为中风患者设计可解释AI时,用视频支架法收集真实需求。
From Dyad to Triad: Eliciting XAI Requirements in Stroke Rehabilitation

- 用视频+四种支架策略,帮中风患者表达对AI透明度的需求。
- 发现患者和家属对可解释性的需求差异大,甚至互相矛盾。
- 揭示三种引导偏差,提供实用避坑指南。
从卒中幸存者处获取可解释人工智能(XAI)需求面临方法论挑战,直接影响康复脑机接口的可信设计。当患者缺乏解释性概念框架,且标准采集方法对获得性沟通障碍者不适用时,如何让其表达偏好?本文提出一种基于视频的支架式需求采集协议,并在康复场景中开展试点研究。在包含三名卒中幸存者(两名中重度失语)和三名照护者的形成性研究中,协调员结合视频使用四种支架策略:1)类比映射,将AI状态与熟悉系统关联;2)投射角色,去个性化敏感话题;3)二元强制,降低认知负荷;4)延长回应时间。这些策略成功揭示了参与者间异质且时常冲突的XAI需求。反思性分析还识别出三种系统性引导偏差:规范性偏差、假设验证偏差和存在效应,即支架本身无意中影响了回应。本文据此提出协议风险指南,供实践者参考。整体而言,该协议与指南构成可复用的方法论贡献,主张此类需求采集是构建可信人机系统不可或缺的前提,而非可选步骤。
原文摘要 · Abstract (English)
Eliciting explainable AI (XAI) requirements from stroke survivors presents a methodological challenge with direct implications for the design of trustworthy brain-computer interfaces for rehabilitation. How can patients and caregivers articulate preferences about algorithmic transparency when they lack conceptual frameworks for explainability, and when standard elicitation approaches are structurally inadequate for users with acquired communication disorders? We present a video-based scaffolding protocol for XAI requirements elicitation, developed and piloted in a rehabilitation context. In a formative study with three stroke survivors (two with moderate-to-severe aphasia) and three caregivers, facilitators employed four scaffolding approaches alongside the videos: 1) analogical bridging mapping AI states to familiar systems, 2) projective personas depersonalising sensitive topics, 3) binary forcing reducing cognitive load, and 4) extended response time. These approaches successfully surfaced heterogeneous, sometimes conflicting XAI needs across participants. Reflexive analysis additionally revealed three systematic facilitation biases, namely, normative bias, hypothesis confirmation bias, and presence effect, where scaffolding inadvertently shaped responses. We present these as protocol risk guidelines for practitioners. Together, the protocol and guidelines constitute a reusable methodological contribution for eliciting patient-facing XAI requirements in rehabilitation, arguing that such elicitation is a necessary prerequisite for trustworthy human-machine systems design, not an optional preliminary.
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