ヘルスケアにおける人工知能ベースのコンピューター知覚ツールの信頼性に関するステークホルダーの基準:質的インタビュー調査
Ansh Rai1, Meghan E Hurley1, John Herrington2
1Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, United States.
Journal of medical Internet research
|December 12, 2025
まとめ
メンタルヘルスにおけるコンピューター知覚(CP)技術への信頼は、パフォーマンス以上のものに依存します。信念との整合性や専門家による推薦などの要因は、ステークホルダーの信頼に大きく影響し、潜在的なバイアスを浮き彫りにします。
科学分野:
- デジタルメンタルヘルス。ヒューマンコンピュータインタラクション。臨床情報学。
背景:
- コンピューター知覚(CP)技術は、メンタルヘルスの洞察のためにパッシブセンシングデータを分析します。
- CPのヘルスケアへの実装は、ステークホルダーの信頼の確立にかかっています。
研究 の 目的:
- 青年、介護者、臨床医、開発者の間でCP技術の信頼要因を調査します。
- ヘルスケア設定でCPツールが信頼できると見なされる条件を特定します。
主な方法:
- 多様なステークホルダーグループ(青年、介護者、臨床医、開発者)との80回の半構造化インタビューを実施しました。
- 質的データの解釈のために多段階の誘導的テーマコンテンツ分析を利用しました。
主要な成果:
- 認識論的整合性、実証された厳密性、説明可能性、複雑性への感度、および非代替的役割という5つの信頼の前提条件を特定しました。
- 認識論的整合性(信念との出力の一貫性)は、支配的でありながら潜在的に偏った信頼要因として浮上しました。
- 推薦による関係的信頼が観察されましたが、検証なしの誤った信頼の懸念が生じます。
結論:
- AIベースのCP技術への信頼は、認知ヒューリスティック、社会的要因、および認識論的整合性によって形成され、技術的パフォーマンスのみによって形成されるわけではありません。
- バイアスを軽減し、批判的評価を確実にするために、検証/監視のための制度的枠組みと臨床医のトレーニングを推奨します。
- 倫理的かつ効果的なCPのメンタルヘルスケアへの統合のために、実際のシステム容量に向けた信頼の再調整が不可欠です。
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