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Evaluating and Enhancing Japanese Large Language Models for Genetic Counseling Support: Comparative Study of Domain Adaptation and the Development of an Expert-Evaluated Dataset

Evaluating and Enhancing Japanese Large Language Models for Genetic Counseling Support: Comparative Study of Domain Adaptation and the Development of an Expert-Evaluated Dataset

Medical dialogue references for these methods were sourced from the web and developed by experts. Furthermore, we collected 1000 questions on genetic counseling through crowdsourcing and carefully selected 120 questions for assessment of the JGCLLM. Two certified genetic counselors and 1 ophthalmologist (SK, YU, and AY) were tasked with evaluating the response of the JGCLLM to these questions. The JGCLLMs were domain adapted using various combinations of methods.

Takuya Fukushima, Masae Manabe, Shuntaro Yada, Shoko Wakamiya, Akiko Yoshida, Yusaku Urakawa, Akiko Maeda, Shigeyuki Kan, Masayo Takahashi, Eiji Aramaki

JMIR Med Inform 2025;13:e65047

Characterization of Telecare Conversations on Lifestyle Management and Their Relation to Health Care Utilization for Patients with Heart Failure: Mixed Methods Study

Characterization of Telecare Conversations on Lifestyle Management and Their Relation to Health Care Utilization for Patients with Heart Failure: Mixed Methods Study

We annotated lifestyle management utterances (for the HFDM cohort) with dialogue acts to describe dialogue structure. Dialogue acts reflect high-level communication actions that a speaker makes through the utterance, such as exchanging information, understanding information, performing action, evaluation of health condition, or social-emotional utterances [35]. We conducted an interrater reliability test of the dialogue acts annotated by 3 annotators (LC, SUMS, and HL) using Fleiss kappa.

Mojisola Erdt, Sakinah Binte Yusof, Liquan Chai, Siti Umairah Md Salleh, Zhengyuan Liu, Halimah Binte Sarim, Geok Choo Lim, Hazel Lim, Nur Farah Ain Suhaimi, Lin Yulong, Yang Guo, Angela Ng, Sharon Ong, Bryan Peide Choo, Sheldon Lee, Huang Weiliang, Hong Choon Oh, Maria Klara Wolters, Nancy F Chen, Pavitra Krishnaswamy

J Med Internet Res 2024;26:e46983

Design Principles in mHealth Interventions for Sustainable Health Behavior Changes: Protocol for a Systematic Review

Design Principles in mHealth Interventions for Sustainable Health Behavior Changes: Protocol for a Systematic Review

The computational power (ie, how fast a system can process data and perform a computational task) of m Health tools can provide unique functions compared to conventional interventions, such as providing personalized behavior change recommendations and delivering them in real time with the support of dialogue systems. It is also worth noting that m Health interventions differ from in-person interventions in the resources they deliver.

Lin Yang, Angela Kuang, Claire Xu, Brittany Shewchuk, Shaminder Singh, Hude Quan, Yong Zeng

JMIR Res Protoc 2023;12:e39093

Quantitative User Data From a Chatbot Developed for Women With Gestational Diabetes Mellitus: Observational Study

Quantitative User Data From a Chatbot Developed for Women With Gestational Diabetes Mellitus: Observational Study

Further specific aims are to explore how many questions each dialogue contains and the time of day the chatbot is used. We subcategorized questions that led to a fallback message from the chatbot to obtain a deeper understanding of which type of questions the chatbot was unable to answer. This knowledge may provide insight into the use of health chatbots and potentially establish more general theoretical knowledge on this type of chatbot.

Mari Haaland Sagstad, Nils-Halvdan Morken, Agnethe Lund, Linn Jannike Dingsør, Anne Britt Vika Nilsen, Linn Marie Sorbye

JMIR Form Res 2022;6(4):e28091

Automatic Classification of Screen Gaze and Dialogue in Doctor-Patient-Computer Interactions: Computational Ethnography Algorithm Development and Validation

Automatic Classification of Screen Gaze and Dialogue in Doctor-Patient-Computer Interactions: Computational Ethnography Algorithm Development and Validation

The purpose of the dialogue classifier was to detect when the doctor and patient were engaging in conversation. The input of the classifier was the audio captured by the doctor's computer’s microphone, and the output was a binary classification of the doctor-patient conversation: no dialogue or dialogue. We used a library based on the web RTC voice activity detection engine (an open source project maintained by the Google Web RTC team [54]).

Samar Helou, Victoria Abou-Khalil, Riccardo Iacobucci, Elie El Helou, Ken Kiyono

J Med Internet Res 2021;23(5):e25218