Evidence map›Paper›PMID 37883175›Full record

ArticleJMIR formative research2023

Development, Reliability, and Structural Validity of the Scale for Knowledge, Attitude, and Practice in Ethics Implementation Among AI Researchers: Cross-Sectional Study.

Xiaobo Zhang, Ying Gu, Jie Yin, Yuejie Zhang, Cheng Jin, Weibing Wang, Albert Martin Li, Yingwen Wang, Ling Su, Hong Xu and 7 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 30% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

17 authors at 4 institutions in 2 countries.

Xiaobo Zhang *Children's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-8645-5414
Ying Gu *Children's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-9048-3509
Jie YinSchool of Philosophy Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-5093-8185
Yuejie ZhangSchool of Computer Science Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-7993-7223
Cheng JinSchool of Computer Science Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0003-3063-1957
Weibing WangSchool of Public Health Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-4497-5251
Albert Martin LiDepartment of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-9314-477X
Yingwen WangChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-0155-5046
Ling SuChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-6229-5137
Hong XuChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-7617-0872
Xiaoling GeChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0001-7588-1776
Chengjie YeChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0009-9958-4539
Liangfeng TangChildren's Hospital of Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-7719-5406
Bing ShenShanghai Hospital Development Center, Shanghai, China.ORCID https://orcid.org/0000-0002-0952-2257
Jinwu FangSchool of Public Health Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0009-4258-5450
Daoyang WangSchool of Public Health Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0004-4943-8748
Rui FengSchool of Computer Science Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-4747-0574
Children's Hospital of Fudan University · CNFudan University · CNChinese University of Hong Kong · HKShanghai Hospital Development Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical artificial intelligence (AI) has significantly contributed to decision support for disease screening, diagnosis, and management. With the growing number of medical AI developments and applications, incorporating ethics is considered essential to avoiding harm and ensuring broad benefits in the lifecycle of medical AI. One of the premises for effectively implementing ethics in Medical AI research necessitates researchers' comprehensive knowledge, enthusiastic attitude, and practical experience. However, there is currently a lack of an available instrument to measure these aspects.

objectiveThe aim of this study was to develop a comprehensive scale for measuring the knowledge, attitude, and practice of ethics implementation among medical AI researchers, and to evaluate its measurement properties.

methodsThe construct of the Knowledge-Attitude-Practice in Ethics Implementation (KAP-EI) scale was based on the Knowledge-Attitude-Practice (KAP) model, and the evaluation of its measurement properties was in compliance with the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) reporting guidelines for studies on measurement instruments. The study was conducted in 2 phases. The first phase involved scale development through a systematic literature review, qualitative interviews, and item analysis based on a cross-sectional survey. The second phase involved evaluation of structural validity and reliability through another cross-sectional study.

resultsThe KAP-EI scale had 3 dimensions including knowledge (10 items), attitude (6 items), and practice (7 items). The Cronbach α for the whole scale reached .934. Confirmatory factor analysis showed that the goodness-of-fit indices of the scale were satisfactory (χ

conclusionsThe results show that the scale has good reliability and structural validity; hence, it could be considered an effective instrument. This is the first instrument developed for this purpose.

Indexed as

artificial intelligenceattitudedevelopmentethicsethics implementationKnowledge-Attitude-Practice modelmeasuremedical artificial intelligencereliabilityvalidity

Identifiers

PMID37883175
PMCPMC10636617
OpenAlexW4386991856

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.