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Abstract

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The Chatbot Assessment Reporting Tool (CHART) reporting guideline promotes transparent and comprehensive reporting of studies evaluating the performance of generative artificial intelligence (AI)-driven chatbots for the purposes of summarising clinical evidence and providing health advice, referred to here as chatbot health advice (CHA) studies. CHART is the product of an international, multi-phase, consensus based initiative involving various stakeholders and comprises a 12-item checklist with 39 subitems. The checklist includes items on open science, title and abstract, introduction, model identification, model details, prompt engineering, query strategy, performance definition and evaluation, statistical analysis, results, discussion, with an accompanying flow diagram. Each item includes distinct subitems. This explanation and elaboration article discusses each subitem and provides a detailed rationale for its inclusion in the CHART checklist.

Details

Subject
Clinical decision making;
Accuracy;
Artificial intelligence;
Natural language processing;
Algorithms;
Statistical analysis;
Large language models;
Generative artificial intelligence;
Chatbots;
Check lists
Business indexing term
Title
Reporting guidelines for chatbot health advice studies: explanation and elaboration for the Chatbot Assessment Reporting Tool (CHART)
Publication title
BMJ : British Medical Journal (Online); London
Volume
390
First page
e083305
Publication year
2025
Publication date
Aug 1, 2025
Section
Research Methods & Reporting
Publisher
BMJ Publishing Group LTD
Place of publication
London
Country of publication
United Kingdom
Publication subject
Medical Sciences
e-ISSN
17561833
Source type
Scholarly Journal
Language of publication
English
Document type
Journal Article
Publication history
 
 
Online publication date
2025-08-01
Milestone dates
2025-06-16 (Accepted)
Publication history
 
 
   First posting date
01 Aug 2025
DOI
https://doi.org/10.1136/bmj-2024-083305
ProQuest document ID
3235275357
Document URL
https://www.proquest.com/scholarly-journals/reporting-guidelines-chatbot-health-advice/docview/3235275357/se-2?accountid=208611
Copyright
© 2025 Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. BMJ http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Last updated
2025-08-01
Database
ProQuest One Academic