usability needs to be im-proved for the target demographic. In the future, we would like to improve and release SafeStep. The AI system that was developed for SafeStep could be ap-plied in other areas, such as mental health, career coaching and addiction treatment.

Explainable AI for Data-Driven Design of High-Dimensional Predictive Studies

Predictive modelling is important for health data analysis and data-driven clinical decision-making. However, predictive studies are challenging to design optimally by hand when tens or even hundreds of features require selection, transformation, or interaction modelling. While complex machine learning models offer high performance, their "black-box" nature limits the clinical trust, transparency, and interpretability required for decision-making. We developed and evaluated an Exploratory AI Recommender that provides data-driven recommendations to improve predictive performance of existing interpretable statistical models. The developed framework uses flexible AI modelling to capture complex data patterns and explainable AI techniques to translate the patterns into three recommendation types: feature exclusion, non-linear terms, and feature interactions. We evaluated the framework by comparing predictive performance of a baseline (i.e., no interactions or non-linear terms) Cox Proportional Hazards (CPH) model against an augmented CPH incorporating recommendations suggested by our method. The primary analysis predicts the time to the first occurrence of a fall or related injury in 245,614 patients. Our method recommended excluding 23 features, including non-linear terms for two features, and including 221 suggested feature interactions. The C-index improved from 0.805 (95% CI 0.798-0.812) to 0.815 (95% CI 0.809-0.822), and so did calibration (intercept: -0.006 to 0.003; slope: 1.063 to 0.950). All recommendations were supported by existing literature. The method also proved effective on two additional public datasets, demonstrating wider applicability. The proposed Exploratory AI Recommender demonstrates the potential of explainable AI and data-driven study design to improve the process of developing, and the performance of high-dimensional transparent predictive models.