Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure

• URL: http://arxiv.org/abs/2505.03675v1
• Date: Tue, 06 May 2025 16:21:10 GMT
• Title: Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure
• Authors: Anuja Tayal, Devika Salunke, Barbara Di Eugenio, Paula G Allen-Meares, Eulalia P Abril, Olga Garcia-Bedoya, Carolyn A Dickens, Andrew D. Boyd,
• Abstract summary: We explore the potential of ChatGPT to generate conversations focused on self-care strategies for African-American heart failure patients.<n>We employed four prompting strategies: domain, African American Vernacular English (AAVE), Social Determinants of Health (SDOH), and SDOH-informed reasoning.<n>Conversations were generated across key self-care domains of food, exercise, and fluid intake, with varying turn lengths.<n>While incorporating SDOH and reasoning improves dialogue quality, ChatGPT still lacks the empathy and engagement needed for meaningful healthcare communication.
• Score: 1.4347098305628967
• License: http://creativecommons.org/licenses/by/4.0/
• Abstract: We explore the potential of ChatGPT (3.5-turbo and 4) to generate conversations focused on self-care strategies for African-American heart failure patients -- a domain with limited specialized datasets. To simulate patient-health educator dialogues, we employed four prompting strategies: domain, African American Vernacular English (AAVE), Social Determinants of Health (SDOH), and SDOH-informed reasoning. Conversations were generated across key self-care domains of food, exercise, and fluid intake, with varying turn lengths (5, 10, 15) and incorporated patient-specific SDOH attributes such as age, gender, neighborhood, and socioeconomic status. Our findings show that effective prompt design is essential. While incorporating SDOH and reasoning improves dialogue quality, ChatGPT still lacks the empathy and engagement needed for meaningful healthcare communication.

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