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Myopia is a rapidly growing global health concern, and there is an urgent need for advanced tools that can facilitate personalized healthcare strategies. Artificial intelligence (AI)-based solutions, such as large language models, offer robust tools for ophthalmic healthcare. In this study, investigators aim to validate a patient-centered Large Language Model (LLM)-based Myopia Assistant System with the following key objectives: 1) evaluate the ability of the LLM models to generate high-level reports and help self-evaluation of myopia for patients in primary care; 2) evaluate its performance in answering evidence-based medicine-oriented questions and improving overall satisfaction within clinics for myopic patients.
Myopia is a rapidly growing global health concern particularly affecting children and adolescents. The progression of myopia can lead to severe complications such as myopic macular degeneration, significantly impacting visual acuity and quality of life. With the rising prevalence of myopia, there is an urgent need for advanced tools that can facilitate personalized healthcare strategies. Artificial intelligence (AI)-based solutions, such as large language models, offer robust tools for ophthalmic healthcare. Nevertheless, their effectiveness and safety in real clinical environments have not been fully explored.
In this study, investigators aim to validate a patient-centered Large Language Model (LLM)-based Myopia Assistant System with the following key objectives: 1) evaluate the ability of the LLM models to generate high-level reports and help self-evaluation of myopia for patients in primary care; 2) evaluate its performance in answering evidence-based medicine-oriented questions and improving overall satisfaction within clinics for myopic patients. The findings of this study will provide valuable insights for the application of the GPT model in the healthcare field, making a significant contribution to improving the accessibility and quality of medical services.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient-centered assistant system | Experimental | Participants engaged in the outpatient clinic visit procedure with a patient-centered assistant system based on Large-Language Model (LLM) for 10 minutes. |
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| Control group | No Intervention | Participants engaged in the outpatient clinic visit procedure without the support of patient-centered assistant system based on Large-Language Model (LLM) or any similar artificial intelligence assistance for 10 minutes. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A patient-centered assistant system based on Large-Language Model (LLM) | Device | Participants will engage in a 10-minute medical consultation using LLM model interface embedded in a tablet device before their regular face-to-face consulation with physicians. During the trials, participants could engage in free conversations covering aspects including risk factors, symptoms, diagnosis, examinations, treatment, advice and caution, etc. Participants who have completed the ophthalmic imaging examination will be asked to input results into the assistant model to generate structured reports. |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction level | Participants satisfaction level of the clinical experience with or without the use of a patient-centered assistant system based on a large language model (LLM) was assessed. The total satisfaction score was reported using the questionnaire (Patient User Satisfaction Scale), which evaluated the participant satisfaction with the clinical experience and the effectiveness of resolving their own issues. The questionnaire was measured on a 5-point Likert scale, where 1 represents strongly disagree; and 5 represents strongly agree; with higher scores indicating greater satisfaction. | Immediately after the outpatient clinic visit procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Whether participants adopt the myopia management advice from the physician | It is a binary outcome that assesses whether participants follow the recommendations from the physician for myopia management. It focuses on whether participants implement the prescribed treatments or interventions provided to control or manage their myopia. | Immediately after the outpatient clinic visit procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mingguang He, M.D, Ph.D | The Hong Kong Polytechnic University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Hong Kong Polytechnic University | Hong Kong | Hong Kong | 000 | China |
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| ID | Term |
|---|---|
| D009216 | Myopia |
| D006379 | Helping Behavior |
| ID | Term |
|---|---|
| D012030 | Refractive Errors |
| D005128 | Eye Diseases |
| D012919 | Social Behavior |
| D001519 | Behavior |
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