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Systematic review to understand users perspectives on AI-enabled decision aids to inform shared decision making

Lookup NU author(s): Dr Nehal HassanORCiD, Bob Slight, Kweku Bimpong, Dr Dan Weiand, Professor Graham MorganORCiD, Professor Sarah Slight

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2024.Artificial intelligence (AI)-enabled decision aids can contribute to the shared decision-making process between patients and clinicians through personalised recommendations. This systematic review aims to understand users’ perceptions on using AI-enabled decision aids to inform shared decision-making. Four databases were searched. The population, intervention, comparison, outcomes and study design tool was used to formulate eligibility criteria. Titles, abstracts and full texts were independently screened and PRISMA guidelines followed. A narrative synthesis was conducted. Twenty-six articles were included, with AI-enabled decision aids used for screening and prevention, prognosis, and treatment. Patients found the AI-enabled decision aids easy to understand and user-friendly, fostering a sense of ownership and promoting better adherence to recommended treatment. Clinicians expressed concerns about how up-to-date the information was and the potential for over- or under-treatment. Despite users’ positive perceptions, they also acknowledged certain challenges relating to the usage and risk of bias that would need to be addressed. Registration: PROSPERO database: (CRD42020220320)


Publication metadata

Author(s): Hassan N, Slight R, Bimpong K, Bates DW, Weiand D, Vellinga A, Morgan G, Slight SP

Publication type: Article

Publication status: Published

Journal: npj Digital Medicine

Year: 2024

Volume: 7

Issue: 1

Online publication date: 21/11/2024

Acceptance date: 04/11/2024

Date deposited: 16/12/2024

ISSN (electronic): 2398-6352

Publisher: Nature Research

URL: https://doi.org/10.1038/s41746-024-01326-y

DOI: 10.1038/s41746-024-01326-y

Data Access Statement: All the data generated from this review are included in the manuscript and Supplementary material.


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Funding

Funder referenceFunder name
Newcastle University Overseas Research Scholarship (NUORS)
the NIHR – HEALTH (HarnEssing Artificial intelligence to Lead Transformative Healthcare) (NIHR205190) project

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