Schütz Pascal, Lob Sina, Chahed Hiba, Dathe Lisa, Löwer Maren, Reiß Hannah, Weigel Alina, Albrecht Joanna, Tokgöz Pinar, Dockweiler Christoph
Department Digital Health Sciences and Biomedicine, Professorship of Digital Public Health, School of Life Sciences, University of Siegen, 57076 Siegen, Germany.
Healthcare (Basel). 2024 Aug 10;12(16):1594. doi: 10.3390/healthcare12161594.
Migraines are one of the most common and expensive neurological diseases worldwide. Non-pharmacological and digitally delivered treatment options have long been used in the treatment of migraines. For instance, migraine management tools, online migraine diagnosis or digitally networked patients have been used. Recently, applications of ChatGPT are used in fields of healthcare ranging from identifying potential research topics to assisting professionals in clinical diagnosis and helping patients in managing their health. Despite advances in migraine management, only a minority of patients are adequately informed and treated. It is important to provide these patients with information to help them manage the symptoms and their daily activities. The primary aim of this case study was to examine the appropriateness of ChatGPT to handle symptom descriptions responsibly, suggest supplementary assistance from credible sources, provide valuable perspectives on treatment options, and exhibit potential influences on daily life for patients with migraines. Using a deductive, qualitative study, ten interactions with ChatGPT on different migraine types were analyzed through semi-structured interviews. ChatGPT provided relevant information aligned with common scientific patient resources. Responses were generally intelligible and situationally appropriate, providing personalized insights despite occasional discrepancies in interaction. ChatGPT's empathetic tone and linguistic clarity encouraged user engagement. However, source citations were found to be inconsistent and, in some cases, not comprehensible, which affected the overall comprehensibility of the information. ChatGPT might be promising for patients seeking information on migraine conditions. Its user-specific responses demonstrate potential benefits over static web-based sources. However, reproducibility and accuracy issues highlight the need for digital health literacy. The findings underscore the necessity for continuously evaluating AI systems and their broader societal implications in health communication.
偏头痛是全球最常见且花费高昂的神经疾病之一。非药物和数字化提供的治疗选择长期以来一直用于偏头痛的治疗。例如，使用过偏头痛管理工具、在线偏头痛诊断或数字化联网患者等方式。最近，ChatGPT的应用已用于医疗保健领域，从识别潜在研究主题到协助专业人员进行临床诊断以及帮助患者管理自身健康。尽管偏头痛管理取得了进展，但只有少数患者得到了充分的告知和治疗。向这些患者提供信息以帮助他们管理症状和日常活动非常重要。本案例研究的主要目的是检验ChatGPT是否能够负责任地处理症状描述、建议来自可靠来源的补充帮助、提供关于治疗选择的有价值观点以及展示对偏头痛患者日常生活的潜在影响。通过演绎性定性研究，通过半结构化访谈分析了与ChatGPT就不同偏头痛类型进行的十次互动。ChatGPT提供了与常见科学患者资源一致的相关信息。回答总体上清晰易懂且符合情境，尽管互动中偶尔存在差异，但仍提供了个性化见解。ChatGPT的共情语气和语言清晰度鼓励了用户参与。然而，发现来源引用不一致，在某些情况下难以理解，这影响了信息的整体可理解性。ChatGPT对于寻求偏头痛病症信息的患者可能很有前景。其针对用户的回答显示出比基于网络的静态来源更具潜在优势。然而，可重复性和准确性问题凸显了数字健康素养的必要性。研究结果强调了持续评估人工智能系统及其在健康沟通中更广泛社会影响的必要性。
