{"id":"https://openalex.org/W2132528460","doi":"https://doi.org/10.1518/001872006776412306","title":"The Potential of Training to Increase Acceptance and Use of Computerized Decision Support Systems for Medical Diagnosis","display_name":"The Potential of Training to Increase Acceptance and Use of Computerized Decision Support Systems for Medical Diagnosis","publication_year":2006,"publication_date":"2006-03-01","ids":{"openalex":"https://openalex.org/W2132528460","doi":"https://doi.org/10.1518/001872006776412306","mag":"2132528460","pmid":"https://pubmed.ncbi.nlm.nih.gov/16696260"},"language":"en","primary_location":{"id":"doi:10.1518/001872006776412306","is_oa":false,"landing_page_url":"https://doi.org/10.1518/001872006776412306","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"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/A5017791963","display_name":"Fuji Lai","orcid":null},"institutions":[{"id":"https://openalex.org/I4210118379","display_name":"Aptima (United States)","ror":"https://ror.org/02js2n445","country_code":"US","type":"company","lineage":["https://openalex.org/I4210118379"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fuji Lai","raw_affiliation_strings":["Aptima Woburn, Massachusetts","Aptima, Inc., 12 Gill St., Suite 1400, Woburn, MA 01801, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aptima Woburn, Massachusetts","institution_ids":["https://openalex.org/I4210118379"]},{"raw_affiliation_string":"Aptima, Inc., 12 Gill St., Suite 1400, Woburn, MA 01801, USA","institution_ids":["https://openalex.org/I4210118379"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061479513","display_name":"Jean MacMillan","orcid":null},"institutions":[{"id":"https://openalex.org/I4210118379","display_name":"Aptima (United States)","ror":"https://ror.org/02js2n445","country_code":"US","type":"company","lineage":["https://openalex.org/I4210118379"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jean Macmillan","raw_affiliation_strings":["Aptima Woburn, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aptima Woburn, Massachusetts","institution_ids":["https://openalex.org/I4210118379"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069349999","display_name":"Denise H. Daudelin","orcid":"https://orcid.org/0000-0002-6758-7753"},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Denise H. Daudelin","raw_affiliation_strings":["Tufts-New England Medical Center, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts-New England Medical Center, Boston, Massachusetts","institution_ids":["https://openalex.org/I1290900354"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006559598","display_name":"David M. Kent","orcid":"https://orcid.org/0000-0002-9205-5070"},"institutions":[{"id":"https://openalex.org/I1290900354","display_name":"Tufts Medical Center","ror":"https://ror.org/002hsbm82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1290900354"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David M. Kent","raw_affiliation_strings":["Tufts-New England Medical Center, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts-New England Medical Center, Boston, Massachusetts","institution_ids":["https://openalex.org/I1290900354"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0319,"has_fulltext":false,"cited_by_count":46,"citation_normalized_percentile":{"value":0.77923497,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"48","issue":"1","first_page":"95","last_page":"108"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.8040000200271606,"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":0.8040000200271606,"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":0.039000000804662704,"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":0.022700000554323196,"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/decision-support-system","display_name":"Decision support system","score":0.7114162445068359},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.5604610443115234},{"id":"https://openalex.org/keywords/probabilistic-logic","display_name":"Probabilistic logic","score":0.4961572587490082},{"id":"https://openalex.org/keywords/decision-aids","display_name":"Decision aids","score":0.474003404378891},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4603542983531952},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.44536226987838745},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.35945022106170654},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3523099422454834},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.3487634062767029},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.3438459038734436},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.14786949753761292},{"id":"https://openalex.org/keywords/alternative-medicine","display_name":"Alternative medicine","score":0.11203873157501221}],"concepts":[{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.7114162445068359},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5604610443115234},{"id":"https://openalex.org/C49937458","wikidata":"https://www.wikidata.org/wiki/Q2599292","display_name":"Probabilistic logic","level":2,"score":0.4961572587490082},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.474003404378891},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4603542983531952},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.44536226987838745},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.35945022106170654},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3523099422454834},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.3487634062767029},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3438459038734436},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.14786949753761292},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.11203873157501221},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007318","descriptor_name":"Inservice Training","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007318","descriptor_name":"Inservice Training","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007318","descriptor_name":"Inservice Training","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017202","descriptor_name":"Myocardial Ischemia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D017202","descriptor_name":"Myocardial Ischemia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D017202","descriptor_name":"Myocardial Ischemia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1518/001872006776412306","is_oa":false,"landing_page_url":"https://doi.org/10.1518/001872006776412306","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},{"id":"pmid:16696260","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16696260","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human factors","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.699999988079071,"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16"}],"awards":[{"id":"https://openalex.org/G5362121922","display_name":null,"funder_award_id":"290-01-0009","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"},{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W20973008","https://openalex.org/W149702705","https://openalex.org/W1492868717","https://openalex.org/W1589728983","https://openalex.org/W1595562707","https://openalex.org/W1651701101","https://openalex.org/W1978271112","https://openalex.org/W1991600719","https://openalex.org/W2001960014","https://openalex.org/W2024641550","https://openalex.org/W2039173155","https://openalex.org/W2039862980","https://openalex.org/W2051171361","https://openalex.org/W2051223036","https://openalex.org/W2078526464","https://openalex.org/W2101944379","https://openalex.org/W2113491058","https://openalex.org/W2121839893","https://openalex.org/W2124446150","https://openalex.org/W2201891008","https://openalex.org/W2280299568","https://openalex.org/W2316990564","https://openalex.org/W2324270661","https://openalex.org/W2798513298","https://openalex.org/W4255411484"],"related_works":["https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2338117633","https://openalex.org/W2112831187","https://openalex.org/W2122149485","https://openalex.org/W4232131108","https://openalex.org/W2128124510"],"abstract_inverted_index":{"OBJECTIVE:":[0],"The":[1,64,181],"goals":[2],"of":[3,15,24,80,97,119,144,154,183,202,218,239,249],"this":[4,184],"study":[5,65,135,185],"were":[6,128],"to":[7,20,28,31,99,121,141,197,220,225,231,236],"understand":[8],"the":[9,12,22,38,78,92,101,109,114,123,142,170,213,216],"reasons":[10],"underlying":[11],"limited":[13,59],"use":[14,100,122,143,201,226],"medical":[16,207,244],"decision-support":[17,35],"tools":[18,36,148,205,242],"and":[19,50,61,76,87,105,200,228,235],"explore":[21],"potential":[23,191,214],"a":[25,67,138,160,190,193],"computer-based":[26],"tutorial":[27,72,82,93,115,196],"mitigate":[29],"barriers":[30],"use.":[32,62],"BACKGROUND:":[33],"Medical":[34],"such":[37],"Acute":[39],"Cardiac":[40],"Ischemia":[41],"Time-Insensitive":[42],"Predictive":[43],"Instrument":[44],"(ACI-TIPI)":[45],"have":[46,57,212],"demonstrated":[47],"statistical":[48,145,227],"validity":[49],"clinical":[51],"impact":[52],"for":[53,125,149,192,206,215,247],"patient":[54,150,250],"safety":[55],"but":[56],"seen":[58],"adoption":[60],"METHODS:":[63],"developed":[66],"brief":[68,195],"Web-based":[69],"\"demystifying\"":[70],"ACI-TIPI":[71,102],"employing":[73],"case-based":[74],"training":[75,155],"evaluated":[77],"effectiveness":[79],"that":[81,116,137,174,179,187],"in":[83,108,113,158,178],"changing":[84],"self-reported":[85],"attitudes":[86],"behaviors.":[88],"RESULTS:":[89],"Clinicians":[90],"using":[91],"reported":[94],"greater":[95],"understanding":[96],"how":[98,120,224],"score":[103,124,164],"appropriately":[104],"increased":[106],"confidence":[107],"score.":[110,180],"Case":[111],"studies":[112],"provided":[117],"examples":[118],"actual":[126],"cases":[127],"rated":[129],"as":[130],"especially":[131],"helpful.":[132],"CONCLUSION:":[133],"This":[134],"suggests":[136],"primary":[139],"barrier":[140],"decision":[146,203,240,245],"support":[147,204,241],"diagnosis":[151],"is":[152,175,189],"lack":[153],"or":[156],"experience":[157],"combining":[159],"population-based":[161],"numerical":[162],"risk":[163,234],"with":[165],"other":[166],"diagnostic":[167],"information":[168,230],"about":[169],"individual":[171],"patient's":[172],"case":[173],"not":[176],"considered":[177],"results":[182],"indicate":[186],"there":[188],"relatively":[194],"increase":[198],"acceptance":[199],"diagnosis.":[208],"APPLICATION:":[209],"These":[210],"findings":[211],"identification":[217],"methods":[219],"help":[221],"clinicians":[222],"learn":[223],"probabilistic":[229],"better":[232],"assess":[233],"promote":[237],"integration":[238],"into":[243],"making":[246],"improvement":[248],"safety.":[251]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":5},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-06-24T13:16:06.693445","created_date":"2025-10-10T00:00:00"}