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      Appropriateness of Cardiovascular Disease Prevention Recommendations Obtained From a Popular Online Chat-Based Artificial Intelligence Model

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          Abstract

          This study examines the appropriateness of artificial intelligence model responses to fundamental cardiovascular disease prevention questions.

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          2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

          Donna K. Arnett, Roger S. Blumenthal, Michelle A Albert … (2019)
          Article 0 comments Cited 476 times – based on 0 reviews     Review now
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            AI bot ChatGPT writes smart essays — should academics worry?

            Chris Stokel-Walker (2022)
            Article 0 comments Cited 98 times – based on 0 reviews     Review now
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              Readability of Online Patient Educational Materials for Coronary Artery Calcium Scans and Implications for Health Disparities

              Fátima Rodriguez, Summer Ngo, Grayson Baird … (2020)
              Background Coronary artery calcium (CAC) scans can help reclassify risk and guide patient‐clinician shared treatment decisions for cardiovascular disease prevention. Patients increasingly access online patient educational materials (OPEMs) to guide medical decision‐making. The American Medical Association (AMA) recommends that OPEMs should be written below a 6th‐grade reading level. This study estimated the readability of commonly accessed OPEMs on CAC scans. Methods and Results The terms “coronary artery calcium scan,” “heart scan,” and “CAC score” were queried using an online search engine to identify the top 50 commonly accessed websites based on order of search results on December 17, 2019. Grade‐level readability was calculated using generalized estimating equations, with observations nested within readability metrics from each website. Results were compared with AMA‐recommended readability parameters. Overall grade‐level readability among all search terms was 10.9 (95% CI, 9.3–12.5). Average grade‐level readability of OPEMs for the search terms “coronary artery calcium scan,” “heart scan,” and “CAC score,” was 10.7 (95% CI, 9.0–12.5), 10.5 (95% CI, 8.9–12.1), and 11.9 (95% CI, 10.3–13.5), respectively. Professional society and news/media/blog websites had the highest average reading grade level of 12.6, while health system websites had the lowest average reading grade level of 10.0. Less than half of the unique websites (45.3%) included explanatory images or videos. Conclusions Current OPEMs on CAC scans are written at a higher reading level than recommended for the general public. This may lead to patient misunderstanding, which could exacerbate disparities in cardiovascular health among groups with lower health literacy.
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                Author and article information

                Journal
                Title: JAMA
                Abbreviated Title: JAMA
                Publisher: American Medical Association (AMA)
                ISSN (Print): 0098-7484
                Publication date (Electronic): February 03 2023
                Affiliations
                [1 ]Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
                [2 ]Division of Cardiovascular Medicine, Stanford University, Stanford, California
                Article
                DOI: 10.1001/jama.2023.1044
                PubMed ID: 36735264
                SO-VID: c6fb3a73-478c-45c9-befe-c2602fb8015b
                Copyright © © 2023
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