Study 2 · Trust in medical AI

Study 2: 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 that found no difference.

Where each dissertation figure and table lives

In the dissertationWhat it showsOn this siteNotes
Table 4 The twelve medical decisions and how they were grouped Tables 2 and 3
Figure 9 Quantitative reasoning needed, decision by decision Figure 1
Figure 10 Trust in the doctor and the AI, decision by decision Figures 5 and 6 Figure 4 shows each person
Table 5 and Hypothesis 1 Paired t tests of trust, decision by decision Table 5 The dissertation text and its Table 5 differ slightly in a few means; this page reports the data
Tables 6 and 7 The same test for the stage and domain composites Table 6
Table 8 and Hypothesis 2 Mixed model with the doctor-by-need interaction Table 8, Figure 11 Full model, with warmth and competence, is in the mixed models below
Tables 9 and 10 Correlations among quantitative reasoning, intuition, warmth, competence, for each recommender Table 9
Tables 11 and 12 Within-person and between-person correlations Table 10
Figure 11 Mediation through warmth and competence Figure 12
Figure 12 and Additional Mediation Models Mediation through intuition and quantitative reasoning Figure 13 and Table 15

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× Does the gap change with the kind of decision? Doctor-minus-AI gap: diagnostic versusprescriptive 4.7× Doctor-minus-AI gap: diagnostic versuspreventative 10⁶× Doctor-minus-AI gap: prescriptive versuspreventative 10⁷× Doctor-minus-AI gap: physical health versusmental health 4.8× Doctor-minus-AI gap: bodily injury versusacute sickness 5.5× Doctor-minus-AI gap: bodily injury versuschronic sickness 5.2× Doctor-minus-AI gap: acute sickness versuschronic sickness 5.0× Does the gap depend on the decision? H2: Does the gap depend on the need forquantitative reasoning? 8.5× Trust by how much quantitative reasoning thedecision needs 6.5× Do people differ? Trust by gender (man versus not) 6.5× Trust by age group (four bands) 4.0× Does the gap grow with age? (age band bydoctor) 1.7× What explains the gap? H5: Does warmth explain the gap? (indirecteffect) 2.0×
  • 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
Doctor-minus-AI gap: diagnostic versus prescriptive2.7 times for no difference4.7 times for no difference7 times for no difference
Doctor-minus-AI gap: diagnostic versus preventativeover 1 million times for a differenceover 1 million times for a differenceover 2 million times for a difference
Doctor-minus-AI gap: prescriptive versus preventativeover 59 million times for a differenceover 95 million times for a differenceover 107 million times for a difference
Doctor-minus-AI gap: physical health versus mental health2.7 times for no difference4.8 times for no difference7.1 times for no difference
Doctor-minus-AI gap: bodily injury versus acute sickness3 times for no difference5.5 times for no difference8.2 times for no difference
Doctor-minus-AI gap: bodily injury versus chronic sickness2.9 times for no difference5.2 times for no difference7.8 times for no difference
Doctor-minus-AI gap: acute sickness versus chronic sickness2.8 times for no difference5 times for no difference7.5 times for no difference
H2: Does the gap depend on the need for quantitative reasoning?4.5 times for no difference8.5 times for no difference13 times for no difference
Trust by how much quantitative reasoning the decision needs3.5 times for no difference6.5 times for no difference9.5 times for no difference
Trust by gender (man versus not)3.5 times for no difference6.5 times for no difference9.8 times for no difference
Trust by age group (four bands)2.3 times for no difference4 times for no difference5.7 times for no difference
Does the gap grow with age? (age band by doctor)2.9 times for a difference1.7 times for a difference1.2 times for a difference
H5: Does warmth explain the gap? (indirect effect)1.4 times for no difference2 times for no difference2.8 times for no difference

The gap does not depend on how much quantitative reasoning a decision needs. The doctor-by-need interaction (hypothesis 2) was not significant. The data are 8.5 times more likely if the gap is the same whether a decision leans on numbers or on judgment than if it changes by a medium-sized amount. That is moderate evidence for no change, a firmer reading than the p value alone gives.

The gap is the same size across kinds of health problem. Physical against mental health, and bodily injury, acute sickness and chronic sickness against each other, each come out roughly 5 to 6 times more likely under no difference, moderate evidence. Stage of care is different: the gap for preventative decisions is clearly smaller than for diagnostic or prescriptive ones, with the data millions of times more likely under a difference. Diagnostic and prescriptive gaps match (4.7 times more likely under no difference).

Gender made no difference to trust; age is unclear. The data are 6.5 times more likely under no gender difference, moderate evidence. Age by itself is similar (4 times more likely under no difference), but whether the gap grows with age is inconclusive: the data are only 1.7 times more likely under a difference, despite p = .013, so I would not lean on that finding.

Warmth did not explain the gap, but the evidence is thin. The warmth pathway was not significant in the model that also included competence. The data are 2 times more likely under no indirect effect, which is anecdotal. This one assumes the indirect effect is roughly bell-shaped, which indirect effects often are not, so treat it as a guide.