Proceedings chapter
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English

Mixing Expert Knowledge with LLM to Improve Dialogue in Serious Games for Anorexia Caregivers: A Feasibility Study

Presented at35th Medical Informatics Europe Conference, Glasgow, Scotland, UK, 19-21 May 2025
Published inAndikopoulou, E., Gallos, P., Arvanitis, T. N., Austin, R., Benis, A., Cornet, R., Chatzistergos, P., Dejaco, A., Dusseljee-Peute, L., Mohasseb, A., Natsiavas, P., Nakkas, H. & Scott, P. (Ed.), Intelligent Health Systems – From Technology to Data and Knowledge. Proceedings of MIE 2025
PublisherAmsterdam : Sage
Collection
  • Studies in Health Technology and Informatics; 327
Publication date2025-05-15
First online date2025
Abstract

Anorexia Nervosa (AN) is a severe eating disorder requiring interventions that effectively involve the entire family. Family-Based Therapy (FBT) has shown promise, yet traditional training methods for caregivers can be time-consuming and challenging. We present a serious game leveraging large language models (LLMs) that generate realistic, scenario-based dialogues between caregivers and teens with AN, offering a safe space to practice supportive communication strategies. To enhance the credibility and therapeutic relevance of these generated dialogues, we utilize a few-shot learning approach informed by domain expert feedback, enabling the model to produce contextually accurate and empathetic exchanges. By iteratively refining the system prompt with expert-validated examples, we substantially improve dialogue authenticity without the need for extensive model retraining. This approach provides a scalable, flexible solution that can be adapted to various therapeutic scenarios, ultimately broadening the reach and efficacy of digital health interventions.

Keywords
  • Anorexia nervosa
  • Carer
  • Narrative
  • Serious game
  • Video game
Citation (ISO format)
DE MASI, Alexandre et al. Mixing Expert Knowledge with LLM to Improve Dialogue in Serious Games for Anorexia Caregivers: A Feasibility Study. In: Intelligent Health Systems – From Technology to Data and Knowledge. Proceedings of MIE 2025. Andikopoulou, E., Gallos, P., Arvanitis, T. N., Austin, R., Benis, A., Cornet, R., Chatzistergos, P., Dejaco, A., Dusseljee-Peute, L., Mohasseb, A., Natsiavas, P., Nakkas, H. & Scott, P. (Ed.). Glasgow, Scotland, UK. Amsterdam : Sage, 2025. (Studies in Health Technology and Informatics) doi: 10.3233/SHTI250500
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Additional URL for this publicationhttps://ebooks.iospress.nl/doi/10.3233/SHTI250500
ISBN9781643685960
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Technical informations

Creation12/08/2026 08:22:23
First validation17/08/2026 09:43:40
Update17/08/2026 09:43:40
Status update17/08/2026 09:43:40
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