Role of ChatGPT in Vestibular Schwannoma Management

Not Applicable

Not yet recruiting

• Conditions: Vestibular Schwannoma
• Interventions: Behavioral: Use of chatGPT for 1 week

• Registration Number: NCT06163664
• Lead Sponsor: University of Southern California

Brief Summary

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).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-10-24
• Study First Submitted QC: 2023-11-30
• Study First Posted: 2023-12-11
• Status Verified: 2024-06
• Last Update Submitted: 2025-03-24
• Last Update Posted: 2025-03-28
• Study Start: 2025-12-15
• Primary Completion: 2026-06-30
• Study Completion: 2027-11-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Delayed control	Use of chatGPT for 1 week	No ChatGPT use for 1 week and intervention after 1 week
Intervention	Use of chatGPT for 1 week	Intervention with 1 week use of ChatGPT

Primary Outcome Measures

Name	Time	Method
Changes in scores of Decisional Conflict Scale after ChatGPT use	baseline, 1 week follow up, 2 week follow up	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)
Changes in scores of Satisfaction with Decision after ChatGPT use	baseline, 1 week follow up, 2 week follow up	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)
Changes in scores for Knowledge on vestibular schwannoma management after ChatGPT use	baseline, 1 week follow up, 2 week follow up	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)