Not yet reviewed by Pith; the record is open.

High stakes decision-making often requires a continuous interplay between evolving evidence and shifting hypotheses, a dynamic that is not well supported by current AI decision support systems. In this paper, we introduce a mixed-initiative framework for AI assisted decision making that is grounded in the data-frame theory of sensemaking and the evaluative AI paradigm. Our approach enables both humans and AI to collaboratively construct, validate, and adapt hypotheses. We demonstrate our framework with an AI-assisted skin cancer diagnosis prototype that leverages a concept bottleneck model to facilitate interpretable interactions and dynamic updates to diagnostic hypotheses.