| Unique ID issued by UMIN | UMIN000062716 |
|---|---|
| Receipt number | R000071809 |
| Scientific Title | Peer Supporter-Modeled Generative AI Chatbot for Psychological Support in Patients With Breast Cancer: Single-Arm Feasibility Study |
| Date of disclosure of the study information | 2026/08/28 |
| Last modified on | 2026/08/27 22:08:39 |
Feasibility Study of a Generative AI Chatbot for Psychological Support in Patients With Breast Cancer
Breast Cancer AI Chatbot Study
Peer Supporter-Modeled Generative AI Chatbot for Psychological Support in Patients With Breast Cancer: Single-Arm Feasibility Study
Peer-BC AI Study
| Japan |
Breast cancer
| Breast surgery |
Malignancy
NO
This study aimed to prospectively evaluate the feasibility and acceptability of our peer supporter-modeled generative AI chatbot for providing round-the-clock psychological support to patients with primary breast cancer, focusing on system operation and safety, usage patterns and patient needs, satisfaction and acceptability, and the feasibility of longitudinal QOL assessment. We also explored differences across treatment phases to inform the design of a future randomized controlled trial.
Safety
Exploratory
The primary outcome was patient satisfaction after approximately 12 weeks of chatbot use, measured with a two-item study-developed questionnaire: overall satisfaction (4-point scale, 4=very good to 1=very poor) and willingness to recommend the chatbot to family or acquaintances (4-point scale, 4=definitely to 1=definitely not). The sum of the two items formed the satisfaction score (range, 2-8; higher indicates greater satisfaction).
Secondary outcomes included exploratory assessment of patient needs, QOL, and chatbot acceptability and usage. Patient needs were assessed with a study-developed questionnaire characterizing counseling needs and the current state of psychological support.
QOL was assessed with the Japanese version of the EORTC QLQ-C30 (version 3). QOL was assessed at enrollment (baseline) and at approximately 3, 6, 9, and 12 weeks, allowing evaluation of both the QOL trajectory and the response rate at each time point. Although a peer-support intervention in patients undergoing adjuvant chemotherapy reported QOL improvement or maintenance from baseline to treatment end, its effect on the QOL trajectory during treatment is not well characterized; we therefore evaluated longitudinal QOL change as an exploratory outcome. As this pilot was designed to inform a future RCT, response rate at each time point was also assessed, to evaluate the feasibility of periodic data collection via Google Forms.
A post-use questionnaire assessed perceived burden or discomfort during use and intention to continue, as indicators of acceptability. Chatbot usage was characterized by using the number of sessions, active days, number of user messages, and total character count.
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
Eligibility required age>=18 years at consent and the ability to operate a smartphone or internet-connected device.
Patients with a psychiatric or cognitive impairment precluding QOL assessment, or enrolled in another interventional trial were excluded.
20
| 1st name | Tadahiko |
| Middle name | |
| Last name | Shien |
Okayama University Hospital
Department of Breast and Endocrine Surgery
700-8558
2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan
086-223-7151
tshien@md.okayama-u.ac.jp
| 1st name | Shogo |
| Middle name | |
| Last name | Nakamoto |
Okayama University Hospital
Department of Breast and Endocrine Surgery
700-8558
2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan
086-223-7151
p92c9f20@s.okayama-u.ac.jp
Okayama University Hospital
Japan Society for the Promotion of Science
Other
Institutional Review Board of Okayama University Hospital
2-5-1, Shikata-cho, Kita-ku, Okayama 700-8558, Japan
086-235-6938
mae6605@adm.okayama-u.ac.jp
NO
| 2026 | Year | 08 | Month | 28 | Day |
Unpublished
20
Satisfaction data were obtained from 11 of 20 patients (55%), with a median score of 6 {IQR, 0.5} (range, 4-8). Overall, 70.9% of user messages (611/862) were sent outside standard clinic hours, with usage peaking in the evening. Active days (i.e., days with >=1 chatbot message) (p=0.026) and number of user messages (p=0.015) were significantly correlated with satisfaction. QLQ-C30 Global QOL changed significantly over time (p=0.030), with limited between-group and interaction effects.
| 2026 | Year | 08 | Month | 27 | Day |
Completed
| 2025 | Year | 12 | Month | 01 | Day |
| 2025 | Year | 12 | Month | 12 | Day |
| 2025 | Year | 12 | Month | 23 | Day |
| 2026 | Year | 08 | Month | 25 | Day |
Patients with primary breast cancer are prospectively enrolled and use a generative AI chatbot modeled on a breast cancer peer supporter for approximately 12 weeks. System operation and safety, chatbot usage, patient needs, satisfaction, and acceptability are assessed. QOL is evaluated using the EORTC QLQ-C30 at enrollment and approximately 3, 6, 9, and 12 weeks after enrollment. Differences across the neoadjuvant chemotherapy, adjuvant chemotherapy, and surgery groups are also explored.
| 2026 | Year | 08 | Month | 27 | Day |
| 2026 | Year | 08 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071809