» Articles » PMID: 39726852

A Positive Spin: Large Language Models Can Help Directors Evaluate Programs Through Their Patients' Own Words

Overview
Journal Pain Rep
Publisher Wolters Kluwer
Date 2024 Dec 27
PMID 39726852
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: Interpretation and utilization of qualitative feedback from participants has immense value for program evaluation. Reliance on only quantitative data runs the risk of losing the lived patient experience, forcing their outcomes to fit into our predefined objectives.

Objectives: Using large language models (LLMs), program directors may begin to employ rich, qualitative feedback expediently.

Methods: This study provides an example of the feasibility of evaluating patient responses (n = 82) to Empowered Relief, a skill-based pain education class using LLMs. We utilized a dual-method analytical approach, with both LLM-assisted and supported manual thematic review.

Results: The thematic analysis of qualitative data using ChatGPT yielded 7 major themes: (1) Use of Specific Audiofile; (2) Mindset; (3) Technique; (4) Community and Space; (5) Knowledge; (6) Tools and Approaches; and (7) Self-awareness.

Conclusion: Findings from the LLM-derived analysis provided rich and unexpected information, valuable to the program and the field of pain psychology by employing the set of patients' own words to guide program evaluation. Program directors may benefit from evaluating treatment outcomes on a broader scale such as this rather than focusing solely on improvements in disability. These insights would only be uncovered with open-ended data, and although potentially more insights could emerge with the help of a qualitative research team, ChatGPT offered an ergonomic solution.

References
1.
Darnall B, Roy A, Chen A, Ziadni M, Keane R, You D . Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Netw Open. 2021; 4(8):e2113401. PMC: 8369357. DOI: 10.1001/jamanetworkopen.2021.13401. View

2.
Lee V, van der Lubbe S, Goh L, Valderas J . Harnessing ChatGPT for Thematic Analysis: Are We Ready?. J Med Internet Res. 2024; 26:e54974. PMC: 11179012. DOI: 10.2196/54974. View

3.
Webster F, Connoy L, Longo R, Ahuja D, Amtmann D, Anderson A . Patient Responses to the Term Pain Catastrophizing: Thematic Analysis of Cross-sectional International Data. J Pain. 2022; 24(2):356-367. PMC: 9898136. DOI: 10.1016/j.jpain.2022.10.001. View

4.
Brown O, Hu L, Demetriou C, Smith T, Hing C . The effects of kinesiophobia on outcome following total knee replacement: a systematic review. Arch Orthop Trauma Surg. 2020; 140(12):2057-2070. DOI: 10.1007/s00402-020-03582-5. View

5.
De Ruddere L, Craig K . Understanding stigma and chronic pain: a-state-of-the-art review. Pain. 2016; 157(8):1607-1610. DOI: 10.1097/j.pain.0000000000000512. View