Chatbot for patient education for prenatal aneuploidy testing: A multicenter randomized controlled trial.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-02-01 Epub Date: 2024-12-05 DOI:10.1016/j.pec.2024.108557

Bowdoin Su, Renee Jones, Kelly Chen, Emilia Kostenko, Maximilian Schmid, Andrea L DeMaria, Andrew Villa, Monte Swarup, Jennifer Weida, Methodius G Tuuli

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引用次数: 0

Abstract

Introduction: Digital tools could assist obstetric providers by delivering information given increasing options for fetal aneuploidy screening.

Purpose: To determine the impact of a chatbot for pre-test education and counseling in low-risk pregnancies.

Methods: Two sites participated in this randomized controlled trial. Patients in the intervention group used a chatbot prior to the provider visit, while patients in the control group only received education by the provider. The primary outcome was change in patient knowledge scores after provider education. Analysis was by intention to treat.

Results: Overall, 258 women participated (n = 130; intervention and n = 128; control). Knowledge gain was significantly higher among patients using the chatbot (mean increase in correct answers [out of 20]: +4.1 vs +1.9, p < 0.001). Both groups reported high satisfaction, with no statistically significant difference between intervention and control groups (mean patient satisfaction [1-10]: 8.2 vs 8.5 respectively, p = 0.35). Providers also reported high satisfaction scores with no significant difference between intervention and control groups (mean provider satisfaction [1 - 10]: 8.7 vs 8.4 respectively, p = 0.13).

Conclusions: Pre-test education via a chatbot can increase patient knowledge of prenatal testing choices, with high patient and provider satisfaction.

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聊天机器人用于产前非整倍体检测患者教育：一项多中心随机对照试验。

数字化工具可以通过提供胎儿非整倍体筛查更多选择的信息来帮助产科提供者。目的：探讨聊天机器人对低危妊娠孕前教育和咨询的影响。方法：随机对照试验分为两组。干预组患者在提供者访问之前使用聊天机器人，而对照组患者仅接受提供者的教育。主要结局是提供者教育后患者知识得分的变化。分析的目的是治疗。结果：总共有258名女性参与(n = 130；干预，n = 128；控制)。使用聊天机器人的患者的知识增长明显更高（正确答案的平均增长[满分20分]:+4.1 vs +1.9, p）。结论：通过聊天机器人进行的测试前教育可以增加患者对产前检查选择的知识，患者和提供者的满意度都很高。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.