Kun Li, Siyuan Wu, Ying Zhang, Binbin Zhu, Ziyi Qi, Sijia Hou, Wei Wang
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引用次数: 0
Abstract
Background: Artificial intelligence-based conversational agents (CAs) have shown transformative potential in healthcare, yet their application in cancer health education has remained underexplored, particularly regarding usability and patients' experiences. Existing reviews lack a dedicated focus on user perspectives, limiting insights into how CAs can be optimised for patient needs.
Aim: To explore the usability and experience of artificial intelligence-based conversational agents in health education for cancer from the user perspective.
Design: A scoping review was conducted with the Joanna Briggs Institute Scoping Reviews conduct guidance and reported according to the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist.
Methods: A search was performed in PubMed, Embase, CINAHL, Web of Science, PsycINFO, IEEE Xplore Digital Library and ACM Digital Library from their inception to March 6, 2024. The references to the articles included were also searched. The Pillar Integration Process was employed to chart data.
Results: A total of 12 studies were included in this scoping review, which revealed that CAs supported diverse educational contexts, including cancer-related knowledge (41.7%), pretest genetics (33.3%), self-management (16.7%) and psychological skills (8.3%). Three studies reported that patients preferred interactions with multiple options or 'read more' functions. Patients were generally optimistic about the CAs and reported that CAs provided informational, physical, and psychological support for them. However, limitations such as insufficient customisation, lack of empathy, and defects in understanding free-input questions were noted.
Conclusion: This review demonstrated that CAs are promising complementary tools in cancer education, alleviating healthcare burdens while enhancing patient engagement, which was particularly critical in resource-limited settings. However, clinical implementation requires more rigorous validation of safety protocols and high-quality original studies.
Relevance to clinical practice: Nurses and policymakers should consider CAs valuable tools to enhance cancer health education, provided that they align with patient needs and institutional safety standards.
背景：基于人工智能的会话代理（CAs）在医疗保健领域显示出变革潜力，但它们在癌症健康教育中的应用仍未得到充分探索，特别是在可用性和患者体验方面。现有的评论缺乏对用户观点的专门关注，限制了对CAs如何优化以满足患者需求的见解。目的：从用户角度探讨基于人工智能的会话代理在癌症健康教育中的可用性和体验。设计：在Joanna Briggs研究所范围审查指导下进行范围审查，并根据系统审查和扩展范围审查清单的元分析的首选报告项目进行报告。方法：检索PubMed、Embase、CINAHL、Web of Science、PsycINFO、IEEE explore数字图书馆和ACM数字图书馆自成立以来至2024年3月6日的文献。还检索了所纳入文章的参考文献。采用支柱整合过程来绘制数据图表。结果：本综述共纳入了12项研究，结果显示CAs支持不同的教育背景，包括癌症相关知识（41.7%）、测试前遗传学（33.3%）、自我管理（16.7%）和心理技能（8.3%）。三项研究报告称，患者更喜欢有多种选择或“阅读更多”功能的互动。患者普遍对辅助治疗持乐观态度，并报告辅助治疗为他们提供了信息、身体和心理支持。然而，局限性，如定制不足，缺乏同理心，以及理解自由输入问题的缺陷被注意到。结论：本综述表明，ca是癌症教育中有希望的补充工具，可以减轻医疗负担，同时提高患者参与度，这在资源有限的环境中尤为重要。然而，临床实施需要更严格的安全方案验证和高质量的原始研究。与临床实践的相关性：护士和政策制定者应将ca视为加强癌症健康教育的宝贵工具，前提是它们符合患者需求和机构安全标准。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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