Nasal Obstruction, Rhinitis, Sinusitis
Conditions
Keywords
sinusitis, shared decision making, rhinitis, chatGPT, nasal obstruction
Brief summary
The goal of this clinical trial is to evaluate whether ChatGPT can improve shared decision-making by increasing treatment-related knowledge and reducing decisional conflict in adult patients with chronic rhinosinusitis (CRS) or nasal obstruction who have been deemed candidates for surgery. The main questions it aims to answer are: * Does ChatGPT improve patient understanding of CRS/nasal obstruction treatment options compared to widely utilized web searches? * Does ChatGPT reduce decisional conflict regarding surgical versus medical management compared to traditional search engine? Researchers will compare a group using Google (standard internet search with AI turned off) after standard counseling to a group using ChatGPT after standard counseling to see if ChatGPT leads to higher knowledge scores, lower decisional conflict scores, and higher satisfaction with the information platform. Participants will: * Complete baseline surveys assessing demographics, treatment-related knowledge, and decisional conflict * Be randomized to use either Google or ChatGPT to research their surgery for 10 minutes after standard in-office counseling * Complete follow-up surveys assessing knowledge, decisional conflict, and satisfaction with the information source * Allow the research team to review their medical record for relevant clinical history and disease-specific quality-of-life scores (SNOT-22)
Interventions
OTHEREducation with AI Technology
Shared decision making (SDM) about sinusitis treatment will be facilitated by AI technology via ChatGPT
OTHEREducation using Traditional Internet Search Engines
Participant Education in Sinusitis using Traditional Internet Search Engines through Google
Sponsors
Carol Yan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adult (18 years or older) UC San Diego Health System Rhinology patients * Diagnosis of chronic rhinosinusitis and/or nasal obstruction based on clinical criteria or radiologic evidence * Planning to pursue surgical intervention for CRS or nasal obstruction * Ability to complete online survey in English or Spanish
Exclusion criteria
* Unable to complete survey assessments online via REDCap * Under the age of 18 years * Vulnerable patient populations such as those who are pregnant and institutionalized individuals * Patients with benign and malignant tumors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decisional Conflict Scale (DCS) score | Immediate - Following completion of education using AI vs traditional education | Change in Decisional Conflict Scale (DCS) score |
Secondary
| Measure | Time frame |
|---|---|
| System usability scale (SUS) scores | Immediate following education |
| Score on treatment-related knowledge questionnaire (MCQ) | Immediate following education |
Countries
United States
Outcome results
None listed