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Related Experiment Videos

Chatbot Use by Patients Seeking Urogynecologic Consultation: A Randomized Trial.

Nicole J Wood¹, David M O'Sullivan², Elena Tunitsky-Bitton¹

¹Department of Urogynecology, Hartford Hospital.

Urogynecology (Philadelphia, Pa.)

|July 9, 2026

Summary

Artificial intelligence (AI) chatbots did not reduce decisional conflict for urogynecology patients. While patients increasingly use these tools, they may not yet enhance patient-centered decision-making in urogynecology care.

Related Experiment Videos

Area of Science:

Urogynecology
Artificial Intelligence
Patient Decision Making

Background:

Urogynecology patients increasingly use technology for health information.
The impact of AI chatbots on patient decision-making in urogynecology is not well understood.

Purpose of the Study:

To investigate the effect of AI chatbot use on patient decisional conflict during urogynecology visits.

Main Methods:

A randomized trial assigned patients to use ChatGPT-4o before, after, or not at all before their urogynecology visit.
Decisional conflict, understanding, and satisfaction were assessed immediately and at 3 months.
Chatbot transcripts were analyzed for readability.

Main Results:

No significant difference in decisional conflict was observed between groups immediately or at 3 months.
Patient understanding, visit satisfaction, and chatbot satisfaction were similar across all groups.
Home chatbot use increased in intervention groups by 3 months; responses were at an 11th-12th grade reading level.

Conclusions:

Peri-visit AI chatbot use did not impact decisional conflict in urogynecology patients.
Current AI chatbots may not be optimized to support patient-centered decision-making in this field.