Designing AI-Based Interactive E-Books for English for Specific Purposes (ESP) in Health Science Education

Authors

  • Surip Haryani Universitas Madani
  • Maulida Rahmawati Emha Universitas Madani

DOI:

https://doi.org/10.12928/eltej.v8i2.14229

Keywords:

ai-integrated e-book, English for specific purposes, healthcare communication, speaking performance, interactive learning

Abstract

This research formulates and tests an AI-driven interactive e-book to increase English for Specific Purposes (ESP) learning by healthcare students in order to enhance speaking performance regarding fluency, pronunciation, vocabulary, grammar, and cohesion of content. Existing ESP materials in healthcare settings are non-interactive and too static to facilitate communicative practice in real time. Following a Research and Development (R&D) methodology, the research moved from needs analysis, prototyping of AI-based functionalities such as adaptive learning modules, NLP-based clinical dialogue simulation chatbots, and speech recognition to provide pronunciation feedback, to empirical testing. Thirty medical students completed pre- and post-tests, measured on a valid speaking rubric for the five performance areas and user perception surveys. Quantitative outcomes recorded considerable improvement across every area of speaking with maximum progress in fluency and vocabulary, while qualitative feedback indicated growing confidence and motivation for applying English for work purposes. The concluding AI-facilitated e-book, ISBN and copyrighted, provides a model for the scaling up of AI into domain language acquisition. The results have practical significance for ESP instructors and instructional designers who seek to integrate pedagogy and technology in ESP, particularly in healthcare training.

Keywords: ai-integrated e-book, English for specific purposes, healthcare communication, speaking performance, interactive learning.

Author Biography

Maulida Rahmawati Emha, Universitas Madani

Penulis ke 2

References

Abimanto, D., & Mahendro, I. (2023). Efektivitas Penggunaan Teknologi AI Dalam Pembelajaran Bahasa Inggris. Sinar Dunia: Jurnal Riset Sosial Humaniora Dan Ilmu Pendidikan, 2(2), 256–266. https://doi.org/10.58192/sidu.v2i2.844

Adamu, S., & Awwalu, J. (2019). The Role of Artificial Intelligence (AI) in Adaptive eLearning System (AES) Content Formation: Risks and Opportunities involved. Training & Skills Development. ELearning Africa. https://arxiv.org/pdf/1903.00934

Ari Irvan, I., Annur, S., Kunci, K., Buatan, K., Belajar Adaptif, L., & Dalam Pendidikan, A. (2024). ENHANCING PERSONALIZED LEARNING THROUGH ARTIFICIAL INTELLIGENCE (AI) IN EDUCATION 5.0: A FRAMEWORK FOR ADAPTIVE LEARNING ENVIRONMENTS. Proceeding of International Conference on Education and Sharia , 1, 670–680. https://doi.org/10.62097/ICES.V124.104

Asrifan, A., Cardoso, L. M. O. de B., & Vargheese, K. J. (2025). Integrating Artificial Intelligence in ESP Curriculum: A Bilingual Approach to English for Educational Technology. Journal of English Language Teaching Innovations and Materials (Jeltim), 7(1), 88–112. https://doi.org/10.26418/JELTIM.V7I1.91274

Chang, D. H., Lin, M. P. C., Hajian, S., & Wang, Q. Q. (2023). Educational Design Principles of Using AI Chatbot That Supports Self-Regulated Learning in Education: Goal Setting, Feedback, and Personalization. Sustainability (Switzerland), 15(17). https://doi.org/10.3390/su151712921

Chen, Y.-Y., , Yu-Hsiu Lin, C.-C. K., & Ming-Han Chung and I-Hsuan Yen. (2019). Analytics-Assisted Smart Power Meters Considering. Sensors, 19(9), 1–26.

Chuang, S. T., Liao, P. L., Lo, S. F., Chang, Y. T., & Hsu, H. T. (2022). Effectiveness of an E-Book App on the Knowledge, Attitudes and Confidence of Nurses to Prevent and Care for Pressure Injury. International Journal of Environmental Research and Public Health, 19(23). https://doi.org/10.3390/ijerph192315826

Das, A. C. (2025). Personalized Learning with AI: Transforming Education for Individualized Success. ESP IJSHMS ESP International Journal of Science, Humanities and Management Studies, 3(2 April 2025), 83–86. https://doi.org/10.56472/25839756/IJSHMS-V3I2P109

Du, Y., & Gao, H. (2022). Determinants affecting teachers’ adoption of AI-based applications in EFL context: An analysis of analytic hierarchy process. Education and Information Technologies, 27(7), 9357–9384. https://doi.org/10.1007/S10639-022-11001-Y/TABLES/8

Fontaine, G., Cossette, S., Maheu-Cadotte, M. A., Mailhot, T., Deschênes, M. F., Mathieu-Dupuis, G., Côté, J., Gagnon, M. P., & Dubé, V. (2019). Efficacy of adaptive e-learning for health professionals and students: A systematic review and meta-analysis. BMJ Open, 9(8). https://doi.org/10.1136/BMJOPEN-2018-025252,

Gellner, C., Witte, A. K., & Winkler, T. J. (2025). Design and Development of Virtual Patients for Healthcare Education: State of the Art and Research. Lecture Notes in Information Systems and Organisation, 76, 531–548. https://doi.org/10.1007/978-3-031-80125-9_31

Goel, A. (2020). AI-Powered Learning: Making Education Accessible, Affordable, and Achievable. https://arxiv.org/pdf/2006.01908

Gutiérrez, L. M. (2023). Artificial Intelligence in Language Education: Navigating the Potential and Challenges of Chatbots and NLP. JOURNAL OF RESEARCH STUDIES IN ENGLISH LANGUAGE TEACHING AND LEARNING, 1 no 3, 180–191.

Halkiopoulos, C., & Gkintoni, E. (2024). Leveraging AI in E-Learning: Personalized Learning and Adaptive Assessment through Cognitive Neuropsychology—A Systematic Analysis. Electronics (Switzerland), 13(18). https://doi.org/10.3390/electronics13183762

Hapsari, I. P., & Wu, T. T. (2022). AI Chatbots Learning Model in English Speaking Skill: Alleviating Speaking Anxiety, Boosting Enjoyment, and Fostering Critical Thinking. International Conference on Innovative Technologies and Learning, 13449 LNCS, 444–453. https://doi.org/10.1007/978-3-031-15273-3_49

Hutchinson, T., & Waters, A. (1987). English for Specific Purposes. https://doi.org/10.1017/CBO9780511733031

Komolafe, O. O., Mustofa, J., Daley, M. J., Walton, D., & Tawiah, A. (2025). Current applications and outcomes of AI-driven adaptive learning systems in physical rehabilitation science education: A scoping review protocol. Plos One, 20(6 JUNE), 1–8. https://doi.org/10.1371/journal.pone.0325649

Maity, S., & Deroy, A. (2024). Generative AI and Its Impact on Personalized Intelligent Tutoring Systems. https://arxiv.org/pdf/2410.10650

Nofal, A. Bin, Ali, H., Hadi, M., Ahmad, A., Qayyum, A., Johri, A., Al-Fuqaha, A., & Qadir, J. (2025). AI-enhanced interview simulation in the metaverse: Transforming professional skills training through VR and generative conversational AI. Computers and Education: Artificial Intelligence, 8, 100347. https://doi.org/10.1016/J.CAEAI.2024.100347

Oktafiani, R., Widiatningrum, T., & Retnoningsih, A. (2021). The Effectiveness of Using Interactive E-Books of Spending Plant Through Online Learning. Journal of Innovative Science Education, 10(3), 244–250. http://journal.unnes.ac.id/sju/index.php/jise

Rong, M., Hwang, Alice, , Chen, M. R. A., Hwang, G. J., Majumdar, R., Toyokawa, Y., & Ogata, H. (2021). Research trends in the use of E-books in English as a foreign language (EFL) education from 2011 to 2020: a bibliometric and content analysis. Interactive Learning Environments. https://doi.org/10.1080/10494820.2021.1888755

Sajja, R., Sermet, Y., Cikmaz, M., Cwiertny, D., & Demir, I. (2023). Artificial Intelligence-Enabled Intelligent Assistant for Personalized and Adaptive Learning in Higher Education. Information (Switzerland), 15(10). https://doi.org/10.3390/info15100596

Shaw, K., Henning, M. A., & Webster, C. S. (2025). Artificial Intelligence in Medical Education: a Scoping Review of the Evidence for Efficacy and Future Directions. Medical Science Educator, 1–14. https://doi.org/10.1007/S40670-025-02373-0/TABLES/3

Sianturi, A. S. R., Retnoningsih, A., & Ridlo, S. (2021). Development of Interactive E-Book of Ferns Materials Through a Scientific Approach With HOTS Problems to Improve Student Learning Outcomes. Journal of Innovative Science Education, 10(3), 230–236. http://journal.unnes.ac.id/sju/index.php/jise

Šokčević, B. L. dan. (2024). New trends in education ESP students ’ attitudes towards using digital dictionaries and AI-based tools in language learning. 5(5), 10–19.

Subiyantoro, H., Hartono, R., Fitriati, S. W., & Faridi, A. (2023). Dampak Kecerdasan Buatan (AI) terhadap Pengajaran Bahasa Inggris di Perguruan tinggi: Tantangan dan Peluang. Prosiding Seminar Nasional Pascasarjana Universitas Negeri Semarang, 6(1), 346–349. http://pps.unnes.ac.id/pps2/prodi/prosiding-pascasarjana-unnes

Surip Haryani. (2025). Artificial Intelligence Use in ESP Teaching among Indonesian ESP Teachers Association Members. SMART: Journal of English Language Teaching and Applied Linguistics, 11(1), 18–26. https://ejournal.umpri.ac.id/index.php/smart/article/view/2645

Tapalova, O., & Zhiyenbayeva, N. (2022). Artificial Intelligence in Education: AIEd for Personalised Learning Pathways. The Electronic Journal of E-Learning, 20(5), 639–653. www.ejel.org

Tyagi, A. K., Abraham, A., & Kaklauskas, A. (2021). Intelligent Interactive Multimedia Systems for e-Healthcare Applications. Intelligent Interactive Multimedia Systems for E-Healthcare Applications, 1–452. https://doi.org/10.1007/978-981-16-6542-4/COVER

Wangdi, P. (2024). Integrating Artificial Intelligence in Education : Trends and Opportunities Research Objectives : 6(2), 50–60.

Yamamoto, A., Koda, M., Ogawa, H., Miyoshi, T., Maeda, Y., Otsuka, F., & Ino, H. (2024). Enhancing Medical Interview Skills Through AI-Simulated Patient Interactions: Nonrandomized Controlled Trial. JMIR Medical Education, 10. https://doi.org/10.2196/58753,

Zawacki-Richter, O., Marín, V. I., Bond, M., & Gouverneur, F. (2019). Systematic review of research on artificial intelligence applications in higher education – where are the educators? In International Journal of Educational Technology in Higher Education (Vol. 16, Issue 1). Springer Netherlands. https://doi.org/10.1186/s41239-019-0171-0

Downloads

Published

2025-09-01

How to Cite

Surip Haryani, & Maulida Rahmawati Emha. (2025). Designing AI-Based Interactive E-Books for English for Specific Purposes (ESP) in Health Science Education . English Language Teaching Educational Journal, 8(2), 118–132. https://doi.org/10.12928/eltej.v8i2.14229

Issue

Section

Articles