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Cherrez-Ojeda I, Gallardo-Bastidas JC, Robles-Velasco K, Osorio MF, Velez Leon EM, Leon Velastegui M, Pauletto P, Aguilar-Díaz FC, Squassi A, González Eras SP, Cordero Carrasco E, Chavez Gonzalez KL, Calderon JC, Bousquet J, Bedbrook A, Faytong-Haro M. Understanding Health Care Students' Perceptions, Beliefs, and Attitudes Toward AI-Powered Language Models: Cross-Sectional Study. JMIR MEDICAL EDUCATION 2024; 10:e51757. [PMID: 39137029 DOI: 10.2196/51757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/26/2023] [Accepted: 04/30/2024] [Indexed: 08/15/2024]
Abstract
BACKGROUND ChatGPT was not intended for use in health care, but it has potential benefits that depend on end-user understanding and acceptability, which is where health care students become crucial. There is still a limited amount of research in this area. OBJECTIVE The primary aim of our study was to assess the frequency of ChatGPT use, the perceived level of knowledge, the perceived risks associated with its use, and the ethical issues, as well as attitudes toward the use of ChatGPT in the context of education in the field of health. In addition, we aimed to examine whether there were differences across groups based on demographic variables. The second part of the study aimed to assess the association between the frequency of use, the level of perceived knowledge, the level of risk perception, and the level of perception of ethics as predictive factors for participants' attitudes toward the use of ChatGPT. METHODS A cross-sectional survey was conducted from May to June 2023 encompassing students of medicine, nursing, dentistry, nutrition, and laboratory science across the Americas. The study used descriptive analysis, chi-square tests, and ANOVA to assess statistical significance across different categories. The study used several ordinal logistic regression models to analyze the impact of predictive factors (frequency of use, perception of knowledge, perception of risk, and ethics perception scores) on attitude as the dependent variable. The models were adjusted for gender, institution type, major, and country. Stata was used to conduct all the analyses. RESULTS Of 2661 health care students, 42.99% (n=1144) were unaware of ChatGPT. The median score of knowledge was "minimal" (median 2.00, IQR 1.00-3.00). Most respondents (median 2.61, IQR 2.11-3.11) regarded ChatGPT as neither ethical nor unethical. Most participants (median 3.89, IQR 3.44-4.34) "somewhat agreed" that ChatGPT (1) benefits health care settings, (2) provides trustworthy data, (3) is a helpful tool for clinical and educational medical information access, and (4) makes the work easier. In total, 70% (7/10) of people used it for homework. As the perceived knowledge of ChatGPT increased, there was a stronger tendency with regard to having a favorable attitude toward ChatGPT. Higher ethical consideration perception ratings increased the likelihood of considering ChatGPT as a source of trustworthy health care information (odds ratio [OR] 1.620, 95% CI 1.498-1.752), beneficial in medical issues (OR 1.495, 95% CI 1.452-1.539), and useful for medical literature (OR 1.494, 95% CI 1.426-1.564; P<.001 for all results). CONCLUSIONS Over 40% of American health care students (1144/2661, 42.99%) were unaware of ChatGPT despite its extensive use in the health field. Our data revealed the positive attitudes toward ChatGPT and the desire to learn more about it. Medical educators must explore how chatbots may be included in undergraduate health care education programs.
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Affiliation(s)
- Ivan Cherrez-Ojeda
- Universidad Espiritu Santo, Samborondon, Ecuador
- Respiralab Research Group, Guayaquil, Ecuador
| | | | - Karla Robles-Velasco
- Universidad Espiritu Santo, Samborondon, Ecuador
- Respiralab Research Group, Guayaquil, Ecuador
| | - María F Osorio
- Universidad Espiritu Santo, Samborondon, Ecuador
- Respiralab Research Group, Guayaquil, Ecuador
| | | | | | | | - F C Aguilar-Díaz
- Departamento Salud Pública, Escuela Nacional de Estudios Superiores, Universidad Nacional Autónoma de México, Guanajuato, Mexico
| | - Aldo Squassi
- Universidad de Buenos Aires, Facultad de Odontologìa, Cátedra de Odontología Preventiva y Comunitaria, Buenos Aires, Argentina
| | | | - Erita Cordero Carrasco
- Departamento de cirugía y traumatología bucal y maxilofacial, Universidad de Chile, Santiago, Chile
| | | | - Juan C Calderon
- Universidad Espiritu Santo, Samborondon, Ecuador
- Respiralab Research Group, Guayaquil, Ecuador
| | - Jean Bousquet
- Institute of Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Allergology and Immunology, Berlin, Germany
- MASK-air, Montpellier, France
| | | | - Marco Faytong-Haro
- Respiralab Research Group, Guayaquil, Ecuador
- Universidad Estatal de Milagro, Cdla Universitaria "Dr. Rómulo Minchala Murillo", Milagro, Ecuador
- Ecuadorian Development Research Lab, Daule, Ecuador
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Ampofo JW, Emery CV, Ofori IN. Assessing the Level of Understanding (Knowledge) and Awareness of Diagnostic Imaging Students in Ghana on Artificial Intelligence and Its Applications in Medical Imaging. Radiol Res Pract 2023; 2023:4704342. [PMID: 37362195 PMCID: PMC10287516 DOI: 10.1155/2023/4704342] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 06/01/2023] [Accepted: 06/03/2023] [Indexed: 06/28/2023] Open
Abstract
Introduction Recent advancements in technology have propelled the applications of artificial intelligence (AI) in various sectors, including healthcare. Medical imaging has benefited from AI by reducing radiation risks through algorithms used in examinations, referral protocols, and scan justification. This research work assessed the level of knowledge and awareness of 225 second- to fourth-year medical imaging students from public universities in Ghana about AI and its prospects in medical imaging. Methods This was a cross-sectional quantitative study design that used a closed-ended questionnaire with dichotomous questions, designed on Google Forms, and distributed to students through their various class WhatsApp platforms. Responses were entered into an Excel spreadsheet and analyzed with the Statistical Package for the Social Sciences (SPSS) software version 25.0 and Microsoft Excel 2016 version. Results The response rate was 80.44% (181/225), out of which 97 (53.6%) were male, 82 (45.3%) were female, and 2 (1.1%) preferred not to disclose their gender. Among these, 133 (73.5%) knew that AI had been incorporated into current imaging modalities, and 143 (79.0%) were aware of AI's emergence in medical imaging. However, only 97 (53.6%) were aware of the gradual emergence of AI in the radiography industry in Ghana. Furthermore, 160 people (88.4%) expressed an interest in learning more about AI and its applications in medical imaging. Less than one-third (32%) knew about the general basic application of AI in patient positioning and protocol selection. And nearly two-thirds (65%) either felt threatened or unsure about their job security due to the incorporation of AI technology in medical imaging equipment. Less than half (38% and 43%) of the participants acknowledged that current clinical internships helped them appreciate the role of AI in medical imaging or increase their level of knowledge in AI, respectively. Discussion. Generally, the findings indicate that medical imaging students have fair knowledge about AI and its prospects in medical imaging but lack in-depth knowledge. However, they lacked the requisite awareness of AI's emergence in radiography practice in Ghana. They also showed a lack of knowledge of some general basic applications of AI in modern imaging equipment. Additionally, they showed some level of misconception about the role AI plays in the job of the radiographer. Conclusion Decision-makers should implement educational policies that integrate AI education into the current medical imaging curriculum to prepare students for the future. Students should also be practically exposed to the various incorporations of AI technology in current medical imaging equipment.
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Affiliation(s)
- James William Ampofo
- Department of Imaging Technology and Sonography, School of Allied Health Sciences, College of Health and Allied Health Sciences, University Cape Coast, Cape Coast, Ghana
| | - Christian Ven Emery
- Department of Imaging Technology and Sonography, School of Allied Health Sciences, College of Health and Allied Health Sciences, University Cape Coast, Cape Coast, Ghana
| | - Ishmael Nii Ofori
- Department of Imaging Technology and Sonography, School of Allied Health Sciences, College of Health and Allied Health Sciences, University Cape Coast, Cape Coast, Ghana
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Ho MT, Mantello P, Ho MT. An analytical framework for studying attitude towards emotional AI: The three-pronged approach. MethodsX 2023; 10:102149. [PMID: 37091958 PMCID: PMC10113835 DOI: 10.1016/j.mex.2023.102149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 03/21/2023] [Indexed: 03/31/2023] Open
Abstract
Emotional artificial intelligence (AI) is a narrow, weak form of an AI system that reads, classifies, and interacts with human emotions. This form of smart technology has become an integral layer of our digital and physical infrastructures and will radically transform how we live, learn, and work. Not only will emotional AI provide numerous benefits (i.e., increased attention and awareness, optimized productivity, stress management, etc.), but in sensing and interacting with our intimate emotions, it seeks to surreptitiously modify human behaviors. This study proposes to bring together the Technological Acceptance Model (TAM) and the Moral Foundation Theory to study determinants of emotional AI's acceptance under the analytical framework of the Three-pronged Approach (Contexts, Variables, and Statistical models). We argue that to quantitatively study the acceptance of new technologies, it is necessary to leverage two intuitions. The first is the degree of acceptance increases with how users of smart technology perceive its utilities and ease of use (formalized in the TAM). The second is the degree of acceptance decreases with the user's perception of threat or affirmation posed by the technology in relation to social norms and values (formalized in the Moral Foundation Theory). This study begins by mapping the ecology of current emotional AI use in various contexts such as workplace, education, healthcare, personal assistance, etc. It then provides a brief review and critique of current applications of the TAM and the Moral Foundation Theory in studying how humans judge smart technologies. Finally, we propose the Three-pronged Analytical Framework, offering recommendations on how future studies of technological acceptance could be conducted from the questionnaire design to building statistical models.
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Affiliation(s)
- Manh-Tung Ho
- Ritsumeikan Asia Pacific University, Beppu, Oita, 874-8577, Japan
- Centre for Interdisciplinary Social Research, Ha Dong, Hanoi, 100803, Vietnam
- Institute of Philosophy, Vietnam Academy of Social Sciences, Hanoi, 100000, Vietnam
| | - Peter Mantello
- Ritsumeikan Asia Pacific University, Beppu, Oita, 874-8577, Japan
| | - Manh-Toan Ho
- Centre for Interdisciplinary Social Research, Ha Dong, Hanoi, 100803, Vietnam
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Kwak Y, Ahn JW, Seo YH. Influence of AI ethics awareness, attitude, anxiety, and self-efficacy on nursing students' behavioral intentions. BMC Nurs 2022; 21:267. [PMID: 36180902 PMCID: PMC9526272 DOI: 10.1186/s12912-022-01048-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
Background Artificial intelligence (AI) technology has recently seen rapid advancement, with an expanding role and scope in nursing education and healthcare. This study identifies the influence of AI ethics awareness, attitude toward AI, anxiety, and self-efficacy on nursing students’ behavioral intentions to use AI-based healthcare technology. Methods The participants included 189 nursing students in Gyeonggi-do, with data collected from November to December 2021 using self-reported questionnaires. We analyzed the data using the SPSS/WIN 26.0 program, including a t-test, Pearson’s correlation coefficient, and hierarchical multiple linear regression. Results The results revealed that AI ethical awareness (t = − 4.32, p < .001), positive attitude toward AI (t = − 2.60, p = .010), and self-efficacy (t = − 2.65, p = .009) scores of the third and fourth-year nursing students were higher, while their anxiety scores were lower (t = 2.30, p = .022) compared to the scores of the first and second-year nursing students. The factors influencing behavioral intention included a positive attitude toward AI (β = 0.58) and self-efficacy (β = 0.22). The adjusted R2 was 0.42. Conclusion It is necessary to inculcate a positive attitude toward AI and self-efficacy by providing educational programs on AI-based technology in healthcare settings.
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Affiliation(s)
- Yeunhee Kwak
- Red Cross College of Nursing, Chung-Ang University, 84, Heukseok-ro, Dongjak-gu, 06974, Seoul, Korea
| | - Jung-Won Ahn
- Department of Nursing, Gangneung-Wonju National University, 150, Namwon-ro, Heungeop-myeon, 26403, Wonju-si, Gangwon-do, Korea
| | - Yon Hee Seo
- Department of Nursing, Yeoju Institute of Technology, 338, Sejong-ro, 12652, Yeoju-si, Gyeonggi-do, Korea.
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