LLMs for health: Perceived benefits, risks, intention to use AI chatbots, and willingness to self-disclose across sensitive health topics

AI chatbots are increasingly used for answering health-related questions. This study examines the role of topic type discussed with an AI chatbot and individual characteristics on perceived benefits and risks, intention to use an AI chatbot, and willingness to self-disclose health information. We conducted an online experiment with a 2 (topic type: physical versus psychological, between-subjects) x 2 (topic sensitivity: low versus high, within-subjects) mixed design among a Dutch representative sample (N = 1,388). Results showed that perceived benefits were positively associated with intention and willingness to self-disclose, while perceived risks were negatively associated. Moreover, participants reported higher usage intentions for low-sensitive topics compared to high-sensitive topics. Furthermore, perceptions, intention, and willingness to self-disclose varied by individual characteristics. Overall, our findings suggest that intentions to use AI chatbots and self-disclosure of health-related information are primarily related to perceived benefits and risks and to personal characteristics rather than to topic type.

TA-RAG: Tone-Aware Retrieval-Augmented Generation for Peer-Support Health Communication

Retrieval-augmented generation (RAG) successfully grounds large language model (LLM) outputs in trusted documents, but factual grounding alone is insufficient for sensitive peer-support health communication. In domains such as HIV peer support, responses must also be accessible, stigma-free, empathetic, and tailored to the recipient. This paper presents TA-RAG, a lightweight, prompt-based tone-aware RAG framework that embeds explicit tone control into a RAG pipeline without requiring model fine-tuning. We operationalise tone across four core components: stigma-free rewriting, readability adjustment, recipient adaptation, and empathy rephrasing. We evaluate TA-RAG through component-level tests using questions derived from HIV Online Learning Australia (HOLA), UNAIDS terminology guidance, readability metrics, peer-support standards from National Association of People with HIV Australia (NAPWHA), and a public empathy dataset. Results show that the TA-RAG's components improve their targeted communication quality while preserving key content. These findings emphasise that prompt-based tone control is a potential direction for making RAG outputs suitable for sensitive peer-support health communication.