Patient Engagement with Conversational Agents in Health Applications 2016–2022: A Systematic Review and Meta-Analysis

IF 3.5 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of Medical Systems Pub Date : 2024-04-10 DOI:10.1007/s10916-024-02059-x

Kevin E. Cevasco, Rachel E. Morrison Brown, Rediet Woldeselassie, Seth Kaplan

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引用次数: 0

Abstract

Clinicians and patients seeking electronic health applications face challenges in selecting effective solutions due to a high market failure rate. Conversational agent applications (“chatbots”) show promise in increasing healthcare user engagement by creating bonds between the applications and users. It is unclear if chatbots improve patient adherence or if past trends to include chatbots in electronic health applications were due to technology hype dynamics and competitive pressure to innovate. We conducted a systematic literature review using Preferred Reporting Items for Systematic reviews and Meta-Analyses methodology on health chatbot randomized control trials. The goal of this review was to identify if user engagement indicators are published in eHealth chatbot studies. A meta-analysis examined patient clinical trial retention of chatbot apps. The results showed no chatbot arm patient retention effect. The small number of studies suggests a need for ongoing eHealth chatbot research, especially given the claims regarding their effectiveness made outside the scientific literatures.

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2016-2022年健康应用中对话式代理的患者参与：系统回顾与元分析

由于市场失败率较高，临床医生和患者在寻求电子医疗应用程序时面临着选择有效解决方案的挑战。对话代理应用程序（"聊天机器人"）通过在应用程序和用户之间建立联系，有望提高医疗用户的参与度。目前还不清楚聊天机器人是否能提高患者的依从性，也不清楚过去将聊天机器人纳入电子医疗应用的趋势是否是由于技术炒作动力和创新竞争压力所致。我们采用系统综述和元分析首选报告项方法对健康聊天机器人随机对照试验进行了系统性文献综述。该综述的目的是确定电子健康聊天机器人研究中是否公布了用户参与度指标。一项荟萃分析研究了聊天机器人应用的患者临床试验保留率。结果显示，聊天机器人臂患者保留率没有影响。研究数量较少表明有必要对电子健康聊天机器人进行持续研究，尤其是考虑到科学文献之外关于聊天机器人有效性的说法。

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来源期刊

Journal of Medical Systems 医学-卫生保健

CiteScore

11.60

自引率

1.90%

发文量

审稿时长

4.8 months

期刊介绍： Journal of Medical Systems provides a forum for the presentation and discussion of the increasingly extensive applications of new systems techniques and methods in hospital clinic and physician''s office administration; pathology radiology and pharmaceutical delivery systems; medical records storage and retrieval; and ancillary patient-support systems. The journal publishes informative articles essays and studies across the entire scale of medical systems from large hospital programs to novel small-scale medical services. Education is an integral part of this amalgamation of sciences and selected articles are published in this area. Since existing medical systems are constantly being modified to fit particular circumstances and to solve specific problems the journal includes a special section devoted to status reports on current installations.