Enhancing Oral Cancer Awareness

Primary outcomes

1. Compare participant retention rates between the AI-powered tool arm and the conventional educational material arm

   Time frame: Baseline, and post intervention (3 months)

   Compare the percentage of participants that continued the intervention to the participants that continued using the active comparator to measure intervention feasibility.

2. Evaluate the impact of AI-powered chatbot interactions versus traditional educational handouts on knowledge and behavior

   Time frame: Baseline, and post intervention (3 months)

   Assess the effectiveness of the interventions by baseline and post intervention surveys assessing oral cancer knowledge, attitudes, and behaviors utilizing a questionnaire based on the Health Belief Model.

   The questionnaire will include scales measuring knowledge about oral cancer, its causes, risk factors, signs, preventive methods. Each question will have one correct answer, and the final score at baseline and after the intervention will be compared. Based on previous literature, a score of 60-70% can indicate adequate knowledge about a disease, but the primary goal of the outcome is to compare improvement in knowledge between control vs intervention arms.

3. Investigate socio-demographic factors that affect oral cancer knowledge in the African American population

   Time frame: Baseline, and post intervention (3 months)

   Pre-intervention surveys will include questions assessing socio-demographic variables of the participants. These variables will serve as covariates in the analysis to measure their effects on knowledge and attitudes.

   The effect of demographic factors affecting healthcare service utilization, such as education attainment and health insurance status, on knowledge about and attitude toward oral cancer will be measured through regression analysis to investigate their impact on oral cancer awareness and prevention efforts.

4. Evaluate the acceptability of AI-powered chatbot interactions versus traditional educational handouts

   Time frame: Baseline, and post intervention (3 months)

   Assess the acceptability of the interventions by baseline and post intervention surveys assessing satisfaction, appropriateness, ease of use, and acceptability of the interventions to improve oral cancer knowledge.

   Satisfaction and acceptability will be measured through a set of questions in the post-intervention questionnaire with 5 Likert scale-based responses ranging from "Strongly Disagree" to "Strongly Agree", and the final score will be compared between arms.