Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China

Objectives To evaluate the potential of large language models (LLMs) in health education for patients with ankylosing spondylitis (AS)/spondyloarthritis (SpA), focusing on the accuracy of information transmission, patient acceptance and performance differences between different models.Design Cross-s...

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Main Authors: Yong Ren, Yuanqing Li, Jieruo Gu, Qing Lv, Wenqi Xia, Jingyu Zhang, Huifen Liu, Ya Wen, Liling Xu, Yuling Chen, Yue-ning Kang, Shuang-yan Cao, Fanxuan Meng, Ruyi Liao, Xiaomin Li, Jiayun Wu, Shenghui Wen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/3/e097528.full
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author Yong Ren
Yuanqing Li
Jieruo Gu
Qing Lv
Wenqi Xia
Jingyu Zhang
Huifen Liu
Ya Wen
Liling Xu
Yuling Chen
Yue-ning Kang
Shuang-yan Cao
Fanxuan Meng
Ruyi Liao
Xiaomin Li
Jiayun Wu
Shenghui Wen
author_facet Yong Ren
Yuanqing Li
Jieruo Gu
Qing Lv
Wenqi Xia
Jingyu Zhang
Huifen Liu
Ya Wen
Liling Xu
Yuling Chen
Yue-ning Kang
Shuang-yan Cao
Fanxuan Meng
Ruyi Liao
Xiaomin Li
Jiayun Wu
Shenghui Wen
author_sort Yong Ren
collection DOAJ
description Objectives To evaluate the potential of large language models (LLMs) in health education for patients with ankylosing spondylitis (AS)/spondyloarthritis (SpA), focusing on the accuracy of information transmission, patient acceptance and performance differences between different models.Design Cross-sectional, single-blind study.Setting Multiple centres in China.Participants 182 volunteers, including 4 rheumatologists and 178 patients with AS/SpA.Primary and secondary outcome measures Scientificity, precision and accessibility of the content of the answers provided by LLMs; patient acceptance of the answers.Results LLMs performed well in terms of scientificity, precision and accessibility, with ChatGPT-4o and Kimi models outperforming traditional guidelines. Most patients with AS/SpA showed a higher level of understanding and acceptance of the responses from LLMs.Conclusions LLMs have significant potential in medical knowledge transmission and patient education, making them promising tools for future medical practice.
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publishDate 2025-03-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-c3f8a15833b948a093bf8cf7eef528e42025-08-20T01:50:02ZengBMJ Publishing GroupBMJ Open2044-60552025-03-0115310.1136/bmjopen-2024-097528Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in ChinaYong Ren0Yuanqing Li1Jieruo Gu2Qing Lv3Wenqi Xia4Jingyu Zhang5Huifen Liu6Ya Wen7Liling Xu8Yuling Chen9Yue-ning Kang10Shuang-yan Cao11Fanxuan Meng12Ruyi Liao13Xiaomin Li14Jiayun Wu15Shenghui Wen162 The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China4 School of Automation Science and Engineering, South China University of Technology, Guangzhou, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China3 Department of Rheumatology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, ChinaObjectives To evaluate the potential of large language models (LLMs) in health education for patients with ankylosing spondylitis (AS)/spondyloarthritis (SpA), focusing on the accuracy of information transmission, patient acceptance and performance differences between different models.Design Cross-sectional, single-blind study.Setting Multiple centres in China.Participants 182 volunteers, including 4 rheumatologists and 178 patients with AS/SpA.Primary and secondary outcome measures Scientificity, precision and accessibility of the content of the answers provided by LLMs; patient acceptance of the answers.Results LLMs performed well in terms of scientificity, precision and accessibility, with ChatGPT-4o and Kimi models outperforming traditional guidelines. Most patients with AS/SpA showed a higher level of understanding and acceptance of the responses from LLMs.Conclusions LLMs have significant potential in medical knowledge transmission and patient education, making them promising tools for future medical practice.https://bmjopen.bmj.com/content/15/3/e097528.full
spellingShingle Yong Ren
Yuanqing Li
Jieruo Gu
Qing Lv
Wenqi Xia
Jingyu Zhang
Huifen Liu
Ya Wen
Liling Xu
Yuling Chen
Yue-ning Kang
Shuang-yan Cao
Fanxuan Meng
Ruyi Liao
Xiaomin Li
Jiayun Wu
Shenghui Wen
Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
BMJ Open
title Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
title_full Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
title_fullStr Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
title_full_unstemmed Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
title_short Evaluating the performance of large language models in health education for patients with ankylosing spondylitis/spondyloarthritis: a cross-sectional, single-blind study in China
title_sort evaluating the performance of large language models in health education for patients with ankylosing spondylitis spondyloarthritis a cross sectional single blind study in china
url https://bmjopen.bmj.com/content/15/3/e097528.full
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