eCBT-I dialogue system: a comparative evaluation of large language models and adaptation strategies for insomnia treatment
This study effectively integrates the CBT-I knowledge graph with the large language model through the RAG architecture, which improves the professionalism of the eCBT-I intelligent dialogue system. The systematic fine-tuning method selection process and the confirmation of the optimal model not only improve the adaptability of the large language model in the CBT-I task, but also provide a useful paradigm for AI applications in medical subfields with resource constraints and difficulties in data collection, laying a solid foundation for more accurate and efficient digital CBT-I clinical practice in the future.
Authors
- Xiqin Wang (ORCID: https://orcid.org/0000-0002-6980-0466)
- Xueying Bao (ORCID: https://orcid.org/0000-0002-4449-3922)
- Qi Dong Zhao (ORCID: https://orcid.org/0000-0001-9713-1864)
- Yutong Wu (ORCID: https://orcid.org/0000-0001-5897-6813)
- Yan Zhang (ORCID: https://orcid.org/0000-0001-5507-7572)
- Hao Lou (ORCID: https://orcid.org/0000-0003-0148-1574)
- Wenhui Li (ORCID: https://orcid.org/0000-0001-9609-6120)
- Xian Zhang (ORCID: https://orcid.org/0000-0001-9254-0730)
- Ling Cheng
- Yingying Pan (ORCID: https://orcid.org/0000-0002-7476-1975)
- Mei Yang (ORCID: https://orcid.org/0000-0001-6408-9778)
- Yu Xia (ORCID: https://orcid.org/0000-0001-7647-4921)
- Ruoyun Wang (ORCID: https://orcid.org/0000-0002-3542-5354)
- Xingyu Zhu (ORCID: https://orcid.org/0009-0004-8034-3675)
- Yinghui Ling (ORCID: https://orcid.org/0000-0003-1375-6440)
- Dongren Yang
- Li Zeng
Institutions
- University of Science and Technology Liaoning (CN)
- Xiamen University (CN)
- Wenzhou Medical University (CN)
- First Affiliated Hospital of Wenzhou Medical University (CN)
- Affiliated Eye Hospital of Wenzhou Medical College (CN)
- University of Chinese Academy of Sciences (CN)
Publication Details
- Journal
- Journal of Translational Medicine
- Published
- 2025-08-05
- DOI
- https://doi.org/10.1186/s12967-025-06871-y
- Citations
- 2
- Primary Topic
- Sleep and related disorders
- Type
- article
- Field-Weighted Citation Impact
- 4.24
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Zhejiang Province