Increasing breastfeeding literacy: A preliminary study to develop an AI-based chatbot.
Kamila Rosamilia Kantovitz, Maria Eduarda Mattoso, Maria Davoli Meyer and 6 others
PMID 41367598WHAT IT FOUND
Five mothers found this breastfeeding chatbot mostly clear and easy to use, but some questions were misinterpreted and buttons hard to find.
Four experts rated content highly with variable agreement. It was not tested to improve breastfeeding.
Key findings
01Five mothers found BabyChat's question and answer feature mostly clear and helpful, but two reported misinterpreted questions, delayed responses, and hard-to-find buttons.
02Four experts rated content promoting exclusive breastfeeding 4 out of 4, while three of four rated other content aspects highly and one expert rated several aspects lower.
03Agreement on content relevance varied from 25% to 100%, so the validation was not uniform across items.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only five mothers were interviewed and five mothers tested the chatbot, so the usability findings may not represent other families, languages, or settings. The study did not include nurses, despite discussing nurse-led breastfeeding support, so it does not show how nurses would use or endorse the chatbot. The reported results were usability and content relevance, not clinical breastfeeding results. Content validation used four experts, and agreement varied from 25% to 100%, so relevance was not consistent across all items. The literature search for content was limited to PubMed and English-language systematic reviews from 2018 to 2023. Participants were recruited by convenience sampling from one hospital clinic, which may limit generalizability.
Declared interests
The authors declared no competing financial interests. The work was partially supported by Hub Mandic at Faculdade São Leopoldo Mandic. The authors used ChatGPT-4 to improve readability and clarity and to generate the graphical abstract, and they reviewed and edited all AI-generated content.
The easy way to misread this
Do not conclude that BabyChat increases breastfeeding rates or improves maternal and infant health. It was only tested for usability and content relevance with five mothers and four experts, and it did not compare the chatbot with usual breastfeeding education.