Explainable AI in Medical Education: CerViD-MultiModal Framework Trial (CerViD-MM)

July 29, 2026 updated by: Prince L. Fully, University of Liberia

Explainable Artificial Intelligence (XAI) in Medical Education: A Multi-Modal Framework for Enhancing Human-AI Collaboration

This study evaluates whether Explainable Artificial Intelligence (XAI) explanations integrated into medical training improve AI literacy, reduce cognitive workload, and enhance learner trust compared to traditional lecture methods. Third-year medical students participated in a randomized controlled trial assessing the CerViD-MultiModal diagnostic framework during a neuroimaging diagnostic module focused on fornix atrophy in early and late mild cognitive impairment

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

The study utilized a two-phase sequential explanatory design with mixed methodologies. In Phase 1 (Technical Development), the CerViD-MultiModal model was developed and validated using neuroimaging data from 100 Alzheimer's Disease Neuroimaging Initiative (ADNI) subjects to classify early vs. late mild cognitive impairment via fornix morphometry features. In Phase 2 (Educational Intervention), a randomized controlled trial was conducted with 120 third-year medical students enrolled in the clinical neuroscience rotation at the University of Liberia. Participants were randomized into two equal groups (n=60 per group): Control Group: Completed a 45-minute traditional lecture module using static text and bar charts. XAI-Enhanced Group: Completed an interactive 45-minute module featuring SHAP summary charts, LIME patient-specific explanations, and interactive force graphs. Post-intervention electronic assessments evaluated four primary outcomes: AI Literacy Score (0-100 scale), System Usability Scale (SUS, 0-100 scale), perceived cognitive workload using the NASA Task Load Index (NASA-TLX, 0-100 scale), and Confidence in AI Interpretation (1-5 scale)

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
120

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Liberia
    • Montserrado County
      • Monrovia, Montserrado County, Liberia, 1000
        • University of Liberia Medical School

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  1. Enrolled as a third-year medical student in the clinical neuroscience rotation at the University of Liberia.
  2. Willing and able to complete the 45-minute educational module and post-intervention evaluations.
  3. Provided informed consent to participate in the study.

Exclusion Criteria:

  1. Prior formal coursework, professional training, or specialized technical degree in artificial intelligence, machine learning, or computer science.
  2. Inability to complete the post-intervention assessment.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Active Comparator: Control Group
Participants complete a 45-minute traditional lecture module on AI in neuroimaging using static text and bar charts
Other: Traditional AI Lecture Module
Standard educational instruction delivered via traditional slides and static charts explaining neuroimaging AI outputs.
Experimental: XAI-Enhanced Group
Participants complete an interactive 45-minute lecture module supplemented with CerViD-MultiModal visual XAI explanations (SHAP summary charts and LIME patient-specific explanations
Other: XAI-Enhanced Interactive Module (CerViD-MultiModal)
Standard educational instruction delivered via traditional slides and static charts explaining neuroimaging AI outputs.
Other Names:
  • CerViD-MultiModal Framework
  • SHAP and LIME Educational Module

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
AI Literacy Score
Time Frame: Immediately post-intervention (Day 1)
Continuous score (0-100 scale) measuring conceptual knowledge, practical application, ethical awareness, and critical evaluation of AI systems in medicine
Immediately post-intervention (Day 1)
System Usability Scale (SUS) Score
Time Frame: Immediately post-intervention (Day 1)
Standardized 10-item scale assessing user perception of system usability, converted to a 0-100 overall score
Immediately post-intervention (Day 1)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University of Liberia

Collaborators

Collaborators

An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.
National Institute on Aging (NIA)

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Lundberg SM, Lee SI. A unified approach to interpreting model predictions. Advances in Neural Information Processing Systems (NeurIPS). 2017;30:4765-4774.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
May 30, 2026

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
May 30, 2026

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
June 15, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
July 29, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 29, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
August 4, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
August 4, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 29, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • UL-IRB-2026-XAI-MED
  • U01AG024904 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

De-identified individual participant data collected during the study, including post-intervention assessment scores for AI literacy, System Usability Scale (SUS) ratings, NASA Task Load Index (NASA-TLX) workload metrics, and confidence scores, will be made available upon reasonable request. All direct and indirect identifiers will be removed prior to data sharing to preserve participant privacy.

IPD Sharing Time Frame

De-identified individual participant data and supporting documents will become available within 6 months following publication of the study results in a peer-reviewed journal and will remain accessible for up to 3 years.

IPD Sharing Access Criteria

Data and supporting materials will be shared with qualified academic researchers and clinical educators whose formal proposal has been approved by the research team. Access is granted solely for scientific research and meta-analytic purposes. Requests should be submitted via email directly to the Principal Investigator.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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