Health coaching helps patients achieve personalized and lifestyle-related goals, effectively managing chronic conditions and alleviating mental health issues. It is particularly beneficial, however cost-prohibitive, for low-socioeconomic status populations due to its highly personalized and labor-intensive nature. In this paper, we propose a neuro-symbolic goal summarizer to support health coaches in keeping track of the goals and a text-units-text dialogue generation model that converses with patients and helps them create and accomplish specific goals for physical activities. Our models outperform previous state-of-the-art while eliminating the need for predefined schema and corresponding annotation. We also propose a new health coaching dataset extending previous work and a metric to measure the unconventionality of the patient’s response based on data difficulty, facilitating potential coach alerts during deployment.

Health coaching helps patients identify and accomplish lifestyle-related goals, effectively improving the control of chronic diseases and mitigating mental health conditions. However, health coaching is cost-prohibitive due to its highly personalized and labor-intensive nature. In this paper, we propose to build a dialogue system that converses with the patients, helps them create and accomplish specific goals, and can address their emotions with empathy. However, building such a system is challenging since real-world health coaching datasets are limited and empathy is subtle. Thus, we propose a modularized health coaching dialogue with simplified NLU and NLG frameworks combined with mechanism-conditioned empathetic response generation. Through automatic and human evaluation, we show that our system generates more empathetic, fluent, and coherent responses and outperforms the state-of-the-art in NLU tasks while requiring less annotation. We view our approach as a key step towards building automated and more accessible health coaching systems.