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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Evaluating an AI Chatbot "Prostate Cancer Info" for Providing Quality Prostate Cancer Screening Information:

Otis L Owens¹, Michael S Leonard¹

¹College of Social Work, University of South Carolina, 1512 Pendelton Street, Columbia, SC, 29208, United States, 1 8037770384.

|May 21, 2025

Summary

Generative AI chatbots can help with prostate cancer screening decisions, but may omit key information. Use these tools alongside healthcare provider advice for comprehensive understanding.

Keywords:

artificial intelligence cancer screening chatGPT chatbot generative artificial intelligence prostate cancer shared decision making

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Area of Science:

Medical Informatics
Artificial Intelligence in Healthcare
Oncology

Background:

Generative AI chatbots offer potential for shared prostate cancer (PrCA) screening decisions.
Information quality and credibility from AI tools can be inconsistent.
Prostate Cancer Info is a custom GPT chatbot sourcing PrCA data from authoritative cancer websites and peer-reviewed literature.

Purpose of the Study:

To evaluate the accuracy, completeness, and readability of Prostate Cancer Info's responses.
Assessing the utility of AI chatbots for patient education in prostate cancer screening.

Main Methods:

Inputting 23 frequently asked PrCA screening questions into Prostate Cancer Info.
Reviewing responses for accuracy and completeness by two independent raters.
Calculating readability using the Flesch Kincaid Reading Ease Scores calculator.

Main Results:

All responses were accurate and culturally appropriate.
Completeness rate for responses was 74% (17 out of 23 questions).
Average readability score was 64.5, equivalent to an 8th-grade reading level.

Conclusions:

AI chatbots like Prostate Cancer Info are valuable starting points for PrCA screening information.
These tools should not replace independent sources due to potential information omissions.
Men should use AI chatbots to supplement, not substitute, information from healthcare providers.