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Human visual search behaviour is far from ideal.

ABSTRACT: Evolutionary pressures have made foraging behaviours highly efficient in many species. Eye movements during search present a useful instance of foraging behaviour in humans. We tested the efficiency of eye movements during search using homogeneous and heterogeneous arrays of line segments. The search target is visible in the periphery on the homogeneous array, but requires central vision to be detected on the heterogeneous array. For a compound search array that is heterogeneous on one side and homogeneous on the other, eye movements should be directed only to the heterogeneous side. Instead, participants made many fixations on the homogeneous side. By comparing search of compound arrays to an estimate of search performance based on uniform arrays, we isolate two contributions to search inefficiency. First, participants make superfluous fixations, sacrificing speed for a perceived (but not actual) gain in response certainty. Second, participants fixate the homogeneous side even more frequently than predicted by inefficient search of uniform arrays, suggesting they also fail to direct fixations to locations that yield the most new information.

SUBMITTER: Nowakowska A

PROVIDER: S-EPMC5326538 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature

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Human visual search behaviour is far from ideal.

Nowakowska Anna A Clarke Alasdair D F AD Hunt Amelia R AR

Proceedings. Biological sciences 20170201 1849

Evolutionary pressures have made foraging behaviours highly efficient in many species. Eye movements during search present a useful instance of foraging behaviour in humans. We tested the efficiency of eye movements during search using homogeneous and heterogeneous arrays of line segments. The search target is visible in the periphery on the homogeneous array, but requires central vision to be detected on the heterogeneous array. For a compound search array that is heterogeneous on one side and ...[more]

PMID: 28202816

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Project description:BACKGROUND:Patient portals are considered valuable instruments for self-management of long term conditions, however, there are concerns over how patients might interpret and act on the clinical information they access. We hypothesized that visual cues improve patients' abilities to correctly interpret laboratory test results presented through patient portals. We also assessed, by applying eye-tracking methods, the relationship between risk interpretation and visual search behaviour. METHODS:We conducted a controlled study with 20 kidney transplant patients. Participants viewed three different graphical presentations in each of low, medium, and high risk clinical scenarios composed of results for 28 laboratory tests. After viewing each clinical scenario, patients were asked how they would have acted in real life if the results were their own, as a proxy of their risk interpretation. They could choose between: 1) Calling their doctor immediately (high interpreted risk); 2) Trying to arrange an appointment within the next 4 weeks (medium interpreted risk); 3) Waiting for the next appointment in 3 months (low interpreted risk). For each presentation, we assessed accuracy of patients' risk interpretation, and employed eye tracking to assess and compare visual search behaviour. RESULTS:Misinterpretation of risk was common, with 65% of participants underestimating the need for action across all presentations at least once. Participants found it particularly difficult to interpret medium risk clinical scenarios. Participants who consistently understood when action was needed showed a higher visual search efficiency, suggesting a better strategy to cope with information overload that helped them to focus on the laboratory tests most relevant to their condition. CONCLUSIONS:This study confirms patients' difficulties in interpreting laboratories test results, with many patients underestimating the need for action, even when abnormal values were highlighted or grouped together. Our findings raise patient safety concerns and may limit the potential of patient portals to actively involve patients in their own healthcare.

Dataset Information

Human visual search behaviour is far from ideal.

Publications

Human visual search behaviour is far from ideal.

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