Use of ChatGPT for Urinary Symptom Management Among People With Spinal Cord Injury or Disease: Qualitative Study.

Q2 Medicine
Bat-Zion Hose, Amanda K Rounds, Ishaan Nandwani, Deanna-Nicole Busog, Traber Davis Giardina, Helen Haskell, Kelly M Smith, Kristen E Miller
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引用次数: 0

Abstract

Background: Individuals with spinal cord injury or disease (SCI/D) experience disproportionately high rates of recurrent urinary tract infections, which are often complicated by atypical symptoms and delayed diagnoses. Patient-centered tools, like the Urinary Symptom Questionnaires for Neurogenic Bladder (USQNB), have been developed to support symptom assessment yet remain underused. Generative artificial intelligence tools such as ChatGPT may offer a more usable approach to improving symptom management by providing real-time, tailored health information directly to patients.

Objective: This study explores the role of ChatGPT (version 3.5) in supporting urinary symptom management for individuals with SCI/D, focusing on its perceived accuracy, usefulness, and impact on health care engagement and self-management practices.

Methods: A total of 30 individuals with SCI/D were recruited through advocacy groups and health care networks. Using realistic, scenario-based testing derived from validated tools for symptom management with SCI/D, such as the USQNB, participants interacted with ChatGPT to seek advice for urinary symptoms. Follow-up interviews were conducted remotely to assess individuals' experiences using ChatGPT for urinary symptom management. Data were analyzed using inductive content analysis, with themes refined iteratively through a consensus-based process.

Results: People with SCI/D reported high levels of trust in ChatGPT's recommendations, with all 30 participants agreeing or strongly agreeing with the advice provided. ChatGPT's responses were perceived as clear and comparable to professional medical advice. Participants mentioned concerns about the lack of sources and integration with patient-specific data. ChatGPT influenced individuals' decision-making by supporting symptom assessment and guiding participants on when to seek professional care or pursue self-management strategies.

Conclusions: ChatGPT is a promising tool for symptom assessment and managing chronic conditions such as urinary symptoms in individuals with SCI/D. While ChatGPT enhances accessibility to health information, further research is needed to improve its transparency and integration with personalized health data to be a more usable tool in making informed health decisions.

使用ChatGPT治疗脊髓损伤或疾病患者的泌尿症状:定性研究
背景:脊髓损伤或脊髓疾病(SCI/D)患者复发性尿路感染的发生率高得不成比例,通常伴有不典型症状和延迟诊断。以患者为中心的工具,如神经源性膀胱尿症状问卷(USQNB),已经开发用于支持症状评估,但仍未得到充分利用。ChatGPT等生成式人工智能工具可以通过直接向患者提供实时、量身定制的健康信息,为改善症状管理提供更有用的方法。目的:本研究探讨ChatGPT(3.5版)在支持SCI/D患者泌尿症状管理中的作用,重点关注其感知的准确性、有用性以及对医疗保健参与和自我管理实践的影响。方法:通过倡导团体和卫生保健网络招募了30名SCI/D患者。通过使用经过验证的SCI/D症状管理工具(如USQNB)衍生的现实的、基于场景的测试,参与者与ChatGPT进行互动,以寻求泌尿系统症状的建议。进行远程随访访谈,以评估个人使用ChatGPT进行泌尿症状管理的经验。数据分析使用归纳内容分析,并通过基于共识的过程迭代改进主题。结果:SCI/D患者报告了对ChatGPT建议的高度信任,所有30名参与者都同意或强烈同意提供的建议。ChatGPT的回答被认为是清晰的,与专业的医疗建议相当。与会者提到对缺乏来源和与特定患者数据整合的关切。ChatGPT通过支持症状评估和指导参与者何时寻求专业护理或追求自我管理策略来影响个人的决策。结论:ChatGPT是一种有前景的工具,用于症状评估和管理慢性疾病,如SCI/D患者的泌尿系统症状。虽然ChatGPT增强了对健康信息的可访问性,但需要进一步研究以提高其透明度并与个性化健康数据相结合,使其成为做出知情健康决策的更有用的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
31
审稿时长
12 weeks
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