Exploring attitudes and acceptance of artificial intelligence in multiple sclerosis from the patient perspective
Artificial intelligence (AI) is increasingly being integrated into healthcare, particularly in data-intensive chronic diseases that rely on longitudinal monitoring and shared decision-making. Multiple sclerosis is a prototypical example of such care, but real-world benefit will depend on whether people accept AI support in different clinical roles. We conducted a cross-sectional, web-based survey among 241 people with MS (pwMS) to assess comfort with AI across eight clinical domains and to identify predictors of…

"Medical Laboratory" by ben.dracup, CC BY 2.0.
By July 1 2026, researchers had surveyed 241 people with MS via a web-based questionnaire to measure comfort with AI across eight clinical domains. They found moderate overall acceptance (mean 3.39 ± 0.78) that varied by task, with 54.4% comfortable with chronic management and 50.2% with symptom screening, compared to 38.6% for treatment selection and 35.3% for diagnosis. Frequent general AI use was the strongest predictor of acceptance.
Acceptance appears context-dependent and tied more to prior familiarity than disease severity, which matters for implementation planning. The observed preference for clinician-led human-in-the-loop workflows, with 78.8% favoring joint decision-making assuming equal accuracy, suggests staged adoption starting with low-risk use cases may be more acceptable, but the study does not demonstrate actual health benefits or harms from deployed AI.
- Cross-sectional web-based survey of 241 people with MS (pwMS) assessed comfort across eight clinical domains using an AI attitudes composite (Cronbach alpha = 0.90).
- Overall acceptance was moderate with mean 3.39 ± 0.78 and showed a responsibility gradient across domains (P < 0.001).
- Frequent general AI use at least weekly (30.7%) was the strongest independent predictor of acceptance (P < 0.001), while clinical disability was not significantly associated.
- Acceptance differed by region (Eastern vs Western Germany, P = 0.025) and older age was associated with lower acceptance of AI-supported management.
In a survey of 241 people with MS, respondents reported higher comfort with AI when used for low-risk supportive roles like chronic management and symptom screening, with most preferring a joint model where clinicians retain final responsibility.
Sources
- Peer-reviewedPLOS Digital Health2026-07-01
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