# Physiotherapy students’ acceptance of AI-based chatbots (including ChatGPT) in education: a multi-institutional study from Turkey

## TL;DR

This study explores how physiotherapy students in Turkey accept AI-based chatbots like ChatGPT for educational purposes, finding that interest in technology is a key factor.

## Contribution

The study provides new insights into AI chatbot acceptance among physiotherapy students using the Technology Acceptance Model in a Turkish context.

## Key findings

- Physiotherapy students showed moderate acceptance of AI-based chatbots, with perceived usefulness and ease of use being key factors.
- Technology interest was the strongest predictor of perceived usefulness and ease of use of AI chatbots.
- Perceived ease of use had two facets: learnability/clarity and control/flexibility.

## Abstract

AI-based chatbots are increasingly used in health professions education to support learning tasks (e.g., studying, drafting assignments, and summarizing content). Evidence on the acceptance of AI-based chatbots, including ChatGPT, in physiotherapy education is limited. This study examined physiotherapy students’ acceptance in Turkey, focusing on perceived usefulness (PU) and perceived ease of use (PEOU) within the Technology Acceptance Model (TAM).

A cross-sectional online survey (Google Forms) using convenience sampling was conducted with undergraduate physiotherapy students from nine universities across different regions of Turkey (May–June 2025). Digital informed consent was obtained, and responses were anonymous. PU and PEOU were assessed using Turkish TAM items contextualized for AI-based chatbot use. Psychometric properties were re-evaluated in the present sample (Cronbach’s alpha; PCA with KMO/Bartlett, with an EFA sensitivity analysis using PAF with Promax rotation), and group differences, correlations, and predictors of PU and PEOU were analyzed.

A total of 478 students (79.3% female) were included. Mean PU and PEOU scores were 52.91 ± 7.47 and 51.73 ± 6.49, respectively (scale range 14–70). PU and PEOU were moderately correlated (r = 0.450, p < 0.001). Technology interest was the strongest predictor of PU (β = 0.283, p < 0.001) and PEOU (β = 0.371, p < 0.001), while year of study had a smaller effect on PU (β = 0.112, p = 0.011); gender was not significant in regression models. Exploratory factor-analytic results suggested PU was unidimensional, whereas PEOU showed two exploratory facets (learnability/clarity and control/flexibility).

Physiotherapy students expressed cautious optimism toward AI-based chatbots such as ChatGPT. Acceptance was higher among students with greater technology interest and, to a lesser extent, in advanced study years. These findings support stage-sensitive integration and targeted AI literacy, emphasizing ethical awareness and source verification for safe and effective learning.

The online version contains supplementary material available at 10.1186/s12909-025-08535-3.