Evidence map›Paper›PMID 41528940›Full record

ArticlePublic health genomics2026

Views on a Chatbot for Cancer Family History Collection among Leaders of Hispanic and Pacific Islander Communities in Utah.

Melissa Guziak, Daniel Chavez-Yenter, Emma Sears, Amanda Gammon, Crystal Y Lumpkins, Whitney F Maxwell, Lynette Phillips, Peter Taber, Guilherme Del Fiol, Kimberly A Kaphingst

Abstract read
In one paragraph

Article in Public health genomics, 2026. 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. 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.

Melissa GuziakDepartment of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
Daniel Chavez-YenterPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Emma SearsDepartment of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
Amanda GammonHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Crystal Y LumpkinsHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Whitney F MaxwellHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Lynette PhillipsHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Peter TaberDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Kimberly A KaphingstHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA, kim.kaphingst@hci.utah.edu.

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Max Loveless · 1986 to 2026
$72.6M
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
NCI NIH HHS P30 CA042014NCI NIH HHS U24 CA274582
6 · The paper itself

Abstract

introductionIndividuals from historically marginalized communities have less access to genetic testing services. Incomplete family history information in electronic health records contributes to under-identification of those eligible for genetic testing of hereditary cancer genes. Digital health tools can aid in collecting family history information, but there is a lack of information about how to integrate these tools in ways that are effective for different communities. This study investigated experiences with family history collection as well as acceptability and approaches for cultural adaptation of a chatbot for family history collection.

methodsSeven community engagement studios were conducted with community leaders (N = 48) representing historically marginalized communities, specifically Hispanic and Pacific Islander. The studios were conducted by trained facilitators in English (n = 4) or Spanish (n = 3) with 5-8 participants per studio. Transcripts of recorded studios were analyzed using inductive thematic analysis.

resultsTwo domains, each with underlying themes, were identified: (1) previous family history collection experience and (2) chatbot impressions and feedback. Community leaders saw value in using a chatbot for family history collection and also expressed the importance of addressing accessibility of the tool. They emphasized interpersonal interactions together with the use of digital health tools and the importance of trusting relationships with healthcare professionals regardless of chatbot integration.

conclusionCommunity leaders highlighted specific strengths and limitations of the chatbot. The importance of human connection with healthcare professionals to build trusting relationships was emphasized. Successful integration of this tool into historically marginalized communities will require ongoing conversations and investment in communities.

Indexed as

Hispanic or LatinoNative Hawaiian or Pacific IslanderNeoplasmsDigital HealthElectronic Health RecordsFemaleGenetic TestingHumansMaleUtahCancer genetic servicesChatbotCommunity engaged researchDigital health technologyFamily historyHealth disparities

Identifiers

PMID41528940
PMCPMC12872182

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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.