Personalizing prostate cancer education for patients using an EHR-Integrated LLM agent
Cancer patients often lack timely education and personalized support due to clinician workload. This quality improvement study develops and evaluates a Large Language Model (LLM) agent, MedEduChat, which is integrated with the clinic's electronic health records (EHR) and designed to enhance prostate cancer patient education. Fifteen non-metastatic prostate cancer patients and three clinicians recruited from the Mayo Clinic interacted with the agent between May 2024 and April 2025. Findings showed that MedEduChat has a high usability score (UMUX = 83.7/100) and improves patients' health confidence (Health Confidence Score rose from 9.9 to 13.9). Clinicians evaluated the patient-chat interaction history and rated MedEduChat as highly correct (2.9/3), complete (2.7/3), and safe (2.7/3), with moderate personalization (2.3/3). This study highlights the potential of LLM agents to improve patient engagement and health education.
Authors
- Mark Raymond Waddle (ORCID: https://orcid.org/0000-0002-6017-8850)
- Yuexing Hao (ORCID: https://orcid.org/0000-0003-4375-7655)
- Shakiba Kalantari (ORCID: https://orcid.org/0000-0001-6306-1140)
- Nathan Y. Yu (ORCID: https://orcid.org/0000-0003-4059-650X)
- Brian J. Davis (ORCID: https://orcid.org/0000-0002-8288-1096)
- Marzyeh Ghassemi (ORCID: https://orcid.org/0000-0001-6349-7251)
- Aditya Vashistha (ORCID: https://orcid.org/0000-0001-5693-3326)
- Jason Holmes (ORCID: https://orcid.org/0000-0001-8943-9471)
- Kristin S. Vickers (ORCID: https://orcid.org/0000-0001-5977-0251)
- Wei Liu (ORCID: https://orcid.org/0000-0003-0935-3999)
- Heather R. Preston
- Drew Margolin
- Corinna E. Löckenhoff
Institutions
- Cornell University (US)
- WinnMed (US)
- Mayo Clinic in Arizona (US)
- Mayo Clinic Hospital (US)
- Mayo Clinic in Florida (US)
- Massachusetts Institute of Technology (US)
Publication Details
- Journal
- npj Digital Medicine
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1038/s41746-025-02166-0
- Primary Topic
- Machine Learning in Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- President's Council of Cornell Women
- National Cancer Institute