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Confidence guides priority between forthcoming tasks.

ABSTRACT: Humans can estimate confidence in their decisions, and there is increasing interest on how this feeling of confidence regulates future behavior. Here, we investigate whether confidence in a perceptual task affects prioritizing future trials of that task, independently of task performance. To do so, we experimentally dissociated confidence from performance. Participants judged whether an array of differently colored circles was closer to blue or red, and we manipulated the mean and variability of the circles' colors across the array. We first familiarized participants with a low mean low variability condition and a high mean high variability condition, which were matched in performance despite participants being more confident in the former. Then we made participants decide in which order to complete forthcoming trials for both conditions. Crucially, prioritizing one condition was associated with being more confident in that condition compared to the other. This relationship was observed both across participants, by correlating inter-individual heterogeneity in prioritization and in confidence, and within participants, by assessing how changes in confidence with accuracy, condition and response times could predict prioritization choices. Our results suggest that confidence, above and beyond performance, guides prioritization between forthcoming tasks, strengthening the evidence for its role in regulating behavior.

SUBMITTER: Aguilar-Lleyda D

PROVIDER: S-EPMC8443637 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundFocused echocardiography is increasingly used in acute and emergency care, with point-of-care ultrasound integrated into several specialist training curricula (e.g. Emergency Medicine, Cardiology, Critical Care). Multiple accreditation pathways support development of this skill but there is scant empirical evidence to inform selection of teaching methods, accreditation requirements or quality assurance of education in focussed echocardiography. It has also been noted that access to in-person teaching can be a barrier to completing accreditation programmes, and that this may affect learners disproportionately depending on the location or nature of their institution. The purpose of the study was to determine whether serial image interpretation tasks as a distinct learning tool improved novice echocardiographers' ability to accurately identify potentially life-threatening pathology from focused scans. We also aimed to describe the relationship between accuracy of reporting and participants' confidence in those reports, and to assess users' satisfaction with a learning pathway that could potentially be delivered remotely.Methods27 participants from a variety of healthcare roles completed a program of remote lectures and 2 in-person study days. During the program they undertook 4 'packets' of 10 focused echocardiography reporting tasks (total = 40) based on images from a standardised dataset. Participants were randomized to view the scans in varying orders. Reporting accuracy was compared with consensus reports from a panel of expert echocardiographers, and participants self-reported confidence in their image interpretation and their satisfaction with the learning experience.ResultsThere was a stepwise improvement in reporting accuracy with each set of images reported, from an average reporting score of 66% for the 1st packet to 78% for the 4th packet. Participants felt more confident in identifying common life-threatening pathologies as they reported more echocardiograms. The correlation between report accuracy and confidence in the report was weak and did not increase during the study (rs = 0.394 for the 1st packet, rs = 0.321 for the 4th packet). Attrition during the study related primarily to logistical issues. There were high levels of satisfaction amongst participants, with most reporting that they would use and / or recommend a similar teaching package to colleagues.ConclusionsHealthcare professionals undertaking remote training with recorded lectures, followed by multiple reporting tasks were capable of interpreting focused echocardiograms. Reporting accuracy and confidence in identifying life-threatening pathology increased with the number of scans interpreted. The correlation between accuracy and confidence for any given report was weak (and this relationship should be explored further given the potential safety considerations). All components of this package could be delivered via distance learning to enhance the flexibility of echocardiography education.

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Confidence guides priority between forthcoming tasks.

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