Role of ChatGPT in Vestibular Schwannoma Management

Study Overview
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Brief Summary
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Previous studies have demonstrated that patients frequently undergo significant decision conflict regarding major medical decisions in otolaryngology. There lack validated tools available for decision support for patients. While limited evidence has demonstrated that clinical decision support tools can alleviate decision conflict for patients with diagnosis in otolaryngology, conversational language models were not employed in these studies and may provide additional benefit in this context. This study seeks to evaluate the efficacy of using ChatGPT, a conversational language model with basic clinical knowledge, in alleviating decision conflict for patients with new diagnosis in otolaryngology. For this pilot study, vestibular schwannoma, a benign tumor that develops on the vestibular nerve with known clinical equipoise, has been chosen for the initial study diagnosis. Efficacy will be evaluated by comparison of responses to the Decisional Conflict Scale (DCS) and Satisfaction with Decision (SWD) scores between a group given training in ChatGPT and a control group (no ChatGPT training).

Official Title
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Role of ChatGPT in Vestibular Schwannoma Management

Conditions
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Vestibular Schwannoma

Intervention / Treatment
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* Behavioral: Use of chatGPT for 1 week


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older Diagnosed with vestibular schwannoma Have access to internet-enabled device that is compatible with ChatGPT Exclusion Criteria: < 18 years old patient without diagnosis of vestibular schwannoma patient does not have access to internet-enabled device patient who declines study participation

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Intervention with 1 week use of ChatGPT | Behavioral: Use of chatGPT for 1 week<br>* Use of chatGPT for 1 week<br>|
| Active Comparator: Delayed control<br>No ChatGPT use for 1 week and intervention after 1 week | Behavioral: Use of chatGPT for 1 week<br>* Use of chatGPT for 1 week<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in scores of Decisional Conflict Scale after ChatGPT use | The Decisional Conflict Scale (DCS) measures 5 dimensions of decision making (feeling: uncertain, uninformed, unclear about values, unsupported; ineffective decision making). 15-item validated questionnaire. Score range 5-75 (higher score corresponding to higher levels of conflict in decision making) | baseline, 1 week follow up, 2 week follow up | 
| Changes in scores of Satisfaction with Decision after ChatGPT use | The Satisfaction with Decision (SWD) scale measures satisfaction with health care decisions. 6-item validated questionnaire. Score range 5-30 (higher score corresponding to higher levels of satisfaction with decision) | baseline, 1 week follow up, 2 week follow up | 
| Changes in scores for Knowledge on vestibular schwannoma management after ChatGPT use | 4-item questionnaire (Likert scale) assessing participants' confidence in understanding the diagnosis and treatment options for vestibular schwannoma. Score range 5-20 (higher score corresponding to higher levels of confidence in understanding diagnosis and management of vestibular schwannoma) | baseline, 1 week follow up, 2 week follow up |