PDF(Pubmed)
Abstract：
BACKGROUND: Given that mental health problems in adolescence may have lifelong impacts, the role of primary care physicians (PCPs) in identifying and managing these issues is important. Artificial Intelligence (AI) may offer solutions to the current challenges involved in mental health care. We therefore explored PCPs\' challenges in addressing adolescents\' mental health, along with their attitudes towards using AI to assist them in their tasks.
METHODS: We used purposeful sampling to recruit PCPs for a virtual Focus Group (FG). The virtual FG lasted 75 minutes and was moderated by two facilitators. A life transcription was produced by an online meeting software. Transcribed data was cleaned, followed by a priori and inductive coding and thematic analysis.
RESULTS: We reached out to 35 potential participants via email. Seven agreed to participate, and ultimately four took part in the FG. PCPs perceived that AI systems have the potential to be cost-effective, credible, and useful in collecting large amounts of patients\' data, and relatively credible. They envisioned AI assisting with tasks such as diagnoses and establishing treatment plans. However, they feared that reliance on AI might result in a loss of clinical competency. PCPs wanted AI systems to be user-friendly, and they were willing to assist in achieving this goal if it was within their scope of practice and they were compensated for their contribution. They stressed a need for regulatory bodies to deal with medicolegal and ethical aspects of AI and clear guidelines to reduce or eliminate the potential of patient harm.
CONCLUSIONS: This study provides the groundwork for assessing PCPs\' perceptions of AI systems\' features and characteristics, potential applications, possible negative aspects, and requirements for using them. A future study of adolescents\' perspectives on integrating AI into mental healthcare might contribute a fuller understanding of the potential of AI for this population.
METHODS: We used purposeful sampling to recruit PCPs for a virtual Focus Group (FG). The virtual FG lasted 75 minutes and was moderated by two facilitators. A life transcription was produced by an online meeting software. Transcribed data was cleaned, followed by a priori and inductive coding and thematic analysis.
RESULTS: We reached out to 35 potential participants via email. Seven agreed to participate, and ultimately four took part in the FG. PCPs perceived that AI systems have the potential to be cost-effective, credible, and useful in collecting large amounts of patients\' data, and relatively credible. They envisioned AI assisting with tasks such as diagnoses and establishing treatment plans. However, they feared that reliance on AI might result in a loss of clinical competency. PCPs wanted AI systems to be user-friendly, and they were willing to assist in achieving this goal if it was within their scope of practice and they were compensated for their contribution. They stressed a need for regulatory bodies to deal with medicolegal and ethical aspects of AI and clear guidelines to reduce or eliminate the potential of patient harm.
CONCLUSIONS: This study provides the groundwork for assessing PCPs\' perceptions of AI systems\' features and characteristics, potential applications, possible negative aspects, and requirements for using them. A future study of adolescents\' perspectives on integrating AI into mental healthcare might contribute a fuller understanding of the potential of AI for this population.
摘要：
背景：鉴于青春期的心理健康问题可能会产生终身影响，初级保健医师(PCP)在识别和管理这些问题方面的作用非常重要.人工智能（AI）可以为当前涉及精神卫生保健的挑战提供解决方案。因此，我们探讨了PCP在解决青少年心理健康方面的挑战，以及他们对使用人工智能来帮助他们完成任务的态度。
方法：我们使用有目的的抽样为虚拟焦点小组（FG）招募PCP。虚拟FG持续了75分钟，由两名主持人主持。生活转录是由在线会议软件制作的。已清除转录数据,其次是先验和归纳编码和主题分析。
结果：我们通过电子邮件联系了35名潜在参与者。七人同意参加，最终四人参加了FG。PCP认为人工智能系统有可能具有成本效益，可信,并有助于收集大量患者数据，相对可信。他们设想AI协助诊断和制定治疗计划等任务。然而,他们担心依赖人工智能可能会导致临床能力的丧失。PCP希望AI系统是用户友好的，他们愿意协助实现这一目标，如果这是在他们的实践范围内，他们的贡献得到补偿。他们强调，监管机构需要处理人工智能的法医学和伦理方面的问题，并制定明确的指导方针，以减少或消除潜在的患者伤害。
结论：这项研究为评估PCP“对AI系统的感知”的特征和特征提供了基础，潜在的应用,可能的负面方面，以及使用它们的要求。未来对青少年将人工智能整合到精神保健中的观点的研究可能有助于更全面地了解人工智能对这一人群的潜力。
方法：我们使用有目的的抽样为虚拟焦点小组（FG）招募PCP。虚拟FG持续了75分钟，由两名主持人主持。生活转录是由在线会议软件制作的。已清除转录数据,其次是先验和归纳编码和主题分析。
结果：我们通过电子邮件联系了35名潜在参与者。七人同意参加，最终四人参加了FG。PCP认为人工智能系统有可能具有成本效益，可信,并有助于收集大量患者数据，相对可信。他们设想AI协助诊断和制定治疗计划等任务。然而,他们担心依赖人工智能可能会导致临床能力的丧失。PCP希望AI系统是用户友好的，他们愿意协助实现这一目标，如果这是在他们的实践范围内，他们的贡献得到补偿。他们强调，监管机构需要处理人工智能的法医学和伦理方面的问题，并制定明确的指导方针，以减少或消除潜在的患者伤害。
结论：这项研究为评估PCP“对AI系统的感知”的特征和特征提供了基础，潜在的应用,可能的负面方面，以及使用它们的要求。未来对青少年将人工智能整合到精神保健中的观点的研究可能有助于更全面地了解人工智能对这一人群的潜力。
