Evidence map›Paper›PMID 37195688›Full record

ArticleJournal of medical Internet research2023

The Development of a Chatbot Technology to Disseminate Post-COVID-19 Information: Descriptive Implementation Study.

Mayssam Nehme, Franck Schneider, Anne Perrin, Wing Sum Yu, Simon Schmitt, Guillemette Violot, Aurelie Ducrot, Frederique Tissandier, Klara Posfay-Barbe, Idris Guessous

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Chatbots and COVID-19: Taking Stock of the Lessons Learned.Journal of medical Internet research · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mayssam NehmeDivision of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-9189-6495
Franck SchneiderDepartment of Communication, Geneva University Hospitals, Geneva, Switzerland.ORCID 0009-0008-5884-1343
Anne PerrinDivision of General Pediatrics, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0002-2023-3157
Wing Sum YuDepartment of Communication, Geneva University Hospitals, Geneva, Switzerland.ORCID 0009-0005-4465-2590
Simon SchmittDepartment of Communication, Geneva University Hospitals, Geneva, Switzerland.ORCID 0009-0001-9473-3138
Guillemette ViolotDepartment of Communication, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-9017-1193
Aurelie DucrotDivision of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0009-0004-0494-6677
Frederique TissandierDepartment of Communication, Geneva University Hospitals, Geneva, Switzerland.ORCID 0009-0006-5427-1748
Klara Posfay-BarbeDivision of General Pediatrics, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0001-9464-5704
Idris GuessousDivision of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0002-0491-6089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-COVID-19, or long COVID, has now affected millions of individuals, resulting in fatigue, neurocognitive symptoms, and an impact on daily life. The uncertainty of knowledge around this condition, including its overall prevalence, pathophysiology, and management, along with the growing numbers of affected individuals, has created an essential need for information and disease management. This has become even more critical in a time of abundant online misinformation and potential misleading of patients and health care professionals.

objectiveThe RAFAEL platform is an ecosystem created to address the information about and management of post-COVID-19, integrating online information, webinars, and chatbot technology to answer a large number of individuals in a time- and resource-limited setting. This paper describes the development and deployment of the RAFAEL platform and chatbot in addressing post-COVID-19 in children and adults.

methodsThe RAFAEL study took place in Geneva, Switzerland. The RAFAEL platform and chatbot were made available online, and all users were considered participants of this study. The development phase started in December 2020 and included developing the concept, the backend, and the frontend, as well as beta testing. The specific strategy behind the RAFAEL chatbot balanced an accessible interactive approach with medical safety, aiming to relay correct and verified information for the management of post-COVID-19. Development was followed by deployment with the establishment of partnerships and communication strategies in the French-speaking world. The use of the chatbot and the answers provided were continuously monitored by community moderators and health care professionals, creating a safe fallback for users.

resultsTo date, the RAFAEL chatbot has had 30,488 interactions, with an 79.6% (6417/8061) matching rate and a 73.2% (n=1795) positive feedback rate out of the 2451 users who provided feedback. Overall, 5807 unique users interacted with the chatbot, with 5.1 interactions per user, on average, and 8061 stories triggered. The use of the RAFAEL chatbot and platform was additionally driven by the monthly thematic webinars as well as communication campaigns, with an average of 250 participants at each webinar. User queries included questions about post-COVID-19 symptoms (n=5612, 69.2%), of which fatigue was the most predominant query (n=1255, 22.4%) in symptoms-related stories. Additional queries included questions about consultations (n=598, 7.4%), treatment (n=527, 6.5%), and general information (n=510, 6.3%).

conclusionsThe RAFAEL chatbot is, to the best of our knowledge, the first chatbot developed to address post-COVID-19 in children and adults. Its innovation lies in the use of a scalable tool to disseminate verified information in a time- and resource-limited environment. Additionally, the use of machine learning could help professionals gain knowledge about a new condition, while concomitantly addressing patients' concerns. Lessons learned from the RAFAEL chatbot will further encourage a participative approach to learning and could potentially be applied to other chronic conditions.

Indexed as

COVID-19AdultChildCommunicationEcosystemHealth PersonnelHumansPost-Acute COVID-19 Syndromecaregiverchatbotchildrencommunicationconversational agentCOVID-19digital surveillancedisease managementdisseminationinformationlong COVIDmedical technologyonline platformPASCpediatricpostacute sequelae of SARS-CoV-2post–COVID-19

Identifiers

PMID37195688
PMCPMC10246662

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.