title: Adding coping-related strategies to biomedical argumentation in computer-generated genetic counseling patient letters.
abstract: OBJECTIVE
  Previously an experimental computer system was developed to automatically produce first drafts of genetic counseling patient letters containing biomedical evidence-based arguments. However, letters written by genetic counselors also employ strategies to help clients cope. The objectives of this research were to discover methods for addition of coping-related strategies to the drafts and to explore their efficacy.
  
  
  METHODS
  Using an argumentation-based approach, the system design was modified to add coping-related strategies used by actual genetic counselors. An evaluation of computer-produced drafts was performed comparing those containing only biomedical arguments to those with coping strategies added to biomedical arguments.
  
  
  RESULTS
  The evaluation mainly found no significant impact of adding coping strategies.
  
  
  CONCLUSIONS
  The main contribution of this work was to show how coping-related strategies can be produced by an artificial intelligence approach within an argumentation-based theoretical framework. A possible future application would be to improve computer-drafted genetic counseling patient letters.
  
  
  CONCLUSIONS
  Computer-assisted drafting of letters has potential to aid in the practice of genetic counseling. Further research is needed to demonstrate the efficacy of adding coping strategies to computer-produced drafts.
authors.affiliation: Department of Computer Science, University of North Carolina Greensboro, Greensboro, USA. nlgreen@uncg.edu
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Green
authors.forename: Brian
authors.initials: B
authors.lastname: Stadler
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001185:Artificial Intelligence; D015709:Correspondence as Topic; D019317:Evidence-Based Medicine; D005817:Genetic Counseling / Q000379:methods* / Q000523:psychology; D006801:Humans; D010865:Pilot Projects; D015397:Program Evaluation; D011795:Surveys and Questionnaires
keywords: Argumentation; Artificial intelligence; Coping; Evidence-based medicine; Genetic counseling patient letters