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Brighton & Sussex Medical School

Audited

Audited

AUDITED: Assessing the acceptability, utilisation and disclosure of health Information to an automated chatbot for advice about sexually transmitted infections in minoritised ethnic populations

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About the project

The NHS AI Lab introduced the AI Ethics Initiative to support research and practical interventions that complement existing efforts to validate, evaluate and regulate AI-driven technologies in health and care, with a focus on countering health inequalities. People from ethnic minority groups are disproportionately affected by sexually transmitted infections (STIs)/ HIV and experience challenges accessing sexual health services due to discrimination and stigma. The Department of Health and Social Care has identified reducing STI/HIV rates as a priority for improving sexual health and recognised people from ethnic minorities as being vulnerable to these infections.

The AUDITED project is a collaboration between the Universities of Westminster, Sussex and Southampton and is in partnership with Positive East charity who have designed and piloted an automated chatbot, called Pat, to improve knowledge of STIs/HIV and promote online screening services. For the chatbot to make accurate recommendations, users need to disclose personal information about their sexual behaviours. The project seeks to make the chatbot culturally appropriate, acceptable and easy to use for ethnic minorities.

The research programme has three work packages: community engagement, stakeholder consultation and a simulation study on an optimised and enhanced chatbot. It uses multiple research methods such as surveys, interviews and chatbot modelling. The project's aim is to develop an equitable health chatbot implementation roadmap that will guide chatbot developers around co-designing the technology to reduce health inequalities. It engages with a wide range of community organisations and relevant patient and public groups to advise us on every stage of our research and chatbot development. The AUDITED project is funded by NHS AI Lab and the Health Foundation, managed by the National Institute for Health and Care Research, led by Dr Tom Nadarzynski at the University of Westminster. 

Visit the AUDITED project webpage >

Learn more about AI and racial inequalities >

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Researchers

Brighton and Sussex Medical School

University of Westminster

  • Dr Tom Nadarzynski
  • Dr Deborah Husbands
  • Prof Tom Buchanan
  • Prof Damien Ridge 

University of Southampton

  • Prof Cynthia Graham 

Positive East Cha

  • Ian Montgomery 

Related outputs

NadarzynskiT, Lunt  A, KnightsN, Bayley J & Llewellyn C (2023) But can chatbots understand sex?” Attitudes towards Artificial Intelligence chatbots amongst sexual and reproductive health professionals: an exploratory mixed-methods study. International Journal of STD & AIDS https://doi.10.1177/09564624231180777

Lunt, A, Llewellyn C,Bayley, J, Nadarzynski T (2021) Sexual healthcare professionals’ views on the rapid provision of remote services at the beginning of the COVID-19 pandemic: a mixed-methods study  International Journal of STD & AIDS.  https://doi:10.1177/09564624211023018

Nadarzynski T, Bayley J, Llewellyn C, Kidsley S & Graham C (2020) Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice   BMJ Sexual & Reproductive Health 46:210-217. doi: 10.1136/bmjsrh-2018-200271.

Nadarzynski T, Morrison L, Bayley J & Llewellyn C. (2017) The role of digital interventions in sexual health. Sexually Transmitted Infections 93:234–235 http://dx.doi.org/10.1136/sextrans-2016-052926