Multi-PDAI: integrating multimodal GenAI models for participatory design
Participatory Design is one of the traditional human-centred approaches commonly used during the early stages of the design process. Currently, Large Language Models and Generative Artificial Intelligence (GenAI) are increasingly being adopted in the early stage of design, particularly for requirements analysis and conceptual design. To harness the respective strengths of Participatory Design and GenAI, it is essential to approach the problem through the lens of multimodal human–machine perception. In this paper, we propose a new multimodal GenAI-Driven Participatory Design approach and develop the Multi-PDAI platform, which is validated in the context of wheeled humanoid robot design. A crossover experiment (N designers = 8, N users = 16) was conducted with evaluation data on the generated images from design industry experts (N = 10). Platform usability was assessed using the SUS scale. In addition, users’ UEQ data and designers’ IMI data were analyzed, with systematic comparisons of initial and final prompt templates, design completion criteria, and time–process metrics. The results show that the images generated by the Multi-PDAI platform are more innovative and aesthetically appealing, and the platform demonstrates better usability compared to Stable Diffusion (M = 72.5, Sig. = 0.043). These findings further support the hypothesis that participatory design and GenAI are mutually beneficial, and that multimodality in GenAI is essential.
- Research Article
11
- 10.1287/ijds.2023.0007
- Apr 1, 2023
- INFORMS Journal on Data Science
How Can <i>IJDS</i> Authors, Reviewers, and Editors Use (and Misuse) Generative AI?
- Research Article
57
- 10.5204/mcj.3004
- Oct 2, 2023
- M/C Journal
Introduction Author Arthur C. Clarke famously argued that in science fiction literature “any sufficiently advanced technology is indistinguishable from magic” (Clarke). On 30 November 2022, technology company OpenAI publicly released their Large Language Model (LLM)-based chatbot ChatGPT (Chat Generative Pre-Trained Transformer), and instantly it was hailed as world-changing. Initial media stories about ChatGPT highlighted the speed with which it generated new material as evidence that this tool might be both genuinely creative and actually intelligent, in both exciting and disturbing ways. Indeed, ChatGPT is part of a larger pool of Generative Artificial Intelligence (AI) tools that can very quickly generate seemingly novel outputs in a variety of media formats based on text prompts written by users. Yet, claims that AI has become sentient, or has even reached a recognisable level of general intelligence, remain in the realm of science fiction, for now at least (Leaver). That has not stopped technology companies, scientists, and others from suggesting that super-smart AI is just around the corner. Exemplifying this, the same people creating generative AI are also vocal signatories of public letters that ostensibly call for a temporary halt in AI development, but these letters are simultaneously feeding the myth that these tools are so powerful that they are the early form of imminent super-intelligent machines. For many people, the combination of AI technologies and media hype means generative AIs are basically magical insomuch as their workings seem impenetrable, and their existence could ostensibly change the world. This article explores how the hype around ChatGPT and generative AI was deployed across the first six months of 2023, and how these technologies were positioned as either utopian or dystopian, always seemingly magical, but never banal. We look at some initial responses to generative AI, ranging from schools in Australia to picket lines in Hollywood. We offer a critique of the utopian/dystopian binary positioning of generative AI, aligning with critics who rightly argue that focussing on these extremes displaces the more grounded and immediate challenges generative AI bring that need urgent answers. Finally, we loop back to the role of schools and educators in repositioning generative AI as something to be tested, examined, scrutinised, and played with both to ground understandings of generative AI, while also preparing today’s students for a future where these tools will be part of their work and cultural landscapes. Hype, Schools, and Hollywood In December 2022, one month after OpenAI launched ChatGPT, Elon Musk tweeted: “ChatGPT is scary good. We are not far from dangerously strong AI”. Musk’s post was retweeted 9400 times, liked 73 thousand times, and presumably seen by most of his 150 million Twitter followers. This type of engagement typified the early hype and language that surrounded the launch of ChatGPT, with reports that “crypto” had been replaced by generative AI as the “hot tech topic” and hopes that it would be “‘transformative’ for business” (Browne). By March 2023, global economic analysts at Goldman Sachs had released a report on the potentially transformative effects of generative AI, saying that it marked the “brink of a rapid acceleration in task automation that will drive labor cost savings and raise productivity” (Hatzius et al.). Further, they concluded that “its ability to generate content that is indistinguishable from human-created output and to break down communication barriers between humans and machines reflects a major advancement with potentially large macroeconomic effects” (Hatzius et al.). Speculation about the potentially transformative power and reach of generative AI technology was reinforced by warnings that it could also lead to “significant disruption” of the labour market, and the potential automation of up to 300 million jobs, with associated job losses for humans (Hatzius et al.). In addition, there was widespread buzz that ChatGPT’s “rationalization process may evidence human-like cognition” (Browne), claims that were supported by the emergent language of ChatGPT. The technology was explained as being “trained” on a “corpus” of datasets, using a “neural network” capable of producing “natural language“” (Dsouza), positioning the technology as human-like, and more than ‘artificial’ intelligence. Incorrect responses or errors produced by the tech were termed “hallucinations”, akin to magical thinking, which OpenAI founder Sam Altman insisted wasn’t a word that he associated with sentience (Intelligencer staff). Indeed, Altman asserts that he rejects moves to “anthropomorphize” (Intelligencer staff) the technology; however, arguably the language, hype, and Altman’s well-publicised misgivings about ChatGPT have had the combined effect of shaping our understanding of this generative AI as alive, vast, fast-moving, and potentially lethal to humanity. Unsurprisingly, the hype around the transformative effects of ChatGPT and its ability to generate ‘human-like’ answers and sophisticated essay-style responses was matched by a concomitant panic throughout educational institutions. The beginning of the 2023 Australian school year was marked by schools and state education ministers meeting to discuss the emerging problem of ChatGPT in the education system (Hiatt). Every state in Australia, bar South Australia, banned the use of the technology in public schools, with a “national expert task force” formed to “guide” schools on how to navigate ChatGPT in the classroom (Hiatt). Globally, schools banned the technology amid fears that students could use it to generate convincing essay responses whose plagiarism would be undetectable with current software (Clarence-Smith). Some schools banned the technology citing concerns that it would have a “negative impact on student learning”, while others cited its “lack of reliable safeguards preventing these tools exposing students to potentially explicit and harmful content” (Cassidy). ChatGPT investor Musk famously tweeted, “It’s a new world. Goodbye homework!”, further fuelling the growing alarm about the freely available technology that could “churn out convincing essays which can't be detected by their existing anti-plagiarism software” (Clarence-Smith). Universities were reported to be moving towards more “in-person supervision and increased paper assessments” (SBS), rather than essay-style assessments, in a bid to out-manoeuvre ChatGPT’s plagiarism potential. Seven months on, concerns about the technology seem to have been dialled back, with educators more curious about the ways the technology can be integrated into the classroom to good effect (Liu et al.); however, the full implications and impacts of the generative AI are still emerging. In May 2023, the Writer’s Guild of America (WGA), the union representing screenwriters across the US creative industries, went on strike, and one of their core issues were “regulations on the use of artificial intelligence in writing” (Porter). Early in the negotiations, Chris Keyser, co-chair of the WGA’s negotiating committee, lamented that “no one knows exactly what AI’s going to be, but the fact that the companies won’t talk about it is the best indication we’ve had that we have a reason to fear it” (Grobar). At the same time, the Screen Actors’ Guild (SAG) warned that members were being asked to agree to contracts that stipulated that an actor’s voice could be re-used in future scenarios without that actor’s additional consent, potentially reducing actors to a dataset to be animated by generative AI technologies (Scheiber and Koblin). In a statement issued by SAG, they made their position clear that the creation or (re)animation of any digital likeness of any part of an actor must be recognised as labour and properly paid, also warning that any attempt to legislate around these rights should be strongly resisted (Screen Actors Guild). Unlike the more sensationalised hype, the WGA and SAG responses to generative AI are grounded in labour relations. These unions quite rightly fear the immediate future where human labour could be augmented, reclassified, and exploited by, and in the name of, algorithmic systems. Screenwriters, for example, might be hired at much lower pay rates to edit scripts first generated by ChatGPT, even if those editors would really be doing most of the creative work to turn something clichéd and predictable into something more appealing. Rather than a dystopian world where machines do all the work, the WGA and SAG protests railed against a world where workers would be paid less because executives could pretend generative AI was doing most of the work (Bender). The Open Letter and Promotion of AI Panic In an open letter that received enormous press and media uptake, many of the leading figures in AI called for a pause in AI development since “advanced AI could represent a profound change in the history of life on Earth”; they warned early 2023 had already seen “an out-of-control race to develop and deploy ever more powerful digital minds that no one – not even their creators – can understand, predict, or reliably control” (Future of Life Institute). Further, the open letter signatories called on “all AI labs to immediately pause for at least 6 months the training of AI systems more powerful than GPT-4”, arguing that “labs and independent experts should use this pause to jointly develop and implement a set of shared safety protocols for advanced AI design and development that are rigorously audited and overseen by independent outside experts” (Future of Life Institute). Notably, many of the signatories work for the very companies involved in the “out-of-control race”. Indeed, while this letter could be read as a moment of ethical clarity for the AI industry, a more cynical reading might just be that in warning that their AIs could effectively destroy the w
- Research Article
3
- 10.1109/mwc.2025.3600789
- Feb 1, 2026
- IEEE Wireless Communications
Artificial General Intelligence (AGI) and Large Language Models (LLMs) are gaining attention for their transformative potential across various fields. While LLMs have significantly advanced Natural Language Processing (NLP), they face challenges in reasoning, adaptability, and bias. AGI, with its human-like cognitive functions, offers a promising solution by enhancing the flexibility and context-awareness of LLMs. This paper explores the integration of AGI with LLMs to address complex, dynamic problems, focusing on advancements in Cognitive Radio (CR) and Spectrum Intelligence (SI) technologies. Spectrum sensing, a cornerstone of CR and SI, is critical for identifying underutilized frequency bands and mitigating interference. Traditional methods often struggle in dynamic environments due to their reliance on static models. By combining AGI’s adaptive decision-making with LLMs’ context-aware understanding, the integrated system can enhance the accuracy and efficiency of spectrum sensing. This integration enables better processing of diverse data, prediction of spectrum usage, and dynamic adaptation to changing conditions, paving the way for intelligent spectrum management. As the demand for efficient communication grows with the proliferation of connected devices, AGI-augmented LLMs offer scalable, context-aware solutions to modern communication challenges. AGI with LLMs has the potential to transform spectrum sensing and management into a more adaptive, efficient paradigm, ensuring the performance of next-generation wireless networks.
- Research Article
10
- 10.1007/s41669-025-00580-4
- Apr 29, 2025
- PharmacoEconomics - open
The emergence of generative artificial intelligence (GenAI) offers the potential to enhance health economics and outcomes research (HEOR) by streamlining traditionally time-consuming and labour-intensive tasks, such as literature reviews, data extraction, and economic modelling. To effectively navigate this evolving landscape, health economists need a foundational understanding of how GenAI can complement their work. This primer aims to introduce health economists to the essentials of using GenAI tools, particularly large language models (LLMs), in HEOR projects. For health economists new to GenAI technologies, chatbot interfaces like ChatGPT offer an accessible way to explore the potential of LLMs. For more complex projects, knowledge of application programming interfaces (APIs), which provide scalability and integration capabilities, and prompt engineering strategies, such as few-shot and chain-of-thought prompting, is necessary to ensure accurate and efficient data analysis, enhance model performance, and tailor outputs to specific HEOR needs. Retrieval-augmented generation (RAG) can further improve LLM performance by incorporating current external information. LLMs have significant potential in many common HEOR tasks, such as summarising medical literature, extracting structured data, drafting report sections, generating statistical code, answering specific questions, and reviewing materials to enhance quality. However, health economists must also be aware of ongoing limitations and challenges, such as the propensity of LLMs to produce inaccurate information ('hallucinate'), security concerns, issues with reproducibility, and the risk of bias. Implementing LLMs in HEOR requires robust security protocols to handle sensitive data in compliance with the European Union's General Data Protection Regulation (GDPR) and the United States' Health Insurance Portability and Accountability Act (HIPAA). Deployment options such as local hosting, secure API use, or cloud-hosted open-source models offer varying levels of control and cost, each with unique trade-offs in security, accessibility, and technical demands. Reproducibility and transparency also pose unique challenges. To ensure the credibility of LLM-generated content, explicit declarations of the model version, prompting techniques, and benchmarks against established standards are recommended. Given the 'black box' nature of LLMs, a clear reporting structure is essential to maintain transparency and validate outputs, enabling stakeholders to assess the reliability and accuracy of LLM-generated HEOR analyses. The ethical implications of using artificial intelligence (AI) in HEOR, including LLMs, are complex and multifaceted, requiring careful assessment of each use case to determine the necessary level of ethical scrutiny and transparency. Health economists must balance the potential benefits of AI adoption against the risks of maintaining current practices, while also considering issues such as accountability, bias, intellectual property, and the broader impact on the healthcare system. As LLMs and AI technologies advance, their potential role in HEOR will become increasingly evident. Key areas of promise include creating dynamic, continuously updated HEOR materials, providing patients with more accessible information, and enhancing analytics for faster access to medicines. To maximise these benefits, health economists must understand and address challenges such as data ownership and bias. The coming years will be critical for establishing best practices for GenAI in HEOR. This primer encourages health economists to adopt GenAI responsibly, balancing innovation with scientific rigor and ethical integrity to improve healthcare insights and decision-making.
- Research Article
- 10.1016/j.jsurg.2026.103884
- May 1, 2026
- Journal of surgical education
Testing the Implementation and Acceptance of Generative Artificial Intelligence to Augment Vascular Surgery Journal Club.
- Front Matter
5
- 10.3348/kjr.2025.0257
- Jan 1, 2025
- Korean journal of radiology
The Ministry of Food and Drug Safety (MFDS) of the Republic of Korea, similar to the United States Food and Drug Administration and the United Kingdom's Medicines and Healthcare products Regulatory Agency, issued specific regulatory guidelines on January 24, 2025, for approving generative artificial intelligence (AI) technologies as medical devices [1].Although these guidelines use the term 'generative AI,' they predominantly focus on the approval of AI software tools based on large language models (LLMs) and large multimodal models (LMMs) [2], the latter of which can process various types of input data, such as texts, images, videos, audio, and bio-signals.Unlike the broader guidelines for approving AI models as medical devices, specific regulatory guidelines for LLMs/LMMs have arguably not yet been proposed in other countries.
- Research Article
60
- 10.2196/53466
- Nov 30, 2023
- JMIR Medical Education
Generative artificial intelligence (GAI), represented by large language models, have the potential to transform health care and medical education. In particular, GAI's impact on higher education has the potential to change students' learning experience as well as faculty's teaching. However, concerns have been raised about ethical consideration and decreased reliability of the existing examinations. Furthermore, in medical education, curriculum reform is required to adapt to the revolutionary changes brought about by the integration of GAI into medical practice and research. This study analyzes the impact of GAI on medical education curricula and explores strategies for adaptation. The study was conducted in the context of faculty development at a medical school in Japan. A workshop involving faculty and students was organized, and participants were divided into groups to address two research questions: (1) How does GAI affect undergraduate medical education curricula? and (2) How should medical school curricula be reformed to address the impact of GAI? The strength, weakness, opportunity, and threat (SWOT) framework was used, and cross-SWOT matrix analysis was used to devise strategies. Further, 4 researchers conducted content analysis on the data generated during the workshop discussions. The data were collected from 8 groups comprising 55 participants. Further, 5 themes about the impact of GAI on medical education curricula emerged: improvement of teaching and learning, improved access to information, inhibition of existing learning processes, problems in GAI, and changes in physicians' professionality. Positive impacts included enhanced teaching and learning efficiency and improved access to information, whereas negative impacts included concerns about reduced independent thinking and the adaptability of existing assessment methods. Further, GAI was perceived to change the nature of physicians' expertise. Three themes emerged from the cross-SWOT analysis for curriculum reform: (1) learning about GAI, (2) learning with GAI, and (3) learning aside from GAI. Participants recommended incorporating GAI literacy, ethical considerations, and compliance into the curriculum. Learning with GAI involved improving learning efficiency, supporting information gathering and dissemination, and facilitating patient involvement. Learning aside from GAI emphasized maintaining GAI-free learning processes, fostering higher cognitive domains of learning, and introducing more communication exercises. This study highlights the profound impact of GAI on medical education curricula and provides insights into curriculum reform strategies. Participants recognized the need for GAI literacy, ethical education, and adaptive learning. Further, GAI was recognized as a tool that can enhance efficiency and involve patients in education. The study also suggests that medical education should focus on competencies that GAI hardly replaces, such as clinical experience and communication. Notably, involving both faculty and students in curriculum reform discussions fosters a sense of ownership and ensures broader perspectives are encompassed.
- Research Article
- 10.1007/s10006-026-01514-y
- Feb 21, 2026
- Oral and maxillofacial surgery
Large language models (LLMs) are advanced artificial intelligence (AI) tools capable of generating human-like text and are increasingly used in education, clinical care, and research. Little is known about their use within oral and maxillofacial surgery (OMFS) training. This study investigates LLM usage trends, perceived value, and educational integration among OMFS residents in the United States. A national, anonymous cross-sectional survey was distributed to OMFS residents via program directors. It gathered demographic data, LLM usage patterns, applications, perceived limitations, and attitudes toward incorporating LLMs into formal education. Eighty-one residents responded, 79.0% (64/81) reported having used an LLM, and of that group, 96.9% (62/64) use ChatGPT. 51.9% (42/81) of respondents used LLMs at least monthly in residency; however, 97.5% (79/81) reported having received no formal LLM education during residency. Residents used LLMs for clinical decision support, board preparation, research, and career planning. Free-text responses revealed a wide spectrum of views. Some advocated for curricular integration and patient education applications, while others questioned the need for formal instruction. Some respondents supported integrating LLMs into curriculums and patient education while others questioned the need for formal instruction. LLMs are used frequently by OMFS residents for a variety of purposes. As AI and LLMs become embedded in healthcare, understanding how OMFS residents interact with LLMs is vital. These findings may guide curriculum development, fostering responsible and effective use of LLMs in surgical training and practice.
- Research Article
- 10.1200/jco.2025.43.16_suppl.e13685
- Jun 1, 2025
- Journal of Clinical Oncology
e13685 Background: Generative Artificial Intelligence (GenAI) has demonstrated promise as a clinical decision support tool. Previous studies utilized closed-source large language models (LLMs) such as GPT-4o (via the chatbot ChatGPT) to evaluate GenAI's role in healthcare. However, these LLMs may change, causing challenges with reliability and reproducibility. Hallucinations are especially concerning in healthcare, so methods such as grounding and retrieval augmented generation (RAG) are important tools that may reduce or eliminate hallucinations. Methods: The goal of this study was to enhance GenAI with agentic AI and vector-based RAG, using only open-source tools and LLMs to produce reliable breast cancer summaries and treatment evaluations. A container with Neo4j vector database, LangChain, Docling, and Jupyter was created to review HL7 patient charts containing mCODE data. Ollama was used to pull the LLMs llama3.2, gemma2:2b, qwen2.5, and phi3:mini. Synthetic Breast Cancer Dataset collected from The mCODE Project was collected, and a custom HL7-mCODE module was made to make patient data LLM-ingestible. The workflow was as follows: a modular (i.e., swappable) LLM with RAG would iterate over patient notes to extract all information related to cancer in their chart. A subsequent LLM (i.e., agentic AI) would compare the first AI's extraction with an mCODE summary to evaluate if there were any errors, remove them, and return a corrected cancer history. After this comparison was complete, another AI agent would evaluate for missing oncologic information (such as HER status) and return a list of known and unknown information for breast cancer. For the last step, NCCN Breast Cancer guidelines (Version 6.2024 11-11-2024) were converted to LLM-ingestible text via IBM's docling and placed in a vector database. The last AI agent would compare the patient's cancer details and treatment to compare with the guidelines. Results: 724 patient charts were generated with various modular AIs. No hallucinations were observed in the outputted data (i.e., no fabricated diagnoses, cancer details, treatments, etc.), and no incorrect interpretations were found. Most outputs correctly stated they could not assess NCCN guidelines due to insufficient information in the patient chart; charts with sufficient information to follow a specific guideline returned correct comparisons. In one case, Microsoft's phi3:mini was able to discern that while the guidelines were not followed, the provided guidelines are newer than the date the synthetic patient received treatment. Conclusions: Agentic AI as a utility for grounding, summarizing, and quality assurance demonstrates promise as an augmentation for GenAI to produce effective CDS tools for breast cancer history collection, evaluation, and treatment. Further studies with knowledge graphs may further improve their utility.
- Research Article
29
- 10.1016/j.caeai.2024.100289
- Sep 11, 2024
- Computers and Education: Artificial Intelligence
Incorporating Generative Artificial Intelligence (GenAI), especially Large Language Models (LLMs), into educational settings presents valuable opportunities to boost the efficiency of educators and enrich the learning experiences of students. A significant portion of the current use of LLMs by educators has involved using conversational user interfaces (CUIs), such as chat windows, for functions like generating educational materials or offering feedback to learners. The ability to engage in real-time conversations with LLMs, which can enhance educators' domain knowledge across various subjects, has been of high value. However, it also presents challenges to LLMs' widespread, ethical, and effective adoption. Firstly, educators must have a degree of expertise, including tool familiarity, AI literacy and prompting to effectively use CUIs, which can be a barrier to adoption. Secondly, the open-ended design of CUIs makes them exceptionally powerful, which raises ethical concerns, particularly when used for high-stakes decisions like grading. Additionally, there are risks related to privacy and intellectual property, stemming from the potential unauthorised sharing of sensitive information. Finally, CUIs are designed for short, synchronous interactions and often struggle and hallucinate when given complex, multi-step tasks (e.g., providing individual feedback based on a rubric on a large scale). To address these challenges, we explored the benefits of transitioning away from employing LLMs via CUIs to the creation of applications with user-friendly interfaces that leverage LLMs through API calls. We first propose a framework for pedagogically sound and ethically responsible incorporation of GenAI into educational tools, emphasizing a human-centred design. We then illustrate the application of our framework to the design and implementation of a novel tool called Feedback Copilot, which enables instructors to provide students with personalized qualitative feedback on their assignments in classes of any size. An evaluation involving the generation of feedback from two distinct variations of the Feedback Copilot tool, using numerically graded assignments from 338 students, demonstrates the viability and effectiveness of our approach. Our findings have significant implications for GenAI application researchers, educators seeking to leverage accessible GenAI tools, and educational technologists aiming to transcend the limitations of conversational AI interfaces, thereby charting a course for the future of GenAI in education.
- Research Article
1
- 10.1007/s00267-026-02402-7
- Feb 9, 2026
- Environmental management
Generative Artificial Intelligence for Environmental Assessment: A New Paradigm for Sustainability Analysis.
- Research Article
- 10.3389/fbinf.2026.1760257
- Apr 13, 2026
- Frontiers in bioinformatics
Artificial Intelligence (AI) is impacting several aspects of modern life with its ability to enhance decision-making, automate complex tasks, and generate human-like content. It is now an indispensable tool in both everyday life and academic inquiry. In particular, the rapid evolution of AI technologies, especially machine learning, deep learning, and natural language processing (NLP), has given rise to large language models (LLMs), which have transformed how we analyze, interpret, and generate text-based, structured data and unstructured data. Among these, Generative AI (GenAI) has become increasingly popular due to its capacity to create content ranging from text and code to protein sequences and molecular structures, all based on patterns found in large training datasets. GenAI tools can assist with literature reviews, writing support, data processing, hypothesis generation, and code or visualization tasks, although outputs require critical oversight to ensure accuracy and relevance. More advanced GenAI applications include the generation of synthetic data and even the design of biological molecules and materials. Within this broader context, the fields of immunology, vaccinology, and infectious diseases research are witnessing a wave of innovation driven by AI. In this review, we explore how these recent advances in GenAI, especially those based on LLMs, are being applied to immunological research, antibody design, vaccine development, infectious diseases research and pandemic preparedness. This review is structured as a scoping review, aiming to map the rapidly evolving applications of GenAI and LLMs in immunology, vaccine development, infectious disease research, and adjacent biomedical fields. Relevant studies were identified through searching PubMed, Google Scholar and preprint archives and included if they introduced, demonstrated, or benchmarked AI-based approaches with clear relevance to immunology and infectious disease, while older preprints without subsequent peer-reviewed publication were excluded. We aim to provide a comprehensive overview of current contributions, emerging tools and models, and future perspectives of GenAI in transforming how we understand and manipulate immune responses and infectious diseases. Therefore, the reported capabilities should be interpreted as indicative of potential rather than definitive performance.
- Research Article
11
- 10.1186/s40561-025-00406-0
- Aug 4, 2025
- Smart Learning Environments
As generative artificial intelligence (AI) tools and large language models (LLMs)-powered applications develop rapidly in the era of algorithms, it should be integrated thoughtfully to enhance English as a Foreign Language (EFL) teaching and learning without replacing learners’ critical thinking (CT). This study systematically analyzes the impact of generative AI tools and LLMs on language learners’ CT in EFL education using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework to identify, evaluate, and synthesize relevant studies from 2022 to 2025. A thorough review of 15 selected studies focuses on generative AI tools and LLMs’ dual nature, research methods, main focuses, theory and models, limitations and challenges, and future directions in the field based on Web of Science (WoS), SCOPUS, ERIC, ProQuest, and Google Scholar. The findings identified generative AI tools and LLMs possessed both the potential to nurture and the risk of hindering CT in EFL education. 66.67% of studies reported generative AI tools and LLMs’ positive role in CT, while 33.33% of studies reported its negative role in CT. Furthermore, 3 types of research methods, 3 key themes of research focus, and 4 groups of theoretical perspectives were examined. However, 4 kinds of limitations in this field remain, including research scope, user dependency, generative AI reliability, and pedagogical integration. Future research can focus on assessing long-term effects, broadening research scope, promoting responsible AI use, and refining pedagogical strategies. Finally, Limitations, implications and future direction of this study were discussed.
- Research Article
- 10.15758/ajk.2026.28.1.58
- Jan 31, 2026
- The Asian Journal of Kinesiology
Generative artificial intelligence (AI), particularly large language models (LLMs) such as ChatGPT, has rapidly advanced in capability and accessibility, creating novel paradigms for personalized healthcare. In exercise and sports medicine, where clinical decision-making necessitates the integration of complex physiological data, individualized programming, and patient-centered communication, generative AI offers transformative potential for workflow augmentation. This narrative review synthesizes current applications, strengths, and limitations across seven core domains: (1) personalized exercise prescription, (2) performance enhancement and training support, (3) clinical rehabilitation and disease management, (4) lifestyle modification, (5) education and communication, (6) injury prevention, and (7) data analytics. LLMs demonstrated the ability to generate structured exercise prescriptions and rehabilitation protocols with moderate to high guideline compliance across cardiac and musculoskeletal rehabilitation contexts, while patient education content achieved favorable readability and clinical relevance ratings. Furthermore, methodological advancements such as prompt engineering and wearable-integrated closed-loop systems have enhanced personalization and real-time adaptability. In the domain of patient communication, generative AI tools produced readable educational materials with high factual consistency, although challenges persist regarding comorbidity screening, individualized safety verification, and cultural-linguistic contextualization. Ultimately, generative AI is poised to function as a first-draft accelerator and productivity amplifier within exercise and sports medicine. However, mandatory expert oversight, rigorous clinical validation, and robust governance frameworks remain essential prerequisites for the safe and effective integration of this approach into frontline clinical practice.
- Research Article
3
- 10.55041/ijsrem35600
- Jun 9, 2024
- INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT
Historically, Artificial Intelligence (AI) was used to understand and recommend information. Now, Generative AI can also help us create new content. Generative AI builds on existing technologies, like Large Language Models (LLMs) which are trained on large amounts of text and learn to predict the next word in a sentence. Generative AI can not only create new text, but also images, videos, or audio. This project focuses on the implementation of a chatbot based the concepts of Generative AI and Large Language Models which can answer any query regarding the content provided in the PDFs. The primary technologies utilized include Python libraries like LangChain, PyTorch for model training, and Hugging Face’s Transformers library for accessing pre-trained models like Llama2, GPT- 3.5 (Generative Pre-trained Transformer) architectures. The re- sponses are generated using the Retrieval Augmented Generation (RAG) approach. The project aims to develop a chatbot which can generate the sensible responses from the data in the form of PDF files. The project demonstrates the capabilities and applications of advanced Natural Language Processing (NLP) techniques in creating conversational agents that can be deployed across various platforms in the corporation, to enhance user interaction and support automated tasks. Index Terms—Generative AI, Artificial Intelligence, Natural Language Processing, Large Language Model, Llama2, Tran- formers, Document Loaders, Retrieval Augmented Generation, Vector Database, Langchain, Chainlit