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Record W4412823839 · doi:10.1136/bmj-2024-083305

Reporting guidelines for chatbot health advice studies: explanation and elaboration for the Chatbot Assessment Reporting Tool (CHART)

2025· article· en· W4412823839 on OpenAlexfundno aff

Bibliographic record

VenueBMJ · 2025
Typearticle
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsnot available
FundersMcMaster University
KeywordsChatbotAdvice (programming)Computer scienceElaborationChartWorld Wide WebData scienceInformation retrievalMedicine

Abstract

fetched live from OpenAlex

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.287
metaresearch head score (Gemma)0.562
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Reporting · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.713
Threshold uncertainty score0.879

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2870.562
Meta-epidemiology (narrow)0.0030.004
Meta-epidemiology (broad)0.0040.008
Bibliometrics0.0220.012
Science and technology studies0.0030.004
Scholarly communication0.0080.007
Open science0.0070.011
Research integrity0.0090.008
Insufficient payload (model declined to judge)0.0330.024

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.602
GPT teacher head0.648
Teacher spread0.047 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designNot applicable
DomainReporting
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations24
Published2025
Admission routes1
Has abstractyes

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