Evaluating the Preferences and Tradeoffs of AI-based Electronic Consultations for Older Adults in Primary Care
Evaluating the Safety and Appropriateness of AI-based E-Consults for Older Adults in Primary Care
Electronic consultations, or e-consults, let a primary care doctor request medical advice from a specialist without requiring the patient to attend a separate visit. Artificial intelligence (AI) systems may be able to provide this type of advice, potentially making e-consults faster and less costly. However, whether AI-based e-consults are acceptable may depend on how patients and clinicians weigh factors such as who provides the advice, how quickly it is received, its cost, and its quality.
The purpose of this study is to examine how older adult patients and primary care clinicians weigh these factors when comparing e-consults produced by a human specialist with those produced by an AI system. In the study, participants will complete a one-time survey in which they compare sets of two hypothetical e-consults. Each e-consult will include a different combination of features, such as whether the advice comes from a human or AI, the expected wait time, the cost, and the quality of the advice. This study will estimate how much patients and clinicians value each feature in an e-consult. The findings will inform the potential future AI e-consults, so they better reflect patient and clinician preferences.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Nicholas Bishop
- Telefonnummer: 215-573-0779
- E-post: nicholas.bishop@pennmedicine.upenn.edu
Studieorter
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Förenta staterna, 19104
- Rekrytering
- University of Pennsylvania
-
Kontakt:
- Nicholas Bishop
- Telefonnummer: 215-573-0779
- E-post: nicholas.bishop@pennmedicine.upenn.edu
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
PATIENTS:
Inclusion Criteria:
- Adult, 65 years of age or older
- Had at least two office visits at Penn Medicine in the past 12 months
- Has an upcoming appointment in a Penn Medicine primary care setting, including family medicine, internal medicine, and geriatric medicine
Exclusion Criteria:
- Documented Alzheimer's, dementia, or related condition
CLINICIANS:
Inclusion Criteria:
- Adult, 18 years of age or older
- Works at Penn Medicine as one of the following: physician, nurse practitioner, or physician's assistant
- Works in a primary care Penn Medicine setting including: family medicine, internal medicine, geriatrics medicine
Exclusion Criteria:
- Actively in medical school, internship, or residency
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Electronic Consultation Systems
Participants will review 2 different e-consult systems, which will differ in terms of quality, cost, wait time, and source of the e-consult.
Participants will then indicate a preference for 1 e-consult system in each set.
|
Participants will review these e-consults systems via a one-time survey lasting about 15 minutes.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Preferences and Tradeoffs of Attributes of Electronic Consults
Tidsram: From enrollment to the end of the survey, approximately 15 minutes
|
Participants will review 12 sets comparing 2 hypothetical e-consults.
Each e-consult is defined by five attributes: the source (i.e., AI vs. human), wait time, cost, and quality of the e-consult, as well as, whether follow-up questions can be asked.
For each set, the outcome is the participant's selection of one e-consult over the other.
We will analyze the results of the discrete choice experiment using mixed-effects logistic regression adjusted for each attribute value with crossed random effects (intercepts) for participant and task.
|
From enrollment to the end of the survey, approximately 15 minutes
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Health Numeracy Measured by the Short Numeracy Understanding in Medicine Instrument
Tidsram: From enrollment to the end of the survey, approximately 15 minutes
|
Health numeracy will be measured using the 8-item Short Numeracy Understanding in Medicine instrument (S-NUMi).
Each correct response contributes one point to the total score.
Total scores range from 0 to 8, with higher scores indicating greater health numeracy.
|
From enrollment to the end of the survey, approximately 15 minutes
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- 26-5862
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .