Using ChatGPT to Help Guide Treatment for Sinus and Nasal Problems

Carol Yan

Status: Completed

Conditions: Nasal Obstruction; Rhinitis; Sinusitis

Treatments: Other: Education using Traditional Internet Search Engines; Other: Education with AI Technology

Study type: Interventional

Funder types: Other

Identifiers

NCT07140250

810119

Details and patient eligibility

About

The goal of this clinical trial is to evaluate whether ChatGPT can improve shared decision-making by increasing treatment-related knowledge and reducing decisional conflict in adult patients with chronic rhinosinusitis (CRS) or nasal obstruction who have been deemed candidates for surgery.

The main questions it aims to answer are:

• Does ChatGPT improve patient understanding of CRS/nasal obstruction treatment options compared to widely utilized web searches?
• Does ChatGPT reduce decisional conflict regarding surgical versus medical management compared to traditional search engine? Researchers will compare a group using Google (standard internet search with AI turned off) after standard counseling to a group using ChatGPT after standard counseling to see if ChatGPT leads to higher knowledge scores, lower decisional conflict scores, and higher satisfaction with the information platform.

Participants will:

• Complete baseline surveys assessing demographics, treatment-related knowledge, and decisional conflict
• Be randomized to use either Google or ChatGPT to research their surgery for 10 minutes after standard in-office counseling
• Complete follow-up surveys assessing knowledge, decisional conflict, and satisfaction with the information source
• Allow the research team to review their medical record for relevant clinical history and disease-specific quality-of-life scores (SNOT-22)

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult (18 years or older) UC San Diego Health System Rhinology patients
• Diagnosis of chronic rhinosinusitis and/or nasal obstruction based on clinical criteria or radiologic evidence
• Planning to pursue surgical intervention for CRS or nasal obstruction
• Ability to complete online survey in English or Spanish

Exclusion criteria

• Unable to complete survey assessments online via REDCap
• Under the age of 18 years
• Vulnerable patient populations such as those who are pregnant and institutionalized individuals
• Patients with benign and malignant tumors

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups, including a placebo group

Shared Decision Making on Sinusitis Treatment Facilitated by ChatGPT

Active Comparator group

Description:

Shared decision making (SDM) about sinusitis treatment will be facilitated by ChatGPT through participant driven question and answers using AI support via ChatGPT

Treatment:

Other: Education with AI Technology

Shared Decision Making on Sinusitis Treatment Facilitated by Google

Placebo Comparator group

Description:

Shared decision making (SDM) about sinusitis treatment will be facilitated by traditional internet search engines (Google) with AI mode off. Participate education on sinusitis treatment will be driven by traditional internet searches

Treatment:

Other: Education using Traditional Internet Search Engines