Large Language Model (LLM) agents deployed for real-world tasks face a fundamental dilemma: user requests are underspecified, yet agents must decide whether to act on incomplete information or interrupt users for clarification. Existing approaches either rely on brittle confidence thresholds that require task-specific tuning, or fail to account for the varying stakes of different decisions. We introduce a decision-theoretic framework that resolves this trade-off through the Value of Information (VoI), enabling agents to dynamically weigh the expected utility gain from asking questions against the cognitive cost imposed on users. Our inference-time method requires no hyperparameter tuning and adapts seamlessly across contexts—from casual games to medical diagnosis. Experiments across four diverse domains (20 Questions, medical diagnosis, flight booking, and e-commerce) show that VoI consistently matches or exceeds the best manually-tuned baselines, achieving up to 1.36 utility points higher in high-cost settings. This work provides a parameter-free framework for adaptive agent communication that explicitly balances task risk, query ambiguity, and user effort.

Creating spoken dialogue datasets is methodologically challenging, and these challenges are amplified when the goal is to build multilingual, multi-parallel datasets at scale. This work introduces HEALTHDIAL, a large-scale, multilingual, and multi-parallel dataset for developing and evaluating retrieval-augmented generation (RAG)–based spoken dialogue systems. The dataset comprises 6,000 information-seeking dialogues (1,500 per language) grounded in trusted content from the World Health Organization (WHO) and 163 hours of user speech recorded from native speakers of diverse dialects across four official WHO languages: Arabic, Chinese, English, and Spanish. Each speaker is annotated with demographic (e.g., gender, age) and sociolinguistic (e.g., primary language, region of origin) variables. We report benchmark results across key dialogue tasks, which reveal consistent performance disparities across languages, even among high-resource ones. To support future research, we release the dataset, a prototype system, and a toolkit for data collection and system evaluation.