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Reporting guideline for chatbot health advice studies: The CHART statement.

Publication ,  Journal Article
CHART Collaborative; Huo, B; Collins, G; Chartash, D; Thirunavukarasu, A; Flanagin, A; Iorio, A; Cacciamani, G; Chen, X; Liu, N; Mathur, P ...
Published in: Artif Intell Med
October 2025

The Chatbot Assessment Reporting Tool (CHART) is a reporting guideline developed to provide reporting recommendations for studies evaluating the performance of generative artificial intelligence (AI)-driven chatbots when summarizing clinical evidence and providing health advice, referred to as Chatbot Health Advice (CHA) studies. CHART was developed in several phases after performing a comprehensive systematic review to identify variation in the conduct, reporting and methodology in CHA studies. Findings from the review were used to develop a draft checklist that was revised through an international, multidisciplinary modified asynchronous Delphi consensus process of 531 stakeholders, three synchronous panel consensus meetings of 48 stakeholders, and subsequent pilot testing of the checklist. CHART includes 12 items and 39 subitems to promote transparent and comprehensive reporting of CHA studies. These include Title (subitem 1a), Abstract/Summary (subitem 1b), Background (subitems 2ab), Model Identifiers (subitem 3ab), Model Details (subitems 4abc), Prompt Engineering (subitems 5ab), Query Strategy (subitems 6abcd), Performance Evaluation (subitems 7ab), Sample Size (subitem 8), Data Analysis (subitem 9a), Results (subitems 10abc), Discussion (subitems 11abc), Disclosures (subitem 12a), Funding (subitem 12b), Ethics (subitem 12c), Protocol (subitem 12d), and Data Availability (subitem 12e). The CHART checklist and corresponding methodological diagram were designed to support key stakeholders including clinicians, researchers, editors, peer reviewers, and readers in reporting, understanding, and interpreting the findings of CHA studies.

Duke Scholars

Published In

Artif Intell Med

DOI

EISSN

1873-2860

Publication Date

October 2025

Volume

168

Start / End Page

103222

Location

Netherlands

Related Subject Headings

  • Research Design
  • Medical Informatics
  • Humans
  • Guidelines as Topic
  • Generative Artificial Intelligence
  • Delphi Technique
  • Checklist
  • Artificial Intelligence
  • 46 Information and computing sciences
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
CHART Collaborative, Huo, B., Collins, G., Chartash, D., Thirunavukarasu, A., Flanagin, A., … Guyatt, G. (2025). Reporting guideline for chatbot health advice studies: The CHART statement. Artif Intell Med, 168, 103222. https://doi.org/10.1016/j.artmed.2025.103222
CHART Collaborative, Bright Huo, Gary Collins, David Chartash, Arun Thirunavukarasu, Annette Flanagin, Alfonso Iorio, et al. “Reporting guideline for chatbot health advice studies: The CHART statement.Artif Intell Med 168 (October 2025): 103222. https://doi.org/10.1016/j.artmed.2025.103222.
CHART Collaborative, Huo B, Collins G, Chartash D, Thirunavukarasu A, Flanagin A, et al. Reporting guideline for chatbot health advice studies: The CHART statement. Artif Intell Med. 2025 Oct;168:103222.
CHART Collaborative, et al. “Reporting guideline for chatbot health advice studies: The CHART statement.Artif Intell Med, vol. 168, Oct. 2025, p. 103222. Pubmed, doi:10.1016/j.artmed.2025.103222.
CHART Collaborative, Huo B, Collins G, Chartash D, Thirunavukarasu A, Flanagin A, Iorio A, Cacciamani G, Chen X, Liu N, Mathur P, Chan A-W, Laine C, Pacella D, Berkwits M, Antoniou SA, Camaradou JC, Canfield C, Mittelman M, Feeney T, Loder E, Agha R, Saha A, Mayol J, Sunjaya A, Harvey H, Ng JY, McKechnie T, Lee Y, Verma N, Stiglic G, McCradden M, Ramji K, Boudreau V, Ortenzi M, Meerpohl J, Vandvik PO, Agoritsas T, Samuel D, Frankish H, Anderson M, Yao X, Loeb S, Lokker C, Liu X, Guallar E, Guyatt G. Reporting guideline for chatbot health advice studies: The CHART statement. Artif Intell Med. 2025 Oct;168:103222.
Journal cover image

Published In

Artif Intell Med

DOI

EISSN

1873-2860

Publication Date

October 2025

Volume

168

Start / End Page

103222

Location

Netherlands

Related Subject Headings

  • Research Design
  • Medical Informatics
  • Humans
  • Guidelines as Topic
  • Generative Artificial Intelligence
  • Delphi Technique
  • Checklist
  • Artificial Intelligence
  • 46 Information and computing sciences
  • 42 Health sciences