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HIV InfectionsNCT05789901

The MARVIN Chatbots to Provide Information for Different Health Conditions

A study testing MARVIN, MARVIN-Pharma and MARVINA in people with HIV Infections and Breast Cancer, run by McGill University Health Centre/Research Institute of the McGill University Health Centre at 2 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This research is a continuation of a usability study with the MARVIN chatbot. The investigators aim to adapt the MARVIN chatbot to open it to other health domains (e.g. breast cancer) and populations (e.g. pharmacists). Read more about this study

Who is it for?
Ages 14 years and olderHealthy volunteers can take part
What is being tested?
MARVIN, MARVIN-Pharma and MARVINA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
2 sitesCanada
Study dates
1 Mar 2024to 31 Dec 2034
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • being 14 years or older;
  • being fluent in English and/or French;
  • being able to understand the requirements of study participation and provide informed consent during the duration of the study;
  • having access to a smartphone, tablet, or computer at home/at workplace;
  • having access to an internet connection at home or data plan on their device.
  • accept to use a Facebook Messenger-based Chatbot;
  • accept to use or create a personal Facebook account;
  • accept Facebook's privacy and data security policies.

Who cannot join

  • not meeting the inclusion criteria
  • any reason, in the opinion of the investigator, which would make the candidate inappropriate for participation in an investigative study involving a chatbot (e.g., cognitive deficit)

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Bertrand Lebouché, MD contact

514-843-2090

bertrand.lebouche@mcgill.ca

Canada2 sites, 2 recruiting
  • Centre hospitalier de l'Université de Montréal (CHUM)

    Montreal, Quebec, H2X 3E4

    Marie-Pacale Pomey, MD, PhD, 514 890 8000 ext. 14302, marie-pascale.pomey@umontreal.ca

    Recruiting
  • McGill University Health Centre (MUHC)

    Montreal, Quebec, H4A 3J1

    Bertrand Lebouché, MD, PhD, 5148432090, bertrand.lecbouche@mcgill.ca

    Esli Osmanlliu, MDCM, MSc

    Recruiting

Other trials in Canada

About this study

Official title: A Master Research Protocol to Adapt and Evaluate an Artificial Intelligence Based Conversational Agent to Provide Information for Different Health Conditions: the MARVIN Chatbots

This research is a continuation of a usability study with the MARVIN chatbot. The investigators aim to adapt the MARVIN chatbot to open it to other health domains (e.g. breast cancer) and populations (e.g. pharmacists). Therefore, this protocol constitutes a master research protocol that will englobe different research projects with individual chatbots. The investigators adopt an adaptive platform trial design, which will allow flexibility in handling multiple interventions adapted to different populations while retaining the characteristics of a platform trial design allowing early withdrawal of ineffective trial arms based on interim data (implementation outcomes) and introduction of new trial arms.

Read the detailed description

From 2020, the Principal Investigator's team has developed an innovative chatbot named Minimal AntiretRoViral INterference (MARVIN), for people with HIV. The primary objectives with this master protocol are to: 1) develop or adapt the MARVIN chatbots for different healthcare contexts through co-construction; 2) evaluate the global usability of individual chatbots in their respective use scenarios with a small sample of research participants; 3) evaluate the implementation and user outcomes (e.g., fidelity, appropriateness) of individual chatbots in their respective use scenarios with a larger sample of research participants. This includes also documentation of factors that inhibit or enhance the utilization of the chatbots and outcomes; and 4) establish and evaluate, through the previous objectives, different partnerships with research participants and research team members to co-construct chatbots that will respond to their needs and encourage continued use of the tool.

Being tested
MARVIN, MARVIN-Pharma, MARVINA, MARVIN-CHAMP
Keywords
Chatbot, Intelligent Conversational Agent, Co-Construction, Adherence, Antiretroviral Therapy, mHealth, Implementation Science, Care, Breast Cancer, HIV, Self-Management, Adaptive Platform Trial Design, Telehealth, Digital Health, Artificial Intelligence, Pediatric Emergency Medicine, Patient and Stakeholder Engagement, Pediatric Infection, Large Language Models
Medical subject headings
HIV Infections, Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MARVINOther

    Chatbot on Meta (Facebook) Messenger for HIV Patients

  • MARVIN-PharmaOther

    Chatbot on Meta (Facebook) Messenger for community pharmacists

  • MARVINAOther

    Chatbot on Meta (Facebook) Messenger for breast cancer patients

  • MARVIN-CHAMPOther

    Also called CHatbot to Assist the Management of Pediatric patients with infectious conditions, CHAMP, CHAMPIONS

    CHatbot to Assist the Management of Pediatric patients with infectious conditions (CHAMP)

Study groups in NCT05789901
Study groupRoleWhat they receive
MARVIN: a Chatbot for HIV patientsOtherCo-construction of the chatbot, Usability study, Implementation, Evaluation of outcomes and Continuous improvements
Receives: Other: MARVIN
MARVIN: a Chatbot for Community PharmacistsOtherCo-construction of the chatbots, Usability study, Implementation, Evaluation of outcomes and Continuous improvements
Receives: Other: MARVIN-Pharma
MARVINA: a Chatbot for Breast Cancer PatientsOtherCo-construction of the chatbots, Usability study, Implementation, Evaluation of outcomes and Continuous improvements
Receives: Other: MARVINA
MARVIN CHAMP: a Chatbot for Pediatric Infectious ConditionsOtherCo-construction of the chatbots, Usability study, Implementation, Evaluation of outcomes and Continuous improvements
Receives: Other: MARVIN-CHAMP

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Usability Metric for User eXperience (UMUX-Lite)

    The UMUX-Lite is a 2-item questionnaire, answered on a 7-point Likert scale (1 = strongly disagree to 5 = strongly agree), that was deemed appropriate for evaluating medical technology. The items ask whether the chatbot meets the user's needs and the user's perceived ease of use. Scores range from 0 to 100, with more than 68 being considered high usability according to the literature.

    Measured: Immediately, after 1-month of testing - objective 2

  2. Acceptability E-Scale (AES)

    The AES contains 6 items rated with different 5-point Likert scales (e.g., 1=very difficult to 5=very easy). It is a validated measure of acceptability and usability of computer-based interventions for health populations. Scores range from 0 to 30, and according to the literature, scores above 24 are considered high acceptability.

    Measured: Immediately after 1-month of testing - objective 2

  3. Change in Acceptability E-Scale (AES) over 12 months

    The AES contains 6 items rated with different 5-point Likert scales (e.g., 1=very difficult to 5=very easy). It is a validated measure of acceptability and usability of computer-based interventions for health populations. Scores range from 0 to 30, and according to the literature, scores above 24 are considered high acceptability.

    Measured: Once every 3 months within 12 months

  4. Change in Intervention Appropriateness Measure (IAM) over 12 months

    Appropriateness relates to the relevance or compatibility of the innovation to address a particular issue or problem. The compatibility of an information technology innovation is the extent of which it is considered consistent with users' values, needs, and past experiences. The Compatibility Subscale is a validated tool that contains three items and evaluates on 7-points Likert scales (1 = extremely disagree to 7 = extremely agree) how an IT innovation "fits" with the user's work style. A modified version could be used by healthcare professionals, such as pharmacists.

    Measured: Once every 3 months within 12 months

  5. Change in Compatibility Subscale over 12 months

    Appropriateness relates to the relevance or compatibility of the innovation to address a particular issue or problem. The compatibility of an information technology innovation is the extent of which it is considered consistent with users' values, needs, and past experiences. A validated tool that could be used by patients is the Intervention Appropriateness Measure (IAM). It also contains 4 items scored on a five-point Likert scale (1=strongly disagree to 5=strongly agree) of agreement evaluating how the innovation is suitable for users.

    Measured: Once every 3 months within 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2023
  2. Study start1 Mar 2024
  3. Primary completion31 Dec 2033 (estimated)
  4. Study completion31 Dec 2034 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The investigators adopt a platform trial design, which is defined as "a study designed to evaluate multiple interventions in the context of a single disease in a perpetual manner, with therapies allowed to enter or leave the platform on the basis of a decision algorithm.". Platform trials can also integrate elements of basket trial design, which aims to study a single intervention for different diseases. In the current case, with different healthcare settings and diseases or conditions under study, the investigators would have a mix of platform trial and basket trial designs for an adaptative platform trial design. Such will allow flexibility in handling multiple interventions adapted to different populations while retaining platform trial characteristics, such as early withdrawal of ineffective trial arms based on interim data (implementation outcomes) and introduction of new trial arms. Meanwhile, there is no initial fixed duration or sample size for each arm.
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05789901
Sponsor's protocol ID
MP-37-2023-9333
Status last verified
Mar 2024
First submitted
14 Mar 2023
Last updated
6 Mar 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ma Y, Achiche S, Pomey MP, Paquette J, Adjtoutah N, Vicente S, Engler K; MARVIN chatbots Patient Expert Committee; Laymouna M, Lessard D, Lemire B, Asselah J, Therrien R, Osmanlliu E, Zawati MH, Joly Y, Lebouche B. Adapting and Evaluating an AI-Based Chatbot Through Patient and Stakeholder Engagement to Provide Information for Different Health Conditions: Master Protocol for an Adaptive Platform Trial (the MARVIN Chatbots Study). JMIR Res Protoc. 2024 Feb 13;13:e54668. doi: 10.2196/54668.

    PubMed 38349734
  • Lin J, Jaiswal N, Ma Y, Lebouche B, Villanueva S, Achiche S, Lessard D, Engler K, Berthelot S, Buckeridge D, Celi LA, Gagnon I, Gravel J, Plotnick LH, Poenaru D, Pomey MP, Vang ZM; CHAMP Co-Construction Committee; Osmanlliu E. Coconstructing CHAMP, an Artificial Intelligence Chatbot for Pediatric Infectious Symptoms Management: Protocol for a Multiphase Participatory Study. JMIR Res Protoc. 2026 May 26;15:e89852. doi: 10.2196/89852.

    PubMed 42189574

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