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Artificial Intelligence and Patient Autonomy in Obesity Treatment Decisions: An Empirical Study of the Challenges

Abstract

Background This study aims to explore the factors associated with artificial intelligence (AI) and patient autonomy in obesity treatment decision-making. Methodology A cross-sectional, online, descriptive survey design was adopted in this study. The survey instrument incorporated the Ideal Patient Autonomy Scale (IPAS) and other factors affecting patient autonomy in the AI-patient relationship. The study participants included 74 physicians, 55 dieticians, and 273 obese patients. Results Different views were expressed in the scales AI knows the best (μ = 2.95-3.15) and the patient should decide (μ = 2.95-3.16). Ethical concerns (μ = 3.24) and perceived privacy risks (μ = 3.58) were identified as having a more negative influence on patient autonomy compared to personal innovativeness (μ = 2.41) and trust (μ = 2.85). Physicians and dieticians expressed significantly higher trust in AI compared to patients (p < 0.05). Conclusions Patient autonomy in the AI-patient relationship is significantly affected by privacy, trust, and ethical issues. As trust is a multifaceted factor and AI is a novel technology in healthcare, it is essential to fully explore the various factors influencing trust and patient autonomy.

References
1.
Craig H, Le Roux C, Keogh F, Finucane F . How Ethical Is Our Current Delivery of Care to Patients with Severe and Complicated Obesity?. Obes Surg. 2018; 28(7):2078-2082. PMC: 6018590. DOI: 10.1007/s11695-018-3301-1. View

2.
Wharton S, Lau D, Vallis M, Sharma A, Biertho L, Campbell-Scherer D . Obesity in adults: a clinical practice guideline. CMAJ. 2020; 192(31):E875-E891. PMC: 7828878. DOI: 10.1503/cmaj.191707. View

3.
Murdoch B . Privacy and artificial intelligence: challenges for protecting health information in a new era. BMC Med Ethics. 2021; 22(1):122. PMC: 8442400. DOI: 10.1186/s12910-021-00687-3. View

4.
Stiggelbout A, Molewijk A, Otten W, Timmermans D, van Bockel J, Kievit J . Ideals of patient autonomy in clinical decision making: a study on the development of a scale to assess patients' and physicians' views. J Med Ethics. 2004; 30(3):268-74. PMC: 1733851. DOI: 10.1136/jme.2003.003095. View

5.
Shreve J, Khanani S, Haddad T . Artificial Intelligence in Oncology: Current Capabilities, Future Opportunities, and Ethical Considerations. Am Soc Clin Oncol Educ Book. 2022; 42:1-10. DOI: 10.1200/EDBK_350652. View