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Physiological and Semantic Patterns in Medical Teams Using an Intelligent Tutoring System

arXiv:2603.29950v1 Announce Type: new Abstract: Effective collaboration requires teams to manage complex cognitive and emotional states through Socially Shared Regulation of Learning (SSRL). Physiological synchrony (i.e., longitudinal alignment in physiological signals) can indicate these states, but is hard to interpret on its own. We investigate the physiological and conversational dynamics of four medical dyads diagnosing a virtual patient case using an intelligent tutoring system. Semantic shifts in dialogue were correlated with transient physiological synchrony peaks. We also coded utterance segments for SSRL and derived cosine similarity using sentence embeddings. The results showed that activating prior knowledge featured significantly lower semantic similarity than simpler task execution. High physiological synchrony was associated with lower semantic similarity, suggesting that such moments involve exploratory and varied language use. Qualitative analysis triangulated these synchrony peaks as ``pivotal moments'': successful teams synchronized during shared discovery, while unsuccessful teams peaked during shared uncertainty. This research advances human-centered AI by demonstrating how biological signals can be fused with dialogues to understand critical moments in problem solving.

Evaluating a Data-Driven Redesign Process for Intelligent Tutoring Systems

arXiv:2603.29094v1 Announce Type: cross Abstract: Past research has defined a general process for the data-driven redesign of educational technologies and has shown that in carefully-selected instances, this process can help make systems more effective. In the current work, we test the generality of the approach by applying it to four units of a middle-school mathematics intelligent tutoring system that were selected not based on suitability for redesign, as in previous work, but on topic. We tested whether the redesigned system was more effective than the original in a classroom study with 123 students. Although the learning gains did not differ between the conditions, students who used the Redesigned Tutor had more productive time-on-task, a larger number of skills practiced, and greater total knowledge mastery. The findings highlight the promise of data-driven redesign even when applied to instructional units *not* selected as likely to yield improvement, as evidence of the generality and wide applicability of the method.
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