Supporting Informed Consent in Human-Machine Collaboration: The Role of Conflict Type, Time Pressure, and Display Design

Author(s):  
Wesley A. Olson ◽  
Nadine B. Sarter
Author(s):  
Jane Dai ◽  
Jeremy Cone ◽  
Jeff Moher

Abstract Background Making decisions about food is a critical part of everyday life and a principal concern for a number of public health issues. Yet, the mechanisms involved in how people decide what to eat are not yet fully understood. Here, we examined the role of visual attention in healthy eating intentions and choices. We conducted two-alternative forced choice tests of competing food stimuli that paired healthy and unhealthy foods that varied in taste preference. We manipulated their perceptual salience such that, in some cases, one food item was more perceptually salient than the other. In addition, we manipulated the cognitive load and time pressure to test the generalizability of the salience effect. Results Manipulating salience had a powerful effect on choice in all situations; even when an unhealthy but tastier food was presented as an alternative, healthy food options were selected more often when they were perceptually salient. Moreover, in a second experiment, food choices on one trial impacted food choices on subsequent trials; when a participant chose the healthy option, they were more likely to choose a healthy option again on the next trial. Furthermore, robust effects of salience on food choice were observed across situations of high cognitive load and time pressure. Conclusions These results have implications both for understanding the mechanisms of food-related decision-making and for implementing interventions that might make it easier for people to make healthy eating choices.


1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.


PEDIATRICS ◽  
1966 ◽  
Vol 38 (3) ◽  
pp. 373-374
Author(s):  
WILLIAM A. SILVERMAN

THE special position of infants and young children as subjects in therapeutic and non-therapeutic investigations is highlighted by recently renewed emphasis on the need to obtain formal consent, when (in the words of a National Institutes of Health memorandum) "procedures deviate from accepted medical practice." Who should act for the very young patient by giving consent based on informed understanding? Most codes for investigators specify that consent may be given only by parents or guardians. In these circumstances parents and guardians are forced into the role of arbiters required to make exceptionally difficult judgments in situations which increase in complexity each day that our knowledge increases.


PEDIATRICS ◽  
1983 ◽  
Vol 72 (1) ◽  
pp. 142-143
Author(s):  
JACK A. LAND ◽  
ANTHONY M. POLICASTRO

To the Editor.— We found "The Role of Parental Information in the Incidence of Circumcision" (Pediatrics 1982;70:597-598) to be most interesting. At Malcolm Grow USAF Medical Center, Andrews Air Force Base, Maryland, we performed a similar study. Pregnant women, followed by the obstetrical service, were given appointments to attend, with their husbands, a four-hour general counseling session during their eighth month of pregnancy. During the session, circumcision was discussed in such depth that it constituted informed consent. Women who did not attend the session received no structured informed consent.


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