Evidence map›Paper›PMID 41524720›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2026

GARDE-Chat: a scalable, open-source platform for building and deploying health chatbots.

Guilherme Del Fiol, Emerson Borsato, Richard L Bradshaw, Jiantao Bian, Alana Woodbury, Courtney Gauchel, Karen L Eilbeck, Whitney Maxwell, Kelsey Ellis, Anne C Madeo and 13 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2026. 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. 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

23 authors.

Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.ORCID 0000-0001-9954-6799
Emerson BorsatoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.
Richard L BradshawDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.ORCID 0000-0001-7363-0327
Jiantao BianDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.
Alana WoodburyDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.
Courtney GauchelDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.
Karen L EilbeckDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.
Whitney MaxwellHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
Kelsey EllisHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
Anne C MadeoDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT 84108, United States.
Chelsey SchlechterHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
Polina V KukharevaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.ORCID 0000-0002-5576-1486
Caitlin G AllenWake Forest University, Winston-Salem, NC 27109, United States.
Michael KeanMedical University of South Carolina, Charleston, SC 29425, United States.
Elena B ElkinDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, NY 10032, United States.
Ravi SharafGenetics and Personalized Cancer Prevention Program, Weill Cornell Medicine, New York, NY 10021, United States.
Muhammad D AhsanGenetics and Personalized Cancer Prevention Program, Weill Cornell Medicine, New York, NY 10021, United States.
Melissa FreyGenetics and Personalized Cancer Prevention Program, Weill Cornell Medicine, New York, NY 10021, United States.
Lauren Davis-RiveraGenetics and Personalized Cancer Prevention Program, Weill Cornell Medicine, New York, NY 10021, United States.
Wendy K KohlmannHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
David W WetterHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
Kimberly A KaphingstHuntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, United States.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84108, United States.ORCID 0000-0003-4282-9338

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Research and Methods CoreU54CA280812 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Alexandra K. Adams, David W Wetter · 2023 to 2026
$9.3M
Leveraging an electronic medical record infrastructure to identify primary care patients eligible for genetic testing for hereditary cancer and evaluate novel cancer genetics service delivery modelsU01CA232826 · NCI · UNIVERSITY OF UTAH · PI KAPHINGST, KIMBERLY A, SIGIREDDI, MEENAKSHI · 2018 to 2022
$5.5M
Scalable Clinical Decision Support for Individualized Cancer Risk ManagementU24CA204800 · NCI · UNIVERSITY OF UTAH · PI DEL FIOL, GUILHERME, KAWAMOTO, KENSAKU · 2017 to 2021
$3.7M
GARDE: Scalable Clinical Decision Support for Individualized Cancer Risk ManagementU24CA274582 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI GUILHERME DEL FIOL, Kensaku Kawamoto · 2023 to 2026
$3.3M
SCALE UP Utah II: Community-Academic Partnership to Address COVID-19 Testing and Vaccination Among Utah Community Health CentersU01MD017421 · NIMHD · UNIVERSITY OF UTAH · PI DEL FIOL, GUILHERME, WETTER, DAVID W · 2022 to 2023
$2.3M
Huntsman Cancer FoundationNational Cancer Institute (NCI) P30CA042014National Cancer Institute (NCI) U01CA232826National Cancer Institute (NCI) U24CA204800National Cancer Institute (NCI) U24CA274582National Cancer Institute (NCI) U54CA280812National Center for Advancing Translational Science of the US National Institutes of HealthNational Center for Advancing Translational Science of the US National Institutes of Health (NIH) UM1TR004409National Institute on Minority Health and Health Disparities (NIMHD) U01MD017421NCATS NIH HHS UM1 TR004409NCI NIH HHS P30 CA042014NCI NIH HHS P30CA042014NCI NIH HHS U01 CA232826NCI NIH HHS U01CA232826NCI NIH HHS U01MD017421NCI NIH HHS U24 CA204800NCI NIH HHS U24CA204800NCI NIH HHS U24 CA274582NCI NIH HHS U24CA274582NCI NIH HHS U54 CA280812NCI NIH HHS U54CA280812NIMHD NIH HHS U01 MD017421NIMHD NIH HHS UM1TR004409
6 · The paper itself

Abstract

backgroundChatbots are increasingly used to deliver health education, patient engagement, and access to healthcare services. GARDE-Chat is an open-source platform designed to facilitate the development, deployment, and dissemination of chatbot-based digital health interventions across different domains and settings. MATERIALS AND

methodsGARDE-Chat was developed through an iterative process informed by real-world use cases to guide prioritization of key features. The tool was developed as an open-source platform to promote collaboration, broad dissemination, and impact across research and clinical domains.

resultsGARDE-Chat's main features include (1) a visual authoring interface that allows non-programmers to design chatbots; (2) support for scripted, large language model (LLM)-based and hybrid chatbots; (3) capacity to share chatbots with researchers and institutions; (4) integration with external applications and data sources such as electronic health records and REDCap; (5) delivery via web browsers or text messaging; and (6) detailed audit log supporting analyses of chatbot user interactions. Since its first release in July 2022, GARDE-Chat has supported the development of chatbot-based interventions tested in multiple studies, including large pragmatic clinical trials addressing topics such as genetic testing, COVID-19 testing, tobacco cessation, and cancer screening. DISCUSSION: Ongoing challenges include the effort required for developing chatbot scripts, ensuring safe use of LLMs, and integrating with clinical systems.

conclusionGARDE-Chat is a generalizable platform for creating, implementing, and disseminating scalable chatbot-based population health interventions. It has been validated in several studies, and it is available to researchers and healthcare systems through an open-source mechanism.

Indexed as

Digital HealthHumansLarge Language ModelsTelemedicineUser-Computer Interfacechatbotsconsumer healthdigital healthlarge language modelspopulation health

Identifiers

PMID41524720
PMCPMC12798686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.