Evidence map›Paper›PMID 41658406›Full record

ArticleJournal of healthcare informatics research2026

Assessing the User Experience of an LLM-Based Conversational Assistant in Diabetes Mellitus Care.

Vasco Furtado, Jorge Araujo, Elizabeth S Furtado, Rafael Bomfim, Vitória Silva, Nickolas Mororó, Lucas Vasconcelos, Cecília Carvalho, Marcos Severo, Juliana Torres and 2 more

Abstract read
In one paragraph

Article in Journal of healthcare informatics research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Vasco FurtadoUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Jorge AraujoUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Elizabeth S FurtadoUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Rafael BomfimUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Vitória SilvaUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Nickolas MororóUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Lucas VasconcelosUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Cecília CarvalhoUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Marcos SeveroUNIFOR, Programa de Pós-Graduação em Informatica Aplicada, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Juliana TorresHAPVIDA, Programa VIVER BEM, R. D. Leopoldina, 1150, Fortaleza, 100190 CE Brazil.
Juliana OliveiraUNIFOR, Programa de Pós-Graduação em Saúde Coletiva, Av. Washington Soares 1321, Fortaleza, 60195 CE Brazil.
Antonio Bruno FreitasHAPVIDA, Programa VIVER BEM, R. D. Leopoldina, 1150, Fortaleza, 100190 CE Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article presents the design, implementation, and evaluation of MarIA, a GPT-3.5-powered virtual assistant integrated into a messaging platform to support patients with type 2 diabetes mellitus (DM). MarIA employs a multi-agent architecture that enables varying dialogue styles and degrees of personalization. In a 3-month longitudinal study involving 35 participants, personalized interactions increased engagement by 26%, while message length more than quadrupled-yielding a richer understanding of patient context. This deeper contextualization enabled MarIA to initiate more relevant, meaningful conversations, fostering a positive cycle of sustained engagement. Safety was critically assessed. While MarIA did not generate factual hallucinations, some general health suggestions-though accurate in isolation-could be inappropriate for users with specific clinical constraints. This underscores the need not only for comprehensive patient profiling but also for an embedded safety layer capable of detecting potentially unsuitable recommendations before or even after delivery. The multi-agent architecture proved essential in enabling proactive behaviors, nuanced context detection, and dialogue adaptability, ultimately enhancing both engagement and user safety in AI-supported chronic care. Supplementary Information: The online version contains supplementary material available at 10.1007/s41666-025-00217-5.

Indexed as

Artificial intelligenceChatbotsDigital humansHuman computer interactionVirtual assistants for health

Identifiers

PMID41658406
PMCPMC12872950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.