Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders

Background There are many scales for screening the impact of a disease. These scales are generally used to diagnose or assess the type and severity of a disease and are carried out by doctors. The chatbot helps patients suffering from primary headache disorders through personalized text messages. It...

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Main Authors: Benjamin Chaix, Jean-Emmanuel Bibault, Rolland Romain, Arthur Guillemassé, Mikaël Neeral, Guillaume Delamon, Julien Moussalli, Benoît Brouard
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076221097783
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author Benjamin Chaix
Jean-Emmanuel Bibault
Rolland Romain
Arthur Guillemassé
Mikaël Neeral
Guillaume Delamon
Julien Moussalli
Benoît Brouard
author_facet Benjamin Chaix
Jean-Emmanuel Bibault
Rolland Romain
Arthur Guillemassé
Mikaël Neeral
Guillaume Delamon
Julien Moussalli
Benoît Brouard
author_sort Benjamin Chaix
collection DOAJ
description Background There are many scales for screening the impact of a disease. These scales are generally used to diagnose or assess the type and severity of a disease and are carried out by doctors. The chatbot helps patients suffering from primary headache disorders through personalized text messages. It could be used to collect patient-reported outcomes. Objective The aims of this study were (1) to study whether the collection and analysis of remote scores, without prior medical intervention, are possible by a chatbot, (2) to perform suggested diagnosis and define the type of headaches, and (3) to assess the patient satisfaction and engagement with the chatbot. Method Voluntary users of the chatbot were recruited online. They had to be over 18 and have a personal history of headaches. A questionnaire was presented (1) by text messages to the participants to evaluate migraines (2) based on the criteria of the International Headache Society. Then, the Likert scale (3) was used to assess overall satisfaction with the use of the chatbot. Results We included 610 participants with primary headache disorders. A total of 89.94% (572/610) participants had fully completed the questionnaire (eight items), 4.72% (30/610) had partially completed it, and 5.41% (33) had refused to complete it. Statistical analysis was performed on 86.01% (547/610) of participants. Auto diagnostic showed that 14.26% (78/547) participants had a tension headache, and 85.74% (469/547) had a probable migraine. In this population, 15.78% (74/469) suffered from migraine without probable aura, and 84.22% (395/469) had migraine without aura. The patient’s age had a significant incidence regarding the auto diagnosis ( P  = .008<.05). The evaluation of overall satisfaction shows that a total of 93.9% (599/610) of users were satisfied or very satisfied regarding the timeliness of responses the chatbot provides. Conclusion The study confirmed that it was possible to obtain such a collection remotely, and quickly (average time of 3.24 min) with a high success rate (89.67% (547/610) participants who had fully completed the IHS questionnaire). Users were strongly engaged through chatbot: out of the total number of participants, we observed a very low number of uncompleted questionnaires (6.23% (38/610)). Conversational agents can be used to remotely collect data on the nature of the symptoms of patients suffering from primary headache disorders. These results are promising regarding patient engagement and trust in the chatbot.
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spelling doaj.art-1b6fe262456348b58d6ccef78dc890172022-12-22T01:00:30ZengSAGE PublishingDigital Health2055-20762022-05-01810.1177/20552076221097783Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disordersBenjamin Chaix0Jean-Emmanuel Bibault1 Rolland Romain2Arthur Guillemassé3Mikaël Neeral4Guillaume Delamon5Julien Moussalli6Benoît Brouard7 Wefight, , Paris, France European Hospital Georges Pompidou, , Paris, France Wefight, , Paris, France Wefight, , Paris, France Wefight, , Paris, France Wefight, , Paris, France Wefight, , Paris, France Wefight, , Paris, FranceBackground There are many scales for screening the impact of a disease. These scales are generally used to diagnose or assess the type and severity of a disease and are carried out by doctors. The chatbot helps patients suffering from primary headache disorders through personalized text messages. It could be used to collect patient-reported outcomes. Objective The aims of this study were (1) to study whether the collection and analysis of remote scores, without prior medical intervention, are possible by a chatbot, (2) to perform suggested diagnosis and define the type of headaches, and (3) to assess the patient satisfaction and engagement with the chatbot. Method Voluntary users of the chatbot were recruited online. They had to be over 18 and have a personal history of headaches. A questionnaire was presented (1) by text messages to the participants to evaluate migraines (2) based on the criteria of the International Headache Society. Then, the Likert scale (3) was used to assess overall satisfaction with the use of the chatbot. Results We included 610 participants with primary headache disorders. A total of 89.94% (572/610) participants had fully completed the questionnaire (eight items), 4.72% (30/610) had partially completed it, and 5.41% (33) had refused to complete it. Statistical analysis was performed on 86.01% (547/610) of participants. Auto diagnostic showed that 14.26% (78/547) participants had a tension headache, and 85.74% (469/547) had a probable migraine. In this population, 15.78% (74/469) suffered from migraine without probable aura, and 84.22% (395/469) had migraine without aura. The patient’s age had a significant incidence regarding the auto diagnosis ( P  = .008<.05). The evaluation of overall satisfaction shows that a total of 93.9% (599/610) of users were satisfied or very satisfied regarding the timeliness of responses the chatbot provides. Conclusion The study confirmed that it was possible to obtain such a collection remotely, and quickly (average time of 3.24 min) with a high success rate (89.67% (547/610) participants who had fully completed the IHS questionnaire). Users were strongly engaged through chatbot: out of the total number of participants, we observed a very low number of uncompleted questionnaires (6.23% (38/610)). Conversational agents can be used to remotely collect data on the nature of the symptoms of patients suffering from primary headache disorders. These results are promising regarding patient engagement and trust in the chatbot.https://doi.org/10.1177/20552076221097783
spellingShingle Benjamin Chaix
Jean-Emmanuel Bibault
Rolland Romain
Arthur Guillemassé
Mikaël Neeral
Guillaume Delamon
Julien Moussalli
Benoît Brouard
Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
Digital Health
title Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
title_full Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
title_fullStr Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
title_full_unstemmed Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
title_short Assessing the performances of a chatbot to collect real-life data of patients suffering from primary headache disorders
title_sort assessing the performances of a chatbot to collect real life data of patients suffering from primary headache disorders
url https://doi.org/10.1177/20552076221097783
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