Evidence map›Paper›PMID 40493513›Full record

ArticleJournal of medical Internet research2025

Women's Preferences and Willingness to Pay for AI Chatbots in Women's Health: Discrete Choice Experiment Study.

Jing Wang, Hewei Min, Tao Li, Jiaheng Li, Yang Jiang, Jingbo Zhang, Yibo Wu, Xinying Sun

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Jing Wang *School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China, 86 13691212050.ORCID http://orcid.org/0009-0003-7060-0589
Hewei Min *School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China, 86 13691212050.ORCID http://orcid.org/0000-0001-6081-4784
Tao LiDepartment of Gynaecology and Obstetrics, The Fourth Central Hospital of Baoding City, Hebei, China.ORCID http://orcid.org/0009-0006-1681-7949
Jiaheng LiSchool of Basic Medical Sciences, Hebei University, Hebei, China.ORCID http://orcid.org/0009-0006-0632-3179
Yang JiangJitang College, North China University of Science and Technology, Hebei, China.ORCID http://orcid.org/0009-0009-5135-0573
Jingbo ZhangCenter for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID http://orcid.org/0000-0002-3669-0264
Yibo WuSchool of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China, 86 13691212050.ORCID http://orcid.org/0000-0001-9607-313X
Xinying SunSchool of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China, 86 13691212050.ORCID http://orcid.org/0000-0001-6638-1473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over 96% of adult women face health issues, with 70% experiencing conditions like infections. Mobile health education is increasingly popular but faces challenges in personalization and readability. Artificial intelligence (AI) chatbots provide tailored support, and a discrete choice experiment can help in understanding user preferences to improve chatbot design. Objective: This study aims at exploring the preferences of women toward AI chatbots to improve health education communication and user experience. Methods: A discrete choice experiment was conducted, identifying 6 main attributes of AI chatbots: response accuracy, legibility, service cost, background information collection, information utility, and content provision. A total of 957 female participants from a hospital in Hebei Province participated, choosing between 2 hypothetical chatbots or opting for neither (a no-choice option). The conditional logit model was used to estimate user preferences. Results: A total of 957 participants were included in the analysis. The results showed that participants preferred a chatbot with 100% response accuracy (β=0.940, P<.001; 95% CI 0.624 to 1.255), very easy to understand information (β=0.907, P<.001; 95% CI 0.634 to 1.180), a service fee of CN ¥0/month (β=-0.095, P<.001; 95% CI -0.108 to -0.082; a currency exchange rate of US $1=CN ¥7.09 was applicable), practical information utility (β=1.085, P<.001; 95% CI 0.832 to 1.338), and provision of disease-related knowledge (β=0.752, P<.001; 95% CI 0.485 to 1.018). Whether or not to allow the collection of background information (only question and answer information) has no significant impact on women's choice preferences. Additionally, participants were willing to pay an additional CN ¥9.916 (95% CI 6.843 to 12.292) for 100% response accuracy, CN ¥9.567 (95% CI 6.843 to 12.292) for "very easy to understand" information, and CN ¥11.451 (95% CI 8.704 to 14.198) for the "very practical" information utility. Additionally, they were willing to pay CN ¥7.931 (95% CI 4.975 to 10.886) for "knowledge of diseases" compared to "gender knowledge" (CN ¥2.602, 95% CI -0.551 to 5.756). The relative importance of the chatbot attributes indicated that information utility (1.085/3.858, 28.12%) and response accuracy (0.940/3.858, 24.37%) were the most influential factors in participants' preferences. Conclusions: AI chatbots designed for female users should focus on high response accuracy, clear content, free access, privacy protection, practical information, and disease knowledge to attract users and enhance health education.

Indexed as

Artificial IntelligenceChoice BehaviorPatient PreferenceWomen's HealthAdultFemaleGenerative Artificial IntelligenceHumansMiddle AgedSurveys and Questionnairesartificial intelligence chatbotsdiscrete choice experimenthealth educationwillingness to paywomen’s health

Identifiers

PMID40493513
PMCPMC12172807

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.