Digital Commons Network^™

Ai Fatigue In Human–Ai Interaction: Conceptual Framework, Scale Development And Validation, And Associations With Ai Engagement, Gabriel R. Lau, K. T. A. Sandeeshwara Kasturiratna, Adalia Y. H. Goh, Eddie M. W. Tong, Andree Hartanto

Research Collection School of Social Sciences

Emerging from the accelerating pace of AI development, user fatigue arising from prolonged human–AI interaction has become an increasing concern in public discourse. This growing attention underscores the need to clarify why sustained engagement with AI systems can generate psychophysiological strain and how such exhaustion manifests in users. The present research develops a conceptual framework for AI fatigue and introduces the 15-item AI Fatigue Scale as a validated tool for examining its correlates. Across four studies with 717 participants, we generated and content-validated an item pool, identified and confirmed a four-factor (cognitive, emotional, physical, behavioural) higher-order model. The scale demonstrated …

Dementia, Advance Directives, And Second-Order Volitions, Rand Hirmiz

Research Collection School of Social Sciences

This paper contributes to the ongoing debate over the authority of advance directives in cases where patients with dementia express desires that conflict with their earlier wishes. Drawing on Harry Frankfurt’s concept of second-order volitions, I argue that the preferences of the pre-dementia self (the “then-self”) should, in most cases, take precedence over those of the post-dementia self (the “now-self”) –  particularly in instances where the now-self has lost the capacity to form second-order volitions and is no longer able to meaningfully repudiate prior values and commitments.

Durable Benefits Of Learning-By-Teaching For Research Question Generation Performance: A Field Experiment, Stephen Wee Hun Lim, Sarah Shi Hui Wong, Piyawan Visessuvanapoom

Research Collection School of Social Sciences

Generating good questions is central to scientific inquiry. How can we improve this skill in classrooms? This field experiment showed that teaching others enhances students’ ability to generate higher-order research questions that create new knowledge. Whereas learning-by-teaching often involves delivering face-to-face or video-recorded lectures, we tested its efficient implementation via writing a verbatim (i.e., word-for-word) teaching script, exactly as how one would orate a lecture. In a research and statistical methods course, 199 undergraduates studied statistical concepts by writing verbatim teaching scripts or study notes. One month later, students’ long-term learning was assessed on a high-stakes test, whereby they explained …

Scaling Up Multi-Agent Reinforcement Learning For Large Agent Teams And Long-Horizon Tasks: A Survey, Minghong Geng, Shubham Pateria, Budhitama Subagdja, Ah-Hwee Tan

Research Collection School Of Computing and Information Systems

Multi-agent reinforcement learning (MARL) empowers multiple autonomous agents to acquire effective policies for collaborative problem-solving. Over the last decade, MARL has seen significant advancements, with numerous algorithms achieving impressive performance across various benchmarks and real-world applications. Nevertheless, the scalability of multi-agent systems, in terms of the number of agents and the length of the task horizon, remains a critical consideration for applying MARL methods to complex problem-solving. Given that a dedicated review of the existing approaches and challenges in scaling up multi-agent systems remains largely absent, this survey aims to bridge this gap by delivering a comprehensive review of MARL …

Spying The Lie: Insider Threat Prevention In National Security, Jazma M. Parker

Journal of Strategic Security

Insider threats pose significant risks to critical assets within the United States. The US intelligence community has already experienced the consequences of insider compromise, such as the unauthorized release of classified material to WikiLeaks and foreign adversaries. Traditional mitigation strategies have struggled to keep pace with the evolving threat landscape. This article recommends updated interventions to detect and prevent insider threats within the Department of Defense and the Intelligence Community. A review of current research and best practices reveals three targeted strategies. First, organizations must prioritize the detection and reporting of anomalous behaviors that often precede insider incidents. Achieving this …

Escalation By Algorithm, Restraint By Architecture: Pakistan’S Military Ai Divergence, Sajjad Ahmed, Ahmad Nizar Yaakub, Asma Javed

Journal of Strategic Security

Debates on military artificial intelligence (AI) remain skewed toward great power dynamics, oscillating between techno-optimist celebrations of speed and techno-pessimist warnings of collapse. This binary overlooks how middle powers, operating under nuclearized rivalry and asymmetric sanction risk, embed restraint into organizational and technical practice. This article develops Systems Restrained Realism (SRR), a framework that extends defensive realism into the machine age by theorizing restraint as a deliberate doctrinal posture rather than a symptom of incapacity. Using Pakistan as a critical case, the study draws on expert interviews, procurement manuals, and UN submissions to demonstrate how restraint is operationalized through latency …

Youtube As A Tool For Digital Diplomacy And Strategic Security: A Comparative Analysis Of Russia And Kazakhstan, Bekzat Baktybekovna Baktybekova, Elmira Kagazbaeva, Botagoz Ali

Journal of Strategic Security

In the context of growing competition in the information space, digital diplomacy is gaining key importance for the strategic security of states. This study analyzes how Russia and Kazakhstan use the YouTube platform to promote their foreign policy narratives, shape the image of the state, and strengthen digital sovereignty. Based on a qualitative analysis of 60 videos (30 for each country) published by official government channels between 2020 and 2024, differences in strategies, visual codes, tonality, and patterns of interaction with the audience were identified. The Russian approach is characterized by an aggressive narrative, antagonism to Western structures, and a …

The Role Of Special Services In Providing National Information Security, Volodymyr Artemov, Alexander Rusnak, Viktor Trepak, Grygorii Ostafiichuk, Alexandr Kalinin

Journal of Strategic Security

The growing dependence of states on digital infrastructures has elevated national information security to a matter of strategic importance. This study examines the role of special services (intelligence agencies) in protecting against cyber threats, focusing on their legal, operational, and technological functions. Using a combination of comparative legal analysis, case law review, expert surveys, and statistical modelling across 20 countries, the research highlights both strengths and limitations of current approaches. The findings demonstrate that states with clear and specific legislation on intelligence and cybersecurity achieve a 26% higher rate of preventive success than those with ambiguous frameworks. Strong judicial oversight …

Approach–Avoidance Motivation And Goal Adaptation In Chronic Pain: Predicting Pain Intensity And Interference, Paria Eshraghi, Deirdre Drake, Joanne Iddon, Joanne M. Dickson

Research outputs 2022 to 2026

Chronic pain is a major public health concern associated with disability, reduced functioning and psychological distress. Compared with biological studies, relatively little research has studied chronic pain from a psychological perspective, specifically motivation. Yet, motivation is considered fundamental to human functioning and drives human behaviour. The present study aimed to investigate whether distinct motivational and adaptive goal processes are implicated in chronic pain. The sample comprised 190 adult community participants who reported chronic pain for 3 months or more. Participants completed self-report measures of approach and avoidance motivation, adaptive goal processes, pain intensity, and interference. As hypothesised, avoidance motivation (but …

Beyond Weight Loss: Effects Of Trx Suspension Training Combined With Caloric Restriction On Thyroid Function And Mental Well-Being In Obese Hypothyroid Women, Siavash Naddafha, Christopher B. Taber

Research outputs 2022 to 2026

Background: The rate of metabolism decreases in hypothyroid patients; hypothyroidism is associated with body mass increases; due to this and other factors, depression, anxiety, and stress increase, which, alongside the disease state and psychological problems, causes the quality of life to suffer. Objectives: The purpose of this research is to investigate the effect of caloric restriction along with TRX exercise on body mass, thyroid hormones, and psychological measures in obese and overweight women with hypothyroidism. Methods: 34 women aged 18–50 with hypothyroidism and a body mass index above 25 participated in this study. They were divided into three groups: a …

Evidence For Direct And Sleep-Moderated Relationships Between Aquaporin-4 Genetic Variants And Alzheimer's Disease Phenotypes, Tenielle Porter, Ayeisha Milligan Armstrong, Eleanor K. O'Brien, Vincent Doré, Pierrick Bourgeat, Mitchell Turner, Paul Maruff, Christopher C. Rowe, Belinda M. Brown, Victor L. Villemagne, Stephanie R. Rainey-Smith, Simon M. Laws

Research outputs 2022 to 2026

Introduction: Variants in the aquaporin-4 gene (AQP4) have been associated with Alzheimer's disease (AD) diagnosis, cognition, and brain amyloid beta (Aβ) and may affect the sleep and Aβ relationship. Their association with other AD-related phenotypes/disease progression remain largely unknown. Methods: Associations between AQP4 variants, self-reported sleep measures, and AD-related phenotypes in cognitively unimpaired individuals with evidence of Aβ accumulation were examined using data from the Australian Imaging, Biomarkers and Lifestyle study. Results: AQP4 variants were directly associated with regional brain volumes, atrophy, and cognition. They were also associated with differences in regional brain volumes and atrophy in interaction with sleep …

The Crossroads Between Osteosarcopenia And Intrinsic Capacity—A Narrative Review, Nailton J. Neto, Guy Hajj-Boutros, Wayne Lok Ok Choo, Miguel G. Borda, Konstantinos Prokopidis, Hassan Rammal, Daniel Rivas, Hussein Samhat, Ivan Baltasar-Fernandez, Mahdi Imani, Cristiano Dos Santos Gomes, Oscar Rosas Carrasco, Marc Sim, Julie A. Pasco, Julia Chabot, Ana M. Ayala-Copete, Francisco J. García-García, Claire Godard-Sebillotte, Raman Agnihotram, Lana J. Williams, Anna Andrianova, Robinson Ramirez-Vélez, Emma Connolly, Harmehr Sekhon, Hidenori Arai, Liang-Kung Chen, Andréa Faust, Howard Bergman, Alexandra Papaioannou, Pierrette Gaudreau, Tiago Alexandre, Leocadio Rodriguez-Mañas, Ricardo Oliveira Guerra, Gustavo Duque

Research outputs 2022 to 2026

Intrinsic capacity (IC) is defined as the composite of physical and mental abilities an individual possesses, encompassing 5 domains: cognition, psychological health, sensory function, vitality, and locomotion. This construct is central to the World Health Organization’s framework for assessing functional ability in older adults. Growing evidence highlights the critical role of the musculoskeletal system in maintaining these domains, while conditions such as sarcopenia, osteoporosis, and their coexistence as osteosarcopenia (OS) are increasingly associated with IC decline. This narrative review compiles current evidence on the modulatory role of muscles and bones in IC and the impacts of sarcopenia, osteoporosis, and OS. …

Dynamism By Design: The Zoom Effects In Short Video Tourism Marketing, Lujun Su, Yuxi Yang, Songshan (Sam) Huang, Xuehuan He

Research outputs 2022 to 2026

As tourism short videos have become central to destination marketing, camera zoom motion stands out as a simple yet powerful tool. However, theory-driven guidance on when and how to deploy zoom effects remains limited. Drawing on construal level theory, this research examines how zoom motions (zoom-in vs. zoom-out) interact with visual content to affect tourists’ responses. Five main studies across eastern and western cultures demonstrate significant interaction effects between zoom motion and visual content. Specifically, for activity-centric content, zoom-in motion enhances persuasiveness by eliciting objective mental imagery; for site-centric content, zoom-out motion proves more effective, as it evokes feelings-based mental …

The Interplay Between Osteosarcopenia And Intrinsic Capacity: Insights And Associations With All-Cause Mortality In The Toledo Study For Healthy Aging, Ivan Baltasar-Fernandez, Pedro L. Valenzuela, Irene Rodríguez-Gómez, Fabio Quiñonez-Bareiro, Luis M. Alegre, Konstantinos Prokopidis, Leocadio Rodriguez-Mañas, Ignacio Ara, Oscar Rosas-Carrasco, Lana J. Williams, Robinson Ramirez-Vélez, Julie A. Pasco, Guy Hajj-Boutros, Raman Agnihotram, Marc Sim, Wayne Lok Ok Choo, Mahdi Imani, Ana M. Ayala-Copete, Julia Chabot, Miguel G. Borda, Nailton J. Neto, Claire Godard-Sebillotte, Howard Bergman, Anna Andrianova, Hidenori Arai, Pierrette Gaudreau

Research outputs 2022 to 2026

Background: Osteosarcopenia—the coexistence of osteopenia/osteoporosis and sarcopenia—is associated with numerous adverse health outcomes, but its association with intrinsic capacity (IC) remains unknown. We aimed to explore the associations of osteosarcopenia with IC and all-cause mortality in older adults. Methods: We conducted a cross-sectional analysis of IC and a prospective analysis of all-cause mortality in 1142 participants from the Toledo Study for Healthy Aging (75.1 ± 6.0 years, 53.1% women). Participants were classified as having no musculoskeletal disorders, osteopenia/osteoporosis, sarcopenia, or osteosarcopenia (DXA- and EWGSOP2-based criteria). IC was operationalized as a composite score integrating locomotion, cognition, psychological, vitality, and sensory domains. …

Multi-Sensory Information And Simulator Immersion: Impact On Decision-Making Performance, Presence, And Cognitive Load, Zachariah G. Hoyne, Khaya Morris-Binelli, Sean Müller, Benjamin Piggott, Paola Chivers, Evan Dekker

Research outputs 2022 to 2026

Immersive technologies such as 360-degree video virtual reality (360VR) provide unique opportunities to simulate representative environments to investigate decision-making in a safe and cost-effective manner. Inclusion of multi-sensory visual, contextual, and auditory information is important to enhance simulator psychological fidelity. Yet, the influence of increased sensory information on decision-making, presence, and cognitive load in 360VR compared to less immersive two-dimensional video simulators is unknown. This study investigated multi-sensory information, presence, and cognitive load across immersion conditions (360VR and two-dimensional video) in an exemplar sport-specific decision-making task. Fifteen higher-skilled and 15 lesser-skilled Australian Rules Football players completed a decision-making task which …

Perceived Risk Of Substance Use And Associations With Early Experimentation: A Latent Profile Analysis Using Abcd Study Data, Alejandra Fernandez, Deanna M. Barch, Micah E. Johnson, Hugh Garavan, Alexandra S. Potter, Sarahjane L. Dube, Nicholas Allgaier, Ethan T. Hunt, Miguel Ángel Cano, Sandra Estrada Gonzalez

Psychological Science Faculty Publications

Objective: The current study aims to determine heterogenous latent profiles of substance use perceived harm and examine the concurrent associations between profiles and substance use experimentation.

Methods: We used data from the Adolescent Brain Cognitive DevelopmentSM Study (5.1 data release) 1-year follow up. Participants (N = 11184) were 52.2% male between the ages of 9 and 14 (M age = 10.48, SD = 0.65). Latent profile analysis was used with 11 perceived harm indicators. Multinomial logistic regression was used to determine the association between profile membership and substance use experimentation (i.e., alcohol sipping, tobacco puffing, and cannabis puffing).

Results: …

Use Of Intraoperative Vancomycin Powder And Its Effects On The Incidence Of Surgical Site Infection In Orthopaedic Trauma: A Systematic Review With Meta-Analysis, Troy B. Puga, Mckenna Box, Alan Lam, Claire Ferguson, Mason Poffenbarger, Cornelis J. Potgieter, Kisan Parikh, John T. Riehl

Student Publications

Introduction: Surgical site infection (SSI) in orthopaedic trauma can have devastating consequences. The use of intraoperative powdered vancomycin is one strategy used in orthopaedic trauma surgery to reduce SSI; however, evidence and guidelines remain unclear. The aim of this systematic review is to evaluate the evidence for the use of powdered vancomycin in orthopaedic trauma surgery for the prevention of SSI.

Methods: A search was conducted across PubMed/Medline, Cochrane, and Embase databases to evaluate the use of powdered vancomycin in orthopaedic trauma surgery for the prevention of SSIs. The search used a combination of keywords and MeSH terms. Titles and …

A Theoretical Framework And The Development Of A Multidimensional Scale Of Purpose In Life, Louis Fang, Alfred Allan, Joanne M. Dickson

Research outputs 2022 to 2026

Purpose in life is a key resource in existential psychology. However, its conceptual variability has hindered its application in mainstream practice. This paper presents a holistic, theoretical framework of purpose in life, the purpose in life system, developed from an integration of existing motivational theories and models. Based on our framework, we constructed the 12-item Multidimensional Measure of Purpose in Life (MMOP) and tested its psychometric properties across two studies. In Study 1 (N = 238), confirmatory factor analysis supported a three-factor higher-order model of purpose in life (present-oriented purpose in life, future-oriented purpose in life, purpose congruence across time), …

The Impact Of A Single Session Of Sprint Interval Training (Sit) On Pain Pressure Threshold (Ppt) In Healthy Adults, Francesco Pacenza, Gary Brickley, Umberto Crainich, Francesco Bettariga, Anthony Turner, Luca Maestroni

Research outputs 2022 to 2026

Different forms of aerobic exercise lead to Exercise-Induced Hypoalgesia (EIH). The aim of this study was to investigate the acute effect of a single session of Sprint Interval Training (SIT) on EIH. A total of 44 recreationally active young adults participated in a single SIT session on a cycle ergometer, consisting of a 2 min warm-up, 3 × 20 s “all-out” cycling bouts interspersed with 2 min of active recovery, and a 3 min cool-down. Pain Pressure Threshold (PPT) measurements were taken on the quadriceps (working muscle) and thenar eminence (resting muscle) before and after the session. Additionally, average power …

Not Too Early, Not All At Once: Design Tensions In Ai-Mediated Self-Disclosure In Online Dating, Pei-Hua Tsai, Tianyi Zhang, Emran Bin Elias Poh, Anthony Tang, Yung-Ju Chang

Research Collection School Of Computing and Information Systems

Online dating relies on self-disclosure, yet initial conversations are fragile: users must navigate uncertainty around timing, boundaries, and reciprocity with little shared context. While advances in AI raise the possibility of mediating disclosure, how such support might reshape the experience of early-stage relational disclosure remains underexplored. We conducted 29 semi-structured interviews to examine how daters envision AI-mediated self-disclosure in online dating. Our findings surface recurring design tensions rather than simple opportunities or risks. Participants welcomed guidance that could pace disclosure, support reflection, and reduce social awkwardness, but stressed preserving agency and authorship. They valued interpretive assistance for sense-making of ambiguous …

Language Embeddings Meet Shallow Autoencoders, Rodrigo Alves, Vojtěch Vančura, Pavel Kordík, Antoine Ledent

Research Collection School Of Computing and Information Systems

Shallow autoencoders are appealing recommenders due to their simplicity, scalability, and competitive retrieval quality, but they struggle in strict cold-start settings where new items have no interactions. We propose an inductive shallow autoencoder that leverages item side information (language embeddings) by fixing the decoder to item features and learning only an encoder in the same semantic space. To prevent trivial self-reconstruction without enforcing a hard zero diagonal, we introduce diagonal gating: a leave-one-item-out objective that blocks the self-copy shortcut only for the item being updated while retaining context from the rest of the user history. An alternating-style optimization trains the …

Happycal: Designing Text And Image-Based Supports For Savouring Positive Work Experiences, Molly Stewart, Minghao Cai, Anthony Tang, Sam Liu, Chris Mosunic, Sowmya Somanath

Research Collection School Of Computing and Information Systems

Savouring positive work experiences can promote positive affect and well-being at work, yet there is limited guidance on how digital applications can support workers to engage in savouring. We developed HappyCal, a work-focused savouring application offering two forms of savouring support: text-based, a common modality in workplace reflection tools, and images, a largely unexplored approach in work-related savouring. We conducted an exploratory qualitative study where participants (N=36) used HappyCal over five days and engaged in savouring through either a text-only modality (n=17) or text input paired with image output (n=19). We found that (1) participants in both groups reported heightened …

Exploring The Fidelity Of Resistance Training Interventions In Regional, Rural, And Remote Cancer Care: A Systematic Scoping Review, Christopher W. Rowe, Nicolas H. Hart, Julia Carlino, James Murray

Research outputs 2022 to 2026

Resistance-based exercise interventions are an integral part of supportive cancer care, though their high quality and high-fidelity implementation with people with cancer living in non-metropolitan locations is challenging. This systematic scoping review aimed to identify how exercise prescription principles and measures of fidelity are reported in resistance-based exercise interventions delivered to people with cancer living in regional, rural and remote areas. A systematic scoping review was conducted in accordance with the PRISMA-ScR guidelines. Five electronic databases were searched (MEDLINE/PubMed, Embase, CINAHL, SCOPUS and SportDiscus) for peer-reviewed studies published in English, that delivered a resistance-based exercise intervention to adult cancer survivors …

Understanding Adolescents’ Attitudes Toward Disabilitiesto Improve Out-Of-School Programs, Vanessa Spero, David C. Diehl, John M. Diaz, Serap Gorucu

Journal of Youth Development

This study explores adolescents’ attitudes and perceptions toward individuals with disabilities in out-of-school time (OST) settings. Gaining insight into these attitudes can help inform future initiatives and interventions to develop programs that foster inclusion and greater participation of people with disabilities in OST programs. This study employed quantitative methods using the Brief Questionnaire for Adolescents on Attitudes Toward Persons with a Disability (CBAD-12A), developed by Álvarez-Delgado et al. (2020), to survey adolescents about their attitudes and perceptions toward individuals with disabilities. The results of the study revealed no statistically significant differences in attitudes toward individuals with disabilities based on whether …

The Heart Of Camp: Belonging, Relationships, And Growth Of Character And Skills, Alecia Moser, Nila Rosen, Maurice Elias, Sarah R. Sprayberry, Andrea Vest Ettekal

Journal of Youth Development

This study examined how campers’ experiences of belonging, counselor support, and new close friendships relate to life skill and character development in North American Jewish youth. Residential summer camps are relational settings that promote positive youth development. Although belonging and supportive relationships are theorized to drive such development, few studies have tested these camp features in current camper populations, and less is known about how friendship formation and perceptions of counselors distinctly interact with belonging to shape development. In this study, end-of-summer surveys were administered to middle- and high-school-aged campers at five Jewish residential summer camps. Measures included assessing belonging, …

4‑H Efforts Toward Demographic Representation, 1980–2025: A State‑Of‑The‑Art Review (Part 1), Jeremy Elliott-Engel, Jeff Wayne Howard

Journal of Youth Development

This state-of-the-art review synthesizes 45 years of scholarship (1980–2025) to assess how effectively the 4-H program has worked to serve a demographically representative youth population. Drawing on academic and gray literature (n=99) sources, the review traces 4-H’s evolution from its segregated land grant origins to contemporary efforts focused on access, equity, inclusion, and belonging. It documents progress in culturally responsive programming and national diversity, equity, inclusion (DEI) initiatives while highlighting persistent disparities in participation and benefit distribution. The review identifies effective strategies, enduring structural barriers, and areas where research and practice remain limited, offering a comprehensive foundation for understanding 4-H’s …

Mitigating Disparities In Diagnosis Of Dementia, Lycia Tramujas Vasconcellos Neumann, Simin Mahinrad, Erin L. Abner, Soo Borson, Goldie S. Byrd, Maria Carrillo, Lindsay Clark, Anthony N. Correro Ii, Kacie D. Deters, Gladys E. Maestre

School of Medicine Publications

The field of Alzheimer's disease and related dementias (AD/ADRD) is undergoing a transformative shift with a better understanding of disease biology, biomarker-based diagnostics, and disease-modifying therapies. Yet, these advancements risk exacerbating existing disparities in diagnosis and care. The 2024 Alzheimer's Association International Conference (AAIC) Advancements: Exploring Equity in Diagnosis convened interdisciplinary experts to address these inequities and chart a path toward population-generalizable research and practice. This article synthesizes key insights from the conference, highlighting considerations for inclusive and representative research design, ethical approaches in diagnostic disclosure, as well as challenges and solutions at individual, community, and systemic levels to advance …

International Advice, Mature Democracies And The Venice Commission, Maartje De Visser

Research Collection Yong Pung How School Of Law

The aim of this article is to explore the role and practice of constitutional advice-giving as it relates to mature democracies. More precisely, this article considers how the Venice Commission – the official advisory body for constitutional matters of the Council of Europe – exercises its mandate vis-à-vis such democracies through the delivery of country-specific Opinions, based on a close reading of all such Opinions rendered between 2002 and 2024. It examines the substantive focus of those Opinions, the way they engage with constitutional experiences elsewhere, as well as the tone of the assessment and the approach taken in formulating …

Social Exclusion Cues And Collective Action Motivation In Environmental Campaigns: The Buffering Role Of Social Support, Hwan-Ho Noh, Warren B. Chik

Research Collection Yong Pung How School Of Law

This study examines the influence of social exclusion cues on public engagement with environmental campaigns on social media, focusing on how such cues affect advertising attitudes and collective action motivation. Across two experimental studies, we investigated whether low engagement metrics, such as a small number of likes, function as symbolic exclusion cues that reduce perceived public support. The results indicate that social exclusion cues negatively affect advertising attitudes and collective action motivation, ultimately decreasing the intention to engage with the campaign. However, the presence of social support cues, which signal sustained public interest and social endorsement, effectively mitigated these negative …

Rethinking Ethics For An Era Of Trusted Computational Tools, Kristin M Kostick-Quenet, Meghan Hurley, John Herrington, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Computer perception (CP) technologies are poised to deliver near real-time behavioral insights with high precision. As technical barriers recede, our field's ethical focus must shift from "Can we trust the data?" to "Should we use it here, and how?" We propose a contextual ethics framework that: (1) defines the appropriate scope of CP integration; (2) advocates codesigned roadmaps to manage expectations and epistemic conflict; (3) expands evaluation beyond performance metrics to humanistic outcomes; and (4) anticipates future high performance systems to safeguard dignity, empathy, and shared decision-making in clinical care.