Evidence map›Paper›PMID 41323602›Full record

ArticleFrontiers in public health2025

Effects of education level on natural language processing in cardiovascular health communication.

Stanley Joseph, Ashna Bhardwaj, Justin Skariah, Ishan Aggarwal, Varunil Shah, Ryan A Harris

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Stanley JosephMedical College of Georgia, Augusta University, Augusta, GA, United States.
Ashna BhardwajMedical College of Georgia, Augusta University, Augusta, GA, United States.
Justin SkariahMedical College of Georgia, Augusta University, Augusta, GA, United States.
Ishan AggarwalMedical College of Georgia, Augusta University, Augusta, GA, United States.
Varunil ShahCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Ryan A HarrisMedical College of Georgia, Augusta University, Augusta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cardiovascular disease (CVD) remains the leading cause of mortality worldwide, underscoring the importance of accessible health communication. Artificial intelligence (AI) tools such as ChatGPT and MediSearch have potential to bridge knowledge gaps, but their effectiveness depends on both accuracy and readability. This study evaluated how natural language processing (NLP) models respond to CVD-related questions across different education levels. Methods: Thirty-five frequently asked questions from reputable sources were reformatted into prompts representing lower secondary, higher secondary, and college graduate levels, and entered into ChatGPT Free (GPT-4o mini), ChatGPT Premium (GPT-4o), and MediSearch (v1.1.4). Readability was assessed using Flesch-Kincaid Ease and Grade Level scores, and response similarity was evaluated with BERT-based cosine similarity. Statistical analyses included ANOVA, Kruskal-Wallis, and Pearson correlation. Results: Readability decreased significantly with increasing education level across all models ( Discussion: These findings indicate that while NLP models adjust readability by education level, output complexity often exceeds average literacy, highlighting the need for refinement to optimize AI-driven patient education.

Indexed as

Cardiovascular DiseasesEducational StatusHealth CommunicationHealth LiteracyNatural Language ProcessingComprehensionHumansartificial intelligencecardiovascular diseasehealth communicationlarge language modelsnatural language processingpatient educationreadability

Identifiers

PMID41323602
PMCPMC12657148

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Registered trials

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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.