Procedure:
In the firs part of the study, The AI will conduct an interview with standardized SP
patients (actors) presenting a psychiatric illness. The actors will be trained in one of
5 scenarios: depression, anxiety, PTSD with cannabis abuse, psychosis, and control
patients with no diagnosis. Each scenario will have 2 levels of severity. The actors will
present demographic and medical backgrounds, symptoms and signs, including disorders of
thought and affect. based on the interview, the AI will present a differential diagnosis
and treatment plan. Immediately afterward, the actors will be interviewed by a
board-certified psychiatrist, who will also give a differential diagnosis and a treatment
plan. The results of the AI and psychiatrist will be compared.
In the second part of the study, AI will examine patients patients treated in the
Division of Psychiatry, patients who applied for treatment in the psychiatric clinic but
are not yet treated there, and patients treated in the psychiatric emergency room (ER) in
Sheba Medical center. In additional, a recruitment ad will be published in the media and
on social networks, to include patients who will come in specifically to participate in
the study.
The patient will give informed consent and will be interviewed by AI. The interview will
be done either digitally or will use voice-to-text and text-to-voice technology that will
allow the patient to speak with the computer instead of typing questions into the
computer. Future studies, not included in the current proposal, will use voice analysis,
face recognition, and computerized emotion recognition as part of AI.
Participants:
Actors SPs (n=10), each time employed by "MSR"- the Israeli Center for Medical
Simulation, trained to simulate symptoms of psychiatric illnesses.
Board-certified Psychiatrists from the Drora and Pinchas Zachai Division of
Psychiatry in the Sheba Medical Center.
Patients (n=150) examined in the psychiatric division and emergency room (ER) of
Sheba. Or patient that recruited from the media.
Control group (n=50) Patients who came to the ER at the hospital due to physical
problems, and no psychiatric history. They will be offered while waiting for the
doctor to participate in the study and be examined by the AI and a psychiatrist.
Outcome:
The primary outcome of the study will be a comparison of the interviews, differential
diagnoses, and recommendations for treatment assigned by the AI with those assigned by
the board-certified psychiatrist. The rates of agreement will be the outcome of interest.