arXiv subjects

Robert L Davis

Publications and source records attributed to Robert L Davis.

6 recordsLinked to original sources

arXiv2026

User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review

Navigation programs for patients with cancer improve access and continuity of care, yet their digital transformation is often limited by poor usability and inadequate uptake. Applying user-centered and human-centered design (UCD/HCD) principles may close this gap, but the extent to which such design methods are used and evaluated in oncology navigation tools remains unclear. This scoping review identifies how UCD/HCD principles have been, and should be, applied in developing and implementing digital health tools for navigation for patients with cancer. A scoping review was conducted following PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) and Joanna Briggs Institute guidance. A total of 7 databases (PubMed/MEDLINE, Scopus, IEEE Xplore, Web of Science, Embase, ACM Digital Library, and CINAHL) were searched for English-language articles published between January 2015 and July 2025. Eligible studies reported original, peer-reviewed research on digital or mobile health interventions linked to cancer navigation and documented at least 1 UCD/HCD activity. Two reviewers independently screened records and charted data on context, target users, functions, tool modality, design phase, methods, and outcomes. Findings were synthesized descriptively and thematically. A total of 36 studies met the inclusion criteria. Findings were organized into 4 domains: study characteristics, navigation functions and digital modalities, design processes and methods, and UCD/HCD application. Iterative prototyping and usability testing were the most common, while participatory design and implementation evaluation were underused. UCD/HCD approaches enhance usability and patient relevance of digital cancer navigation tools. However, their application remains limited across cancer types, regions, and functions.

cs.HC↗

arXiv2026

Empathic and agentic artificial intelligence in nursing: perspectives on a human-centered framework for cancer care navigation in the United States

For patients experiencing cancer, nurse navigation can ease the burden of complex care by enhancing coordination of health services and patient outcomes. However, in under-resourced areas, trained nurse navigators may be limited or non-existent. In the United States, artificial intelligence (AI)-enabled digital health tools are increasingly available and may help address gaps in care coordination; however, most are not designed to specifically support nursing. This perspective piece discusses a human-centered AI framework that integrates empathic and agentic approaches grounded in the American Nurses Association's code of ethics to support nurses in the United States in cancer care navigation. The framework could augment, not replace, human empathy and agency while improving nurse workflow, patient-clinician relationships, and care coordination services in under-resourced areas.

cs.HC↗

arXiv2025

Cancer Diagnosis Categorization in Electronic Health Records Using Large Language Models and BioBERT: Model Performance Evaluation Study

Electronic health records contain inconsistently structured or free-text data, requiring efficient preprocessing to enable predictive health care models. Although artificial intelligence-driven natural language processing tools show promise for automating diagnosis classification, their comparative performance and clinical reliability require systematic evaluation. The aim of this study is to evaluate the performance of 4 large language models (GPT-3.5, GPT-4o, Llama 3.2, and Gemini 1.5) and BioBERT in classifying cancer diagnoses from structured and unstructured electronic health records data. We analyzed 762 unique diagnoses (326 International Classification of Diseases (ICD) code descriptions, 436free-text entries) from 3456 records of patients with cancer. Models were tested on their ability to categorize diagnoses into 14predefined categories. Two oncology experts validated classifications. BioBERT achieved the highest weighted macro F1-score for ICD codes (84.2) and matched GPT-4o in ICD code accuracy (90.8). For free-text diagnoses, GPT-4o outperformed BioBERT in weighted macro F1-score (71.8 vs 61.5) and achieved slightly higher accuracy (81.9 vs 81.6). GPT-3.5, Gemini, and Llama showed lower overall performance on both formats. Common misclassification patterns included confusion between metastasis and central nervous system tumors, as well as errors involving ambiguous or overlapping clinical terminology. Although current performance levels appear sufficient for administrative and research use, reliable clinical applications will require standardized documentation practices alongside robust human oversight for high-stakes decision-making.

cs.CL↗

arXiv2023

Exploring celebrity influence on public attitude towards the COVID-19 pandemic: social media shared sentiment analysis

The COVID-19 pandemic has introduced new opportunities for health communication, including an increase in the public use of online outlets for health-related emotions. People have turned to social media networks to share sentiments related to the impacts of the COVID-19 pandemic. In this paper we examine the role of social messaging shared by Persons in the Public Eye (i.e. athletes, politicians, news personnel) in determining overall public discourse direction. We harvested approximately 13 million tweets ranging from 1 January 2020 to 1 March 2022. The sentiment was calculated for each tweet using a fine-tuned DistilRoBERTa model, which was used to compare COVID-19 vaccine-related Twitter posts (tweets) that co-occurred with mentions of People in the Public Eye. Our findings suggest the presence of consistent patterns of emotional content co-occurring with messaging shared by Persons in the Public Eye for the first two years of the COVID-19 pandemic influenced public opinion and largely stimulated online public discourse. We demonstrate that as the pandemic progressed, public sentiment shared on social networks was shaped by risk perceptions, political ideologies and health-protective behaviours shared by Persons in the Public Eye, often in a negative light.

cs.CL↗

arXiv2022

Fine-tuned Sentiment Analysis of COVID-19 Vaccine-Related Social Media Data: Comparative Study

This study investigated and compared public sentiment related to COVID-19 vaccines expressed on two popular social media platforms, Reddit and Twitter, harvested from January 1, 2020, to March 1, 2022. To accomplish this task, we created a fine-tuned DistilRoBERTa model to predict sentiments of approximately 9.5 million Tweets and 70 thousand Reddit comments. To fine-tune our model, our team manually labeled the sentiment of 3600 Tweets and then augmented our dataset by the method of back-translation. Text sentiment for each social media platform was then classified with our fine-tuned model using Python and the Huggingface sentiment analysis pipeline. Our results determined that the average sentiment expressed on Twitter was more negative (52% positive) than positive and the sentiment expressed on Reddit was more positive than negative (53% positive). Though average sentiment was found to vary between these social media platforms, both displayed similar behavior related to sentiment shared at key vaccine-related developments during the pandemic. Considering this similar trend in shared sentiment demonstrated across social media platforms, Twitter and Reddit continue to be valuable data sources that public health officials can utilize to strengthen vaccine confidence and combat misinformation. As the spread of misinformation poses a range of psychological and psychosocial risks (anxiety, fear, etc.), there is an urgency in understanding the public perspective and attitude toward shared falsities. Comprehensive educational delivery systems tailored to the population's expressed sentiments that facilitate digital literacy, health information-seeking behavior, and precision health promotion could aid in clarifying such misinformation.

cs.CL↗

arXiv2021

Using a Personal Health Library-Enabled mHealth Recommender System for Self-Management of Diabetes Among Underserved Populations: Use Case for Knowledge Graphs and Linked Data

Personal health libraries (PHLs) provide a single point of secure access to patients digital health data and enable the integration of knowledge stored in their digital health profiles with other sources of global knowledge. PHLs can help empower caregivers and health care providers to make informed decisions about patients health by understanding medical events in the context of their lives. This paper reports the implementation of a mobile health digital intervention that incorporates both digital health data stored in patients PHLs and other sources of contextual knowledge to deliver tailored recommendations for improving self-care behaviors in diabetic adults. We conducted a thematic assessment of patient functional and nonfunctional requirements that are missing from current EHRs based on evidence from the literature. We used the results to identify the technologies needed to address those requirements. We describe the technological infrastructures used to construct, manage, and integrate the types of knowledge stored in the PHL. We leverage the Social Linked Data (Solid) platform to design a fully decentralized and privacy-aware platform that supports interoperability and care integration. We provided an initial prototype design of a PHL and drafted a use case scenario that involves four actors to demonstrate how the proposed prototype can be used to address user requirements, including the construction and management of the PHL and its utilization for developing a mobile app that queries the knowledge stored and integrated into the PHL in a private and fully decentralized manner to provide better recommendations. The proposed PHL helps patients and their caregivers take a central role in making decisions regarding their health and equips their health care providers with informatics tools that support the collection and interpretation of the collected knowledge.

cs.AI↗