Abstract
Augmented Intelligence (AuI) refers to the use of artificial intelligence (AI) to amplify certain cognitive tasks performed by human decision-makers. However, there are concerns that AI’s increasing capability and alignment with human values may undermine user agency, autonomy, and responsible decision-making. To address these concerns, we conducted a user study in the field of orthopedic radiology diagnosis, introducing a reflective XAI (explainable AI) support that aimed to stimulate human reflection, and we evaluated its impact of in terms of decision performance, decision confidence and perceived utility. Specifically, the reflective XAI support system prompted users to reflect on the dependability of AI-generated advice by presenting evidence both in favor of and against its recommendation. This evidence was presented via two cases that closely resembled a given base case, along with pixel attribution maps. These cases were associated with the same AI advice for the base case, but one case was accurate while the other was erroneous with respect to the ground truth. While the introduction of this support system did not significantly enhance diagnostic accuracy, it was highly valued by more experienced users. Based on the findings of this study, we advocate for further research to validate the potential of reflective XAI in fostering more informed and responsible decision-making, ultimately preserving human agency.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
This performance was set since in the previous study described above, this was found to be the average accuracy of the expert x-rays readers therein involved. Human average accuracy was then 78% (N = 16), SD 7%, median 80%, max 89%, min 67%.
References
Arnott, D., Gao, S.: Behavioral economics for decision support systems researchers. Decis. Support Syst. 122, 113063 (2019)
Baselli, G., Codari, M., Sardanelli, F.: Opening the black box of machine learning in radiology: can the proximity of annotated cases be a way? European Radiology Experimental 4, 1–7 (2020). https://doi.org/10.1186/s41747-020-00159-0
Bertrand, A., Belloum, R., Eagan, J.R., Maxwell, W.: How cognitive biases affect XAI-assisted decision-making: a systematic review. In: Proceedings of the 2022 AAAI/ACM Conference on AI, Ethics, and Society, pp. 78–91 (2022)
Bhandari, M., Reddiboina, M.: Augmented intelligence: a synergy between man and the machine. Indian J. Urol. IJU: J. Urol. Soc. India 35(2), 89 (2019)
Bhattacharya, C., et al.: An application of the Mann-Whitney “U” test. Technical report. Indian Institute of Management Ahmedabad, Research and Publication Department (1981)
Buçinca, Z., Malaya, M.B., Gajos, K.Z.: To trust or to think: cognitive forcing functions can reduce overreliance on AI in AI-assisted decision-making. Proc. ACM Hum.-Comput. Interact. 5(CSCW1), 1–21 (2021)
Byrne, R.M.: Counterfactuals in explainable artificial intelligence (XAI): evidence from human reasoning. In: IJCAI, pp. 6276–6282 (2019)
Cabitza, F., Campagner, A., Angius, R., Natali, C., Reverberi, C.: AI shall have no dominion: on how to measure technology dominance in AI-supported human decision-making. In: Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (CHI 2023). Association for Computing Machinery, New York, USA, Article 354, pp. 1–20 (2023). https://doi.org/10.1145/3544548.3581095
Cabitza, F., Campagner, A., Natali, C., Famiglini, L., Caccavella, V., Gallazzi, E.: Never tell me the odds. Investigating the concept of similarity and its use in pro-hoc explanations in radiological AI settings (2023, Submitted)
Cabitza, F.: Cobra AI: exploring some unintended consequences of our most powerful technology. In: Machines We Trust: Perspectives on Dependable AI, MIT Press (2021). ISBN 978-0262542098
Cabitza, F., et al.: Quod erat demonstrandum?-Towards a typology of the concept of explanation for the design of explainable AI. Expert Syst. Appl. 213, 118888 (2023)
Cabitza, F., et al.: Rams, hounds and white boxes: investigating human-AI collaboration protocols in medical diagnosis. Artif. Intell. Med. 138, 102506 (2023)
Cabitza, F., Campagner, A., Simone, C.: The need to move away from agential-AI: empirical investigations, useful concepts and open issues. Int. J. Hum Comput Stud. 155, 102696 (2021)
Carroll, J.: Completing design in use: closing the appropriation cycle. In: ECIS 2004 Proceedings, p. 44 (2004)
Chalmers, M.: Seamful design and ubicomp infrastructure. In: Proceedings of Ubicomp 2003 Workshop at the Crossroads: The Interaction of HCI and Systems Issues in Ubicomp, pp. 577–584 (2003)
Chen, H., Gomez, C., Huang, C.M., Unberath, M.: Explainable medical imaging AI needs human-centered design: guidelines and evidence from a systematic review. NPJ Digit. Med. 5(1), 156 (2022)
Cornelissen, N.A.J., van Eerdt, R.J.M., Schraffenberger, H.K., Haselager, W.F.G.: Reflection machines: increasing meaningful human control over Decision Support Systems. Ethics Inf. Technol. 24 (2022). Article number: 19. https://doi.org/10.1007/s10676-022-09645-y
Dai, X., Fishbach, A.: When waiting to choose increases patience. Organ. Behav. Hum. Decis. Process. 121(2), 256–266 (2013)
Delacre, M., Lakens, D., Leys, C.: Why Psychologists Should By Default Use Welch’s t-test instead of Student’s t-test. Int. Rev. Soc. Psychol. 30(1), 92–101 (2017)
Fonteyn, M.E., Kuipers, B., Grobe, S.J.: A description of think aloud method and protocol analysis. Qual. Health Res. 3(4), 430–441 (1993)
Frischmann, B., Selinger, E.: Re-Engineering Humanity. Cambridge University Press, Cambridge (2018)
Gallazzi, E., Famiglini, L., La Maida, G., Giorgi, P., Misaggi, B., Cabitza, F.: Coloured shadows: understanding the value of visual aided diagnosis through AI-generated saliency maps. In: Orthopaedic Proceedings, vol. 104. The British Editorial Society of Bone & Joint Surgery (2022)
Gray, C.M., Kou, Y., Battles, B., Hoggatt, J., Toombs, A.L.: The dark (patterns) side of UX design. In: Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems, pp. 1–14 (2018)
Gur, D., et al.: The “laboratory’’ effect: comparing radiologists’ performance and variability during prospective clinical and laboratory mammography interpretations. Radiology 249(1), 47–53 (2008)
Jaiswal, A., Arun, C.J., Varma, A.: Rebooting employees: upskilling for artificial intelligence in multinational corporations. Int. J. Hum. Resour. Manag. 33(6), 1179–1208 (2022)
Karlsen, T.K., Oppen, M.: Professional knowledge and the limits of automation in administrations. In: Göranzon, B., Josefson, I. (eds.) Knowledge, Skill and Artificial Intelligence. HCS, pp. 139–149. Springer, London (1988). https://doi.org/10.1007/978-1-4471-1632-5_13
Keane, M.: Analogical mechanisms. Artif. Intell. Rev. 2(4), 229–251 (1988). https://doi.org/10.1007/BF00138817
Kelley, K., Preacher, K.J.: On effect size. Psychol. Methods 17(2), 137 (2012)
Kenny, E.M., Ford, C., Quinn, M., Keane, M.T.: Explaining black-box classifiers using post-hoc explanations-by-example: the effect of explanations and error-rates in XAI user studies. Artif. Intell. 294, 103459 (2021)
Krug, S.: Don’t Make Me Think!: A Common Sense Approach to Web Usability. Pearson Education India (2000)
Miller, T.: Explainable AI is dead, long live explainable AI! Hypothesis-driven decision support. arXiv preprint arXiv:2302.12389 (2023)
Ohm, P., Frankle, J.: Desirable inefficiency. Fla. L. Rev. 70, 777 (2018)
Prabhudesai, S., Yang, L., Asthana, S., Huan, X., Liao, Q.V., Banovic, N.: Understanding uncertainty: how lay decision-makers perceive and interpret uncertainty in human-AI decision making. In: Proceedings of the 28th International Conference on Intelligent User Interfaces, pp. 379–396 (2023)
Selvaraju, R.R., Cogswell, M., Das, A., Vedantam, R., Parikh, D., Batra, D.: Grad-CAM: visual explanations from deep networks via gradient-based localization. In: Proceedings of the IEEE International Conference on Computer Vision, pp. 618–626 (2017)
Seo, K., Tang, J., Roll, I., Fels, S., Yoon, D.: The impact of artificial intelligence on learner-instructor interaction in online learning. Int. J. Educ. Technol. High. Educ. 18, 1–23 (2021)
Shneiderman, B.: Human-Centered AI. Oxford University Press, Oxford (2022)
Sunstein, C.R.: Sludge audits. Behav. Public Policy 6(4), 654–673 (2022)
Verma, S., Dickerson, J., Hines, K.: Counterfactual explanations for machine learning: a review. arXiv preprint arXiv:2010.10596 (2020)
Wagner, B.D., Robertson, C.E., Harris, J.K.: Application of two-part statistics for comparison of sequence variant counts. PLoS ONE 6(5), e20296 (2011)
Xie, S., Girshick, R., Dollár, P., Tu, Z., He, K.: Aggregated residual transformations for deep neural networks. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 1492–1500 (2017)
Yau, K.L.A., et al.: Augmented intelligence: surveys of literature and expert opinion to understand relations between human intelligence and artificial intelligence. IEEE Access 9, 136744–136761 (2021)
Zou, K.H., Fielding, J.R., Silverman, S.G., Tempany, C.M.: Hypothesis testing I: proportions. Radiology 226(3), 609–613 (2003)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 IFIP International Federation for Information Processing
About this paper
Cite this paper
Cabitza, F., Campagner, A., Famiglini, L., Natali, C., Caccavella, V., Gallazzi, E. (2023). Let Me Think! Investigating the Effect of Explanations Feeding Doubts About the AI Advice. In: Holzinger, A., Kieseberg, P., Cabitza, F., Campagner, A., Tjoa, A.M., Weippl, E. (eds) Machine Learning and Knowledge Extraction. CD-MAKE 2023. Lecture Notes in Computer Science, vol 14065. Springer, Cham. https://doi.org/10.1007/978-3-031-40837-3_10
Download citation
DOI: https://doi.org/10.1007/978-3-031-40837-3_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-40836-6
Online ISBN: 978-3-031-40837-3
eBook Packages: Computer ScienceComputer Science (R0)