Home / Current Issue / Paper 1724714
RECOVERAI: A Context-Grounded WhatsApp Conversational Assistant for Personalized Post-Discharge Patient Follow-Up
Subject area: Science,Engineering and Technology · Area of research: Artificial Intelligence (AI) and Digital Healthcar
Abstract
Post-discharge care requires patients to follow medication instructions, attend appointments, understand recovery plans, and communicate concerns after leaving a hospital. This literature review examines digital follow-up, mobile medication-adherence interventions, healthcare conversational agents, and large language model (LLM) safety to identify design requirements for RecoverAI. The reviewed studies show that digital communication can support continuity and patient engagement, but effects on readmissions and adherence vary by intervention and population. Research on conversational agents also highlights the need to evaluate usability, information quality, safety, and clinical outcomes rather than treating message exchange as evidence of effectiveness. RecoverAI is an academic prototype that connects a React and Vite staff dashboard, Supabase PostgreSQL records, a Supabase Edge Function, an OpenWA WhatsApp gateway, and Gemini-assisted response generation. Demonstration records confirm retrieval of medication name, dosage, frequency, and instructions from a registered patient record, and delivery of an appointment reminder to a test phone. These observations establish selected integration paths only; they do not establish clinical benefit, complete medication-reminder scheduling, multilingual validation, or production readiness. The review identifies research needs in patient identity verification, grounded response accuracy, reliable message processing, accessible language support, privacy, and outcome-based evaluation.
Keywords
post-discharge care; digital health; conversational AI; WhatsApp; medication adherence; patient follow-up
References
[1] Abraham J, et al. Effect of health information technology (HIT)-based discharge transition interventions on patient readmissions and emergency room visits: A systematic review. J Amer Med Inform Assoc. 2022;29(4):735–748. https://doi.org/10.1093/jamia/ocac013
[2] Bressman E, et al. Automated text message-based program and use of acute health care resources after hospital discharge: A randomized clinical trial. JAMA Netw Open. 2024;7(4):e243701. https://doi.org/10.1001/jamanetworkopen.2024.3701
[3] Dugani SB, et al. Postdischarge video visits for adherence to hospital discharge recommendations: A randomized clinical trial. Mayo Clin Proc Digit Health. 2023;1(3):368–378. https://doi.org/10.1016/j.mcpdig.2023.06.006
[4] Sekhon H, et al. Effectiveness of digital health technologies for post-discharge follow-up and management in older adults: A systematic review. Lancet Healthy Longev. 2026;7(8):100885. https://doi.org/10.1016/j.lanhl.2026.100885
[5] Woods CE, Jones R, O'Shea E, Grist E, Wiggers J, Usher K. Nurse-led postdischarge telephone follow-up calls: A mixed study systematic review. Journal of Clinical Nursing. 2019;28(19–20):3386–3399. https://doi.org/10.1111/jocn.14951
[6] Mistiaen P, Poot E. Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home. Cochrane Database of Systematic Reviews. 2006;(4):CD004510. https://doi.org/10.1002/14651858.CD004510.pub3
[7] Armitage LC, Kassavou A, Sutton S. Do mobile device apps designed to support medication adherence demonstrate efficacy? A systematic review of randomised controlled trials, with meta-analysis. BMJ Open. 2020;10(1):e032045. https://doi.org/10.1136/bmjopen-2019-032045
[8] Kim SK, Park SY, Hwang HR, Moon SH, Park JW. Effectiveness of mobile health intervention in medication adherence: A systematic review and meta-analysis. Journal of Medical Systems. 2025;49(1):13. https://doi.org/10.1007/s10916-024-02135-2
[9] Laranjo L, et al. Conversational agents in healthcare: A systematic review. J Amer Med Inform Assoc. 2018;25(9):1248–1258. https://doi.org/10.1093/jamia/ocy072
[10] Tudor Car L, Dhinagaran DA, Kyaw BM, Kowatsch T, Joty S, Theng YL, et al. Conversational agents in health care: Scoping review and conceptual analysis. Journal of Medical Internet Research. 2020;22(8):e17158. https://doi.org/10.2196/17158
[11] Milne-Ives M, et al. The effectiveness of artificial intelligence conversational agents in health care: Systematic review. J Med Internet Res. 2020;22(10):e20346. https://doi.org/10.2196/20346
[12] Li Y, et al. Feasibility and effectiveness of artificial intelligence-driven conversational agents in healthcare interventions: A systematic review of randomized controlled trials. Int J Nurs Stud. 2023;143:104494. https://doi.org/10.1016/j.ijnurstu.2023.104494
[13] Denecke K, May R. Usability assessment of conversational agents in healthcare: A literature review. Stud Health Technol Inform. 2022;294:169–173. https://doi.org/10.3233/SHTI220431
[14] Denecke K. Framework for guiding the development of high-quality conversational agents in healthcare. Healthcare. 2023;11(8):1061. https://doi.org/10.3390/healthcare11081061
[15] Ding H, Simmich J, Vaezipour A, Andrews N, Russell T. Evaluation framework for conversational agents with artificial intelligence in health interventions: A systematic scoping review. J Amer Med Inform Assoc. 2024;31(3):746–761. https://doi.org/10.1093/jamia/ocad222
[16] Wang L, et al. Applications and concerns of ChatGPT and other conversational large language models in health care: Systematic review. J Med Internet Res. 2024;26:e22769. https://doi.org/10.2196/22769
[17] Bedi S, et al. Testing and evaluation of health care applications of large language models: A systematic review. JAMA. 2025;333(4):319–328. https://doi.org/10.1001/jama.2024.21700
[18] Huo B, et al. Large language models for chatbot health advice studies: A systematic review. JAMA Netw Open. 2025;8(2):e2457879. https://doi.org/10.1001/jamanetworkopen.2024.57879
[19] World Health Organization. WHO guideline: Recommendations on digital interventions for health system strengthening. Geneva: WHO; 2019. ISBN 978-92-4-155050-5. Available from: https://www.who.int/publications/i/item/9789241550505
How to cite this paper
@article{1724714,
author = {Praharsha Ravindra Ekshinge, Shukranti Dilip Mane, Drushti Dadaso Desai, Aishwarya Rajiv Banage, Supriya S. Dongre},
title = {RECOVERAI: A Context-Grounded WhatsApp Conversational Assistant for Personalized Post-Discharge Patient Follow-Up},
journal = {Iconic Research And Engineering Journals},
year = {2026},
volume = {10},
number = {5},
pages = {775-784},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1724714.pdf},
abstract = {Post-discharge care requires patients to follow medication instructions, attend appointments, understand recovery plans, and communicate concerns after leaving a hospital. This literature review examines digital follow-up, mobile medication-adherence interventions, healthcare conversational agents, and large language model (LLM) safety to identify design requirements for RecoverAI. The reviewed studies show that digital communication can support continuity and patient engagement, but effects on readmissions and adherence vary by intervention and population. Research on conversational agents also highlights the need to evaluate usability, information quality, safety, and clinical outcomes rather than treating message exchange as evidence of effectiveness. RecoverAI is an academic prototype that connects a React and Vite staff dashboard, Supabase PostgreSQL records, a Supabase Edge Function, an OpenWA WhatsApp gateway, and Gemini-assisted response generation. Demonstration records confirm retrieval of medication name, dosage, frequency, and instructions from a registered patient record, and delivery of an appointment reminder to a test phone. These observations establish selected integration paths only; they do not establish clinical benefit, complete medication-reminder scheduling, multilingual validation, or production readiness. The review identifies research needs in patient identity verification, grounded response accuracy, reliable message processing, accessible language support, privacy, and outcome-based evaluation.},
keywords = {post-discharge care; digital health; conversational AI; WhatsApp; medication adherence; patient follow-up},
month = {November},
}