Development of a smartphone virtual reality game to support the radiation therapy of children and adolescents in proton centers.

Introduction: For most patients, cancer therapy with radiation is a new experience coming with many unknown challenges. This can be stressful, particularly for children and adolescents. With the aim of reducing this stress and anxiety, a virtual-reality (VR) game, which can be used by patients prior to treatment, was developed and evaluated in a proton therapy center. Methods: The specifications were derived from literature and from interviews with medical staff and patients. The gantry including the sound of its moving components and the sound of the interlock and safety system were identified as the main features relevant for preparation of a radiation course. Potential implementation difficulties were identified in a literature study and regarded in the design. Within the VR game, patients could interact with modeled equipment of the treatment room and hear the reportedly stress-inducing sounds in a stress-free environment prior to the treatment. The VR game was evaluated in a second series of interviews with patients. Results and Discussion: This exploratory study demonstrated the specification, implementation and safe application of a VR game dedicated to young proton therapy patients. Initial anecdotal evidence suggested that the VR gaming experience was well received and found to be helpful when preparing young patients for radiation therapy.

Applying XAI to an AI-based system for candidate management to mitigate bias and discrimination in hiring.

Assuming that potential biases of Artificial Intelligence (AI)-based systems can be identified and controlled for (e.g., by providing high quality training data), employing such systems to augment human resource (HR)-decision makers in candidate selection provides an opportunity to make selection processes more objective. However, as the final hiring decision is likely to remain with humans, prevalent human biases could still cause discrimination. This work investigates the impact of an AI-based system's candidate recommendations on humans' hiring decisions and how this relation could be moderated by an Explainable AI (XAI) approach. We used a self-developed platform and conducted an online experiment with 194 participants. Our quantitative and qualitative findings suggest that the recommendations of an AI-based system can reduce discrimination against older and female candidates but appear to cause fewer selections of foreign-race candidates. Contrary to our expectations, the same XAI approach moderated these effects differently depending on the context. Supplementary Information: The online version contains supplementary material available at 10.1007/s12525-022-00600-9.

Click me ! The influence of clickbait on user engagement in social media and the role of digital nudging.

Clickbait to make people click on a linked article is commonly used on social media. We analyze the impact of clickbait on user interaction on Facebook in the form of liking, sharing and commenting. For this, we use a data set of more than 4,400 Facebook posts from 10 different news sources to analyze how clickbait in post headlines and in post text influences user engagement. The results of our study revealed that certain features (e.g., unusual punctuation and common clickbait phrases) increase user interaction, whereas others decrease engagement with Facebook posts. We further use our results to discuss the potential role of digital nudging in the context of clickbait. Our results contribute to understanding and making use of the effect of different framings in social media.

Design principles for conversational agents to support Emergency Management Agencies.

Widespread mis- and disinformation during the COVID-19 social media "infodemic" challenge the effective response of Emergency Management Agencies (EMAs). Conversational Agents (CAs) have the potential to amplify and distribute trustworthy information from EMAs to the general public in times of uncertainty. However, the structure and responsibilities of such EMAs are different in comparison to traditional commercial organizations. Consequently, Information Systems (IS) design approaches for CAs are not directly transferable to this different type of organization. Based on semi-structured interviews with practitioners from EMAs in Germany and Australia, twelve meta-requirements and five design principles for CAs for EMAs were developed. In contrast to the traditional view of CA design, social cues should be minimized. The study provides a basis to design robust CAs for EMAs.

Collaborating with Virtual Assistants in Organizations: Analyzing Social Loafing Tendencies and Responsibility Attribution.

Organizations increasingly introduce collaborative technologies in form of virtual assistants (VAs) to save valuable resources, especially when employees are assisted with work-related tasks. However, the effect of VAs on virtual teams and collaboration remains uncertain, particularly whether employees show social loafing (SL) tendencies, i.e., applying less effort for collective tasks compared to working alone. While extant research indicates that VAs collaboratively working in teams exert greater results, less is known about SL in virtual collaboration and how responsibility attribution alters. An online experiment with N = 102 was conducted in which participants were assisted by a VA in solving a task. The results indicate SL tendencies in virtual collaboration with VAs and that participants tend to cede responsibility to the VA. This study makes a first foray and extends the information systems (IS) literature by analyzing SL and responsibility attribution thus updates our knowledge on virtual collaboration with VAs.

Artificial intelligence in hospitals: providing a status quo of ethical considerations in academia to guide future research.

The application of artificial intelligence (AI) in hospitals yields many advantages but also confronts healthcare with ethical questions and challenges. While various disciplines have conducted specific research on the ethical considerations of AI in hospitals, the literature still requires a holistic overview. By conducting a systematic discourse approach highlighted by expert interviews with healthcare specialists, we identified the status quo of interdisciplinary research in academia on ethical considerations and dimensions of AI in hospitals. We found 15 fundamental manuscripts by constructing a citation network for the ethical discourse, and we extracted actionable principles and their relationships. We provide an agenda to guide academia, framed under the principles of biomedical ethics. We provide an understanding of the current ethical discourse of AI in clinical environments, identify where further research is pressingly needed, and discuss additional research questions that should be addressed. We also guide practitioners to acknowledge AI-related benefits in hospitals and to understand the related ethical concerns. Supplementary Information: The online version contains supplementary material available at 10.1007/s00146-021-01239-4.

Is it alright to use artificial intelligence in digital health? A systematic literature review on ethical considerations.

The application of artificial intelligence (AI) not only yields in advantages for healthcare but raises several ethical questions. Extant research on ethical considerations of AI in digital health is quite sparse and a holistic overview is lacking. A systematic literature review searching across 853 peer-reviewed journals and conferences yielded in 50 relevant articles categorized in five major ethical principles: beneficence, non-maleficence, autonomy, justice, and explicability. The ethical landscape of AI in digital health is portrayed including a snapshot guiding future development. The status quo highlights potential areas with little empirical but required research. Less explored areas with remaining ethical questions are validated and guide scholars' efforts by outlining an overview of addressed ethical principles and intensity of studies including correlations. Practitioners understand novel questions AI raises eventually leading to properly regulated implementations and further comprehend that society is on its way from supporting technologies to autonomous decision-making systems.

The Networked Context of COVID-19 Misinformation: Informational Homogeneity on YouTube at the Beginning of the Pandemic.

During the coronavirus disease 2019 (COVID-19) pandemic, the video-sharing platform YouTube has been serving as an essential instrument to widely distribute news related to the global public health crisis and to allow users to discuss the news with each other in the comment sections. Along with these enhanced opportunities of technology-based communication, there is an overabundance of information and, in many cases, misinformation about current events. In times of a pandemic, the spread of misinformation can have direct detrimental effects, potentially influencing citizens' behavioral decisions (e.g., to not socially distance) and putting collective health at risk. Misinformation could be especially harmful if it is distributed in isolated news cocoons that homogeneously provide misinformation in the absence of corrections or mere accurate information. The present study analyzes data gathered at the beginning of the pandemic (January-March 2020) and focuses on the network structure of YouTube videos and their comments to understand the level of informational homogeneity associated with misinformation on COVID-19 and its evolution over time. This study combined machine learning and network analytic approaches. Results indicate that nodes (either individual users or channels) that spread misinformation were usually integrated in heterogeneous discussion networks, predominantly involving content other than misinformation. This pattern remained stable over time. Findings are discussed in light of the COVID-19 "infodemic" and the fragmentation of information networks.

Comparison of disclosure/concealment of medical information given to conversational agents or to physicians.

Within the anamnesis, medical information is frequently withheld, incomplete, or incorrect, potentially causing negative consequences for the patient. The use of conversational agents (CAs), computer-based systems using natural language to interact with humans, may mitigate this problem. The present research examines whether CAs differ from physicians in their ability to elicit truthful disclosure and discourage concealment of medical information. We conducted an online questionnaire with German participants (N = 148) to assess their willingness to reveal medical information. The results indicate that patients would rather disclose medical information to a physician than to a CA; there was no difference in the tendency to conceal information. This research offers a frame of reference for future research on applying CAs during the anamnesis to support physicians. From a practical view, physicians might gain better understanding of how the use of CAs can facilitate the anamnesis.

Driving Digital Transformation During a Pandemic: Case Study of Virtual Collaboration in a German Hospital.

BACKGROUND: The COVID-19 pandemic has not only changed the private lives of millions of people but has significantly affected the collaboration of medical specialists throughout health care systems worldwide. Hospitals are making changes to their regular operations to slow the spread of SARS-CoV-2 while ensuring the treatment of emergency patients. These substantial changes affect the typical work setting of clinicians and require the implementation of organizational arrangements. OBJECTIVE: In this study, we aim to increase our understanding of how digital transformation drives virtual collaboration among clinicians in hospitals in times of crisis, such as the COVID-19 pandemic. METHODS: We present the lessons learned from an exploratory case study in which we observed the introduction of an information technology (IT) system for enhancing collaboration among clinicians in a German hospital. The results are based on 16 semistructured interviews with physicians from various departments and disciplines; the interviews were generalized to better understand and interpret the meaning of the statements. RESULTS: Three key lessons and recommendations explain how digital transformation ensures goal-driven collaboration among clinicians. First, we found that implementing a disruptive change requires alignment of the mindsets of the stakeholders. Second, IT-enabled collaboration presupposes behavioral rules that must be followed. Third, transforming antiquated processes demands a suitable technological infrastructure. CONCLUSIONS: Digital transformation is being driven by the COVID-19 pandemic. However, the rapid introduction of IT-enabled collaboration reveals grievances concerning the digital dissemination of medical information along the patient treatment path. To avoid being caught unprepared by future crises, digital transformation must be further driven to ensure collaboration, and the diagnostic and therapeutic process must be opened to disruptive strategies.

The influence of community structure on opinion expression: an agent-based model.

Social media has become important in shaping the public discourse on controversial topics. Many businesses therefore monitor different social media channels and try to react adequately to a potentially harmful opinion climate. Still, little is known about how opinions form in an increasingly connected world. The spiral of silence theory provides a way of explaining deviations between the perceived opinion climate and true beliefs of the public. However, the emergence of a spiral of silence on social media is hard to observe because only the thoughts of those who express their opinions are evident there. Recent research has therefore focused on modelling the processes behind the spiral of silence. A particular characteristic of social media networks is the presence of communities. Members of a community tend to be connected more with other members of the same community than with outsiders. Naturally, this might affect the development of public opinion. In the present article we investigate how the number of communities in a network and connectivity between them affects the perceived opinion climate. We find that higher connectivity between communities makes it more likely for a global spiral of silence to appear. Moreover, a network fragmented into more, smaller communities seems to provide more "safe spaces" for a minority opinion to prevail.

When are researchers willing to share their data? - Impacts of values and uncertainty on open data in academia.

BACKGROUND: E-science technologies have significantly increased the availability of data. Research grant providers such as the European Union increasingly require open access publishing of research results and data. However, despite its significance to research, the adoption rate of open data technology remains low across all disciplines, especially in Europe where research has primarily focused on technical solutions (such as Zenodo or the Open Science Framework) or considered only parts of the issue. METHODS AND FINDINGS: In this study, we emphasized the non-technical factors perceived value and uncertainty factors in the context of academia, which impact researchers' acceptance of open data-the idea that researchers should not only publish their findings in the form of articles or reports, but also share the corresponding raw data sets. We present the results of a broad quantitative analysis including N = 995 researchers from 13 large to medium-sized universities in Germany. In order to test 11 hypotheses regarding researchers' intentions to share their data, as well as detect any hierarchical or disciplinary differences, we employed a structured equation model (SEM) following the partial least squares (PLS) modeling approach. CONCLUSIONS: Grounded in the value-based theory, this article proclaims that most individuals in academia embrace open data when the perceived advantages outweigh the disadvantages. Furthermore, uncertainty factors impact the perceived value (consisting of the perceived advantages and disadvantages) of sharing research data. We found that researchers' assumptions about effort required during the data preparation process were diminished by awareness of e-science technologies (such as Zenodo or the Open Science Framework), which also increased their tendency to perceive personal benefits via data exchange. Uncertainty factors seem to influence the intention to share data. Effects differ between disciplines and hierarchical levels.