arXiv Machine Learning By Saman Khamesian, Hassan Ghasemzadeh

Peer-Grounded Counterfactual Path Planning for Chronic Health Management

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The paper introduces POROS, a framework that uses peer‑grounded counterfactual explanations to generate incremental behavioral steps for chronic disease management. POROS builds a directed acyclic graph of patient states where each edge represents a behavior change that peers have successfully achieved and that improves health outcomes. In two diabetes cohorts, POROS reduces the required improvement per step from over 25–30 percentage points to about 5–6, while most multi‑hop paths involve cross‑patient comparisons.

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