The Impact of Information Relevancy and Interactivity on Intensivists' Trust in a Machine Learning-Based Bacteremia Prediction System: Simulation Study.

AI ML artificial intelligence automation clinical decision support decision making decision support decision support system decision support systems digitization digitization of information human-ML human-ML interaction human-ML interactions human-automation interaction human-automation interactions human-computer interaction human-computer interactions machine learning machine learning algorithm machine learning algorithms trust in automation user interface user-interface design user-interface designs

Journal

JMIR human factors
ISSN: 2292-9495
Titre abrégé: JMIR Hum Factors
Pays: Canada
ID NLM: 101666561

Informations de publication

Date de publication:
01 Aug 2024
Historique:
received: 30 01 2024
revised: 09 05 2024
accepted: 24 05 2024
medline: 2 8 2024
pubmed: 2 8 2024
entrez: 2 8 2024
Statut: epublish

Résumé

The exponential growth in computing power and the increasing digitization of information have substantially advanced the machine learning (ML) research field. However, ML algorithms are often considered "black boxes," and this fosters distrust. In medical domains, in which mistakes can result in fatal outcomes, practitioners may be especially reluctant to trust ML algorithms. The aim of this study is to explore the effect of user-interface design features on intensivists' trust in an ML-based clinical decision support system. A total of 47 physicians from critical care specialties were presented with 3 patient cases of bacteremia in the setting of an ML-based simulation system. Three conditions of the simulation were tested according to combinations of information relevancy and interactivity. Participants' trust in the system was assessed by their agreement with the system's prediction and a postexperiment questionnaire. Linear regression models were applied to measure the effects. Participants' agreement with the system's prediction did not differ according to the experimental conditions. However, in the postexperiment questionnaire, higher information relevancy ratings and interactivity ratings were associated with higher perceived trust in the system (P<.001 for both). The explicit visual presentation of the features of the ML algorithm on the user interface resulted in lower trust among the participants (P=.05). Information relevancy and interactivity features should be considered in the design of the user interface of ML-based clinical decision support systems to enhance intensivists' trust. This study sheds light on the connection between information relevancy, interactivity, and trust in human-ML interaction, specifically in the intensive care unit environment.

Sections du résumé

Background UNASSIGNED
The exponential growth in computing power and the increasing digitization of information have substantially advanced the machine learning (ML) research field. However, ML algorithms are often considered "black boxes," and this fosters distrust. In medical domains, in which mistakes can result in fatal outcomes, practitioners may be especially reluctant to trust ML algorithms.
Objective UNASSIGNED
The aim of this study is to explore the effect of user-interface design features on intensivists' trust in an ML-based clinical decision support system.
Methods UNASSIGNED
A total of 47 physicians from critical care specialties were presented with 3 patient cases of bacteremia in the setting of an ML-based simulation system. Three conditions of the simulation were tested according to combinations of information relevancy and interactivity. Participants' trust in the system was assessed by their agreement with the system's prediction and a postexperiment questionnaire. Linear regression models were applied to measure the effects.
Results UNASSIGNED
Participants' agreement with the system's prediction did not differ according to the experimental conditions. However, in the postexperiment questionnaire, higher information relevancy ratings and interactivity ratings were associated with higher perceived trust in the system (P<.001 for both). The explicit visual presentation of the features of the ML algorithm on the user interface resulted in lower trust among the participants (P=.05).
Conclusions UNASSIGNED
Information relevancy and interactivity features should be considered in the design of the user interface of ML-based clinical decision support systems to enhance intensivists' trust. This study sheds light on the connection between information relevancy, interactivity, and trust in human-ML interaction, specifically in the intensive care unit environment.

Identifiants

pubmed: 39092520
pii: v11i1e56924
doi: 10.2196/56924
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e56924

Informations de copyright

© Omer Katzburg, Michael Roimi, Amit Frenkel, Roy Ilan, Yuval Bitan. Originally published in JMIR Human Factors (https://humanfactors.jmir.org).

Auteurs

Omer Katzburg (O)

Department of Health Policy and Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

Michael Roimi (M)

General Intensive Care Unit, Rambam Medical Center, Haifa, Israel.

Amit Frenkel (A)

General Intensive Care Unit, Soroka Medical Center, Be'er Sheva, Israel.

Roy Ilan (R)

General Intensive Care Unit, Rambam Medical Center, Haifa, Israel.

Yuval Bitan (Y)

Department of Health Policy and Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

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