| Literature DB >> 35342331 |
David Paulus1, Ramian Fathi2, Frank Fiedrich2, Bartel Van de Walle3, Tina Comes4.
Abstract
Humanitarian crises, such as the 2014 West Africa Ebola epidemic, challenge information management and thereby threaten the digital resilience of the responding organizations. Crisis information management (CIM) is characterised by the urgency to respond despite the uncertainty of the situation. Coupled with high stakes, limited resources and a high cognitive load, crises are prone to induce biases in the data and the cognitive processes of analysts and decision-makers. When biases remain undetected and untreated in CIM, they may lead to decisions based on biased information, increasing the risk of an inefficient response. Literature suggests that crisis response needs to address the initial uncertainty and possible biases by adapting to new and better information as it becomes available. However, we know little about whether adaptive approaches mitigate the interplay of data and cognitive biases. We investigated this question in an exploratory, three-stage experiment on epidemic response. Our participants were experienced practitioners in the fields of crisis decision-making and information analysis. We found that analysts fail to successfully debias data, even when biases are detected, and that this failure can be attributed to undervaluing debiasing efforts in favor of rapid results. This failure leads to the development of biased information products that are conveyed to decision-makers, who consequently make decisions based on biased information. Confirmation bias reinforces the reliance on conclusions reached with biased data, leading to a vicious cycle, in which biased assumptions remain uncorrected. We suggest mindful debiasing as a possible counter-strategy against these bias effects in CIM.Entities:
Keywords: Cognitive bias; Crisis information management; Data bias; Digital resilience; Epidemics; Mindfulness
Year: 2022 PMID: 35342331 PMCID: PMC8938164 DOI: 10.1007/s10796-022-10241-0
Source DB: PubMed Journal: Inf Syst Front ISSN: 1387-3326 Impact factor: 6.191
Fig. 1Map comparison for Sierra Leone during the 2014-2016 Ebola outbreak
Fig. 2External analyst-supported crisis information management process. Source: authors
Fig. 3Research design
Descriptive information of all participants during the experiment. EA = External analyst, DM = Decision-maker
| Group | Role | Organization | Competencies |
|---|---|---|---|
| Reloupe | EA | Humanitarian Openstreetmap Team | Mapping and open data for humanitarian action |
| EA | MapAction | Mapping and open data for humanitarian action | |
| EA | Mark Labs | Data analytics for environmental and social transformation | |
| EA | 510 (Red Cross) | Emergency data support, predictive impact analysis and digital risk assessment | |
| DM | TU Delft | Student with no prior experience | |
| DM | Red Cross | Emergency response, volunteer assistance, emergency training | |
| DM | Dorcas | Poverty reduction and crisis response | |
| DM | US Department of State | Senior humanitarian analyst | |
| DM | Municipal Health Service | Doctor of infectious disease control | |
| Republic | EA | Standby Taskforce | Mapping and open data for humanitarian action |
| EA | Virtual Operations Support Team | Social media data analyis in crisis response | |
| EA | Standby Taskforce | Mapping and open data for humanitarian action | |
| EA | TU Delft | Student with no prior experience | |
| DM | ZOA | Emergency relief and reconstruction of regions struck by disasters or conflicts | |
| DM | Red Cross | Emergency Relief Coordinator | |
| DM | World Vision | Disaster management, economic development, education, faith and development, health and nutrition and water. | |
| Noruwi | EA | 510 (Red Cross) | Emergency data support, predictive impact analysis and digital risk assessment |
| EA | MapAction | Mapping and open data for humanitarian action | |
| EA | Leiden University | Development of data-driven decision support tools for humanitarian organizations | |
| EA | TU Delft | Student with no prior experience | |
| EA | Humanity Road | Social media data analyis in crisis response | |
| DM | TU Delft / European Commission Humanitarian Aid Office | Emergency and crisis management | |
| DM | Maastricht University Faculty of Health, Medicine and Life Sciences | Public health expert | |
| DM | Ministry of Foreign Affairs (NL) | Senior humanitarian advisor |
Step 1: Retrieving original data from the West-Africa Ebola outbreak. Here truncated to show reported cases of infections. One row is one reported case
| Country | Location | Epi week | Case definition | Ebola data source | |
|---|---|---|---|---|---|
| Liberia | GRAND BASSA | 25 to 31 August 2014 (2014-W35) | Confirmed | Patient database | ... |
| Liberia | GRAND BASSA | 08 to 14 September 2014 (2014-W37) | Probable | Patient database | ... |
| Liberia | GRAND BASSA | 15 to 21 September 2014 (2014-W38) | Probable | Patient database | ... |
| Liberia | GRAND BASSA | 22 to 28 September 2014 (2014-W39) | Probable | Patient database | ... |
| Liberia | GRAND BASSA | 13 to 19 October 2014 (2014-W42) | Confirmed | Patient database | ... |
| Liberia | GRAND BASSA | 20 to 26 October 2014 (2014-W43) | Confirmed | Patient database | ... |
| Liberia | GRAND BASSA | 20 to 26 January 2014 (2014-W04) | Probable | Situation report | ... |
| Liberia | GRAND BASSA | 27 January to 02 February 2014 (2014-W05) | Confirmed | Situation report | ... |
| Liberia | GRAND BASSA | 27 January to 02 February 2014 (2014-W05) | Probable | Situation report | ... |
| Liberia | GRAND BASSA | 03 to 09 February 2014 (2014-W06) | Confirmed | Situation report | ... |
| Liberia | GRAND BASSA | 17 to 23 March 2014 (2014-W12) | Probable | Situation report | ... |
| ... | ... | ... | ... | ... | ... |
Step 2: Adjusted dataset based on the original data to resemble the infection rate and adapt the data to our fictional country and outbreak
| Country | District | Month | Case definition | Ebola data source |
|---|---|---|---|---|
| Noruwi | Aameri | 1 | Confirmed | Situation report |
| Noruwi | Aameri | 1 | Probable | Situation report |
| Noruwi | Aameri | 1 | Probable | Patient database |
| Noruwi | Aameri | 2 | Probable | Situation report |
| ... | ... | ... | ... | ... |
| Noruwi | Aameri | 3 | Confirmed | Patient database |
| Noruwi | Aameri | 4 | Probable | Patient database |
| Noruwi | Aameri | 4 | Probable | Situation report |
| Noruwi | Aameri | 4 | Probable | Situation report |
Step 3: Introduction of representational bias. We created biased versions of the adjusted datasets from step 2. The biased versions were distributed among participants
| Unbiased | Biased | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Districts | M1 | M2 | M3 | M4 | Total | M1 | M2 | M3 | M4 | Total |
| Aameri | 4 | 12 | 44 | 140 | 200 | 4 | 12 | 44 | 140 | 200 |
| Baldives Saintman | 3 | 21 | 27 | 147 | 198 | 3 | 21 | 27 | 147 | 198 |
| Bana Cadi | 1 | 2 | 24 | 54 | 81 | 1 | 2 | 24 | 54 | 81 |
| Grethernquetokong | 1 | 8 | 12 | 52 | 73 | 1 | 8 | 12 | 52 | 73 |
| Janmantho | 1 | 6 | 19 | 39 | 65 | 1 | 6 | 19 | 39 | 65 |
| Lemau | 4 | 4 | 92 | 140 | 240 | 4 | 4 | 92 | 140 | 240 |
| Mau Cari | 1 | 4 | 20 | 49 | 74 | 1 | 4 | 20 | 49 | 74 |
| Menia | 1 | 1 | 20 | 32 | 54 | 1 | 1 | 20 | 32 | 54 |
| Samac Iali | 1 | 3 | 17 | 62 | 83 | 1 | 3 | 17 | 62 | 83 |
| Southdos Dinia | 3 | 12 | 66 | 129 | 210 | 3 | 12 | 66 | 129 | 210 |
| Thesey | 1 | 3 | 24 | 37 | 65 | 1 | 3 | 24 | 37 | 65 |
| Usda Nilia | 1 | 4 | 14 | 29 | 48 | 1 | 4 | 14 | 29 | 48 |
| Walof | 1 | 2 | 12 | 42 | 57 | 1 | 2 | 12 | 42 | 57 |
| Total | 28 | 102 | 516 | 1112 | 1758 | 28 | 82 | 391 | 952 | 1453 |
The bias is here introduced in the district of Niprusxem. The district has the most cases in the unbiased dataset, but the least cases in the biased datasets. One group member only receives data for month 1 (displayed). Each other group member also only receives data for one month (not displayed). Only by joining the datasets, the unbiased case numbers could be received
Dimensions of datasets handed to groups. Dimensions given in rows x columns
| Group | Dataset | Dimensions |
|---|---|---|
| Noruwi | Infection cases | 1759×4 |
| Noruwi | Demographics | 15×22 |
| Noruwi | Capacity | 58×19 |
| Reloupe | Infection cases | 1724×4 |
| Reloupe | Demographics | 14×5 |
| Reloupe | Capacity | 64×19 |
| Republic | Infection cases | 3142×4 |
| Republic | Demographics | 36×22 |
| Republic | Capacity | 87×19 |
Example observation notes taken during the experiments and respective coded categories
| Example observation notes | Coded category |
|---|---|
| Express need for information: transportation network | Requirements for additional data |
| Discussing data gaps: more background data on the country, | Requirements for additional data |
| transmission data, spread on daily basis needed | |
| Should we merge our data? | Debias behavior |
| Questioning why they have different datasets. Trying to understand the cause of the data bias | Debias behavior |
| One person uploaded their files into a shared folder, all others used the data from there | Data sharing |
| Receiving data from other groups | Data sharing |
| Deliberation of format of final information product for decision support | Discussion on decision recommendations |
| Information product proposal: curve by day, what is happening, did people die or not | Discussion on decision recommendations |
| Using familiar tool to create digital, layered map | Data work |
| Creation of (biased) aggregates for numbers of cases | Data work |
| Not sure what the most important dataset is | Interpretation of data |
| Need to know: where is the death rate the highest? | Interpretation of data |
| the data is not very clean; possibly underreporting | Communicating data limitations |
| we had different datasets between group members | Communicating data limitations |
| Decision-makers studying the developed map | Interpretation of situation |
| Discussion of possible causes for the outbreak | Interpretation of situation |
| Need to make a decision; what do we have and what is missing | Allocation strategy |
| where NOT to put centres? | Allocation strategy |
| Communication of available recources/capacities | Discussing capacities |
| Clarification of center capacities | Discussing capacities |
Overview of identified data biases per group
| Group | Bias in infection data | Bias in capacity data |
|---|---|---|
| Noruwi | Identified | Not identified |
| Reloupe | Identified | Not identified |
| Republic | Identified | Not identified |
Fig. 4Experiment stage 1 results of the coding and analysis process. The figure shows the share (in percentage over time) of the coded categories within the overall activities of the groups. Debiasing efforts were not sufficiently followed up upon and, towards the end of the experiment, largely replaced by discussions on decision-making recommendations
Fig. 5Example information product resulting from stage 1. Country map shows the numbers of cases per district (colored by the participants in red, yellow, and blue). The green box (added by us) shows that the unbiased numbers of cases for the most affected district were much higher than those reported in the information product developed by the participants
Fig. 6Experiment stage 2 results of the coding and categorization process. The graph shows the share (in percentage over time) of the coded categories within the overall activities of the groups. Initial discussions on data limitations were not sufficiently followed-up upon and discussions on allocation strategy dominated the group discussions from the second interval onward
| A. General description on site | B. Communication and interaction | C. General impressions |
|---|---|---|
| description | ||
| How does the workspace you are observing look? (Seating arrangement, communication devices, support materials, additional characteristics, etc.) | Describe the sequence of events over time (e.g., information search, prio ritization, processing, request, sharing, group discussion, decision-making, ) | Tone of the discussion (rational, empathic, humorous, etc.) |
| Participant coding | Which information is shared among the participating V&TCs? | Speedy vs. lengthy discussions? |
| Was communication rather face-to-face or mediated via technology? | Are additional information sources used? | Attitude of individual participants (engaging, negative, overwhelmed, ) |
| How is the need for information expressed and communicated? | To what extent was available informa tion not shared / retained? | |
| Which decisions are anticipated to be supported by the V&TCs? | Additional comments | |
| Describe how and why specific types of information products are selected and created for the decision-makers. | ||
| Which information is included and why? | ||
| Which technology and other decision aid materials are utilized and how? |