{"id":"https://openalex.org/W7138830238","doi":"https://doi.org/10.1016/j.compedu.2026.105619","title":"Innovating diagnostic learning: How generative AI explanation styles influence cognitive load and confidence calibration in medical students","display_name":"Innovating diagnostic learning: How generative AI explanation styles influence cognitive load and confidence calibration in medical students","publication_year":2026,"publication_date":"2026-03-19","ids":{"openalex":"https://openalex.org/W7138830238","doi":"https://doi.org/10.1016/j.compedu.2026.105619"},"language":"en","primary_location":{"id":"doi:10.1016/j.compedu.2026.105619","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.compedu.2026.105619","pdf_url":null,"source":{"id":"https://openalex.org/S4210172634","display_name":"Computers & Education","issn_l":"0360-1315","issn":["0360-1315","1873-782X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Computers &amp; Education","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102903978","display_name":"Fang Tang","orcid":"https://orcid.org/0009-0006-1470-1299"},"institutions":[{"id":"https://openalex.org/I170215575","display_name":"National University of Defense Technology","ror":"https://ror.org/05d2yfz11","country_code":"CN","type":"education","lineage":["https://openalex.org/I170215575"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fang Tang","raw_affiliation_strings":["College of Systems Engineering, National University of Defense Technology, Changsha, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Systems Engineering, National University of Defense Technology, Changsha, China","institution_ids":["https://openalex.org/I170215575"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100381169","display_name":"Feng Yao","orcid":"https://orcid.org/0000-0002-8837-6533"},"institutions":[{"id":"https://openalex.org/I170215575","display_name":"National University of Defense Technology","ror":"https://ror.org/05d2yfz11","country_code":"CN","type":"education","lineage":["https://openalex.org/I170215575"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Feng Yao","raw_affiliation_strings":["College of Systems Engineering, National University of Defense Technology, Changsha, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Systems Engineering, National University of Defense Technology, Changsha, China","institution_ids":["https://openalex.org/I170215575"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102817482","display_name":"Maosong Zhou","orcid":"https://orcid.org/0000-0002-6111-1228"},"institutions":[{"id":"https://openalex.org/I139660479","display_name":"Central South University","ror":"https://ror.org/00f1zfq44","country_code":"CN","type":"education","lineage":["https://openalex.org/I139660479"]},{"id":"https://openalex.org/I4210159865","display_name":"Xiangya Hospital Central South University","ror":"https://ror.org/05c1yfj14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159865"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Minghe Zhou","raw_affiliation_strings":["The second Xiangya Hospital, Central South University, Changsha, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The second Xiangya Hospital, Central South University, Changsha, China","institution_ids":["https://openalex.org/I4210159865","https://openalex.org/I139660479"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5102817482"],"corresponding_institution_ids":["https://openalex.org/I139660479","https://openalex.org/I4210159865"],"apc_list":{"value":4220,"currency":"USD","value_usd":4220},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.3590604,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"249","issue":null,"first_page":"105619","last_page":"105619"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.753600001335144,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.753600001335144,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.13979999721050262,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12026","display_name":"Explainable Artificial Intelligence (XAI)","score":0.06669999659061432,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.6169999837875366},{"id":"https://openalex.org/keywords/generative-grammar","display_name":"Generative grammar","score":0.5906999707221985},{"id":"https://openalex.org/keywords/randomized-controlled-trial","display_name":"Randomized controlled trial","score":0.5665000081062317},{"id":"https://openalex.org/keywords/cognitive-load","display_name":"Cognitive load","score":0.5503000020980835},{"id":"https://openalex.org/keywords/cognitive-style","display_name":"Cognitive style","score":0.44600000977516174},{"id":"https://openalex.org/keywords/generative-model","display_name":"Generative model","score":0.38920000195503235},{"id":"https://openalex.org/keywords/style","display_name":"Style (visual arts)","score":0.3425999879837036}],"concepts":[{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.6169999837875366},{"id":"https://openalex.org/C39890363","wikidata":"https://www.wikidata.org/wiki/Q36108","display_name":"Generative grammar","level":2,"score":0.5906999707221985},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5665000081062317},{"id":"https://openalex.org/C61641136","wikidata":"https://www.wikidata.org/wiki/Q1107019","display_name":"Cognitive load","level":3,"score":0.5503000020980835},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.5221999883651733},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.478300005197525},{"id":"https://openalex.org/C150681269","wikidata":"https://www.wikidata.org/wiki/Q2380771","display_name":"Cognitive style","level":3,"score":0.44600000977516174},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.41019999980926514},{"id":"https://openalex.org/C167966045","wikidata":"https://www.wikidata.org/wiki/Q5532625","display_name":"Generative model","level":3,"score":0.38920000195503235},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.38530001044273376},{"id":"https://openalex.org/C2776445246","wikidata":"https://www.wikidata.org/wiki/Q1792644","display_name":"Style (visual arts)","level":2,"score":0.3425999879837036},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3140999972820282},{"id":"https://openalex.org/C165838908","wikidata":"https://www.wikidata.org/wiki/Q736777","display_name":"Calibration","level":2,"score":0.3122999966144562},{"id":"https://openalex.org/C118147538","wikidata":"https://www.wikidata.org/wiki/Q1126970","display_name":"Metacognition","level":3,"score":0.29989999532699585},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.2912999987602234},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.2754000127315521},{"id":"https://openalex.org/C107524782","wikidata":"https://www.wikidata.org/wiki/Q40164","display_name":"Lever","level":2,"score":0.27459999918937683},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.26899999380111694}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.compedu.2026.105619","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.compedu.2026.105619","pdf_url":null,"source":{"id":"https://openalex.org/S4210172634","display_name":"Computers & Education","issn_l":"0360-1315","issn":["0360-1315","1873-782X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Computers &amp; Education","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.49641820788383484}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":38,"referenced_works":["https://openalex.org/W1980216664","https://openalex.org/W1996986259","https://openalex.org/W2029342902","https://openalex.org/W2033266691","https://openalex.org/W2081811286","https://openalex.org/W2087484885","https://openalex.org/W2136692330","https://openalex.org/W2470746831","https://openalex.org/W2555063473","https://openalex.org/W2561237330","https://openalex.org/W2905810301","https://openalex.org/W2908201961","https://openalex.org/W2966192018","https://openalex.org/W2969818771","https://openalex.org/W3007464329","https://openalex.org/W3036298167","https://openalex.org/W3082837871","https://openalex.org/W3121705224","https://openalex.org/W3126897851","https://openalex.org/W3130937151","https://openalex.org/W3197587259","https://openalex.org/W4206636637","https://openalex.org/W4213102454","https://openalex.org/W4243777652","https://openalex.org/W4246493634","https://openalex.org/W4306147307","https://openalex.org/W4319460877","https://openalex.org/W4366280062","https://openalex.org/W4379793093","https://openalex.org/W4386046405","https://openalex.org/W4389918297","https://openalex.org/W4391114251","https://openalex.org/W4398241625","https://openalex.org/W4402597673","https://openalex.org/W4404977000","https://openalex.org/W4408362663","https://openalex.org/W4410999357","https://openalex.org/W7130733492"],"related_works":[],"abstract_inverted_index":null,"counts_by_year":[],"updated_date":"2026-06-15T08:34:33.830935","created_date":"2026-03-20T00:00:00"}
