Evidence map›Paper›PMID 30552086›Full record

ArticleJMIR mental health2018

Psychiatrists' Attitudes Toward Disruptive New Technologies: Mixed-Methods Study.

Alexis Bourla, Florian Ferreri, Laetitia Ogorzelec, Charles-Siegfried Peretti, Christian Guinchard, Stephane Mouchabac

Abstract read
In one paragraph

Article in JMIR mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Psychiatric diagnosis and treatment in the 21st century: paradigm shifts versus incremental integration.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexis Bourla *Department of Adult Psychiatry and Medical Psychology, Sorbonne Université, Saint-Antoine Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID http://orcid.org/0000-0003-1438-5733
Florian Ferreri *Department of Adult Psychiatry and Medical Psychology, Sorbonne Université, Saint-Antoine Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID http://orcid.org/0000-0003-3950-0275
Laetitia OgorzelecSociology and Anthropology Laboratory, University of Burgundy Franche-Comté, Besançon, France.ORCID http://orcid.org/0000-0003-1389-718X
Charles-Siegfried PerettiDepartment of Adult Psychiatry and Medical Psychology, Sorbonne Université, Saint-Antoine Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID http://orcid.org/0000-0002-1604-0213
Christian GuinchardSociology and Anthropology Laboratory, University of Burgundy Franche-Comté, Besançon, France.ORCID http://orcid.org/0000-0001-8377-5650
Stephane MouchabacDepartment of Adult Psychiatry and Medical Psychology, Sorbonne Université, Saint-Antoine Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID http://orcid.org/0000-0002-4226-7956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent discoveries in the fields of machine learning (ML), Ecological Momentary Assessment (EMA), computerized adaptive testing (CAT), digital phenotype, imaging, and biomarkers have brought about a new paradigm shift in medicine.

objectiveThe aim of this study was to explore psychiatrists' perspectives on this paradigm through the prism of new clinical decision support systems (CDSSs). Our primary objective was to assess the acceptability of these new technologies. Our secondary objective was to characterize the factors affecting their acceptability.

methodsA sample of psychiatrists was recruited through a mailing list. Respondents completed a Web-based survey. A quantitative study with an original form of assessment involving the screenplay method was implemented involving 3 scenarios, each featuring 1 of the 3 support systems, namely, EMA and CAT, biosensors comprising a connected wristband-based digital phenotype, and an ML-based blood test or magnetic resonance imaging (MRI). We investigated 4 acceptability domains based on International Organization for Standardization and Nielsen models (usefulness, usability, reliability, and risk).

resultsWe recorded 515 observations. Regarding our primary objective, overall acceptability was moderate. MRI coupled with ML was considered to be the most useful system, and the connected wristband was considered the least. All the systems were described as risky (410/515, 79.6%). Regarding our secondary objective, acceptability was strongly influenced by socioepidemiological variables (professional culture), such as gender, age, and theoretical approach.

conclusionsThis is the first study to assess psychiatrists' views on new CDSSs. Data revealed moderate acceptability, but our analysis shows that this is more the result of the lack of knowledge about these new technologies rather than a strong rejection. Furthermore, we found strong correspondences between acceptability profiles and professional culture profiles. Many medical, forensics, and ethical issues were raised, including therapeutic relationship, data security, data storage, and privacy risk. It is essential for psychiatrists to receive training and become involved in the development of new technologies.

Indexed as

acceptabilityclinical decision support systemscomputerized adaptive testingdigital phenotypeecological momentary assessmentmachine learningmobile phoneprofessional culture

Identifiers

PMID30552086
PMCPMC6315247

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.