Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure

Anuja Tayal, Devika Salunke, Barbara Di Eugenio, Paula Allen-Meares, Eulalia Puig Abril, Olga Garcia-Bedoya, Carolyn Dickens, Andrew Boyd


Abstract
We explore the potential of ChatGPT to generate conversations focused on self-care strategies for African-American patients with heart failure, a domain with limited specialized datasets. To simulate patient-health educator dialogues, we employed four prompting strategies: aspects, African American Vernacular English, Social Determinants of Health (SDOH), and SDOH-informed reasoning. Conversations were generated across key self-care aspects— food, exercise, and fluid intake—with varying turn lengths and incorporated patient-specific SDOH attributes such as age, gender, neighborhood, and socioeconomic status. Our findings show that effective prompt design is essential. While incorporating SDOH and reasoning improves dialogue quality, ChatGPT still lacks the empathy and engagement needed for meaningful healthcare communication.
Anthology ID:
2025.sigdial-1.43
Volume:
Proceedings of the 26th Annual Meeting of the Special Interest Group on Discourse and Dialogue
Month:
August
Year:
2025
Address:
Avignon, France
Editors:
Frédéric Béchet, Fabrice Lefèvre, Nicholas Asher, Seokhwan Kim, Teva Merlin
Venue:
SIGDIAL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
527–537
Language:
URL:
https://aclanthology.org/2025.sigdial-1.43/
DOI:
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Cite (ACL):
Anuja Tayal, Devika Salunke, Barbara Di Eugenio, Paula Allen-Meares, Eulalia Puig Abril, Olga Garcia-Bedoya, Carolyn Dickens, and Andrew Boyd. 2025. Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure. In Proceedings of the 26th Annual Meeting of the Special Interest Group on Discourse and Dialogue, pages 527–537, Avignon, France. Association for Computational Linguistics.
Cite (Informal):
Towards conversational assistants for health applications: using ChatGPT to generate conversations about heart failure (Tayal et al., SIGDIAL 2025)
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PDF:
https://aclanthology.org/2025.sigdial-1.43.pdf