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Understanding Perspectives of Patients, Caregivers and Clinicians towards Emerging Collaborative-decision Making Technologies

This qualitative study reveals that while emerging collaborative decision-making technologies hold promise for pediatric care, their effective implementation depends on addressing varying perceptions among patients, caregivers, and clinicians and strategically fostering appropriate trust in these tools.

Original authors: Ray-Yuan Chung, Athena Ortega, Zixuan Xu, Daeun Yoo, Jaime Snyder, Wanda Pratt, Aaron Wightman, Ryan Hutson, Cozumel Pruette, Ari Pollack

Published 2026-05-22
📖 4 min read☕ Coffee break read

Original authors: Ray-Yuan Chung, Athena Ortega, Zixuan Xu, Daeun Yoo, Jaime Snyder, Wanda Pratt, Aaron Wightman, Ryan Hutson, Cozumel Pruette, Ari Pollack

Original paper licensed under CC BY 4.0 (http://creativecommons.org/licenses/by/4.0/). This is an AI-generated explanation of the paper below. It is not written or endorsed by the authors. For technical accuracy, refer to the original paper. Read full disclaimer

Imagine a pediatric clinic as a busy kitchen where a young patient, their family (the caregivers), and the doctor (the clinician) are all trying to cook the perfect meal for the child's health. Usually, they have to talk it out, but sometimes the recipe is so complicated that they get confused or talk past each other.

This paper is about testing three new "kitchen gadgets" designed to help them cook better together. The researchers asked the patients, parents, and doctors what they thought about these gadgets before actually using them.

Here are the three gadgets they tested:

  1. The Interactive Dashboard: Think of this as a super-charged recipe card. It takes all the messy numbers from the patient's medical records and turns them into colorful charts and graphs, so everyone can see exactly how the "meal" (treatment) is going.
  2. The VR Simulator: This is like a flight simulator for doctors and families. Before a real, high-stakes conversation happens in the clinic, they can put on a headset and practice it in a safe, virtual world where no one gets hurt if they make a mistake.
  3. The AI Voice Assistant: Imagine a smart, talking sous-chef that sits in the room. It listens to the conversation, helps answer questions, and can even speak different languages to make sure everyone understands the recipe.

What Did the People Think?

The researchers found that everyone had different opinions, kind of like how a chef, a parent, and a hungry kid might react differently to a new kitchen tool.

  • The Caregivers (Parents): They were the most excited, like kids in a candy store. They wanted to try all three gadgets. However, they admitted they might feel a bit clumsy at first, saying, "There's going to be a learning curve, especially for the older generation." They were worried they wouldn't know how to use the buttons.
  • The Patients (The Kids/Teens): They saw the value but were a bit suspicious. One kid worried the AI "sous-chef" might get confused and serve up someone else's recipe or mix up the ingredients. They were worried the machine might hallucinate (make things up).
  • The Clinicians (Doctors): They were the most skeptical, like a head chef who has used the same knife for 20 years. They worried the gadgets would just get in the way.
    • They thought the VR headset was too bulky and annoying to put on and take off during a busy workday.
    • They didn't trust the AI because they've heard it "hallucinate" (lie) or have built-in biases, like a sous-chef who always guesses wrong.
    • They felt the Dashboard might just be doing the same thing as the tools they already have, just with more steps to learn.

The Big "But"

The biggest thing the study found wasn't about the gadgets themselves, but about trust.

Think of trust like the oil in an engine. Without it, even the most expensive, shiny car (the technology) won't start.

  • The gadgets that looked most like things people already knew (like the Dashboard, which looked like a standard website) got the most "yeses."
  • The gadgets that felt totally new and mysterious (like the VR and the AI voice) got a lot of "hmm, I'm not sure."

The Bottom Line

The paper concludes that you can't just build a cool new gadget and expect people to use it. Before the "kitchen" can use these tools to help cook better meals, the family and the chef need to trust the tool.

If the tool doesn't explain how it works, or if it seems like it might lie or break, people won't use it, no matter how smart it is. The researchers say designers need to focus on building that trust first—making the tools clear, honest, and easy to understand—before they can really help the patient, family, and doctor work together.

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