# Beyond Recommendations: From Backward to Forward AI Support of Pilots' Decision-Making Process

arXiv: https://arxiv.org/abs/2406.08959 · HTML: https://mlsanity.com/paper/2406.08959/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 25 of its 81 references that are in the map.
- First posted on arXiv 13 Jun 2024.

## Builds on (most cited first, 25 of 25)

- [Does the Whole Exceed its Parts? The Effect of AI Explanations on Complementary Team Performance](https://mlsanity.com/paper/2006.14779/) (2020)
- [Effect of Confidence and Explanation on Accuracy and Trust Calibration in AI-Assisted Decision Making](https://mlsanity.com/paper/2001.02114/) (2020)
- [Manipulating and Measuring Model Interpretability](https://mlsanity.com/paper/1802.07810/) (2018)
- [On Human Predictions with Explanations and Predictions of Machine Learning Models: A Case Study on Deception Detection](https://mlsanity.com/paper/1811.07901/) (2018)
- [Expanding Explainability: Towards Social Transparency in AI systems](https://mlsanity.com/paper/2101.04719/) (2021)
- [To Trust or to Think: Cognitive Forcing Functions Can Reduce Overreliance on AI in AI-assisted Decision-making](https://mlsanity.com/paper/2102.09692/) (2021)
- [Explanations Can Reduce Overreliance on AI Systems During Decision-Making](https://mlsanity.com/paper/2212.06823/) (2022)
- [Human-Centered Tools for Coping with Imperfect Algorithms during Medical Decision-Making](https://mlsanity.com/paper/1902.02960/) (2019)
- [Appropriate Reliance on AI Advice: Conceptualization and the Effect of Explanations](https://mlsanity.com/paper/2302.02187/) (2023)
- [AI in Finance: Challenges, Techniques and Opportunities](https://mlsanity.com/paper/2107.09051/) (2021)
- [Explainable AI is Dead, Long Live Explainable AI! Hypothesis-driven decision support](https://mlsanity.com/paper/2302.12389/) (2023)
- [Deciding Fast and Slow: The Role of Cognitive Biases in AI-assisted Decision-making](https://mlsanity.com/paper/2010.07938/) (2020)
- [Understanding the Effect of Out-of-distribution Examples and Interactive Explanations on Human-AI Decision Making](https://mlsanity.com/paper/2101.05303/) (2021)
- [Unremarkable AI: Fitting Intelligent Decision Support into Critical, Clinical Decision-Making Processes](https://mlsanity.com/paper/1904.09612/) (2019)
- [Do People Engage Cognitively with AI? Impact of AI Assistance on Incidental Learning](https://mlsanity.com/paper/2202.05402/) (2022)
- [In Search of Verifiability: Explanations Rarely Enable Complementary Performance in AI-Advised Decision Making](https://mlsanity.com/paper/2305.07722/) (2023)
- [Improving Human-AI Partnerships in Child Welfare: Understanding Worker Practices, Challenges, and Desires for Algorithmic Decision Support](https://mlsanity.com/paper/2204.02310/) (2022)
- [Ignore, Trust, or Negotiate: Understanding Clinician Acceptance of AI-Based Treatment Recommendations in Health Care](https://mlsanity.com/paper/2302.00096/) (2023)
- [Designing AI for Trust and Collaboration in Time-Constrained Medical Decisions: A Sociotechnical Lens](https://mlsanity.com/paper/2102.00593/) (2021)
- [Who Goes First? Influences of Human-AI Workflow on Decision Making in Clinical Imaging](https://mlsanity.com/paper/2205.09696/) (2022)
- [Human-AI Collaboration: The Effect of AI Delegation on Human Task Performance and Task Satisfaction](https://mlsanity.com/paper/2303.09224/) (2023)
- [Rethinking Human-AI Collaboration in Complex Medical Decision Making: A Case Study in Sepsis Diagnosis](https://mlsanity.com/paper/2309.12368/) (2023)
- [Overcoming Algorithm Aversion: A Comparison between Process and Outcome Control](https://mlsanity.com/paper/2303.12896/) (2023)
- [Augmenting Pathologists with NaviPath: Design and Evaluation of a Human-AI Collaborative Navigation System](https://mlsanity.com/paper/2302.07309/) (2023)
- ["If I Had All the Time in the World": Ophthalmologists' Perceptions of Anchoring Bias Mitigation in Clinical AI Support](https://mlsanity.com/paper/2303.03981/) (2023)

## Built on by (most cited first, 3 of 3)

- [Contrastive Explanations That Anticipate Human Misconceptions Can Improve Human Decision-Making Skills](https://mlsanity.com/paper/2410.04253/) (2024)
- [AI, Help Me Thinkunicodex2014but for Myself: Assisting People in Complex Decision-Making by Providing Different Kinds of Cognitive Support](https://mlsanity.com/paper/2504.06771/) (2025)
- [An Empirical Examination of the Evaluative AI Framework](https://mlsanity.com/paper/2411.08583/) (2024)

## Abstract (arXiv)

AI is anticipated to enhance human decision-making in high-stakes domains like aviation, but adoption is often hindered by challenges such as inappropriate reliance and poor alignment with users' decision-making. Recent research suggests that a core underlying issue is the recommendation-centric design of many AI systems, i.e., they give end-to-end recommendations and ignore the rest of the decision-making process. Alternative support paradigms are rare, and it remains unclear how the few that do exist compare to recommendation-centric support. In this work, we aimed to empirically compare recommendation-centric support to an alternative paradigm, continuous support, in the context of diversions in aviation. We conducted a mixed-methods study with 32 professional pilots in a realistic setting. To ensure the quality of our study scenarios, we conducted a focus group with four additional pilots prior to the study. We found that continuous support can support pilots' decision-making in a forward direction, allowing them to think more beyond the limits of the system and make faster decisions when combined with recommendations, though the forward support can be disrupted. Participants' statements further suggest a shift in design goal away from providing recommendations, to supporting quick information gathering. Our results show ways to design more helpful and effective AI decision support that goes beyond end-to-end recommendations.