SACM - United States of America
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9668
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Item Restricted An In-Depth Analysis of the Adoption of Large Language Models in Clinical Settings: A Fuzzy Multi-Criteria Decision-Making Approach(University of Bridgeport, 2024-08-05) Aldwean, Abdullah; Tenney, DanThe growing capabilities of large language models (LLMs) in the medical field hold promising transformational change. The evolution of LLMs, such as BioBERT and MedGPT, has created new opportunities for enhancing the quality of healthcare services, improving clinical operational efficiency, and addressing numerous existing healthcare challenges. However, the adoption of these innovative technologies into clinical settings is a complex, multifaceted decision problem influenced by various factors. This dissertation aims to identify and rank the challenges facing the integration of LLMs into healthcare clinical settings and evaluate different adoption solutions. To achieve this goal, a combined approach based on the Fuzzy Analytic Hierarchy Process (FAHP) and the Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (Fuzzy TOPSIS) has been employed to prioritize these challenges and then use them to rank potential LLM adoption solutions based on experts’ opinion. However, utilizing LLMs technologies in clinical settings faces several challenges across societal, technological, organizational, regulatory, and economic (STORE) perspectives. The findings indicate that regulatory concerns, such as accountability and compliance, are considered the most critical challenges facing LLMs adoption decision. This research provides a thorough and evidence-based assessment of LLMs in the clinical settings. It offers a structured framework that helps decision-makers navigate the complexities of leveraging such disruptive innovations in clinical practice.34 0Item Restricted Perceptions of Healthcare Students toward Pulmonary Rehabilitation Programs for COPD Patients(2023) Assiry, Amani; Gardenhire, Douglas; Robert B, Murray; Brandenberg, KyleBackground: Pulmonary Rehabilitation (PR) program is an effective non-pharmacological intervention for patients with COPD. It aims to improve quality of life, exercise capacity, and lung function. PR has been shown to reduce mortality and morbidity rate. To enhance COPD management strategies, it is essential to examine students' perceptions toward PR programs to determine the need for the implementation of educational courses about the effectiveness of PR programs. This study would also be considered one of the initial steps in developing a pulmonary rehabilitation education course in the curriculum of all healthcare programs at Georgia State University. Purpose: was to assess the perceptions of various enrolled healthcare students at a large urban university. Methods: The data used for this study were collected from three different healthcare programs at GSU using a convenience sample. Data were collected through a self- administered survey consisting of 38 questions on a 5-point Likert-type scale evaluating the perceptions. The survey was examined for face validity by respiratory therapy educators from GSU. Data was analyzed using the statistical program of Statistical Package for the Social Sciences (SPSS). Results: A total of 178 participants from three programs. The majority of respondents were respiratory therapy students (43.3%); followed by physical therapy (39.9%); occupational therapy (16.9%). The study findings revealed there were differences in the perception of students regarding pulmonary rehabilitation. There was a significant difference in positive perceptions between students who had experience attending PR programs and those who did not (p=0.043). There were no differences found among students in familiarity with PR programs (p=0.060). Finally, there were no differences in the perception of students regarding the factors that could influence COPD patients' decisions not to participate in the PR programs. Conclusion: Healthcare students value and have a positive perception toward PR. The results of this study support the idea of the implantation of PR courses throughout the healthcare program curriculum. Healthcare students felt that they had an important role in PR programs, but barriers to participating and assisting in PR included their own lack of knowledge and clinical experience. They considered that there should be more teaching on pulmonary rehabilitation and that these should feature in both the curriculum and clinical. Further studies with a higher number of participants and different institutions are recommended.14 0