Evidence map›Paper›PMID 42126147›Full record

ArticleJournal of medical Internet research2026

Plain Language Summarization of Environmental Health Research Using Generative AI: Community-Engaged Qualitative Study.

Katherine Wade, Lauren B Anderson, Evelyn M Medley, Ted Smith

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katherine WadeChristina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, United States.ORCID https://orcid.org/0009-0003-1340-6704
Lauren B AndersonChristina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, United States.ORCID https://orcid.org/0000-0003-0556-7260
Evelyn M MedleyBerea College, Berea, KY, United States.ORCID https://orcid.org/0009-0002-3945-1303
Ted SmithChristina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, United States.ORCID https://orcid.org/0000-0003-2804-4294

Funding

Superfund Training CoreP42ES023716 · NIEHS · UNIVERSITY OF LOUISVILLE · PI SRIVASTAVA, SANJAY · 2017 to 2025
$18.1M
NIEHS NIH HHS P42 ES023716
6 · The paper itself

Abstract

backgroundPlain language summaries (PLSs) are increasingly required in environmental health publications to improve public accessibility. Generative artificial intelligence (AI) systems such as large language models can automatically produce such summaries; however, automated summaries often overlook local context and cultural relevance-limitations that are critical in environmental health research, where affected communities face disproportionate exposure and health risks.

objectiveThis study aimed to develop and refine community-informed prompts for generating PLSs of environmental health research using generative AI.

methodsWe conducted a community-engaged qualitative study in Louisville, Kentucky, involving workshops with 97 participants from 4 stakeholder groups: summer interns at a local social justice nonprofit organization, participants in a youth development program, participants in a faith-based community organization, and members of a community advisory board focused on environmental justice. Participants reviewed PLSs generated using 3 different prompt styles in GPT-4o (ChatGPT, OpenAI). Feedback was collected through structured discussions and facilitator notes. Data were analyzed using thematic analysis informed by knowledge translation frameworks to identify preferred structural, linguistic, and contextual features of the summaries.

resultsParticipants consistently preferred summaries between 300 and 400 words, written at a sixth- to eighth-grade reading level. Key priorities included presenting definitions before findings, using headings and bullet points to improve readability, and clearly explaining real-world and environmental justice implications. Narrative summaries without structure were viewed as overly long and difficult to interpret, while purely bullet-based formats were considered too simplified. Feedback from youth participants emphasized clarity and practical relevance, while faith-based participants highlighted the importance of trust and contextual framing. These insights informed the development of a community-refined prompt that included definitions, key findings, an introduction, and a concluding section on community implications.

conclusionsCommunity-engaged prompt development may improve the relevance and interpretability of AI-generated PLSs of environmental health research. Incorporating stakeholder perspectives into prompt design offers a replicable strategy for improving research translation and ensuring AI-generated summaries reflect the informational needs of affected communities.

Indexed as

Environmental HealthGenerative Artificial IntelligenceHumansLarge Language ModelsPlain Language SummariesQualitative Researchcommunity-based participatory researchenvironmental healthenvironmental justicegenerative AIgenerative artificial intelligencehealth communicationlarge language modelsplain language summariesresearch translation

Identifiers

PMID42126147
PMCPMC13216757

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.