Trusting AI made decisions in healthcare by making them explainable

Objectives In solving the trust issues surrounding machine learning algorithms whose reasoning cannot be understood, advancements can be made toward the integration of machine learning algorithms into mHealth applications. The aim of this paper is to provide a transparency layer to black-box machine learning algorithms and empower mHealth applications to maximize their efficiency. Methods Using a machine learning testing framework, we present the process of knowledge transfer between a white-box model and a black-box model and the evaluation process to validate the success of the knowledge transfer. Results The presentation layer of the final output of the base white-box model and the knowledge-infused white-box model shows clear differences in reasoning. The correlation between the base black-box model and the new knowledge-infused model is very high, indicating that the knowledge transfer was successful. Conclusion There is a clear need for transparency in digital health and health in general. Adding solutions to the toolbox of explainable artificial intelligence is one way to gradually decrease the obscurity of black-box models.