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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Explainable AI as a Crucial Factor for Improving Human-AI Decision-Making Processes</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Regina de Brito Duarte</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>INESC-ID</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Instituto Superior Técnico</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidade de Lisboa</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Portugal</string-name>
        </contrib>
      </contrib-group>
      <abstract>
        <p>A crucial aspect of AI-assisted decision making involves providing explanations for AI recommendations and predictions. Despite the optimism surrounding eXplainable AI (XAI) to improve transparency and trustworthiness, several studies have highlighted its shortcomings. My doctoral research aims to develop and validate a framework for human-AI decision making where explanations are central, serving as an enhancement factor for AI-assisted decision tasks. I hypothesize that a robust framework will elucidate underlying mechanisms and investigate the efects of AI explanations on decision outcomes. This research will advance our understanding of the combination of AI and human capabilities, informing the design of AI-assisted decision tasks for real-world scenarios.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Human-AI Decision Making</kwd>
        <kwd>eXplainable AI</kwd>
        <kwd>Human-AI Interaction</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        The development of Artificial Intelligence (AI) algorithms and their astonishing capabilities
are the primary reasons for the rapid adoption of AI in our society. Specifically, in the realm
of human decision-making, some decisions that were once solely the domain of humans are
now being made with the assistance of AI decision support systems. Examples can be observed
in courtrooms [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] or in healthcare, where regulators are concerned about the consequences of
doctors using AI tools to support their clinical practice [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. The full extent of the impacts of
AI recommendations on human decision-making is not yet entirely understood, and there is
currently a significant efort within the scientific community to comprehend its efects [
        <xref ref-type="bibr" rid="ref3 ref4 ref5">3, 4, 5</xref>
        ].
      </p>
      <p>
        One prominent factor in the decision-making process assisted by AI algorithms is the provision
of explanations for such AI recommendations and predictions. The field of eXplainable AI
(XAI) has flourished due to the necessity of understanding why AI algorithms make specific
predictions. Now, its utility is considered crucial to improve AI transparency and trustworthiness
among human users [
        <xref ref-type="bibr" rid="ref6 ref7">6, 7</xref>
        ], especially in the context of human-AI decision making. Even
with considerable optimism about XAI’s potential to enhance transparency and human-AI
interaction in decision-making, various studies underscore the limitations and risks tied to XAI
explanations in AI-assisted decisions [
        <xref ref-type="bibr" rid="ref10 ref8 ref9">8, 9, 10</xref>
        ]. A notable issue is the overreliance paradigm,
where humans depend heavily on AI algorithms, and the explanations do not improve trust
calibration, at times worsening overreliance patterns [
        <xref ref-type="bibr" rid="ref11 ref12 ref13">11, 12, 13</xref>
        ]. Some research indicates
that explanations emphasizing feature importance might trigger over-reliance [
        <xref ref-type="bibr" rid="ref3">3, 14</xref>
        ], whereas
certain explanations may not significantly impact decision performance and AI trust [
        <xref ref-type="bibr" rid="ref10">15, 10</xref>
        ].
Furthermore, explanations can have a placebo efect, where individuals trust the AI system more
simply due to the presence of an explanation, regardless of its correctness or the trustworthiness
of the AI system [
        <xref ref-type="bibr" rid="ref8">8, 14</xref>
        ].
      </p>
      <p>
        There is an ongoing debate regarding the best types of explanations to present, considering
multiple options and incorporating social theories of human explanation [16, 17, 18]. Two
examples of new strategies to improve XAI in AI-assisted decision-making include providing a
detailed narrative for full comprehension of the explanation and the context of the decision
task [18] and ofering a discussion of each option’s pros and cons rather than explaining the
reasoning behind an AI prediction [16]. Another possible enhancement involves cognitive
forcing functions, which are design techniques meant to encourage active participation in
the decision-making process [
        <xref ref-type="bibr" rid="ref11">11, 19, 15</xref>
        ]. This method forces decision-makers to engage with
explanations, addressing the limitations of merely presenting them.
      </p>
      <p>
        In parallel, several other factors may afect the AI-assisted decision-making process, not
only influencing the decision itself but also impacting how explanations afect the final output.
These factors include the dificulty of the task, the expertise of the human decision-maker,
the stakes of the decision, and even the cognitive load required to understand the task [
        <xref ref-type="bibr" rid="ref10 ref13">19,
13, 10</xref>
        ]. Nevertheless, there is a clear lack of standardized metrics and structures needed to
formulate a unified theory of human-AI decision making and compile all research findings
[20]. The current research evidence in the literature is challenging to compare directly due
to varying decision-making factors and contexts, making it dificult to discern patterns in
AI-assisted decision making. Additionally, the methods and metrics applied to assess and
comprehend these tasks vary widely and are dificult to align in the absence of standardization.
For instance, it is not suficiently clear when one should employ feature importance explanations,
counterfactual explanations, or example-based explanations for a decision-making task with
specific characteristics.
      </p>
      <p>The purpose of my doctoral research is to add to the body of literature on AI-assisted
decisionmaking by crafting a theory of Human-AI decision-making. This theory will lay the groundwork
for understanding the decision-making process when assisted by an AI agent. My research
has two primary goals. First, I intend to investigate the factors that could afect human-AI
decision-making. While numerous studies have examined the impacts of various elements in
AIassisted decision-making, certain factors such as team composition and AI system embodiment
have yet to be fully explored, especially regarding the influence of explanations in AI-aided
decision-making. Second, I aim to develop and validate a framework to comprehend human-AI
decision-making. For this objective, I will utilize both existing studies and my own research,
which will introduce new insights and consider additional factors, as foundational inputs for the
framework’s development. In the subsequent section, I will elaborate on my research questions
and targets.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Research Questions and Hypotheses</title>
      <p>The research questions I aim to respond in my doctoral research are the following:
RQ.1 What constitutes the optimal framework for conceptualizing AI assisted decision-making
processes?
RQ.2 How can eficiency and eficacy be promoted in AI-assisted decision-making processes?
RQ.3 How can explainable AI methods be enhanced to support AI assisted decision-making
process?
The end goals of my research questions are twofold: Firstly, to investigate XAI explanations,
both from technical and design perspectives, as a central element that can enhance the
humanAI decision-making process. Secondly, to establish a validated framework for the analysis of
AI-assisted decision-making tasks. For the first research question, I hypothesize the existence of
a framework for studying AI-assisted decision-making processes that facilitates understanding
of the underlying mechanisms involved. Illustrated in Figure 1 is a simplified framework for an
AI-assisted decision process for a single decision task, comprising three main components: the
human decider, responsible for making the decision and being accountable for its consequences;
the decision task itself; and the AI recommendation provided to support the decision-making
process.</p>
      <p>Each component can exhibit various characteristics that influence the decision-making
process. For instance, the decision task may vary in dificulty (task dificulty), operate within
a high-stakes domain (risk), and require difering levels of cognitive efort from the user to
comprehend and make the decision (cognitive load). Similarly, on the human decider side,
factors such as expertise level and the presence of a group of decision-makers rather than an
individual (number of deciders) can impact the process. This framework establishes the context
in which the decision task is inserted and can inform the efects of the AI recomendations and
explanations depending on the context. For instance, presenting counterfactual explanations to
lay users might not be as efective as presenting counterfactual explanations to experts users in
the task [14]. Hence, this framework is important to establish in what contexts the explanations
are useful and what types of explanations are best, depending on the factors that characterize
the decision-making process.</p>
      <p>In AI-assisted decision-making processes, it is not enough to concentrate solely on task
performance metrics, like eficiency, and fairness. It is crucial to also consider the human-AI
relationship, including whether humans appropriately trust the AI and understand its
recommendations, as these elements greatly afect task performance. By examining these three
components and the factors influencing task performance, we can further develop the
framework to comprehend the functioning of AI-assisted decision-making and the dynamics among
the contributing factors.</p>
      <p>This framework requires improvement in two ways: First, by incorporating a comprehensive
list of factors that afect AI-assisted decision-making processes, and second, by understanding
the efect of each factor on the final decision in terms of AI reliance, trust, eficiency, and
eficacy. With a well-developed framework for AI-assisted decision-making addressed in RQ1,
one can respond to our second RQ with a clearer mental model of the factors influencing the
decision and how. Finally, concerning our third RQ, XAI explanations play a central role in
the enhancement of AI-assisted decision-making process when all the factors are known. My
hypothesis is that we can optimize XAI techniques and designs to enhance decision output and
mitigate errors.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Methodology and Preliminary Results</title>
      <p>To address my research questions, I will employ two primary methodologies. Initially, I will
conduct multiple controlled user studies to explore various factors that may influence the
AI-assisted decision-making process. These studies will serve two purposes. Firstly, they will
aid in comprehending the underlying factors that impact AI-assisted decision-making, thus
informing the development and posterior validation of a framework for AI-assisted
decisionmaking. Second, these studies will consistently emphasize explanations as a predominant factor
in understanding how they can mitigate errors and interact with other variables. These studies
will encompass a wide range of decision-making contexts to thoroughly examine various factors
of the AI-assisted decision-making framework. One set of studies will focus on decision tasks
requiring low human expertise, while another will target tasks that demand high levels of
expertise. Within each set, a baseline experiment will be conducted, followed by additional
experiments that explore diferent factors, such as stress, AI embodiment, team composition,
risk, and AI trustworthiness. Throughout all experiments, the type of explanations provided
will be a factor to manipulate, but the presence of explanations will remain a constant factor.
Finally, longitudinal studies will be conducted to understand the impact of time and repeated
interaction on the human-AI decision-making process.</p>
      <p>Finally, to construct a robust and validated framework for AI-assisted decision-making, I will
conduct a comprehensive review of existing literature that explores this domain. By synthesizing
insights and findings from these studies, I will develop an initial framework that integrates
the key concepts and factors identified. This process will be iterative, involving continuous
refinement of the framework through the dual approach of literature review and empirical
validation via controlled studies. The goal is to ensure that the resulting framework is not only
theoretically sound but also practically applicable across diverse decision-making contexts.</p>
      <p>
        Up to this point, two controlled studies have been conducted. Both studies were designed
as a mushrooms’ edibility classification task with low expertise of the decision maker. The
initial study explored the impacts of various types of explanation (counterfactual versus feature
importance) on AI trust in varying risk settings and AI trustworthiness. The findings indicated
that feature importance explanations enhance AI trust, while counterfactual explanations have
no discernible efect on AI trust. This finding can be explained by the low expertise of the human
deciders that did not have enough expert knowledge about mushrooms to understand properly
counterfactual explanations. Moreover, in scenarios where AI trustworthiness is low, feature
importance explanations can induce overtrust as the presence of the explanation by itself can
have a priming efect on convincing the participant that the recommendation is trustworthy
[
        <xref ref-type="bibr" rid="ref8">14, 8</xref>
        ]. The second study investigated the efects between the presence of explanations and the
number of individuals making decisions. Preliminary results suggest that the impact of XAI
is more pronounced in decision-making with groups of two users than in individual
decisionmaking. Groups rely less on incorrect AI recommendations when explanations are available,
but paradoxically, they rely more on incorrect AI recommendations when explanations are
absent, compared to individual decision makers.
      </p>
    </sec>
    <sec id="sec-4">
      <title>4. Future Work and Conclusion</title>
      <p>The primary objective of my doctoral research is to establish a robust framework for AI-assisted
decision-making tasks, which can significantly contribute to the field and serve as the foundation
for a novel theory on human-AI decision-making processes where explanations are at the heart
to enhance eficacy and AI trust. To achieve this goal, in future work, I plan to conduct additional
controlled experiments, exploring novel types of explanations and investigating other factors
in AI-assisted decision-making. These factors include variations in cognitive load associated
with both the task and the explanations provided, diverse levels of expertise among users, and
the integration of AI embodiment into decision-making scenarios. Additionally, refinement
and validation of the AI-assisted decision-making framework will be pursued through several
case studies drawn from existing literature. The final outcome of this research—a validated
framework for AI-assisted decision-making—will enhance our understanding of combining
AI and human capabilities, guiding the design of new human-AI tasks and AI explanations in
real-world scenarios.</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgments</title>
      <p>This research was funded by INESC-ID (UIDB/50021/2020), as well as the projects CRAI
C628696807-00454142 (IAPMEI/PRR) and TAILOR H2020-ICT-48-2020/952215 and HumanE AI
Network H2020-ICT-48-2020/952026.
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