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ChatGPT能为口服免疫疗法提供家长教育吗?

Can ChatGPT provide parent education for oral immunotherapy?

作者信息

Abi-Rafeh Jana, Toscano-Rivero Diana, Mazer Bruce D

机构信息

Translational Research in Respiratory Diseases Program, Meakins-Christie Laboratories, McGill University Health Centre Research Institute, Montréal, Québec, Canada; Division of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.

Translational Research in Respiratory Diseases Program, Meakins-Christie Laboratories, McGill University Health Centre Research Institute, Montréal, Québec, Canada; Division of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada; Department of Pediatrics, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.

出版信息

Ann Allergy Asthma Immunol. 2025 Jul;135(1):87-90. doi: 10.1016/j.anai.2025.04.011. Epub 2025 Apr 24.

Abstract

BACKGROUND

Oral Immunotherapy (OIT) has exhibited great potential in the treatment of food allergy. However, there is no global consensus on best practices of OIT. Parents of allergic children often struggle with concerns regarding OIT methodology, safety, and lack of accessible educational resources. ChatGPT is a generative artificial intelligence chatbot from OpenAI recognized for its ability to formulate human-like conversations. Although applications of artificial intelligence in medical settings continue to be explored, the effectiveness of ChatGPT as an educational resource remains unknown for OIT.

OBJECTIVE

To assess the accuracy of ChatGPT as a self-guided educational resource for parents with children undergoing OIT.

METHODS

A total of 14 common questions from parents regarding OIT were entered into ChatGPT version 3.5 and answers were copied verbatim. These responses were then categorized into basic, advanced, or medical, and evaluated by Allergy-Immunology health care practitioners from North America and the United Kingdom using a 10-point Likert scale. Response readability, understandability, and reproducibility were assessed using the Flesch Reading Ease and Flesch-Kincaid Grade level scores, the Patient Education Materials Assessment Tool, and natural language processing tools, respectively.

RESULTS

The average median rankings by the practitioners per category were 8.6, 8.4, and 7.8 for basic, advanced, and medical, respectively. ChatGPT responses exhibited low readability scores, corresponding with a high-grade reading level. Understandability was between 73% to 84%, with scores decreased owing to response complexity. When assessing reproducibility, ChatGPT responses achieved rates between 83% and 93%.

CONCLUSION

Our results revealed that ChatGPT provides intelligible and comprehensive responses to patient questions. Health care practitioners polled were generally positive but identified important limitations.

摘要

背景

口服免疫疗法(OIT)在食物过敏治疗中已展现出巨大潜力。然而,对于OIT的最佳实践尚无全球共识。过敏儿童的家长常常纠结于OIT方法、安全性以及缺乏可获取的教育资源等问题。ChatGPT是OpenAI开发的一款生成式人工智能聊天机器人,以能够进行类人对话而闻名。尽管人工智能在医疗环境中的应用仍在不断探索,但ChatGPT作为OIT教育资源的有效性尚不清楚。

目的

评估ChatGPT作为接受OIT治疗儿童家长的自我引导式教育资源的准确性。

方法

将家长关于OIT的14个常见问题输入ChatGPT 3.5版本,并逐字复制答案。然后将这些回答分为基础、进阶或医学类,并由北美和英国的过敏免疫保健从业者使用10分制李克特量表进行评估。分别使用弗莱什易读性和弗莱什 - 金凯德年级水平分数、患者教育材料评估工具以及自然语言处理工具来评估回答的可读性、可理解性和可重复性。

结果

从业者对每类回答的平均中位数排名,基础类为8.6,进阶类为8.4,医学类为7.8。ChatGPT的回答可读性得分较低,对应较高的阅读水平。可理解性在73%至84%之间,得分因回答复杂程度而降低。在评估可重复性时,ChatGPT的回答成功率在83%至93%之间。

结论

我们的结果表明,ChatGPT能为患者问题提供清晰且全面的回答。参与调查的医疗保健从业者总体上持积极态度,但也指出了重要的局限性。

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