Evidence map›Paper›PMID 42224207›Full record

ArticlePloS one2026

Evaluating large language models for ADHD education: A comparative study of ChatGPT 5, DeepSeek V3, and Grok 4.

Xingmin Han, Ruirui Xing, Mi Zhou

Abstract readComparative Study
In one paragraph

Article in PloS one, 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

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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

3 authors.

Xingmin HanInstitute for Health and Sport, Victoria University, Melbourne, Australia.ORCID https://orcid.org/0009-0000-2852-1500
Ruirui XingInstitute for Health and Sport, Victoria University, Melbourne, Australia.
Mi ZhouAlliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, Australia.ORCID https://orcid.org/0000-0001-9104-652X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with attention-deficit/hyperactivity disorder (ADHD) often face barriers to participating in organized sports, particularly when physical education (PE) is delivered by outsourced coaches with limited training in disability inclusion. Meanwhile, large language models (LLMs) such as ChatGPT, DeepSeek, and Grok are increasingly used to generate educational content, yet their readability, stability, and accuracy for non-specialist educators remain unclear.

methodsThis study systematically compared three advanced LLMs, ChatGPT 5, DeepSeek V3, and Grok 4, using identical prompts related to ADHD definitions, symptoms, and medication-exercise interactions. Thirty responses per model were collected. The primary endpoints were content accuracy, readability, and response stability. Readability was evaluated using the Flesch-Kincaid Reading Ease score (FKRE), the Flesch-Kincaid Grade Level (FKGL), and the Simple Measure of Gobbledygook (SMOG), alongside measures of lexical complexity.

resultsAll models aligned with DSM-5 in describing ADHD but differed in emphasis and stability. DeepSeek V3 produced the broadest and most variable outputs, Grok 4 showed the greatest consistency and clinical structure, and ChatGPT 5 generated concise and strengths-based explanations. However, all models exhibited high reading levels (FKGL > 12, FKRE < 40, SMOG > 12), exceeding recommended public-health readability standards for general audiences, which are typically around Grade 6-8.

conclusionWhile LLMs demonstrate strong potential for generating ADHD-related educational materials, their current readability and stability limitations restrict accessibility for non-specialist educators. Future work should focus on optimizing prompt design and language calibration to enhance usability in inclusive education contexts.

Indexed as

Attention Deficit Disorder with HyperactivityComprehensionHumansLarge Language Models

Identifiers

PMID42224207
PMCPMC13225419

What OpenQuestion holds

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LicenceCC BY
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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.