Beyond the office: an examination of remote work, social and job features on individual satisfaction and engagement
Rossella Cappetta, Sara Lo Cascio, Massimo Magni, Alessia Marsico
This study examines the effects of remote work on employees' satisfaction and engagement, aiming to identify which factors enhance these outcomes. The research is based on a survey of 1,879 employees and 262 managers within a large company that utilizes a hybrid work model.
Problem
The rapid and widespread adoption of remote work has fundamentally transformed work environments and disrupted traditional workplace dynamics. However, its effects on individual employees remain inconclusive, with conflicting evidence on whether it is a source of support or discomfort, creating a need to understand the key drivers of satisfaction and engagement in this new context.
Outcome
- Remote work frequency is negatively associated with employee engagement and has no significant effect on job satisfaction. - Positive social features, such as supportive team and leader relationships, significantly increase both job satisfaction and engagement. - Job features like autonomy were found to be significant positive drivers for employees, but not for managers. - A high-quality relationship between a leader and an employee (leader-member exchange) can alleviate the negative effects of exhaustion on satisfaction and engagement.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge, where we translate complex research into actionable business intelligence. I’m your host, Anna Ivy Summers. Host: Today, we're looking at a new study that tackles one of the biggest questions in the modern workplace. It’s titled, "Beyond the office: an examination of remote work, social and job features on individual satisfaction and engagement". Host: Essentially, it takes a deep dive into how remote and hybrid work models are really affecting employees, aiming to identify the specific factors that make them thrive. With me today to unpack this is our analyst, Alex Ian Sutherland. Expert: Great to be here, Anna. Host: Alex, we've all lived through this massive shift to remote work. The big question on every leader's mind is: is it actually working for our people? The conversation seems so polarized. Expert: It is, and that’s the core problem this study addresses. The evidence has been contradictory. Some praise remote work for its flexibility, while others point to widespread burnout and isolation. The researchers call this the "telecommuting paradox." Expert: Businesses need to cut through that noise to understand what truly drives satisfaction and engagement in this new environment. It’s no longer a perk for a select few; it’s a fundamental part of how we operate. Host: So how did the researchers go about solving this paradox? What was their approach? Expert: They went straight to the source with a large-scale survey. They collected data from nearly 1,900 employees and over 260 managers, all within a large company that uses a flexible hybrid model. Expert: This gave them a fantastic real-world snapshot of how different variables—from the number of days someone works remotely to the quality of their team relationships—actually connect to those feelings of satisfaction and engagement. Host: Let's get right to the findings then. What was the most surprising result? Expert: The big surprise was that the frequency of remote work, meaning the number of days spent working from home, was actually negatively associated with employee engagement. Host: So, working from home more often meant people felt less engaged? Expert: Exactly. And even more surprisingly, it had no significant effect on their overall job satisfaction. People weren't necessarily happier, and they were measurably less connected to their work. Host: That seems completely counterintuitive. Why would that be? Expert: The study suggests that satisfaction is a short-term, day-to-day feeling. The benefits of remote work, like no commute, likely balance out the negatives, like social isolation, so satisfaction stays neutral. Expert: But engagement is different. It’s a deeper, long-term emotional and intellectual connection to your work, your team, and the company's mission. That connection appears to weaken with sustained physical distance. Host: If it’s not the schedule, then what does boost satisfaction and engagement? Expert: It all comes down to people. The study was very clear on this. Positive social features, especially having a high-quality, supportive relationship with your direct manager, were the most powerful drivers of both satisfaction and engagement. Good team relationships were also very important. Host: And what about the work itself? Did things like autonomy play a role? Expert: They did, but in a nuanced way. For employees, having autonomy—more control over how and when they do their work—was a significant positive factor. But for managers, their own autonomy wasn't as critical for their personal satisfaction. Expert: And there was one more critical finding related to this: a strong leader-employee relationship acts as a buffer. It can actually alleviate the negative impact of exhaustion and burnout on an employee's well-being. Host: This is incredibly useful. Let's move to the bottom line. What are the key takeaways for business leaders listening to us right now? Expert: The first and most important takeaway is to shift the conversation. Stop focusing obsessively on the number of days in or out of the office. The real leverage is in building and maintaining strong social fabric and supportive relationships within your teams. Host: And how can leaders practically do that in a hybrid setting? Expert: By investing in their middle managers. They are the lynchpin. The study's implications show that managers need to be trained to lead differently—to foster collaboration and psychological safety, not just monitor tasks. This means encouraging meaningful, regular conversations that go beyond simple status updates. Host: That makes sense, especially for those employees who might be at higher risk of feeling isolated. Expert: Precisely. Leaders should pay special attention to new hires, younger workers, and anyone working mostly remotely, as they have fewer opportunities to build those crucial networks organically. Host: And what about that finding on burnout and the role of the manager as a buffer? Expert: It means that a supportive manager is one of your best defenses against burnout. When an employee feels exhausted, a good leader can be the critical factor that keeps them satisfied and engaged. This means training leaders to recognize the signs of burnout and empowering them to offer real support. Host: So, to summarize: the success of a remote or hybrid model isn't about finding the perfect schedule. It’s about cultivating the quality of our connections, ensuring our leaders are supportive, and giving employees autonomy over their work. Host: Alex, this has been incredibly insightful. Thank you for breaking it down for us. Expert: It was my pleasure, Anna. Host: And thank you to our listeners for tuning in to A.I.S. Insights, powered by Living Knowledge. Join us next time as we continue to translate research into results.
Remote work, Social exchanges, Job characteristics, Job satisfaction, Engagement
International Conference on Wirtschaftsinformatik (2023)
Building Habits in the Digital Age: Incorporating Psychological Needs and Knowledge from Practitioners to Inform the Design of Digital Therapeutics
Jeannette Stark, Thure Weimann, Felix Reinsch, Emily Hickmann, Maren Kählig, Carola Gißke, and Peggy Richter
This study reviews the psychological requirements for forming habits and analyzes how these requirements are implemented in existing mobile habit-tracking apps. Through a content analysis of 57 applications, the research identifies key design gaps and proposes a set of principles to inform the creation of more effective Digital Therapeutics (DTx) for long-term behavioral change.
Problem
Noncommunicable diseases (NCDs), a leading cause of death, often require sustained lifestyle and behavioral changes. While many digital apps aim to support habit formation, they often fail to facilitate the entire process, particularly the later stages where a habit becomes automatic and reliance on technology should decrease, creating a gap in effective long-term support.
Outcome
- Conventional habit apps primarily support the first two stages of habit formation: deciding on a habit and translating it into an initial behavior. - Most apps neglect the crucial later stages of habit strengthening, where technology use should be phased out to allow the habit to become truly automatic. - A conflict of interest was identified, as the commercial need for continuous user engagement in many apps contradicts the goal of making a user's new habit independent of the technology. - The research proposes specific design principles for Digital Therapeutics (DTx) to better support all four stages of habit formation, offering a pathway for developing more effective tools for NCD prevention and treatment.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge, the podcast where we translate complex research into actionable business strategy. I'm your host, Anna Ivy Summers. Host: Today, we're diving into a fascinating study titled "Building Habits in the Digital Age: Incorporating Psychological Needs and Knowledge from Practitioners to Inform the Design of Digital Therapeutics". Host: With me is our expert analyst, Alex Ian Sutherland. Alex, in a nutshell, what is this study about? Expert: Hi Anna. This study looks at the psychology behind how we form habits and then analyzes how well current mobile habit-tracking apps actually support that process. It identifies some major design gaps and proposes a new set of principles for creating more effective health apps, known as Digital Therapeutics. Host: Let's start with the big picture problem. Why is building better habits so critical? Expert: It's a huge issue. The study highlights that noncommunicable diseases like diabetes and heart disease are the leading cause of death worldwide, and many are directly linked to our daily lifestyle choices. Host: So things like diet and exercise. And we have countless apps that promise to help us with that. Expert: We do, and that's the core of the problem this study addresses. While thousands of apps aim to help us build good habits, they often fail to support the entire journey. They're good at getting you started, but they don't help you finish. Host: What do you mean by "finish"? Isn't habit formation an ongoing thing? Expert: It is, but the end goal is for the new behavior to become automatic—something you do without thinking. The study finds that current apps often fail in those crucial later stages, where your reliance on technology should actually decrease, not increase. Host: That’s a really interesting point. How did the researchers go about studying this? Expert: Their approach was very methodical. First, they reviewed psychological research to map out a clear, four-stage model of habit formation. It starts with the decision to act and ends with the habit becoming fully automatic. Expert: Then, they performed a detailed content analysis of 57 popular habit-tracking apps. They downloaded them, used them, and systematically scored their features against the requirements of those four psychological stages. Host: And what were the key findings from that analysis? Expert: The results were striking. The vast majority of apps are heavily focused on the first two stages: deciding on a habit and starting the behavior. They excel at things like daily reminders and tracking streaks. Host: But they're missing the later stages? Expert: Almost completely. For example, the study found that not a single one of the 57 apps they analyzed had features to proactively phase out reminders or rewards as a user's habit gets stronger. They keep you hooked on the app's triggers. Host: Why would that be? It seems counterintuitive to the goal of forming a real habit. Expert: It is, and that points to the second major finding: a fundamental conflict of interest. The business model for most of these apps relies on continuous user engagement. They need you to keep opening the app every day. Expert: But the psychological goal of habit formation is for the behavior to become independent of the app. So the app’s commercial need is often directly at odds with the user's health goal. Host: Okay, this is the critical part for our listeners. What does this mean for businesses in the health-tech space? Why does this matter? Expert: It matters immensely because it reveals a massive opportunity. The study positions this as a blueprint for a more advanced category of apps called Digital Therapeutics, or DTx. Host: Remind us what those are. Expert: DTx are essentially "prescription apps"—software that is clinically validated and prescribed by a doctor to treat or prevent a disease. Because they have a clear medical purpose, their goal isn't just engagement; it's a measurable health outcome. Host: So they can be designed to make themselves obsolete for a particular habit? Expert: Precisely. A DTx doesn't need to keep a user forever. Its success is measured by the patient getting better. The study provides a roadmap with specific design principles for this, like building in features for "tapered reminding," where notifications fade out over time. Host: So the business takeaway is to shift the focus from engagement metrics to successful user "graduation"? Expert: Exactly. For any company in the digital health or wellness space, the future isn't just about keeping users, it's about proving you can create lasting, independent behavioral change. That is a far more powerful value proposition for patients, doctors, and insurance providers. Host: A fascinating perspective. So, to summarize: today's habit apps get us started but often fail at the finish line due to a conflict between their business model and our psychological needs. Host: This study, however, provides a clear roadmap for the next generation of Digital Therapeutics to bridge that gap, focusing on clinical outcomes rather than just app usage. Host: Alex, thank you for making that so clear for us. Expert: My pleasure, Anna. Host: And thank you for tuning in to A.I.S. Insights — powered by Living Knowledge. Join us next time as we uncover more valuable insights from the world of research.
Behavioral Change, Digital Therapeutics, Habits, Habit Apps, Non-communicable diseases
Journal of the Association for Information Systems (2025)
Responsible AI Design: The Authenticity, Control, Transparency Theory
Andrea Rivera, Kaveh Abhari, Bo Xiao
This study explores how to design Artificial Intelligence (AI) responsibly from the perspective of AI designers. Using a grounded theory approach based on interviews with industry professionals, the paper develops the Authenticity, Control, Transparency (ACT) theory as a new framework for creating ethical AI.
Problem
Current guidelines for responsible AI are fragmented and lack a cohesive theory to guide practice, leading to inconsistent outcomes. Existing research often focuses narrowly on specific attributes like algorithms or harm minimization, overlooking the broader design decisions that shape an AI's behavior from its inception.
Outcome
- The study introduces the Authenticity, Control, and Transparency (ACT) theory as a practical framework for responsible AI design. - It identifies three core mechanisms—authenticity, control, and transparency—that translate ethical design decisions into responsible AI behavior. - These mechanisms are applied across three key design domains: the AI's architecture, its algorithms, and its functional affordances (capabilities offered to users). - The theory shifts the focus from merely minimizing harm to also maximizing the benefits of AI, providing a more balanced approach to ethical design.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge. I’m your host, Anna Ivy Summers. Today, we're diving into a foundational topic: how to build Artificial Intelligence responsibly from the ground up. We'll be discussing a fascinating study from the Journal of the Association for Information Systems titled, "Responsible AI Design: The Authenticity, Control, Transparency Theory".
Host: With me is our expert analyst, Alex Ian Sutherland. Alex, welcome.
Expert: Thanks for having me, Anna.
Host: So, Alex, let's start with the big picture. We hear a lot about AI ethics and responsible AI, but this study suggests there’s a fundamental problem with how we're approaching it. What's the issue?
Expert: The core problem is fragmentation. Right now, companies get bombarded with dozens of different ethical guidelines, principles, and checklists. It’s like having a hundred different recipes for the same dish, all with slightly different ingredients. It leads to confusion and inconsistent results.
Host: And the study argues this misses the point somehow?
Expert: Exactly. It points out three major misconceptions. First, we treat responsibility like a feature to be checked off a list, rather than a behavior designed into the AI's core. Second, we focus almost exclusively on the algorithm, ignoring the AI’s overall architecture and the actual capabilities it offers to users.
Host: And the third misconception?
Expert: It's that we're obsessed with only minimizing harm. That’s crucial, of course, but it's only half the story. True responsible design should also focus on maximizing the benefits and the value the AI provides.
Host: So how did the researchers get past these misconceptions to find a solution? What was their approach?
Expert: They went directly to the source. They conducted in-depth interviews with 24 professional AI designers—the people actually in the trenches, making the decisions that shape these systems every day. By listening to them, they built a theory from the ground up based on real-world practice, not just abstract ideals.
Host: That sounds incredibly practical. What were the key findings that emerged from those conversations?
Expert: The main outcome is a new framework called the Authenticity, Control, and Transparency theory—or ACT theory for short. It proposes that for an AI to behave responsibly, its design must be guided by these three core mechanisms.
Host: Okay, let's break those down. What do they mean by Authenticity?
Expert: Authenticity means the AI does what it claims to do, reliably and effectively. It’s about ensuring the AI's performance aligns with its intended purpose and ethical values. It has to be dependable and provide genuine utility.
Host: That makes sense. What about Control?
Expert: Control is about empowering users. It means giving people meaningful agency over the AI's behavior and its outputs. This could be anything from customization options to clear data privacy controls, ensuring the user is in the driver's seat.
Host: And the final piece, Transparency?
Expert: Transparency is about making the AI's operations clear and understandable. It’s not just about seeing the code, but understanding how the AI works, why it makes certain decisions, and what its limitations are. It’s the foundation for accountability and trust.
Host: So the ACT theory combines Authenticity, Control, and Transparency. Alex, this is the most important question for our listeners: why does this matter for business? What are the practical takeaways?
Expert: For business leaders, the ACT theory provides a clear, actionable roadmap. It moves responsible AI out of a siloed ethics committee and embeds it directly into the product design lifecycle. It gives your design, engineering, and product teams a shared language to build better AI.
Host: So it's about making responsibility part of the process, not an afterthought?
Expert: Precisely. And that has huge business implications. An AI that is authentic, controllable, and transparent is an AI that customers will trust. And in the digital economy, trust is everything. It drives adoption, enhances brand reputation, and ultimately, creates more valuable and successful products.
Host: It sounds like it’s a framework for building a competitive advantage.
Expert: It absolutely is. By adopting a framework like ACT, businesses aren't just managing risk or preparing for future regulation; they are actively designing better, safer, and more user-centric products that can win in the market.
Host: A powerful insight. To summarize for our listeners: the current approach to responsible AI is often fragmented. This study offers a solution with the ACT theory—a practical framework built on Authenticity, Control, and Transparency that can help businesses build AI that is not only ethical but more trustworthy and valuable.
Host: Alex Ian Sutherland, thank you for breaking this down for us.
Expert: My pleasure, Anna.
Host: And thank you for tuning in to A.I.S. Insights. We'll see you next time.
Responsible AI, AI Ethics, AI Design, Authenticity, Transparency, Control, Algorithmic Accountability
Journal of the Association for Information Systems (2025)
An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians
Ankita Srivastava, Surya Ayyalasomayajula, Chenzhang Bao, Sezgin Ayabakan, Dursun Delen
This study investigates the causes of clinician burnout by analyzing over 55,000 online reviews from clinicians on Glassdoor.com. Using topic mining and econometric modeling, the research proposes and tests a new theory on how integrating various Electronic Health Record (EHR) applications to streamline organizational routines affects employee well-being.
Problem
Clinician burnout is a critical problem in healthcare, often attributed to the use of Electronic Health Records (EHRs). However, the precise reasons for this contentious relationship are not well understood, and there is a research gap in explaining how organizational-level IT decisions, such as how different systems are integrated, contribute to clinician stress or satisfaction.
Outcome
- Routine operational issues, such as workflow and staffing, were more frequently discussed by clinicians as sources of dissatisfaction than EHR-specific factors like usability. - Integrating applications to streamline clinical workflows across departments (e.g., emergency, lab, radiology) significantly improved clinician well-being. - In contrast, integrating applications focused solely on documentation did not show a significant impact on clinician well-being. - The positive impact of workflow integration was stronger in hospitals with good work-life balance policies and weaker in hospitals with high patient-to-nurse ratios, highlighting the importance of organizational context.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge. I’m your host, Anna Ivy Summers. Today, we're exploring the friction between technology and employee well-being in a high-stakes environment: healthcare. With me is our expert analyst, Alex Ian Sutherland. Alex, welcome.
Expert: Great to be here, Anna.
Host: We're diving into a study titled, "An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians". It investigates the causes of clinician burnout by analyzing a massive dataset of online employee reviews.
Expert: That’s right. It uses over 55,000 reviews from clinicians on Glassdoor to understand how the technology choices hospitals make impact the day-to-day stress of their staff.
Host: Clinician burnout is a critical issue, and we often hear that Electronic Health Records, or EHRs, are the main culprit. But this study suggests the problem is more complex, right?
Expert: Exactly. EHRs are often blamed for increasing workloads and causing frustration, but the precise reasons for this love-hate relationship aren't well understood. The real issue the study tackles is the gap in our knowledge about how high-level IT decisions—like which software systems a hospital buys and how they are connected—trickle down to affect the well-being of the nurses and physicians on the front lines.
Host: So it's not just about one piece of software, but the entire digital ecosystem. How did the researchers get to the bottom of such a complex issue?
Expert: They used a very clever, data-driven approach. Instead of traditional surveys, they turned to Glassdoor, where clinicians leave anonymous and often very candid reviews about their employers. They used topic mining and other analytical methods to identify the most common themes in what clinicians praised or complained about over a nine-year period.
Host: It’s like listening in on the real breakroom conversation. So what did they find? Was it all about clunky software and bad user interfaces?
Expert: Surprisingly, no. That was one of the most interesting findings. When clinicians talked about dissatisfaction, they focused far more on routine operational issues—things like inefficient workflows, staffing shortages, and poor coordination between departments—than they did on the specific usability of the EHR software itself.
Host: So it's less about the tool, and more about how the work itself is structured.
Expert: Precisely. And that led to the study's most powerful finding. When hospitals used technology to streamline workflows *across* departments—for example, making sure the systems in the emergency room, the lab, and radiology all communicated seamlessly—clinician well-being significantly improved.
Host: That makes perfect sense. A smooth handoff of information prevents a lot of headaches. What about other types of tech integration?
Expert: This is where it gets really insightful. In contrast, when hospitals integrated applications that were focused only on documentation, it had no significant impact on well-being. So, just digitizing paperwork isn’t the answer. The real value comes from connecting the systems that support the actual flow of patient care.
Host: That’s a crucial distinction. The study also mentioned that the hospital’s environment played a role.
Expert: It was a massive factor. The positive impact of that workflow integration was much stronger in hospitals that already had good work-life balance policies. But in hospitals with high patient-to-nurse ratios, where staff were stretched thin, the benefits of the technology were much weaker.
Host: So, Alex, this brings us to the most important question for our listeners. These findings are from healthcare, but the lessons seem universal. What are the key business takeaways?
Expert: There are three big ones. First, focus on the workflow, not just the tool. When you're rolling out new technology, the most important question isn't "is this good software?", it's "how does this software improve our core operational routines and make collaboration between teams easier?" The real return on investment comes from smoothing out the friction between departments.
Host: That's a great point. What's the second takeaway?
Expert: Technology is a complement, not a substitute. You cannot use technology to solve fundamental organizational problems. The best integrated system in the world won't make up for understaffing or a culture that burns people out. You have to invest in your people and your processes right alongside your technology.
Host: And the third?
Expert: Listen for the "real" feedback. Employees might not complain directly about the new CRM software, but they will complain about the new hurdles in their daily routines. This study's use of Glassdoor reviews is a lesson for all leaders: find ways to understand how your decisions are affecting the ground-level workflow. The problem might not be the tech itself, but the operational chaos it’s inadvertently creating.
Host: Fantastic insights. So to recap: Clinician burnout isn't just about bad software, but about broken operational routines. The key is to strategically integrate technology to streamline how teams work together. And critically, that technology is only truly effective when it's built on a foundation of a supportive work environment.
Host: Alex Ian Sutherland, thank you so much for breaking this down for us.
Expert: My pleasure, Anna.
Host: And thanks to our audience for tuning in to A.I.S. Insights — powered by Living Knowledge.
Journal of the Association for Information Systems (2025)
In Search of a “Style:” Capturing the Collective Identity of Social Movements Based on Digital Trace Data
Theresa Henn-Latus, Sarah Tell, Julian Polenz, Thomas Kern, Oliver Posegga
This study investigates how online social movements form a collective identity, a topic of debate among scholars. Using socio-semantic network analysis of digital trace data from Twitter, the researchers conceptualize and measure the "style" of a movement, which combines both its cultural expressions and social interaction patterns. The German "Querdenken" movement, which protested COVID-19 measures, is used as a case study to demonstrate this methodology.
Problem
Scholars are divided on whether online activism can foster a strong, unifying collective identity necessary for sustained action. Previous research often fails to capture the full picture by focusing on either cultural aspects (like shared hashtags) or social structures (like user networks), but not their interplay. This study addresses this gap by proposing a dual approach that examines both cultural and social dynamics together to understand how a collective identity emerges and persists online.
Outcome
- The Querdenken movement successfully developed a distinct collective identity online, which manifested as recurring social and cultural patterns that persisted even as individual participants and leaders changed over time. - The movement's social structure was a decentralized "network of networks" with leadership roles emerging temporarily and shifting between users, rather than being held by fixed individuals or official chapter accounts. - The movement's identity was most strongly defined by its opposition to specific groups, primarily political authorities and scientific experts, whom they consistently portrayed with negative characteristics like incompetence and abuse of power. - Culturally, the movement portrayed itself as a collective of active, rational, and critical protesters, blending organized actions like demonstrations with broad, general calls for resistance.
Host: Welcome to A.I.S. Insights, powered by Living Knowledge. Today, we're diving into a fascinating study titled “In Search of a “Style:” Capturing the Collective Identity of Social Movements Based on Digital Trace Data.” Host: In short, it’s all about how online movements, the kind we see exploding on social media every day, actually build a shared, lasting identity. To help us unpack this, we have our expert analyst, Alex Ian Sutherland. Alex, welcome. Expert: Glad to be here, Anna. Host: Alex, we all see movements rise online, from brand boycotts to social causes. But there's a real question about whether they can last. What’s the core problem this study tackles? Expert: The big debate among scholars is whether that kind of fast-moving online activism can ever build the strong, unified identity a movement needs for sustained impact. Expert: Previous research tended to focus on one of two things: either the culture, like the shared hashtags and language, or the social structure, meaning the network of users. But they rarely looked at how those two things work together. Host: So it’s like trying to understand a company by looking at its marketing slogans or its org chart, but never both at the same time. Expert: That’s a perfect analogy. You miss the complete picture. This study closes that gap by proposing a way to look at both the cultural and social dynamics together to understand how a true collective identity is born and survives online. Host: So how did the researchers approach this? How do you actually measure something as fluid as an online identity? Expert: They introduced and measured the concept of a movement's "style." Think of it like a brand’s unique signature—it's a combination of its voice, its values, and how it engages with the world. Expert: In this case, "style" combines a movement's cultural patterns with its social patterns. They studied this by analyzing Twitter data from the German "Querdenken" movement, which protested COVID-19 measures. Host: And what did this "socio-semantic network analysis" of their style actually show? Did the movement manage to form a real identity? Expert: It absolutely did. That's the first key finding. The movement developed a distinct collective identity that persisted over time, even as the individual participants and leaders came and went. The identity itself became more durable than any single person within it. Host: That’s a powerful idea. What did that identity look like on the social level? Expert: Socially, it wasn't a pyramid with a leader at the top. It was a decentralized "network of networks." Leadership roles weren't fixed; they emerged temporarily and shifted between different users. The official accounts of the movement’s local chapters were almost never the most influential voices. Host: And culturally? What was the idea that held them all together? Expert: This is crucial. The identity was most strongly defined by what it was *against*. Their sense of "we" was built on a shared opposition to specific groups, mainly political authorities and scientific experts. Expert: They consistently portrayed these opponents with negative traits like incompetence and abuse of power, while framing themselves as active, rational, and critical protesters. Host: This is all fascinating, but let's get to the bottom line for our listeners. Why should a business leader or a brand manager care about the "style" of an online movement? Expert: There are huge implications. First, for building a brand community. This study is a blueprint for how powerful, self-sustaining online communities are formed. It shows that true identity isn't just about a shared interest; it's about a combination of a shared culture and specific patterns of interaction. Host: So it's less about top-down marketing and more about creating an environment where an identity can emerge? Expert: Precisely. It also has direct application in risk management. By analyzing a protest movement's "style," you can better predict its durability. Is that online criticism of your company just a fleeting hashtag, or does it show the signs of a persistent collective identity? Understanding its structure and narrative helps you gauge the real threat. Host: I would imagine this could also be a powerful tool for market intelligence. Expert: Without a doubt. This method can be used to understand any online collective, from customer groups to industry forums. You can identify who the real, emergent influencers are—not just those with the most followers—and grasp the core identity that drives their behavior. It's a way to get a much deeper read on your market or even your own employee base. Host: So, to summarize, to truly understand any online group, you have to look beyond surface metrics and analyze its unique "style"—the interplay between its cultural narrative and its social network structure. Expert: That's the key takeaway. This study demonstrates that a powerful online identity can be decentralized, have shifting leaders, and often finds its greatest strength in defining what it stands against. Host: A vital insight into the dynamics of our digital world. Alex, thank you for breaking this down for us. Expert: My pleasure, Anna. Host: And thank you for joining us on A.I.S. Insights, powered by Living Knowledge. We'll see you next time.
Collective Identity Online, Social Movements, Digital Trace Data, Socio-Semantic Networks, Connective Action, Leadership
Journal of the Association for Information Systems (2025)
Toward Triadic Delegation: How Agentic IS Artifacts Affect the Patient-Doctor Relationship in Healthcare
Pascal Fechner, Luis Lämmermann, Jannik Lockl, Maximilian Röglinger, Nils Urbach
This study investigates how autonomous information systems (agentic IS artifacts) are transforming the traditional two-way relationship between patients and doctors into a three-way, or triadic, relationship. Using an in-depth case study of an AI-powered health companion for managing neurogenic lower urinary tract dysfunction, the paper analyzes the new dynamics, roles, and interactions that emerge when an intelligent technology becomes an active participant in healthcare delivery.
Problem
With the rise of artificial intelligence in medicine, autonomous systems are no longer just passive tools but active agents in patient care. This shift challenges the conventional patient-doctor dynamic, yet existing theories are ill-equipped to explain the complexities of this new three-part relationship. This research addresses the gap in understanding how these AI agents redefine roles, interactions, and potential conflicts in patient-centric healthcare.
Outcome
- The introduction of an AI agent transforms the dyadic patient-doctor relationship into a triadic one, often with the AI acting as a central intermediary. - The AI's capabilities create 'attribute interference,' where responsibilities and knowledge overlap between the patient, doctor, and AI, introducing new complexities. - New 'triadic delegation choices' emerge, allowing tasks to be delegated to the doctor, the AI, or both, based on factors like task complexity and emotional context. - The study identifies novel conflicts arising from this triad, including human concerns over losing control (autonomy conflicts), new information imbalances, and the blurring of traditional medical roles.
Host: Welcome to A.I.S. Insights, the podcast at the intersection of business and technology, powered by Living Knowledge. I’m your host, Anna Ivy Summers. Host: Today, we're diving into a fascinating new study titled, "Toward Triadic Delegation: How Agentic IS Artifacts Affect the Patient-Doctor Relationship in Healthcare." Host: With me is our expert analyst, Alex Ian Sutherland. Alex, welcome. Expert: Great to be here, Anna. Host: So, this study sounds quite specific, but it has broad implications. In a nutshell, what is it about? Expert: It’s about how smart, autonomous AI systems are fundamentally changing the traditional two-way relationship between a professional and their client—in this case, a doctor and a patient—by turning it into a three-way relationship. Host: A three-way relationship? You mean Patient, Doctor, and... AI? Expert: Exactly. The AI is no longer just a passive tool; it’s an active participant, an agent, in the process. This study looks at the new dynamics, roles, and interactions that emerge from this triad. Host: That brings us to the big problem this research is tackling. Why is this shift from a two-way to a three-way relationship such a big deal? Expert: Well, the classic patient-doctor dynamic is built on direct communication and trust. But as AI becomes more capable, it starts taking on tasks, making suggestions, and even acting on its own. Host: It's doing more than just showing data on a screen. Expert: Precisely. It's becoming an agent. The problem is, our existing models for how we work and interact don't account for this third, non-human agent in the room. This creates a gap in understanding how roles are redefined and where new conflicts might arise. Host: How did the researchers actually study this? What was their approach? Expert: They conducted a very detailed, in-depth case study. They focused on a specific piece of technology: an AI-powered health companion designed to help patients manage a complex bladder condition. Host: So, a real-world application. Expert: Yes. It involved a wearable sensor and a smartphone app that monitors the patient's condition and provides real-time guidance. The researchers closely observed the interactions between patients, their doctors, and this new AI agent to see how the relationship changed over time. Host: Let’s get into those changes. What were the key findings from the study? Expert: The first major finding is that the AI almost always becomes a central intermediary. Communication that was once directly between the patient and doctor now often flows through the AI. Host: So the AI is like a new go-between? Expert: In many ways, yes. The second finding, which is really interesting, is something they call 'attribute interference'. Host: That sounds a bit technical. What does it mean for us? Expert: It just means that the responsibilities and even the knowledge start to overlap. For instance, both the doctor and the AI can analyze patient data to spot a potential infection. This creates confusion: Who is responsible? Who should the patient listen to? Host: I can see how that would get complicated. What else did they find? Expert: They found that new 'triadic delegation choices' emerge. Patients and doctors now have to decide which tasks to give to the human and which to the AI. Host: Can you give an example? Expert: Absolutely. A routine task, like logging data 24/7, is perfect for the AI. But delivering a difficult diagnosis—a task with a high emotional context—is still delegated to the doctor. The choice depends on the task's complexity and emotional weight. Host: And I imagine this new setup isn't without its challenges. Did the study identify any new conflicts? Expert: It did. The most common were 'autonomy conflicts'—basically, a fear from both patients and doctors of losing control to the AI. There were also new information imbalances and a blurring of the lines around traditional medical roles. Host: This is the crucial part for our listeners, Alex. Why does this matter for business leaders, even those outside of healthcare? Expert: Because this isn't just a healthcare phenomenon. Anywhere you introduce an advanced AI to mediate between your employees and your customers, or even between different teams, you are creating this same triadic relationship. Host: So a customer service chatbot that works with both a customer and a human agent would be an example. Expert: A perfect example. The key business takeaway is that you can't design these systems as simple tools. You have to design them as teammates. This means clearly defining the AI's role, its responsibilities, and its boundaries. Host: It's about proactive management of that new relationship. Expert: Exactly. Businesses need to anticipate 'attribute interference'. If an AI sales assistant can draft proposals, you need to clarify how that affects the role of your human sales team. Who has the final say? How do they collaborate? Host: So clarity is key. Expert: Clarity and trust. The study showed that conflicts arise from ambiguity. For businesses, this means being transparent about what the AI does and how it makes decisions. You have to build trust not just between the human and the AI, but between all three agents in the new triad. Host: Fascinating stuff. So, to summarize, as AI becomes more autonomous, it’s not just a tool, but a third agent in professional relationships. Expert: That's the big idea. It turns a simple line into a triangle, creating new pathways for communication and delegation, but also new potential points of conflict. Host: And for businesses, the challenge is to manage that triangle by designing for collaboration, clarifying roles, and intentionally building trust between all parties—human and machine. Host: Alex, thank you so much for breaking this down for us. This gives us a lot to think about. Expert: My pleasure, Anna. Host: And thank you to our listeners for tuning into A.I.S. Insights. Join us next time as we continue to explore the future of business and technology.
Agentic IS Artifacts, Delegation, Patient-Doctor Relationship, Personalized Healthcare, Triadic Delegation, Healthcare AI
Communications of the Association for Information Systems (2025)
Control Balancing in Offshore Information Systems Development: Extended Process Model
Zafor Ahmed, Evren Eryilmaz, Vinod Kumar, Uma Kumar
This study investigates how project controls are managed and adjusted over time in offshore information systems development (ISD) projects. Using a case-based, grounded theory methodology, the researchers analyzed four large-scale offshore ISD projects to understand the dynamics of 'control balancing'. The research extends existing theories by explaining how control configurations shift between client and vendor teams throughout a project's lifecycle.
Problem
Managing offshore information systems projects is complex due to geographic, cultural, and organizational differences that complicate coordination and oversight. Existing research has not fully explained how different control mechanisms should be dynamically balanced to manage evolving relationships and ensure stakeholder alignment. This study addresses the gap in understanding the dynamic process of adjusting controls in response to changing project circumstances and levels of shared understanding between clients and vendors.
Outcome
- Proposes an extended process model for control balancing that illustrates how control configurations shift dynamically throughout an offshore ISD project. - Identifies four distinct control orientations (strategic, responsibility, harmony, and persuasion) that explain the motivation behind control shifts at different project phases. - Introduces a new trigger factor for control shifts called 'negative anticipation,' which is based on the project manager's perception rather than just performance outcomes. - Finds that control configurations transition between authoritative, coordinated, and trust-based styles, and that these shifts are directly related to the level of shared understanding between the client and vendor. - Discovers a new control transition path where projects can shift directly from a trust-based to an authoritative control style, often to repair or reassess a deteriorating relationship.
Host: Welcome to A.I.S. Insights, the podcast where we turn complex research into actionable business knowledge. I’m your host, Anna Ivy Summers. Host: Today, we're diving into a fascinating new study titled "Control Balancing in Offshore Information Systems Development: Extended Process Model". Host: It explores how the way we manage and control big, outsourced IT projects needs to change and adapt over time. With us to unpack this is our analyst, Alex Ian Sutherland. Alex, welcome. Expert: Great to be here, Anna. Host: So, let's start with the big picture. Anyone who's managed a project with an offshore team knows the challenges. Why did this area need a new study? Expert: You're right, it's a well-known challenge. The problem is that traditional management—rigid contracts, strict oversight—often fails. It doesn’t account for the geographic, cultural, and organizational differences. Expert: Existing research hadn't really explained how to dynamically balance different types of control. We know we need to build a "shared understanding" between the client and the vendor, but how you get there is the puzzle this study set out to solve. Host: How exactly did the researchers approach such a complex problem? Expert: They took a very deep and practical approach. They conducted a case study of four large-scale information systems projects within a single government organization. Expert: Crucially, two of these projects were successes, and two were failures. This allowed them to compare what went right with what went wrong. They didn't just send a survey; they analyzed over 40 interviews, project documents, and emails to understand the real-life dynamics. Host: That sounds incredibly thorough. So, after all that analysis, what were the key findings? What did they discover? Expert: They came away with a much richer model for how project control evolves. They found that teams naturally shift between three styles: 'Authoritative,' which is very client-driven and formal... Host: Like, "Here are the rules, follow them." Expert: Exactly. Then there's 'Coordinated,' which is more of a partnership with joint planning. And finally, 'Trust-based,' which is highly collaborative and informal. The key is knowing when to shift. Host: So what triggers these shifts? Expert: This is one of the most interesting findings. It's not just about performance. They identified a new trigger called 'negative anticipation.' This is the project manager's gut feeling—a sense that something *might* go wrong, even if no deadline has been missed yet. Host: That’s fascinating. It’s about being proactive based on intuition, not just reactive to failures. Expert: Precisely. And they also discovered a new, and very important, transition path. We used to think that if a high-trust relationship started to fail, you'd slowly add more oversight. Expert: This study found that sometimes, you need to jump directly from a Trust-based style all the way back to a strict Authoritative one. It’s like a 'hard reset' on the relationship to repair damage and get back on the same page. Host: This is the most important part for our listeners, Alex. I'm a business leader managing an outsourced project. How does this help me on Monday morning? Expert: The biggest takeaway is that there is no 'one size fits all' management style. You have to be a control chameleon. Host: Can you give me an example? Expert: At the start of a project with a new vendor, you might need an 'Authoritative' style. Not to be difficult, but to use formal processes to build a solid, shared understanding of the goals and rules. The study calls this a 'strategic orientation'. Host: So you start strict to build a foundation. Then what? Expert: As the vendor proves themselves and you build a real rapport, you can shift towards a 'Coordinated' or 'Trust-based' style. This fosters what the study calls 'harmony' and empowers the vendor to take more ownership, which leads to better outcomes. Host: And what about that 'hard reset' you mentioned? The jump from trust back to authoritative control. Expert: That is your most powerful tool for project rescue. If you're in a high-trust phase and suddenly communication breaks down or major issues appear, don’t just tweak things. Expert: The successful teams in this study knew when to hit the brakes. They went back to formal reviews, clarified contractual obligations, and re-established clear lines of authority. It’s a way to stop the bleeding, reassess, and then begin rebuilding the partnership on a stronger footing. Host: So to summarize, effective offshore project management isn't about a single style, but about dynamically balancing control to fit the situation. Host: Managers should trust their gut—that 'negative anticipation'—to make changes proactively, and not be afraid to use a firm, authoritative hand to reset a relationship when it goes off the rails. Host: Alex Ian Sutherland, thank you for making this complex research so clear and actionable. Expert: My pleasure, Anna. Host: And to our audience, thank you for tuning into A.I.S. Insights, powered by Living Knowledge. We’ll talk to you next time.
Control Balancing, Control Dynamics, Offshore ISD, IS Implementation, Control Theory, Grounded Theory Method
Communications of the Association for Information Systems (2025)
Conceptualizing IT Artefacts for Policymaking – How IT Artefacts Evolve as Policy Objects
Karin Väyrynen, Sari Laari-Salmela, Netta Iivari, Arto Lanamäki, Marianne Kinnula
This study explores how an information technology (IT) artefact evolves into a 'policy object' during the policymaking process, using a 4.5-year longitudinal case study of the Finnish Taximeter Law. The research proposes a conceptual framework that identifies three forms of the artefact as it moves through the policy cycle: a mental construct, a policy text, and a material IT artefact. This framework helps to understand the dynamics and challenges of regulating technology.
Problem
While policymaking related to information technology is increasingly significant, the challenges stemming from the complex, multifaceted nature of IT are poorly understood. There is a specific gap in understanding how real-world IT artefacts are translated into abstract policy texts and how those texts are subsequently reinterpreted back into actionable technologies. This 'translation' process often leads to ambiguity and unintended consequences during implementation.
Outcome
- Proposes a novel conceptual framework for understanding the evolution of an IT artefact as a policy object during a public policy cycle. - Identifies three distinct forms the IT artefact takes: 1) a mental construct in the minds of policymakers and stakeholders, 2) a policy text such as a law, and 3) a material IT artefact as a real-world technology that aligns with the policy. - Highlights the significant challenges in translating complex real-world technologies into abstract legal text and back again, which can create ambiguity and implementation difficulties. - Distinguishes between IT artefacts at the policy level and IT artefacts as real-world technologies, showing how they evolve on separate but interconnected tracks.
Host: Welcome to A.I.S. Insights, powered by Living Knowledge. In a world of fast-paced tech innovation, how do laws and policies keep up? Today, we're diving into a fascinating study that unpacks this very question. It's titled "Conceptualizing IT Artefacts for Policymaking – How IT Artefacts Evolve as Policy Objects".
Host: With me is our analyst, Alex Ian Sutherland. Alex, this study looks at how a piece of technology becomes something that policymakers can actually regulate. Why is that important?
Expert: It's crucial, Anna. Technology is complex and multifaceted, but laws are abstract text. The study explores how an IT product evolves as it moves through the policy cycle, using a real-world example of the Finnish Taximeter Law. It shows how challenging, and important, it is to get that translation right.
Host: Let's talk about that challenge. What is the big problem this study addresses?
Expert: The core problem is that policymakers often struggle to understand the technology they're trying to regulate. There's a huge gap in understanding how a real-world IT product, like a ride-sharing app, gets translated into abstract policy text, and then how that text is interpreted back into a real, functioning technology.
Host: So it's a translation issue, back and forth?
Expert: Exactly. And that translation process is full of pitfalls. The study followed the Finnish government's attempt to update their taximeter law. The old law only allowed certified, physical taximeters. But with the rise of apps like Uber, they needed a new law to allow "other devices or systems". The ambiguity in how they wrote that new law created a lot of confusion and unintended consequences.
Host: How did the researchers go about studying this problem?
Expert: They took a very in-depth approach. It was a 4.5-year longitudinal case study. They analyzed over a hundred documents—draft laws, stakeholder statements, meeting notes—and conducted dozens of interviews with regulators, tech providers, and taxi federations. They watched the entire policy cycle unfold in real time.
Host: And after all that research, what were the key findings? What did they learn about how technology evolves into a "policy object"?
Expert: They developed a fantastic framework that identifies three distinct forms the technology takes. First, it exists as a 'mental construct' in the minds of policymakers. It's their idea of what the technology is—for instance, "an app that can calculate a fare".
Host: Okay, so it starts as an idea. What's next?
Expert: That idea is translated into a 'policy text' – the actual law or regulation. This is where it gets tricky. The Finnish law described the new technology based on certain functions, like measuring time and distance to a "corresponding level" of accuracy as a physical taximeter.
Host: That sounds a little vague.
Expert: It was. And that leads to the third form: the 'material IT artefact'. This is the real-world technology that companies build to comply with the law. Because the policy text was ambiguous, a whole range of technologies appeared. Some were sophisticated ride-hailing platforms, but others were just uncertified apps or devices bought online that technically met the vague definition. The study shows these three forms evolve on separate but connected tracks.
Host: This is the critical part for our listeners, Alex. Why does this matter for business leaders and tech innovators today?
Expert: It matters immensely, especially with regulations like the new European AI Act on the horizon. That Act defines what an "AI system" is. That definition—that 'policy text'—will determine whether your company's product is considered high-risk and subject to intense scrutiny and compliance costs.
Host: So, if your product fits the law's definition, you're in a completely different regulatory bracket.
Expert: Precisely. The study teaches us that businesses cannot afford to ignore the policymaking process. You need to engage when the 'mental construct' is being formed, to help policymakers understand the technology's reality. You need to pay close attention to the wording of the 'policy text' to anticipate how it will be interpreted.
Host: And the takeaway for product development?
Expert: Your product—your 'material IT artefact'—exists in the real world, but its legitimacy is determined by the policy world. Businesses must understand that these are two different realms that are often disconnected. The successful companies will be the ones that can bridge that gap, ensuring their innovations align with policy, or better yet, help shape sensible policy from the start.
Host: So, to recap: technology in the eyes of the law isn't just one thing. It's an idea in a regulator's mind, it's the text of a law, and it's the actual product in the market. Understanding how it transforms between these states is vital for navigating the modern regulatory landscape.
Host: Alex, thank you for breaking that down for us. It’s a powerful lens for viewing the intersection of tech and policy.
Expert: My pleasure, Anna.
Host: And thank you to our audience for tuning into A.I.S. Insights. Join us next time as we translate more knowledge into action.
IT Artefact, IT Regulation, Law, Policy Object, Policy Cycle, Public Policymaking, European Al Act
Communications of the Association for Information Systems (2025)
Digital Sustainability Trade-Offs: Public Perceptions of Mobile Radiation and Green Roofs
Laura Recuero Virto, Peter Saba, Arno Thielens, Marek Czerwiński, Paul Noumba Um
This study investigates public opinion on the trade-offs between digital technology and environmental sustainability, specifically focusing on the effects of mobile radiation on green roofs. Using a survey and a Discrete Choice Experiment with an urban French population, the research assesses public willingness to fund research into the health impacts on both humans and plants.
Problem
As cities adopt sustainable solutions like green roofs, they are also expanding digital infrastructure such as 5G mobile antennas, which are often placed on rooftops. This creates a potential conflict where the ecological benefits of green roofs are compromised by mobile radiation, but the public's perception and valuation of this trade-off between technology and environment are not well understood.
Outcome
- The public shows a significant preference for funding research on the human health impacts of mobile radiation, with a willingness to pay nearly twice as much compared to research on plant health. - Despite the lower priority, there is still considerable public support for researching the effects of radiation on plant health, indicating a desire to address both human and environmental concerns. - When assessing risks, people's decisions are primarily driven by cognitive, rational analysis rather than by emotional or moral concerns. - The public shows no strong preference for non-invasive research methods (like computer simulations) over traditional laboratory and field experiments. - As the cost of funding research initiatives increases, the public's willingness to pay for them decreases.
Host: Welcome to A.I.S. Insights, the podcast where we connect business strategy with cutting-edge research, powered by Living Knowledge. I’m your host, Anna Ivy Summers. Host: Today, we’re diving into a fascinating new study titled "Digital Sustainability Trade-Offs: Public Perceptions of Mobile Radiation and Green Roofs." Host: It explores a very modern conflict: our push for green cities versus our hunger for digital connectivity. Specifically, it looks at public opinion on mobile radiation from antennas affecting the green roofs designed to make our cities more sustainable. Host: Here to unpack the findings is our analyst, Alex Ian Sutherland. Alex, welcome. Expert: Thanks for having me, Anna. Host: So, Alex, let’s start with the real-world problem. We love the idea of green roofs in our cities, but we also demand seamless 5G coverage. It sounds like these two goals are clashing. Expert: They are, quite literally. The best place to put a 5G antenna for great coverage is often on a rooftop. But that’s also the prime real estate for green roofs, which cities are using to manage stormwater, reduce heat, and improve air quality. Expert: The conflict arises because the very vegetation on these roofs is then directly exposed to radio-frequency electromagnetic fields, or RF-EMFs. We know green roofs can actually help shield people in the apartments below from some of this radiation, but the plants themselves are taking the full brunt of it. Expert: And until this study, we really didn't have a clear picture of how the public values this trade-off. Do we prioritize our tech or our urban nature? Host: So how did the researchers figure out what people actually think? What was their approach? Expert: They used a survey method centered on what’s called a Discrete Choice Experiment. They presented a sample of the urban French population with a series of choices. Expert: Each choice was a different scenario for funding research. For example, a choice might be: would you prefer to pay 25 euros a year to fund research on human health impacts, or 50 euros a year to fund research on plant health impacts, or choose to pay nothing and fund no new research? Expert: By analyzing thousands of these choices, they could precisely measure what attributes people value most—human health, plant health, even the type of research—and how much they’re willing to pay for it. Host: That’s a clever way to quantify opinions. So what were the key findings? What did the public choose? Expert: The headline finding was very clear: people prioritize human health. On average, they were willing to pay nearly twice as much for research into the health impacts of mobile radiation on humans compared to the impacts on plants. Host: Does that mean people just don't care about the environmental side of things? Expert: Not at all, and that’s the nuance here. While human health was the top priority, there was still significant public support—and a willingness to pay—for research on plant health. People see value in protecting both. It suggests a desire for a balanced approach, not an either-or decision. Host: And what about *how* people made these choices? Was it an emotional response, a gut feeling? Expert: Interestingly, no. The study found that people’s risk assessments were driven primarily by cognitive, rational analysis. They were weighing the facts as they understood them, not just reacting emotionally or based on moral outrage. Expert: Another surprising finding was that people showed no strong preference for non-invasive research methods, like computer simulations, over traditional lab or field experiments. They seemed to value the outcome of the research more than the method used to get there. Host: That’s really insightful. Now for the most important question for our listeners: why does this matter for business? What are the takeaways? Expert: There are a few big ones. First, for telecommunication companies rolling out 5G infrastructure, this is critical. Public concern isn't just about human health; it's also about environmental impact. Simply meeting the regulatory standard for human safety might not be enough to win public trust. Expert: Because people are making rational calculations, the best strategy is transparency and clear, evidence-based communication about the risks and benefits to both people and the environment. Host: What about industries outside of tech, like real estate and urban development? Expert: For them, this adds a new layer to the value of green buildings. A green roof is a major selling point, but its proximity to a powerful mobile antenna could become a point of concern for potential buyers or tenants. Developers need to be part of the planning conversation to ensure digital and green infrastructure can coexist effectively. Expert: This study signals that the concept of "Digital Sustainability" is no longer academic. It's a real-world business issue. As companies navigate their own sustainability and digital transformation goals, they will face similar trade-offs, and understanding public perception will be key to navigating them successfully. Host: This really feels like a glimpse into the future of urban planning and corporate responsibility. Let’s summarize. Host: The study shows the public clearly prioritizes human health in the debate between digital expansion and green initiatives, but they still place real value on protecting the environment. Decisions are being made rationally, which means businesses and policymakers need to communicate with clear, factual information. Host: For business leaders, this is a crucial insight into managing public perception, communicating transparently, and anticipating a new wave of more nuanced policies that balance our digital and green ambitions. Host: Alex, thank you for breaking this down for us. It’s a complex topic with clear, actionable insights. Expert: My pleasure, Anna. Host: And thank you for tuning in to A.I.S. Insights, powered by Living Knowledge. Join us next time as we continue to explore the research that’s shaping our world.
Digital Sustainability, Green Roofs, Mobile Radiation, Risk Perception, Public Health, Willingness to Pay, Environmental Policy
Communications of the Association for Information Systems (2025)
Digital Detox? A Mixed-Method Examination of Hedonic IT Abstinence Maintenance and its Effects on Productivity and Moderation of Use
Isaac Vaghefi, Ofir Turel
This study investigates the factors that help people successfully maintain a temporary break from using enjoyable technologies like social media, often called a "digital detox". Using a mixed-method approach, researchers first developed a theoretical framework, refined it through a qualitative study with individuals abstaining from social networking sites (SNS), and then tested the resulting model with a quantitative survey.
Problem
Excessive use of technologies like social media is linked to negative outcomes such as reduced well-being, lower performance, and increased stress. While many people attempt a "digital detox" to mitigate these harms, there is limited understanding of what factors actually help them sustain this break from technology, as prior research has focused more on permanent quitting rather than temporary abstinence.
Outcome
- A person's belief in their own ability to abstain (self-efficacy) is a key predictor of successfully maintaining a digital detox. - Pre-existing, automatic habits of using technology make it harder to abstain, but successfully abstaining helps form a new counter-habit that supports the detox. - Peer pressure from one's social circle to use technology significantly hinders the ability to maintain a break. - Successfully maintaining a digital detox leads to increased self-reported productivity and a stronger intention to moderate technology use in the future.
Host: Welcome to A.I.S. Insights, powered by Living Knowledge. I’m your host, Anna Ivy Summers, and with me today is our expert analyst, Alex Ian Sutherland. Host: Alex, today we're diving into a topic many of us can relate to: the digital detox. We’re looking at a fascinating study titled, "Digital Detox? A Mixed-Method Examination of Hedonic IT Abstinence Maintenance and its Effects on Productivity and Moderation of Use." Host: In simple terms, the study looks at what helps people successfully take a temporary break from things like social media. Expert: That's right, Anna. It’s not about quitting forever, but about understanding how to successfully maintain a short-term break. Host: So let's start with the big problem. We all know that spending too much time on these platforms can be an issue. Expert: It’s a huge issue. The study highlights that excessive use of what they call 'hedonic IT'—basically, tech we use for fun—is linked to some serious negative outcomes. We're talking about diminished well-being, lower performance at work or school, and increased stress, anxiety, and even depression. Host: And many people try to fight this by taking a "digital detox," but often fail. What’s the gap in our understanding that this study tries to fill? Expert: The problem is that most previous research focused on why people decide to *quit permanently*. But in reality, most of us don't want to leave these platforms forever; we just want to take a break. This study is one of the first to really dig into what helps people *maintain* that temporary break, because as many of us know, starting a detox is very different from actually sticking with it. Host: So how did the researchers figure this out? What was their approach? Expert: They used a really clever mixed-method approach. First, they conducted a qualitative study. They asked 281 students to take a break from their most-used social media site for up to a week and describe their experience. This allowed them to hear directly from users about their struggles and successes. Expert: Based on those personal stories, they built a model of what factors seemed most important. Then, they tested that model in a larger quantitative study with over 300 people, comparing a group who took a break to a control group who didn't. This two-step process makes the findings really robust. Host: That sounds very thorough. So, let’s get to the results. What are the key factors that determine if someone can successfully maintain a digital detox? Expert: The single biggest predictor of success was something called self-efficacy. Basically, it’s your own belief in your ability to abstain. If you go into it with confidence that you can stick with it, you are far more likely to succeed. Host: Confidence is key. But what gets in the way? What makes people relapse? Expert: The biggest obstacle is existing habit. That automatic, unconscious reach for your phone to open an app. The study found this is incredibly powerful and makes it very difficult to maintain a break. One participant described it as tapping the app logo "involuntarily... like it was ingrained in my muscle memory." Host: I think we've all been there. Expert: But there's good news on that front. The study also found that as people persisted with their detox, they started to form a new "abstinence habit"—the habit of *not* checking. So, while old habits are a hurdle, you can replace them with new, healthier ones. The first few days are the hardest. Host: So it's a battle of habits. What else makes it difficult? Expert: The other major factor is peer pressure. Friends and family asking why you’re offline, tagging you in posts, or just the general fear of missing out. That social pressure from your network significantly hinders your ability to stay away. Host: And if you do manage to stick with it, what are the payoffs? Expert: The study found two very clear, positive outcomes. First, a significant increase in self-reported productivity. People felt they got more done. And it's no wonder—the participants in the study saved, on average, three hours and 34 minutes per day by staying off social media. Host: Wow, that's a huge amount of time. What was the second outcome? Expert: The second outcome is that it changes your future behavior. People who successfully completed the detox showed a much stronger intention to moderate their technology use moving forward. The break forces you to pause and reflect on your habits, leading to a more mindful and balanced relationship with technology later on. Host: This is the crucial part for our listeners. What does this all mean for business professionals and leaders? Expert: For any individual professional, this provides a clear roadmap for boosting focus and productivity. If you're feeling distracted or burned out, a short, structured break can have real benefits. The key is to be intentional: build your confidence, be mindful of breaking the automatic-checking habit, and maybe even tell your colleagues you’re taking a break to manage the social pressure. Host: And for managers or team leaders? Expert: This is a powerful, low-cost tool for employee well-being. Burnout is a massive issue, and this study links it directly to our tech habits. Organizations could support voluntary detox challenges as part of their wellness programs. It's not about being anti-technology; it's about fostering a culture of digital health that empowers employees to take control. Expert: Ultimately, an employee who has a healthier relationship with technology is more focused, less stressed, and more productive. This is a direct investment in the organization's human capital. Host: Fantastic insights, Alex. So, to summarize for our listeners: a successful digital detox isn't just about willpower. Host: It's driven by your belief that you can do it, the conscious effort to break old habits while building new ones, and managing the social expectations of being constantly online. Host: The rewards for business professionals are clear: a tangible boost in productivity and the foundation for a more balanced relationship with technology long-term. Host: Alex Ian Sutherland, thank you for making this complex study so accessible. Expert: It was my pleasure, Anna. Host: And to our audience, thank you for tuning into A.I.S. Insights. Join us next time as we continue to explore the intersection of business and technology.
Digital Detox, Abstinence, Behavior Maintenance, Social Networking Site, Hedonic IT, Productivity, Self-control
Communications of the Association for Information Systems (2024)
To Use or Not to Use! Working Around the Information System in the Healthcare Field
Mohamed Tazkarji, Craig Van Slyke, Gracia Hamadeh, Iris Junglas
This study investigates why nurses in a large hospital utilize workarounds for their electronic medical record (EMR) system, even when they generally perceive the system as useful and effective. Through a qualitative case study involving interviews with 24 nurses, the research explores the motivations, decision processes, and consequences associated with bypassing standard system procedures.
Problem
Despite massive investments in EMR systems to improve healthcare efficiency and safety, frontline staff frequently bypass them. This study addresses the puzzle of why employees who accept and value an information system still engage in workarounds, a practice that can undermine the intended benefits of the technology and introduce risks to patient care and data security.
Outcome
- Nurses use workarounds, such as sharing passwords or delaying data entry, primarily to save time and prioritize direct patient care over administrative tasks, especially in high-pressure situations. - The decision to engage in a workaround is strongly influenced by group norms, habituation, and 'hyperbolic discounting,' where the immediate benefit of saving time outweighs potential long-term risks. - Workarounds have both positive and negative consequences; they can improve patient focus and serve as a system fallback, but also lead to policy violations, security risks, and missed opportunities for process improvement. - The study found that even an award-winning, well-liked EMR system was bypassed by 23 out of 24 nurses interviewed, highlighting that workarounds are a response to workflow constraints, not necessarily system flaws.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge. I’m your host, Anna Ivy Summers, and with me today is our expert analyst, Alex Ian Sutherland. Host: Alex, today we're diving into a study titled "To Use or Not to Use! Working Around the Information System in the Healthcare Field". It investigates a really interesting paradox: why highly skilled nurses utilize workarounds for their electronic medical record system, even when they generally perceive the system as useful and effective. Host: Alex, this sounds like a familiar story for many businesses. Companies invest millions in technology, but employees find ways to bypass it. What's the big problem this study highlights? Expert: Exactly, Anna. Healthcare organizations have spent billions on Electronic Medical Record, or EMR, systems to improve efficiency and patient safety. The puzzle this study addresses is why employees who actually accept and value a system still engage in workarounds. This practice can undermine the technology's benefits and introduce serious risks to things like patient care and data security. Host: So this isn't the classic case of users resisting a new or badly designed system? Expert: That's what's so compelling. The study looked at a hospital using an award-winning, in-house developed EMR system—one that scored the highest possible rating for its adoption and use. Yet, they found that 23 out of the 24 nurses interviewed regularly worked around it. It shows the problem is often deeper than just the technology itself. Host: That’s a shocking statistic. How did the researchers get to the bottom of this? Expert: They used a qualitative case study approach. Over 18 months, they conducted in-depth interviews with 24 nurses at a large hospital. This allowed them to move beyond simple surveys and really understand the day-to-day pressures and the thought processes behind the nurses' decisions. Host: So what were the key findings? Why are these nurses bypassing a system they actually like? Expert: The primary driver was a simple, powerful principle the nurses often repeated: "Patient before system." In a high-pressure, fast-paced hospital environment, their absolute priority is direct patient care. They use workarounds—like sharing passwords, or writing notes on paper to enter into the system later—to save critical seconds and minutes that they can then spend with their patients. Host: It’s a conflict between official procedure and on-the-ground reality. What else influences that choice? Expert: The decision is strongly influenced by group norms and habit. If an entire team shares a single logged-in computer to save time during an emergency, it becomes standard operating procedure. One nurse said of sharing passwords, "It is against policy, but we all do it." It becomes normalized. Host: And there's a psychological element at play too, something called 'hyperbolic discounting'? Expert: Yes, and it's a crucial concept for any manager to understand. Hyperbolic discounting is our natural tendency to value an immediate reward more highly than a future one. For a nurse, the immediate, tangible benefit of saving two minutes to help a patient in pain far outweighs the abstract, long-term risk of a potential policy violation. The present need simply feels more urgent. Host: This is the critical part for our business listeners. While the context is healthcare, this feels universal. What's the key takeaway for leaders in any industry? Expert: The most important takeaway is that workarounds aren't just a problem to be eliminated; they are a source of vital information. Managers shouldn't react with a zero-tolerance policy. Instead, they should see these behaviors as signals that point to a gap between how work is designed and how it's actually performed. Host: So, how should a leader approach this? Expert: The study suggests managers should learn to categorize workarounds. Think of them as 'Good, Bad, and Ugly'. 'Good' workarounds are diagnostic tools. They show you exactly where your official process is inefficient or where your software isn't aligned with reality. They’re a free audit of your workflow. Host: And the 'Bad' and 'Ugly'? Expert: 'Bad' workarounds introduce significant risks, like compromising data security. These need to be addressed immediately, but not just by banning them. You need to provide a better, official alternative that solves the underlying problem. The 'Ugly' workarounds are the deeply ingrained habits. They are hard to change and require a more nuanced approach involving training, incentives, and changing team culture, not just writing a new rule. Host: So the message is: don't just punish the workaround, understand its purpose. Expert: Precisely. By studying these workarounds, leaders can get incredible insights into how to improve their systems, processes, and ultimately, get the real value from their technology investments. Host: A fascinating and practical insight. To summarize, even good systems will be bypassed if they conflict with an employee's core mission. This behavior is driven by a desire to be effective, reinforced by team culture, and justified by our own psychology. Host: For business leaders, the lesson is clear: treat workarounds as valuable feedback to make your organization better. Alex, thank you for making this complex study so clear and actionable for us. Host: That’s all for this episode of A.I.S. Insights. Join us next time as we continue to explore the crucial research shaping business and technology today, all powered by Living Knowledge. Thank you for listening.
EMR, Workarounds, Healthcare Information Technology, Password Sharing, Workaround Consequences, Nursing, System Usage
Communications of the Association for Information Systems (2025)
Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors
Ritu Raj, Rajesh Chandwani
This study explores how AI-powered immersive technologies, like virtual and augmented reality, are being adopted by doctors in India. Using a qualitative approach involving 84 doctors, the research investigates the factors influencing their adoption of these new tools and how this technology is reshaping their professional identity.
Problem
As AI and immersive technologies become more prevalent in healthcare, there is a gap in understanding what drives doctors to adopt them and how this integration affects their professional roles and sense of identity. Existing research often overlooks the unique challenges and identity shifts that occur when technology begins to take on tasks traditionally performed by highly skilled professionals.
Outcome
- The adoption of AI-powered immersive technologies by doctors is influenced by three key areas: specific technology capabilities (like enhanced surgical planning and training), individual perceptions (such as feeling present in the virtual environment), and organizational support (including collaborative frameworks and skill development opportunities). - Contrary to showing resistance, doctors display a spectrum of adoption behaviors, leading to the identification of four distinct professional identities: Risk-Averse Adopters, Pragmatic Adopters, Informed Enthusiasts, and Technology Champions. - The integration of these technologies is redefining the professional identity of doctors, moving them towards hybrid roles that combine traditional clinical expertise with technological fluency. - Ethical and privacy concerns, particularly regarding patient data, as well as questions about accountability when AI is involved in decision-making, are significant factors influencing doctors' perceptions of these technologies.
Host: Welcome to A.I.S. Insights, powered by Living Knowledge. Today, we're diving into the future of healthcare with a groundbreaking study titled "Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors". With me is our expert analyst, Alex Ian Sutherland. Alex, welcome. Expert: Great to be here, Anna. Host: This study sounds like it’s straight out of science fiction. In simple terms, what's it all about? Expert: It’s about how doctors in India are starting to adopt AI-powered immersive technologies—think virtual and augmented reality—in their daily work. The research explores what drives them to use these tools and how this technology is fundamentally reshaping their professional identity.
Host: So, what’s the big problem this study is addressing? Why is this so important right now? Expert: Well, these advanced technologies are no longer just concepts; they're entering high-stakes environments like operating rooms. But there's a big gap in understanding the human side of this shift. We often focus on the tech, but forget the professionals using it. Host: You mean the doctors themselves. Expert: Exactly. The study highlights that when an AI can assist in a diagnosis or a VR headset guides a surgeon's hands, it challenges the traditional role of a doctor. It raises fundamental questions for them, like "What is my role now?" and "Where does my expertise end and the machine's begin?" It’s a true identity shift.
Host: That makes sense. So how did the researchers get inside the minds of doctors to understand something so personal? Expert: They used a very hands-on, qualitative approach. They conducted in-depth interviews and focus group discussions with 84 doctors across various specialties in India. This allowed them to capture the real-world experiences, the concerns, and the excitement directly from the people on the front lines, building their insights from the ground up.
Host: Let's get to those insights. What were the key findings? Did doctors simply love or hate the new technology? Expert: It was far more complex than that. First, they found adoption is influenced by three key things. One, the specific capabilities of the technology, like using AR to overlay patient scans during surgery. Host: That sounds incredibly useful. What else? Expert: Two, the individual doctor's perceptions, such as their feeling of "self-presence"—do they feel like their digital avatar is truly them? And three, crucial support from their organization, like providing training and clear collaborative frameworks. Host: So, the tool, the user, and the workplace all have to align. Expert: Precisely. And this led to the most fascinating discovery. Contrary to expectations of widespread resistance, the study found a whole spectrum of behaviors. It actually identifies four distinct professional identities that doctors adopt in response to this technology. Host: Four different identities? I’m intrigued. Expert: Yes. They are: the Risk-Averse Adopters, who are cautious and need extensive proof before they’ll try something. Then you have the Pragmatic Adopters, who are driven by practical results and efficiency gains. Host: Okay, that sounds familiar in any industry. Who are the other two? Expert: Next are the Informed Enthusiasts, who are proactively optimistic and see the tech as a collaborative partner. And finally, you have the Technology Champions. These are the true pioneers, the ones who see this tech as essential, and they actively advocate for it and mentor their colleagues.
Host: This is the crucial question for our audience, Alex. Why does identifying these four types of doctors matter for a business leader, a tech company, or a hospital administrator? Expert: It’s immensely practical. For any company developing or selling these technologies, it means a one-size-fits-all sales pitch is doomed to fail. You need to tailor your approach. Host: How so? Expert: For the Risk-Averse Adopter, you need to provide hard data, peer-reviewed research, and structured, hands-on training. For the Technology Champion, you should offer them opportunities to be part of beta testing or lead pilot programs. You’re not selling a product; you’re engaging with a professional identity. Host: So this is really a roadmap for change management. Expert: Absolutely. For hospital leaders, this is how you implement new tech successfully. You identify your Technology Champions and empower them to be mentors. You create safe, controlled environments for the Pragmatic Adopters to test the tools. You address the fears of the Risk-Averse with clear policies and support. Host: The study also mentioned ethical and privacy concerns as a big factor. Expert: This is a critical business risk. Doctors are worried about patient data security and a huge unresolved question: accountability. If an AI makes a mistake, who is responsible? The doctor, the hospital, or the software company? Businesses that step up with clear governance, transparent AI, and straightforward legal frameworks will earn the trust of medical professionals and gain a massive competitive advantage.
Host: This has been incredibly insightful. So, to summarize, integrating AI and immersive technology in healthcare isn't just a technical challenge; it's a deeply human one that's reshaping the identity of doctors. Expert: That's the core takeaway. And these doctors aren't a single group—they fall into distinct identities, from the cautious to the champion. Host: And for businesses, succeeding in this new landscape means understanding those identities, tailoring your strategy, and tackling the big ethical questions of privacy and accountability head-on. Alex, thank you for breaking down this complex topic for us. Expert: It was my pleasure, Anna. Host: And thank you to our listeners for tuning into A.I.S. Insights. Join us next time as we continue to explore the research shaping our world.
Communications of the Association for Information Systems (2024)
Blockchain Technology in Commercial Real Estate: Developing a Conceptual Design for Smart Contracts
Evgeny Exter, Milan Radosavljevic
This study proposes a conceptual design for smart contracts on the Ethereum blockchain to transform commercial real estate transactions. Using an action design science research methodology, the paper develops and validates a prototype that employs tokenization to address inefficiencies. The research focuses on the Swiss real estate market to demonstrate how this technology can create more transparent, secure, and efficient processes.
Problem
Commercial real estate transactions are inherently complex, inefficient, and costly due to multiple intermediaries, high volumes of documentation, and the illiquid nature of the assets. This process suffers from a lack of transparency and information asymmetry, and despite the potential of blockchain and smart contracts to solve these issues, their application in the industry is still in its nascent stages.
Outcome
- Smart contracts have the potential to significantly reduce transaction costs and improve efficiency in the commercial real estate industry. - The research developed a prototype that demonstrates real estate processes can be encoded into an ERC777 smart contract, leading to faster transaction speeds and lower fees. - Tokenization of real estate assets on the blockchain can increase investment liquidity and open the market to smaller investors. - The proposed system enhances transparency, security, and regulatory compliance by embedding features like KYC/AML checks directly into the smart contract.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge. I’m your host, Anna Ivy Summers. Today, we're diving into a study that could reshape one of the world's largest asset classes. It’s titled, "Blockchain Technology in Commercial Real Estate: Developing a Conceptual Design for Smart Contracts."
Host: In simple terms, this research explores how smart contracts, running on the Ethereum blockchain, could completely transform how we buy, sell, and invest in commercial properties. To help us unpack this, we have our analyst, Alex Ian Sutherland. Alex, welcome.
Expert: Thanks for having me, Anna.
Host: Let's start with the big picture. Most of us know that buying a building isn't like buying groceries, but what specific problems in commercial real estate did this study aim to solve?
Expert: The core problem is that commercial real estate transactions are incredibly complex and inefficient. The study calls them "multi-faceted, and multifarious." Think about all the people involved: brokers, lawyers, notaries, appraisers, and government registries.
Host: A lot of cooks in the kitchen.
Expert: Exactly. And that means mountains of paperwork, high fees, and very long settlement times. The whole process suffers from what the research identifies as information asymmetry—where one party always knows more than the other. This creates a lack of transparency and trust, making everything slow and expensive.
Host: So, how did the researchers approach such a massive, entrenched problem?
Expert: They used a very practical method called Action Design Science Research. Instead of just writing a theoretical study, they went through a multi-stage process. First, they diagnosed the flaws in the traditional process. Then, they designed a new conceptual model based on blockchain. Critically, they built a working prototype and validated it through interviews with twenty senior experts from the real estate and tech industries across the globe.
Host: So they actually built and tested a new system. What were the key findings from that prototype?
Expert: The results were quite striking. First and foremost, they found that smart contracts can drastically reduce transaction costs and improve efficiency.
Host: How drastically?
Expert: The study provides a powerful example. They tested a transaction valued at about 21 Euros. Using their smart contract prototype on the Ethereum network, the transaction was completed in less than 30 seconds, and the processing fee—the 'gas cost' in crypto terms—was just one cent. Compare that to the weeks and thousands in fees for a traditional deal.
Host: That's a staggering difference. The research also highlights something called 'tokenization'. Can you explain what that is and why it's a game-changer?
Expert: Of course. Tokenization is the process of converting ownership rights of an asset—in this case, a commercial building—into digital tokens on a blockchain. Think of it like creating digital shares of the property. This is a huge finding because commercial real estate is traditionally an illiquid asset. You can't just sell a corner of an office building.
Host: But with tokens, you could?
Expert: Precisely. Tokenization makes the asset divisible and easily tradable. This increases liquidity and opens the market to a much wider range of smaller investors. You no longer need millions of dollars to invest in prime real estate; you can buy a token that represents a small fraction of it.
Host: It democratizes access to investment. But with new technology comes concerns about security and regulation. How did the study address that?
Expert: That’s the third key finding. The proposed system actually enhances security and compliance. Things like Know-Your-Customer and Anti-Money-Laundering checks, which are crucial for regulatory compliance, are embedded directly into the smart contract's code.
Host: So, the rules are automatically enforced by the system itself?
Expert: Exactly. The buyer's identity is linked to their digital wallet, creating a transparent and unchangeable record of ownership. The system is designed so that only verified, compliant participants can trade the tokens. It builds trust and security directly into the transaction, removing the need for many of the traditional intermediaries whose job was to verify everything.
Host: Alex, this has been incredibly insightful. Let’s boil it down for the business leaders listening. What are the essential takeaways? Why should a CEO or an investment manager care about this research?
Expert: I see three major business takeaways. First is operational efficiency. This technology can strip away enormous costs and delays from property transactions. Second is the creation of new investment models. Tokenization unlocks a multi-trillion-dollar asset class, creating new products for investment firms and new opportunities for their clients. And third, it’s about risk reduction and trust. By automating compliance and creating an immutable audit trail, you reduce the potential for fraud and human error, making the entire market more trustworthy and secure.
Host: So it's not just a new piece of tech; it's a fundamental rethinking of how the market operates.
Expert: It really is. It moves the industry toward a more transparent, efficient, and accessible future.
Host: To summarize, this study demonstrates that by encoding real estate processes into smart contracts, the industry can become dramatically faster, cheaper, and more secure. It’s a powerful vision for a future where tokenization unlocks new investment opportunities and automated compliance builds trust directly into the system.
Host: Alex Ian Sutherland, thank you so much for breaking that down for us.
Expert: My pleasure, Anna.
Host: And thanks to our audience for tuning in to A.I.S. Insights — powered by Living Knowledge.
Communications of the Association for Information Systems (2024)
Antecedents of User Experience in the Immersive Metaverse Ecosystem: Insights from Mining User Reviews
Bibaswan Basu, Arpan K. Kar, Sagnika Sen
This study analyzes over 400,000 user reviews from 14 metaverse applications on the Google Play Store to identify the key factors that influence user experience. Using topic modeling, text analytics, and established theories like Cognitive Load Theory (CLT) and Cognitive Absorption Theory (CAT), the researchers developed and empirically validated a comprehensive framework. The goal was to understand what makes these immersive virtual environments engaging and satisfying for users.
Problem
While the metaverse is a rapidly expanding technology with significant business potential, there is a lack of large-scale, empirical research identifying the specific factors that shape a user's experience. Businesses and developers need to understand what drives user satisfaction to create more immersive and successful platforms. This study addresses this knowledge gap by moving beyond theoretical discussions to analyze actual user feedback.
Outcome
- Factors that positively influence user experience include sociability (social interactions), optimal user density, telepresence (feeling present in the virtual world), temporal dissociation (losing track of time), focused immersion, heightened enjoyment, curiosity, and playfulness. - These findings suggest that both the design of the virtual environment (CLT factors) and the user's psychological engagement (CAT factors) are crucial for a positive experience. - Contrary to the initial hypothesis, platform stability was negatively associated with user experience, possibly because too much familiarity can lead to a lack of diversity and novelty. - The study did not find a significant link between interactivity and social presence with user experience in its final models, suggesting other elements are more impactful.
Host: Welcome to A.I.S. Insights, the podcast where we connect academic research to real-world business, powered by Living Knowledge. I’m your host, Anna Ivy Summers. Host: Today, we’re diving into the metaverse. Specifically, we're looking at a fascinating new study titled "Antecedents of User Experience in the Immersive Metaverse Ecosystem: Insights from Mining User Reviews". Host: The researchers analyzed over 400,000 user reviews from 14 different metaverse apps to figure out, with hard data, what actually makes these virtual worlds engaging and satisfying for users. Host: With me to unpack this is our analyst, Alex Ian Sutherland. Alex, welcome. Expert: Great to be here, Anna. Host: So Alex, companies are pouring billions into the metaverse, but it often feels like they're guessing what users want. What's the big problem this study is trying to solve? Expert: You've hit it exactly. The metaverse market is projected to be worth over 1.5 trillion dollars by 2030, yet there's a huge knowledge gap. Most discussions about user experience are theoretical. Expert: Businesses lack large-scale, empirical data on what truly drives user satisfaction. This study addresses that by moving past theory and analyzing what hundreds of thousands of users are actually saying in their own words. It provides a data-driven roadmap. Host: So instead of guessing, they went straight to the source. How did they approach analyzing such a massive amount of feedback? Expert: It was a really clever, multi-step process. First, they collected all those reviews from the Google Play Store. Then, they used powerful text-mining algorithms. Expert: Think of it as a super-smart assistant that reads every single review and identifies the core themes people are talking about—things like social features, performance, or the feeling of immersion. Expert: They then used established psychological theories to organize these themes into a comprehensive framework and statistically tested which factors had the biggest impact on a user's star rating. Host: So it’s a very rigorous approach. After all that analysis, what were the key findings? What are the secret ingredients for a great metaverse experience? Expert: The positive ingredients were quite clear. Things like sociability—the ability to have meaningful interactions with others—was a huge driver of positive experiences. Expert: Also, factors that create a deep sense of immersion were critical. This includes telepresence, which is that feeling of truly being present in the virtual world, and what the researchers call temporal dissociation—when you're so engaged you lose track of time. Expert: And of course, heightened enjoyment, curiosity, and playfulness were key. The platform has to be fun and intriguing. Host: That makes a lot of sense. Were there any findings that were surprising or counter-intuitive? Expert: Absolutely. Two things stood out. First, platform stability was actually negatively associated with a good user experience. Host: Wait, negative? You mean users don't want a stable, bug-free platform? Expert: It's not that they want bugs. The study suggests that too much stability and familiarity can lead to boredom. Users crave novelty and diversity. A metaverse that never changes becomes stale. They want an evolving world. Expert: The second surprise was that basic interactivity and just having other avatars around, what's called social presence, weren't as significant as predicted. Host: What does that tell us? Expert: It suggests that quality trumps quantity. It’s not enough to just have buttons to press or a crowd of avatars. The experience is driven by the *quality* of the social connections and the *depth* of the immersion, not just the mere existence of these features. Host: This is incredibly valuable. So let's get to the bottom line: Why does this matter for business? What are the key takeaways for anyone building a metaverse experience? Expert: This is the most important part. I see three major takeaways. First, community is king. Businesses must design features that foster high-quality social bonds, not just fill a virtual room with people. Think collaborative projects, shared goals, and tools for genuine communication. Expert: Second, you have to balance stability with novelty. A business needs a content roadmap to constantly introduce new events, items, and experiences. A static world is a dead world in the metaverse. Your platform must feel alive and dynamic. Expert: And third, design for 'flow'. Focus on creating that state where users become completely absorbed. This means intuitive interfaces that reduce mental effort, compelling activities that spark curiosity, and a world that’s simply a joy to be in. Host: Fantastic. So to summarize for our listeners: Focus on building a real community, keep the experience fresh and dynamic to avoid stagnation, and design for that deeply immersive 'flow' state. Host: Alex, this has been incredibly insightful. Thank you for breaking down this complex study into such clear, actionable advice. Expert: My pleasure, Anna. Host: That’s all the time we have for today on A.I.S. Insights, powered by Living Knowledge. Join us next time as we continue to decode the research that's shaping our business and technology landscape. Thanks for listening.
Metaverse, User Experience, Immersive Technology, Virtual Ecosystem, Cognitive Absorption Theory, Big Data Analytics, User Reviews
Communications of the Association for Information Systems (2025)
Beyond Technology: A Multi-Theoretical Examination of Immersive Technology Adoption in Indian Healthcare
This study examines the key factors driving the adoption of immersive technologies (like VR/AR) in the Indian healthcare sector. Using the Technology-Organization-Environment (TOE) and Diffusion of Innovation (DOI) theoretical frameworks, the research employs the grey-DEMATEL method to analyze input from healthcare experts and rank the facilitators of adoption.
Problem
Healthcare systems in emerging economies like India face significant challenges, including resource constraints and infrastructure limitations, when trying to adopt advanced immersive technologies. This study addresses the research gap by moving beyond purely technological aspects to understand the complex interplay of organizational and environmental factors that influence the successful implementation of these transformative tools in a real-world healthcare context.
Outcome
- Organizational and environmental factors are significantly more influential than technological factors in driving the adoption of immersive healthcare technologies. - The most critical facilitator for adoption is 'Adaptability to change' within the healthcare organization, followed by 'Regulatory support' and 'Leadership support'. - External factors, such as government support and partnerships, play a crucial role in shaping an organization's internal readiness for new technology. - Technological aspects like user-friendliness and data security, while important, ranked lower in prominence, suggesting they are insufficient drivers of adoption without strong organizational and environmental backing.
Host: Welcome to A.I.S. Insights, the podcast where we connect Living Knowledge to your business. I'm your host, Anna Ivy Summers. Host: Today, we're diving into a fascinating study titled "Beyond Technology: A Multi-Theoretical Examination of Immersive Technology Adoption in Indian Healthcare." Host: In simple terms, it explores what really drives the adoption of advanced technologies like virtual and augmented reality in the complex world of healthcare, specifically within an emerging economy. With me to break it all down is our analyst, Alex Ian Sutherland. Welcome, Alex. Expert: Great to be here, Anna. Host: Alex, let's start with the big picture. We hear about VR and AR in gaming and retail, but why is it so important to study its adoption in a context like Indian healthcare? What's the problem being solved? Expert: It's a critical issue. Healthcare systems in emerging economies face huge challenges. Think about resource constraints, infrastructure gaps, and the difficulty of getting specialized medical care to a massive rural population. In India, for example, about 65% of its 1.4 billion people live in rural areas. Expert: Immersive tech offers incredible solutions—like virtual surgical training for doctors in remote locations or advanced remote consultations. But adopting this tech isn't as simple as just buying the hardware. The study wanted to understand the real barriers and, more importantly, the real drivers for making it work. Host: So it's not just about the technology itself. How did the researchers figure out what those real drivers were? Expert: They took a really interesting approach. They identified 14 potential factors for adoption, spanning technology, organizational readiness, and the external environment. Then, they brought in a diverse panel of healthcare experts from India. Expert: Using a sophisticated analytical method, they had these experts rank the factors and map out the cause-and-effect relationships between them. It’s a way of creating a blueprint of what truly influences the decision to adopt, moving beyond just assumptions. Host: A blueprint of what really matters. I like that. So, what were the key findings? Were there any surprises? Expert: The biggest finding, and it’s right there in the title, is that successful adoption goes far 'beyond technology'. The study found that organizational and environmental factors are significantly more influential than the technological aspects. Host: That is surprising. We're so often focused on features and specs. What specific factors came out on top? Expert: The single most critical factor was 'Adaptability to change' within the healthcare organization itself. This is about the culture—the willingness and flexibility to embrace new workflows. Following that were 'Regulatory support' from government bodies and strong 'Leadership support' from within the organization. Host: So, a flexible culture, supportive government, and engaged leaders are the top three. What about things like user-friendliness or data security? Expert: That's the other surprising part. While important, factors like user-friendliness and data security ranked much lower in prominence. The study suggests that these are necessary, but they are not sufficient. You can have the most secure, easy-to-use headset in the world, but if the organization isn't ready for change and the regulatory environment isn't supportive, adoption will fail. Host: This is a powerful insight. Let's get to the bottom line, Alex. What does this mean for business leaders listening right now, whether they're in healthcare or another industry entirely? Expert: It’s a universal lesson for any major technology implementation. The first key takeaway is to prioritize culture over code. Before you invest millions in new tech, invest in building an agile and adaptable organizational culture. Expert: Second, look outside your own walls. You can't innovate in a vacuum. Proactively engage with regulators and seek out strategic collaborations and partnerships. The study showed that these external forces are incredibly powerful in shaping an organization’s internal readiness. Host: So it’s about managing the internal culture and the external ecosystem. Expert: Exactly. And the third takeaway ties it all together: leadership and training are non-negotiable. Leaders must visibly champion the change, and teams must be given thorough training that goes beyond technical skills to foster a mindset of innovation and flexibility. The tech is just the tool; the people make it work. Host: This has been incredibly insightful, Alex. To sum it up for our listeners: when adopting transformative technology, the secret to success isn't just in the tech itself. Host: The real drivers are an adaptable organizational culture, a supportive external environment shaped by regulation and partnerships, and the unwavering commitment of leadership to guide their people through the change. Host: Alex Ian Sutherland, thank you so much for sharing your expertise with us. Expert: My pleasure, Anna. Host: And thank you for tuning in to A.I.S. Insights — powered by Living Knowledge. Join us next time as we uncover more actionable intelligence to drive your business forward.
Communications of the Association for Information Systems (2024)
Augmented Reality Immersive Experience: A Study on The Effects of Individuals' Big Five Personality Traits
Arman Ghafoori, Mohammad I. Merhi, Arjun Kadian, Manjul Gupta, Yifeng Ruan
This study investigates how an individual's personality, based on the Big Five model, impacts their immersive experience with augmented reality (AR). The researchers conducted a survey with 331 participants and used statistical modeling (SEM) to analyze the relationship between different personality traits and various dimensions of the AR experience.
Problem
Augmented reality technologies are becoming increasingly common, especially on social media platforms, creating highly personalized user experiences. However, there is a gap in understanding how fundamental individual differences, such as stable personality traits, affect how users perceive and engage with these immersive AR environments.
Outcome
- Agreeableness and Openness positively influence all four dimensions of the AR immersive experience (education, entertainment, escapism, and aesthetics). - Conscientiousness has a negative impact on the education and escapism dimensions of the AR experience. - Extraversion and Neuroticism were not found to have a significant impact on the AR immersive experience.
Host: Welcome to A.I.S. Insights — powered by Living Knowledge. In a world saturated with technology, we often wonder why some digital experiences delight us while others fall flat. Today, we're diving into a fascinating new study that connects our innermost personality to how we interact with technology.
Host: The study is titled "Augmented Reality Immersive Experience: A Study on The Effects of Individuals' Big Five Personality Traits". It investigates how our core personality traits impact our experience with augmented reality, or AR. Here to help us unpack it is our analyst, Alex Ian Sutherland. Alex, welcome.
Expert: Thanks for having me, Anna.
Host: So, let's start with the big picture. AR technology, like the filters we use on Instagram or apps that let us see furniture in our living room, is becoming a massive industry. But it feels like a one-size-fits-all approach. What’s the real problem this study is trying to solve?
Expert: Exactly. Companies are investing billions in AR to create these highly personalized experiences. But as the study highlights, there's a huge gap in understanding how our fundamental, stable personality traits affect how we engage with them. We know AR is personal, but we don't know *why* it clicks for one person and not another. It’s about moving from generic personalization to truly psychological personalization.
Host: That makes sense. It’s the difference between an app knowing your name and knowing your nature. How did the researchers go about connecting personality to the AR experience?
Expert: They took a really structured approach. They surveyed 331 people, first assessing their personality using the well-established "Big Five" model. That’s Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism.
Expert: Then, they had these participants rate their AR experience across four key dimensions: education, or how much they learned; entertainment, how fun it was; aesthetics, its visual appeal; and escapism, the feeling of being transported to another world. Finally, they used statistical models to connect the dots between the personality traits and these four experiences.
Host: Alright, let's get to the results. What did they find? Which personality traits were the big drivers for a positive AR experience?
Expert: The clearest finding was for two traits: Agreeableness and Openness. People who are agreeable—meaning they're generally cooperative and trusting—and people who are open to new experiences consistently had a more positive reaction across all four dimensions. They found AR more educational, more entertaining, more visually beautiful, and a better form of escape.
Host: So, open-minded and agreeable people are essentially the ideal audience for AR right now. Were there any surprising findings for the other traits?
Expert: Yes, and this is where it gets really interesting for businesses. Conscientiousness—the trait associated with being organized, diligent, and responsible—actually had a negative impact on the education and escapism dimensions.
Host: Negative? Why would that be?
Expert: Well, the study suggests that highly conscientious individuals are very goal-oriented. They might view AR filters as unproductive or a frivolous distraction from their duties. So, the idea of "escaping" reality doesn't appeal to them, and they may not see playing with a filter as a valuable educational tool. It's simply not an efficient use of their time.
Host: That’s a crucial insight. So for that user, it’s not about fun, it’s about function. What about extraversion and neuroticism?
Expert: Surprisingly, the study found that neither of these traits had a significant impact on the AR experience. You might expect extroverts to love the social nature of AR, but the findings suggest that the technology, in its current form, might not be engaging enough to really capture their attention.
Host: This brings us to the most important question, Alex. Why does this matter for business? What are the practical takeaways for marketers, brand managers, and developers?
Expert: This is the billion-dollar question, and the study offers clear direction. The biggest takeaway is the opportunity for personality-driven marketing. Instead of just basic personalization, brands can now tailor AR experiences to specific psychological profiles.
Host: Can you give me an example?
Expert: Certainly. A social media platform could, as the study suggests, use machine learning to infer a user's personality from their public posts. For a user who appears high in Openness, it could recommend artistic, adventurous, or fantastical AR filters. For a brand, this means a travel company could create an immersive 'escapism' filter and target it specifically at users high in Openness and Agreeableness, knowing it will resonate deeply.
Host: And what about those conscientious users you mentioned, the ones who see AR as a distraction?
Expert: For them, the strategy has to be completely different. You don't market AR as a fun escape. Instead, you frame it as a productivity tool. Think of an AR app from a home improvement store that helps a conscientious user meticulously plan a room layout. It's not an escape from their goals; it’s a tool to help them achieve their goals more effectively. The key is to match the AR experience to the user’s inherent motivations.
Host: This has been incredibly insightful, Alex. So, to recap, our core personality traits are a powerful predictor of how we'll respond to augmented reality.
Host: People high in Agreeableness and Openness are the dream users for immersive, creative AR. But for the highly Conscientious, AR needs to be positioned as a practical, functional tool, not just a toy.
Host: The big takeaway for business is that the future of successful AR isn't just about fancier technology, but about deeper, personality-driven personalization.
Host: Alex Ian Sutherland, thank you for making this complex topic so clear.
Expert: My pleasure, Anna.
Host: And thank you to our listeners for tuning into A.I.S. Insights, powered by Living Knowledge. Join us next time as we continue to explore the intersection of business and technology.
Augmented Reality, Immersion, Immersive Technology, Personality Traits, AR Filters
Communications of the Association for Information Systems (2025)
The Impact of App Updates on Usage Frequency and Duration
Pengcheng Wang, Zefeng Bai, Kambiz Saffarizadeh, Chuang Wang
This study analyzes the actual usage data of mobile app users to determine how different types of updates affect engagement. Using a causal analysis method, the researchers compared the impact of introducing new features versus fixing bugs on both socially-oriented and self-oriented applications. The goal was to understand if all updates are equally beneficial for keeping users active.
Problem
App developers frequently release updates with the assumption that this will always improve user engagement and app success. However, there is conflicting evidence on this, and it's unclear how different update types (new features vs. bug fixes) specifically impact user behavior for different categories of apps. This knowledge gap means developers might be investing resources in update strategies that could inadvertently harm user engagement.
Outcome
- App updates, in general, lead to an increase in both how often users open an app and the duration of their usage. - For socially-oriented apps (e.g., messaging apps), updates that introduce new features can significantly reduce user engagement compared to updates that only fix bugs. - For self-oriented apps (e.g., content consumption apps), introducing new features does not have the same negative impact on user engagement. - Developers of social apps should prioritize bug fixes or use careful strategies like progressive rollouts for new features to avoid disrupting user habits and losing engagement.
Host: Welcome to A.I.S. Insights, the podcast powered by Living Knowledge where we break down complex research into actionable business strategy. I'm your host, Anna Ivy Summers. Host: Today, we're joined by our expert analyst, Alex Ian Sutherland, to discuss a fascinating new study titled "The Impact of App Updates on Usage Frequency and Duration." Host: Alex, welcome. In a nutshell, what is this study about? Expert: Thanks for having me, Anna. This study analyzes actual user data to see how different updates—like adding a new feature versus just fixing a bug—really affect our engagement with mobile apps. It specifically compares the impact on social apps versus content-focused apps. Host: This feels incredibly relevant. Every business with an app is constantly pushing updates, assuming it's always a good thing. But the study suggests there's a real problem with that assumption. Expert: That's right. The central problem is that developers invest massive resources into updates without truly understanding their impact. There's conflicting evidence out there, and this knowledge gap means companies could be spending money on update strategies that might actually be driving users away. Host: So they might be "improving" their app right into obscurity. How did the researchers get past the conflicting theories and find a clear answer? Expert: They used a very direct approach. They got their hands on a large, proprietary dataset of individual app usage from thousands of users in China. This let them see exactly what happened to a person's app habits—how often they opened it and for how long—immediately after an update. Host: So, not just looking at download numbers, but at actual, real-world behavior. Expert: Precisely. They used a causal analysis method to compare users who updated an app with a control group of very similar users who didn't. This allowed them to isolate the true effect of the update itself, filtering out other noise. Host: Let's get to the results. What was the first key finding? Expert: The first finding is good news for developers: in general, app updates do increase user engagement. After an update, users tend to open the app more frequently and spend more time in it per session. Host: Okay, so the basic premise holds up. But I have a feeling there's a big "but" coming. Expert: A very big one. The really critical finding is that the *type* of app completely changes the equation. The study looked at two categories: socially-oriented apps, like WeChat or WhatsApp, and self-oriented apps, like Weibo or Twitter, where it's more about personal content consumption. Host: And what was the difference? Expert: For socially-oriented apps, the results were shocking. Updates that introduced brand new features actually *reduced* user engagement compared to updates that simply fixed bugs. Host: That’s amazing. Why would a shiny new feature make people use a social app less? Expert: It's all about disrupting established routines. Social apps depend on coordinated interaction between people. A major new feature can change the interface or the workflow, creating a learning curve and friction not just for you, but for your entire network. A bug fix, on the other hand, just makes the experience everyone already knows more reliable. Host: So if my friends and I suddenly can't find the button we always use, we might just give up. What about the self-oriented, content-driven apps? Expert: That's the other side of the coin. For those apps, introducing new features did not have the same negative impact. Because you're mainly using the app for yourself, you can explore new tools at your own pace without disrupting anyone else's experience. Host: This is where it gets really important for our listeners. Alex, what are the practical, bottom-line takeaways for businesses? Expert: The most crucial takeaway is that a one-size-fits-all update strategy is a mistake. If your business runs a socially-oriented app—anything based on messaging, group interaction, or networking—your top priority should be stability. Host: So, focus on bug fixes over flashy features? Expert: Exactly. Prioritize bug fixes to enhance the core, reliable experience. When you do launch new features, you have to be extremely strategic. The study suggests using methods like progressive rollouts, where you release the feature to a small percentage of users first, or having excellent in-app onboarding to minimize disruption. Host: And what's the advice for businesses with self-oriented apps, like media companies or e-commerce platforms? Expert: They have much more flexibility. For them, feature updates are a less risky, and potentially more powerful, way to boost engagement. They can be more aggressive with innovation because users can adopt the new features on their own terms. It’s about leveraging novelty without causing network-wide friction. Host: Fantastic insights. So, let’s summarize for everyone. Updates, in general, are a good thing for engagement. Expert: Correct. They bring users back. Host: But the strategy needs to be tailored. For social apps, prioritize stability and bug fixes, and roll out new features with extreme care to avoid disrupting user habits. Expert: Yes, protect the routine. Host: And for self-oriented apps, you have a green light to be more innovative with feature updates to drive engagement. Expert: That's the key difference. Host: It all comes down to understanding why your users are there in the first place. Alex, thank you for breaking this down for us. Expert: My pleasure, Anna. Host: And a big thank you to our audience for tuning in to A.I.S. Insights. Join us next time as we continue to connect research with results.
App Updates, App Success, User Engagement, Mobile Applications, Usage Behavior, Difference-in-Differences, App Markets
Communications of the Association for Information Systems (2025)
IBM Watson Health Growth Strategy: Is Artificial Intelligence (AI) The Answer
This study analyzes IBM's strategic dilemma with its Watson Health initiative, which aimed to monetize artificial intelligence for cancer detection and treatment recommendations. It explores whether IBM should continue its specialized focus on healthcare (a vertical strategy) or reposition Watson as a versatile, cross-industry AI platform (a horizontal strategy). The paper provides insights into the opportunities and challenges associated with unlocking the transformational power of AI in a business context.
Problem
Despite a multi-billion dollar investment and initial promise, IBM's Watson Health struggled with profitability, model accuracy, and scalability. The AI's recommendations were not consistently reliable or generalizable across different patient populations and healthcare systems, leading to poor adoption. This created a critical strategic crossroads for IBM: whether to continue investing heavily in the specialized healthcare vertical or to pivot towards a more scalable, general-purpose AI platform to drive future growth.
Outcome
- Model Accuracy & Bias: Watson's performance was inconsistent, and its recommendations, trained primarily on US data, were not always applicable to international patient populations, revealing significant algorithmic bias. - Lack of Explainability: The 'black box' nature of the AI made it difficult for clinicians to trust its recommendations, hindering adoption as they could not understand its reasoning process. - Integration and Scaling Challenges: Integrating Watson into existing hospital workflows and electronic health records was costly and complex, creating significant barriers to widespread implementation. - Strategic Dilemma: The challenges forced IBM to choose between continuing its high-investment vertical strategy in healthcare, pivoting to a more scalable horizontal cross-industry platform, or attempting a convergence of both approaches.
Host: Welcome to A.I.S. Insights, the podcast powered by Living Knowledge, where we translate complex research into actionable business strategy. I'm your host, Anna Ivy Summers.
Host: Today, we're diving into a fascinating study titled "IBM Watson Health Growth Strategy: Is Artificial Intelligence (AI) The Answer". It analyzes one of the most high-profile corporate AI ventures in recent memory.
Host: This analysis explores the strategic dilemma IBM faced with Watson Health, its ambitious initiative to use AI for cancer detection and treatment. The core question: should IBM double down on this specialized healthcare focus, or pivot to a more versatile, cross-industry AI platform?
Host: With me to unpack this is our analyst, Alex Ian Sutherland. Alex, welcome.
Expert: Glad to be here, Anna.
Host: So, Alex, IBM's Watson became famous for winning on the game show Jeopardy. The move into healthcare seemed like a noble and brilliant next step. What was the big problem they were trying to solve?
Expert: It was a massive problem. The amount of medical research and data is exploding. It's impossible for any single doctor to keep up with it all. IBM's vision was for Watson to ingest millions of research articles, clinical trial results, and patient records to help oncologists make better, more personalized treatment recommendations.
Host: A truly revolutionary idea. But the study suggests that despite billions of dollars in investment, the reality was quite different.
Expert: That's right. Watson Health struggled significantly with profitability and adoption. The AI's recommendations weren't as reliable or as useful as promised, which created a critical crossroads for IBM. They had to decide whether to keep pouring money into this very specific healthcare vertical or to change their entire strategy.
Host: How did the researchers in this study approach such a complex business case?
Expert: The study is a deep strategic analysis. It examines IBM's business model, its technology, and the market environment. The authors reviewed everything from internal strategy components and partnerships with major cancer centers to the specific technological hurdles Watson faced. It's essentially a case study on the immense challenges of monetizing a "moonshot" AI project.
Host: Let's get into those challenges. What were some of the key findings?
Expert: A major one was model accuracy and bias. The study highlights that Watson was primarily trained using patient data from one institution, Memorial Sloan Kettering Cancer Center in the US. This meant its recommendations didn't always translate well to different patient populations, especially internationally.
Host: So, an AI trained in New York might not be effective for a patient in Tokyo or Mumbai?
Expert: Precisely. This revealed a significant algorithmic bias. For example, one finding mentioned in the analysis showed a mismatch rate of over 27% between Watson's suggestions and the actual treatments given to cervical cancer patients in China. That's a critical failure when you're dealing with patient health.
Host: That naturally leads to the issue of trust. How did doctors react to this new tool?
Expert: That was the second major hurdle: a lack of explainability. Doctors called it the 'black box' problem. Watson would provide a ranked list of treatments, but it couldn't clearly articulate the reasoning behind its top choice. Clinicians need to understand the 'why' to trust a recommendation, and without that transparency, adoption stalled.
Host: And beyond trust, were there practical, on-the-ground problems?
Expert: Absolutely. The study points to massive integration and scaling challenges. Integrating Watson into a hospital's existing complex workflows and electronic health records was incredibly difficult and expensive. The partnership with MD Anderson Cancer Center, for instance, struggled because Watson couldn't properly interpret doctors' unstructured notes. It wasn't a simple plug-and-play solution.
Host: This is a powerful story. For our listeners—business leaders, strategists, tech professionals—what's the big takeaway? Why does the Watson Health story matter for them?
Expert: There are a few key lessons. First, it's a cautionary tale about managing hype. IBM positioned Watson as a revolution, but the technology wasn't there yet. This created a gap between promise and reality that damaged its credibility.
Host: So, under-promise and over-deliver, even with exciting new tech. What else?
Expert: The second lesson is that technology, no matter how powerful, is not a substitute for deep domain expertise. The nuances of medicine—patient preferences, local treatment availability, the context of a doctor's notes—were things Watson struggled with. You can't just apply an algorithm to a complex field and expect it to work without genuine, human-level understanding.
Host: And what about that core strategic dilemma the study focuses on—this idea of a vertical versus a horizontal strategy?
Expert: This is the most critical takeaway for any business investing in AI. IBM chose a vertical strategy—a deep, specialized solution for one industry. The study shows how incredibly high-risk and expensive that can be. The alternative is a horizontal strategy: building a general, flexible AI platform that other companies can adapt for their own needs. It's a less risky, more scalable approach, and it’s the path that competitors like Google and Amazon have largely taken.
Host: So, to wrap it up: IBM's Watson Health was a bold and ambitious vision to transform cancer care with AI.
Host: But this analysis shows its struggles were rooted in very real-world problems: data bias, the 'black box' issue of trust, and immense practical challenges with integration.
Host: For business leaders, the story is a masterclass in the risks of a highly-specialized vertical AI strategy and a reminder that the most advanced technology is only as good as its understanding of the people and processes it's meant to serve.
Host: Alex, thank you so much for breaking down this complex topic for us.
Expert: My pleasure, Anna.
Host: And thank you for tuning in to A.I.S. Insights — powered by Living Knowledge. We'll see you next time.
Artificial Intelligence (AI), AI Strategy, Watson, Healthcare AI, Vertical AI, Horizontal AI, AI Ethics