患者和护理人员对向晚期实体瘤患者传达基于人工智能的预后的界面设计的看法。

IF 3.3 Q2 ONCOLOGY
Elizabeth A. Sloss, Jordan P. McPherson, Anna C Beck, Jia-Wen Guo, Carolyn H. Scheese, Naomi R Flake, George Chalkidis, C. Staes
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引用次数: 0

摘要

目的人工智能(AI)在癌症治疗中的应用日益增多。目前尚不清楚的是,如何才能最好地设计面向患者的系统,以传达人工智能的输出结果。根据肿瘤学家的意见,我们设计了一个界面,提供基于机器学习的患者特异性 6 个月生存预后信息,旨在帮助肿瘤医疗人员做好准备,并与晚期实体瘤患者及其护理人员讨论预后。本研究的主要目的是评估患者和护理人员的看法,并确定界面的改进措施,以便在做出抗癌和支持疗法的治疗决定时,传达 6 个月生存期和其他预后信息。方法本定性研究包括 2022 年 11 月至 12 月期间进行的访谈和焦点小组讨论。研究采用了有目的的抽样方法,从犹他州或美国其他地区招募曾参与癌症治疗决策的癌症患者和/或癌症患者的前护理人员。结果我们在八次个人访谈和两次焦点小组中收到了 20 位参与者的反馈,其中包括四位癌症幸存者、13 位照顾者和三位两者都有的代表。总体而言,大多数参与者都对该工具表示了积极的看法,并认为它在支持决策、减少孤独感以及支持肿瘤专家、患者及其护理人员之间的交流方面具有重要价值。参与者指出了需要改进的地方和实施时需要考虑的问题,尤其是肿瘤学家应该与希望接收信息的患者分享该工具并引导他们讨论预后问题。该界面最初是根据肿瘤科医生的意见设计的,患者和护理人员参与者提出了更多的界面设计建议和实施注意事项,以支持有关预后的交流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient and Caregiver Perceptions of an Interface Design to Communicate Artificial Intelligence-Based Prognosis for Patients With Advanced Solid Tumors.
PURPOSE Use of artificial intelligence (AI) in cancer care is increasing. What remains unclear is how best to design patient-facing systems that communicate AI output. With oncologist input, we designed an interface that presents patient-specific, machine learning-based 6-month survival prognosis information designed to aid oncology providers in preparing for and discussing prognosis with patients with advanced solid tumors and their caregivers. The primary purpose of this study was to assess patient and caregiver perceptions and identify enhancements of the interface for communicating 6-month survival and other prognosis information when making treatment decisions concerning anticancer and supportive therapy. METHODS This qualitative study included interviews and focus groups conducted between November and December 2022. Purposive sampling was used to recruit former patients with cancer and/or former caregivers of patients with cancer who had participated in cancer treatment decisions from Utah or elsewhere in the United States. Categories and themes related to perceptions of the interface were identified. RESULTS We received feedback from 20 participants during eight individual interviews and two focus groups, including four cancer survivors, 13 caregivers, and three representing both. Overall, most participants expressed positive perceptions about the tool and identified its value for supporting decision making, feeling less alone, and supporting communication among oncologists, patients, and their caregivers. Participants identified areas for improvement and implementation considerations, particularly that oncologists should share the tool and guide discussions about prognosis with patients who want to receive the information. CONCLUSION This study revealed important patient and caregiver perceptions of and enhancements for the proposed interface. Originally designed with input from oncology providers, patient and caregiver participants identified additional interface design recommendations and implementation considerations to support communication about prognosis.
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来源期刊
CiteScore
6.20
自引率
4.80%
发文量
190
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