Study 1 · Trust in medical AI

Study 1: dig deeper

Dig deeper

Two more things for readers who want them: where each figure and table of the dissertation sits on this page, and a Bayesian check on every comparison, with extra attention to the ones that found no difference.

Where each dissertation figure and table lives

In the dissertationWhat it showsOn this siteNotes
Table 1 The fifteen medical decisions and how they were grouped Tables 2 and 3
Table 2 The eleven medical recommenders Table 8
Figure 3 Quantitative reasoning needed, decision by decision Figure 1 Every person is plotted, not only the mean and interval
Figure 4 The same, by stage of care Figure 3
Figure 5 The same, by kind of health problem Figure 2
Figure 6 Quantitative reasoning and intuition for each recommender Figures 6 and 7 Plus Figure 11 for the human-versus-AI split
Figure 7 Trust in each recommender Figure 6
Hypotheses 1 to 7, exploratory test Paired t tests Tables 6 and 7, Figure 5
Table 3 Mixed model of trust, with within-person and between-person terms Tables 9 to 14, Figure 8 The released file groups age, so some terms differ in the third decimal

When the test found no difference

A p value can only say whether a difference was detected. When it was not, it cannot tell you whether the difference is truly absent or whether the study was too small to see it. A Bayes factor can. It asks how many times more likely the data are under one story than under the other: there is no difference, or there is a difference of a plausible size. If the data are 10 times more likely when there is no difference, that is a Bayes factor of 10 for no difference.

The second story needs a guess about "a plausible size," so I ran it three ways: a small, a medium and a large effect, using the benchmarks Funder and Ozer (2019) proposed for psychology. The guess is a Cauchy prior, a bell-shaped curve centered on zero with long tails, so smaller effects are most likely and larger ones are not ruled out. Each row of a chart shows all three. When the three markers sit close together, the conclusion does not depend on the guess. When they spread out, it does.

EffectCorrelation (r)Cohen's dWhat it means in daily life
Very small.050.10Hard to see in one person, but it can add up over many people or many years
Small.100.20Noticeable only when you look across many cases
Medium.200.41A typical finding in published psychology, and a real difference in everyday life
Large.300.63Rare in psychology, and clearly visible
Very large.40 or more0.87 or moreUncommon, and often an overestimate

These benchmarks are more realistic than the older 0.2, 0.5 and 0.8 rule of thumb, which describes effects most psychology studies never reach. This site labels every effect size with them. For ratings from the same person, d is the mean difference divided by the spread of the differences, and I convert it to r the way you would for two equal groups, so the labels are a guide.

Times more likelyHow to describe the evidence
1 to 3Anecdotal: barely worth mentioning
3 to 10Moderate
10 to 30Strong
30 to 100Very strong
Over 100Extreme

The same words apply in both directions. Data that are 12 times more likely under no difference are strong evidence for no difference, and data 12 times more likely under a difference are strong evidence for a difference. Near 1, the data cannot tell the two stories apart.

← difference more likely no difference more likely → how many times more likely 100× 30× 10× 3× even 3× 10× 30× 100× Hypothesis tests H1: Diagnostic decisions need morequantitative reasoning than prescriptive ones 6.7× H2: Diagnostic decisions need morequantitative reasoning than preventative ones 10⁵× H3: Prescriptive decisions need morequantitative reasoning than preventative ones 10⁵× H4: Physical health decisions need morequantitative reasoning than mental health ones 3.2× H5: Bodily injury decisions need morequantitative reasoning than acute sickness ones 1.3× H6: A doctor is seen as more capable ofintuition than an AI 10¹⁰× H7: Doctors are judged more trustworthy thanmedical AI 10¹⁸× Further comparisons Exploratory: A doctor is seen as more capableof quantitative reasoning than an AI (exploratory) 10⁹× Trust: layperson versus AI 2.5× Intuition: layperson versus AI 1.3× AI: quantitative reasoning versus intuition 11× Trust: doctor versus doctor using AI 10⁸× Humans versus AI Trust: humans versus AI 10¹⁴× Quantitative reasoning: humans versus AI 4,400× Intuition: humans versus AI 10¹³×
  • Small, medium and large effect (the labelled dot is medium)
  • Data favor no difference
  • Data favor a difference
View as a table
TestIf the effect is smallIf mediumIf large
H1: Diagnostic decisions need more quantitative reasoning than prescriptive ones3.5 times for no difference6.7 times for no difference10 times for no difference
H2: Diagnostic decisions need more quantitative reasoning than preventative ones114,000 times for a difference138,000 times for a difference125,000 times for a difference
H3: Prescriptive decisions need more quantitative reasoning than preventative ones165,000 times for a difference202,000 times for a difference183,000 times for a difference
H4: Physical health decisions need more quantitative reasoning than mental health ones4.4 times for a difference3.2 times for a difference2.3 times for a difference
H5: Bodily injury decisions need more quantitative reasoning than acute sickness onesabout equally likely for a difference1.3 times for no difference1.9 times for no difference
H6: A doctor is seen as more capable of intuition than an AIover a billion times for a differenceover a billion times for a differenceover a billion times for a difference
H7: Doctors are judged more trustworthy than medical AIover a billion times for a differenceover a billion times for a differenceover a billion times for a difference
Exploratory: A doctor is seen as more capable of quantitative reasoning than an AI (exploratory)over a billion times for a differenceover a billion times for a differenceover a billion times for a difference
Trust: layperson versus AI1.5 times for no difference2.4 times for no difference3.6 times for no difference
Intuition: layperson versus AI1.3 times for a difference1.3 times for no difference1.8 times for no difference
AI: quantitative reasoning versus intuition13 times for a difference11 times for a difference7.8 times for a difference
Trust: doctor versus doctor using AIover 371 million times for a differenceover 526 million times for a differenceover 527 million times for a difference
Trust: humans versus AIover a billion times for a differenceover a billion times for a differenceover a billion times for a difference
Quantitative reasoning: humans versus AI4,100 times for a difference4,400 times for a difference3,700 times for a difference
Intuition: humans versus AIover a billion times for a differenceover a billion times for a differenceover a billion times for a difference

Diagnostic and prescriptive decisions are rated alike. Hypothesis 1 found no difference (p = .68). The data are 6.7 times more likely if the two stages need the same amount of quantitative reasoning than if they differ by a medium-sized amount. That is moderate evidence for no difference, a firmer conclusion than "not significant." It holds if you expect a small or a large difference instead.

Bodily injury versus acute sickness is unsettled. Hypothesis 5 missed the usual cutoff (p = .061). The data are only 1.3 times more likely under no difference than under a medium difference, which is the same as saying they lean neither way. A larger sample is the only way to settle it.

One result is weaker than its p value suggests. Physical health versus mental health reached p = .010, yet the data are only 3.2 times more likely under a medium difference than under none, which is anecdotal. I would call that difference suggestive. The comparisons behind hypotheses 2, 3, 6 and 7 are another matter: the data are many thousands to many billions of times more likely under a difference.

A layperson and an AI are trusted about equally. People trusted a layperson (M = 4.3) about as much as a medical AI (M = 4.7). The data are 2.5 times more likely under no difference, which is anecdotal, so I would not claim the two are the same, only that no gap showed up. The AI is trusted well below a doctor.