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. 2023 Jul 7:10:1198228.
doi: 10.3389/fmed.2023.1198228. eCollection 2023.

Planning an artificial intelligence diabetic retinopathy screening program: a human-centered design approach

Angelica C Scanzera  1 , Cameron Beversluis  2 , Archit V Potharazu  2 , Patricia Bai  1 , Ariel Leifer  3 , Emily Cole  4 , David Yuzhou Du  5 , Hugh Musick  2 , R V Paul Chan  1
Affiliations

Planning an artificial intelligence diabetic retinopathy screening program: a human-centered design approach

Angelica C Scanzera et al. Front Med (Lausanne). .

Abstract

Diabetic retinopathy (DR) is a leading cause of vision loss in the United States and throughout the world. With early detection and treatment, sight-threatening sequelae from DR can be prevented. Although artificial intelligence (AI) based DR screening programs have been proven to be effective in identifying patients at high risk of vision loss, adoption of AI in clinical practice has been slow. We adapted the United Kingdom Design Council's Double-Diamond model to design a strategy for care delivery which integrates an AI-based screening program for DR into a primary care setting. Methods from human-centered design were used to develop a strategy for implementation informed by context-specific barriers and facilitators. The purpose of this community case study is to present findings from this work in progress, including a system of protocols, educational documents and workflows created using key stakeholder input.

Keywords: artificial intelligence; diabetic retinopathy; human-centered design; implementation; screening.

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Conflict of interest statement

R.V. Paul Chan discloses the following 1) Alcon (Consultant); 2) Genentech (Consultant); 3) Siloam Vision (Owner/Equity). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Key stakeholder map and definitions of success.
Figure 2
Figure 2
The double-diamond design model in healthcare delivery.
Figure 3
Figure 3
(A) Early workflow concept. (B) Updated workflow based on stakeholder feedback.
Figure 4
Figure 4
(A) Early patient educational brochure. (B) Updated patient educational brochure.
See this image and copyright information in PMC

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