Evidence map›Paper›PMID 42129990›Full record

ArticleBMJ open2026

AI chatbots for health information seeking among Chinese patients with precancerous ENT lesions: a descriptive qualitative study.

Ying Huang, Qian Liang, Zhifeng Lin, Maojie Zhang, Xialu Liu, Li Ding, Rui Peng, Rong Yu

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Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ying HuangDepartment of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.ORCID http://orcid.org/0009-0009-5117-854X
Qian LiangState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, China 576806438@qq.com.
Zhifeng LinGuoXin Medical Control Information Technology, Chengdu, Sichuan Province, China.
Maojie ZhangIntensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Xialu LiuDepartment of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.
Li DingDepartment of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.
Rui PengDepartment of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.
Rong YuDepartment of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore how Chinese patients with precancerous ear, nose and throat (ENT) lesions experience using artificial intelligence (AI)-driven chatbots for health-related information seeking, with particular attention to perceived benefits, challenges and influences on information-seeking practices.

designDescriptive qualitative study.

settingDepartment of Otolaryngology, West China Hospital, Sichuan University, China.

participants12 adult patients with clinically diagnosed precancerous ENT lesions who had used AI-driven chatbots at least three times in the previous 30 days to seek health-related information about their condition were purposively recruited. Face-to-face, semistructured interviews were conducted between 11 October 2024 and 10 November 2024.

resultsInterviews were analysed using Colaizzi's method. Four themes were identified. First, participants described AI chatbots as an immediate and accessible source of health information, particularly when questions arose outside clinical encounters or during periods of uncertainty. Second, many reported moving away from conventional search engines towards conversational information seeking, valuing direct and synthesised responses over link-based retrieval. Third, participants emphasised that obtaining useful answers depended on learning to ask clear and specific questions, suggesting that effective prompting was an important user skill. Fourth, some participants perceived chatbot interaction as emotionally safer than asking healthcare professionals certain questions, particularly when they felt embarrassed, worried about asking repetitive questions or feared being judged.

conclusionsAmong this sample of Chinese patients with precancerous ENT lesions, AI-driven chatbots were perceived as a convenient and conversational supplementary source of health information. Participants valued their accessibility and interactional ease, but also indicated that their usefulness depended partly on users' ability to formulate effective prompts. Some participants additionally perceived chatbots as a more comfortable channel for asking sensitive or basic questions. The findings suggest that AI chatbots may have a complementary role in patient information support, but further research is needed to evaluate response accuracy, safety and appropriate integration into clinician-led care.

Indexed as

Artificial IntelligenceInformation Seeking BehaviorPrecancerous ConditionsAdultAgedChinaFemaleHumansMaleMiddle AgedQualitative ResearchArtificial IntelligenceDigital TechnologyONCOLOGYOTOLARYNGOLOGYQUALITATIVE RESEARCH

Identifiers

PMID42129990
PMCPMC13182471

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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.