Using Natural Language Prompts With AI Models for Low-Cost Assistive Software Design: Exploratory Comparative Evaluation.

BACKGROUND: This study investigates the capacity of 7 artificial intelligence (AI) models, 5 free and 2 paid, to generate functional software for designing low-cost, personalized assistive products. OBJECTIVE: The objective was to determine which models are most effective, accessible, and consistent in supporting nontechnical professionals in developing inclusive digital solutions and to assess the capabilities of commercially available and easy-to-access AI models to generate code from natural language interactions in the shape of a nontechnical assistive technology design process. METHODS: Each AI model was prompted using natural language, without any technical input, to create a Python program that converts an arcade gamepad into an adapted mouse-like controller. Sixteen progressively complex functions were requested through standardized prompts, delivered without additional feedback or correction. Model performance was evaluated based on the number of successfully implemented functions and the average number of prompts required. RESULTS: Paid models demonstrated markedly superior performance. Gemini Pro (Google) successfully implemented 14 of 16 requested functions with an average of 1.25 (SD 0.45) prompts, while ChatGPT Plus (GPT-5) achieved 11 functions with an average of 1.31 (SD 0.48) prompts. In contrast, free models produced between 0 and 4 functional outcomes, with DeepSeek and Gemini Free ranking the highest within their category. The enhanced outcomes of paid models were linked to improved contextual understanding, greater tolerance for natural language, and reduced conversational drift. CONCLUSIONS: Paid AI models, particularly Gemini Pro and ChatGPT Plus, exhibit strong potential as tools for bridging the gap between health or education professionals and software development. They enable the creation of affordable, user-centered assistive technology without requiring advanced programming skills. Nevertheless, human oversight and foundational literacy in prompt design remain crucial to guarantee functionality, reliability, and ethical use.