Krzysztof Z. Gajos

Zana Buçinca, Siddharth Swaroop, Amanda E. Paluch et al. · harvard

Imagine if AI decision-support tools not only complemented our ability to make accurate decisions, but also improved our skills, boosted collaboration, and elevated the joy we derive from our tasks. Despite the potential to optimize a broad spectrum of such human-centric objectives, the design of current AI tools remains focused on decision accuracy alone. We propose offline reinforcement learning (RL) as a general approach for modeling human-AI decision-making to optimize human-AI interaction for diverse objectives. RL can optimize such objectives by tailoring decision support, providing the right type of assistance to the right person at the right time. We instantiated our approach with two objectives: human-AI accuracy on the decision-making task and human learning about the task and learned decision support policies from previous human-AI interaction data. We compared the optimized policies against several baselines in AI-assisted decision-making. Across two experiments (N=316 and N=964), our results demonstrated that people interacting with policies optimized for accuracy achieve significantly better accuracy -- and even human-AI complementarity -- compared to those interacting with any other type of AI support. Our results further indicated that human learning was more difficult to optimize than accuracy, with participants who interacted with learning-optimized policies showing significant learning improvement only at times. Our research (1) demonstrates offline RL to be a promising approach to model human-AI decision-making, leading to policies that may optimize human-centric objectives and provide novel insights about the AI-assisted decision-making space, and (2) emphasizes the importance of considering human-centric objectives beyond decision accuracy in AI-assisted decision-making, opening up the novel research challenge of optimizing human-AI interaction for such objectives.

Krzysztof Z. Gajos, Lena Mamykina

When people receive advice while making difficult decisions, they often make better decisions in the moment and also increase their knowledge in the process. However, such incidental learning can only occur when people cognitively engage with the information they receive and process this information thoughtfully. How do people process the information and advice they receive from AI, and do they engage with it deeply enough to enable learning? To answer these questions, we conducted three experiments in which individuals were asked to make nutritional decisions and received simulated AI recommendations and explanations. In the first experiment, we found that when people were presented with both a recommendation and an explanation before making their choice, they made better decisions than they did when they received no such help, but they did not learn. In the second experiment, participants first made their own choice, and only then saw a recommendation and an explanation from AI; this condition also resulted in improved decisions, but no learning. However, in our third experiment, participants were presented with just an AI explanation but no recommendation and had to arrive at their own decision. This condition led to both more accurate decisions and learning gains. We hypothesize that learning gains in this condition were due to deeper engagement with explanations needed to arrive at the decisions. This work provides some of the most direct evidence to date that it may not be sufficient to include explanations together with AI-generated recommendation to ensure that people engage carefully with the AI-provided information. This work also presents one technique that enables incidental learning and, by implication, can help people process AI recommendations and explanations more carefully.

Zana Buçinca, Maja Barbara Malaya, Krzysztof Z. Gajos

People supported by AI-powered decision support tools frequently overrely on the AI: they accept an AI's suggestion even when that suggestion is wrong. Adding explanations to the AI decisions does not appear to reduce the overreliance and some studies suggest that it might even increase it. Informed by the dual-process theory of cognition, we posit that people rarely engage analytically with each individual AI recommendation and explanation, and instead develop general heuristics about whether and when to follow the AI suggestions. Building on prior research on medical decision-making, we designed three cognitive forcing interventions to compel people to engage more thoughtfully with the AI-generated explanations. We conducted an experiment (N=199), in which we compared our three cognitive forcing designs to two simple explainable AI approaches and to a no-AI baseline. The results demonstrate that cognitive forcing significantly reduced overreliance compared to the simple explainable AI approaches. However, there was a trade-off: people assigned the least favorable subjective ratings to the designs that reduced the overreliance the most. To audit our work for intervention-generated inequalities, we investigated whether our interventions benefited equally people with different levels of Need for Cognition (i.e., motivation to engage in effortful mental activities). Our results show that, on average, cognitive forcing interventions benefited participants higher in Need for Cognition more. Our research suggests that human cognitive motivation moderates the effectiveness of explainable AI solutions.

Maia Jacobs, Jeffrey He, Melanie F. Pradier et al.

Major depressive disorder is a debilitating disease affecting 264 million people worldwide. While many antidepressant medications are available, few clinical guidelines support choosing among them. Decision support tools (DSTs) embodying machine learning models may help improve the treatment selection process, but often fail in clinical practice due to poor system integration. We use an iterative, co-design process to investigate clinicians' perceptions of using DSTs in antidepressant treatment decisions. We identify ways in which DSTs need to engage with the healthcare sociotechnical system, including clinical processes, patient preferences, resource constraints, and domain knowledge. Our results suggest that clinical DSTs should be designed as multi-user systems that support patient-provider collaboration and offer on-demand explanations that address discrepancies between predictions and current standards of care. Through this work, we demonstrate how current trends in explainable AI may be inappropriate for clinical environments and consider paths towards designing these tools for real-world medical systems.