This systematic literature review aimed to investigate the extent to which computer-based decision tools have been successfully adopted in oncology consultations to improve patient-physician joint therapeutic decision making. Computer-based decision tools have the potential to play a valuable role to support this complex process, which calls for identification of treatment options, analysis of their efficacy, and discussion of these options with patients in the context of the supporting evidence. Another challenge for physicians is to clearly communicate their decision-making process with patients to ensure informed consent. Therapeutic decision-making in oncology is a complex process because physicians must consider many forms of medical data as well as treatment guidelines and protocols. The study recommends language instructors promote the use of the app as a mini dictionary, and encourage language learners to use it as a resource to ensure accurate spelling and pronunciation. The findings also indicate that the personal histories of learners with GTA related to their introduction to and frequency of using the app in everyday life, and the benefits they observed when doing so. Thematic analysis indicates that GTA provides five different modes of writing in English, offering options to use the app in-class and in everyday life, and serving as a language learning resource. Focus group interviews and individual interviews were conducted to gather the data over six-weeks. This study aims to answer the following research question: what are the affordances of GTA as perceived by second language learners in Saudi Arabia? The research participants were twelve second language learners at a university in Saudi Arabia. However, what specific features they draw on when using Google Translate, and how the app influences their English learning process is unknown. Learners perform various translation tasks drawing on different features of GTA. Google Translate App (GTA) use is ubiquitous among second language learners in Saudi Arabia for translating between Arabic and English and vice versa.
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