Kim Trudy S, Yu Catherine T, Hinson Chandler, Fung Ethan, Allam Omar, Nazerali Rahim S, Ayyala Haripriya S
From the Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, Calif.
Division of Plastic & Reconstructive Surgery, Yale School of Medicine, New Haven, Conn.
Plast Reconstr Surg Glob Open. 2024 Oct 1;12(10):e6202. doi: 10.1097/GOX.0000000000006202. eCollection 2024 Oct.
Recent advancements in artificial intelligence (AI) have reshaped telehealth, with AI chatbots like Chat Generative Pretrained Transformer (ChatGPT) showing promise in various medical applications. ChatGPT is capable of offering basic patient education on procedures in plastic and reconstructive surgery (PRS), yet the preference between human AI VideoBots and traditional chatbots in plastic and reconstructive surgery remains unexplored.
We developed a VideoBot by integrating ChatGPT with Synthesia, a human AI avatar video platform. The VideoBot was then integrated into Tolstoy to create an interactive experience that answered four of the most asked questions related to breast reconstruction. We used Zapier to develop a ChatGPT-integrated chatbot. A 16-item survey adapted from the 2005 validated measurement of online trust by Corritore et al was distributed online to female participants via Amazon Mechanical Turk.
A total of 396 responses were gathered. Participants were 18 to 64 years old. Perceptions of truthfulness, believability, content expertise, ease of use, and safety were similar between the VideoBot and chatbot. Most participants preferred the VideoBot compared with the traditional chatbot (63.5% versus 28.1%), as they found it more captivating than the text-based chatbot. Of the participants, 77% would have preferred to see someone who they identified with in terms of gender and race.
Both the VideoBot and text-based chatbot show comparable effectiveness, usability, and trust. Nonetheless, the VideoBot's human-like qualities enhance interactivity. Future research should explore the impact of race and gender concordance in telehealth to provide a more personalized experience for patients.
人工智能（AI）的最新进展重塑了远程医疗，像聊天生成预训练变换器（ChatGPT）这样的人工智能聊天机器人在各种医疗应用中显示出前景。ChatGPT能够提供有关整形和重建手术（PRS）程序的基本患者教育，但在整形和重建手术中，人类人工智能视频机器人与传统聊天机器人之间的偏好仍未得到探索。
我们通过将ChatGPT与人类人工智能虚拟视频平台Synthesia集成来开发一个视频机器人。然后将该视频机器人集成到托尔斯泰中，以创建一种交互式体验，回答与乳房重建相关的四个最常见问题。我们使用Zapier开发了一个集成ChatGPT的聊天机器人。一项改编自2005年Corritore等人验证的在线信任度测量的16项调查问卷通过亚马逊土耳其机器人在线分发给女性参与者。
共收集到396份回复。参与者年龄在18至64岁之间。视频机器人和聊天机器人在真实性、可信度、内容专业性、易用性和安全性方面的认知相似。与传统聊天机器人相比，大多数参与者更喜欢视频机器人（63.5%对28.1%），因为他们发现视频机器人比基于文本的聊天机器人更有吸引力。在参与者中，77%的人更希望看到在性别和种族方面与自己有认同感的人。
视频机器人和基于文本的聊天机器人在有效性、可用性和信任度方面表现相当。尽管如此，视频机器人的类人特质增强了交互性。未来的研究应该探索远程医疗中种族和性别一致性的影响，为患者提供更个性化的体验。
