Nick Kashyap, Ann Tresa Sebastian, Chris Lynch, Paul Jansons, Ralph Maddison, Tilman Dingler, Brian Oldenburg
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This review synthesizes evidence on conversational agent-enabled intervention design features and how they impact on engagement to inform the development of more engaging conversational agent-enabled interventions that effectively help people with CMD to self-manage their condition.</p><p><strong>Objective: </strong>The aim of the study is to synthesize evidence pertaining to conversational agent-enabled intervention design features and their impact on engagement of people self-managing CMD.</p><p><strong>Methods: </strong>Searches were conducted in Ovid (MEDLINE), Web of Science, and Scopus databases. Inclusion criteria were primary research studies reporting on conversational agent-enabled interventions that included measures of engagement and included adults with CMD. 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引用次数: 0
摘要
背景：设计良好的会话代理可以提高医疗保健能力，以满足人们自我管理心脏代谢疾病（CMD）的动态和复杂需求。然而，缺乏关于会话代理支持的干预设计特征及其对参与的影响的经验证据，使得全面评估有效性具有挑战性。本综述综合了支持会话代理的干预设计特征及其对参与的影响的证据，以告知开发更具吸引力的支持会话代理的干预措施，有效地帮助CMD患者自我管理他们的病情。目的：本研究的目的是综合有关会话代理支持的干预设计特征及其对人们自我管理CMD的参与的影响的证据。方法：在Ovid （MEDLINE）、Web of Science和Scopus数据库中进行检索。纳入标准是报告会话代理启用干预措施的主要研究，包括参与措施，并包括患有CMD的成年人。数据提取捕获了使用CMD的人对启用会话代理的干预的各种设计特性的看法。结果：在1366项筛选研究中，20项纳入了本综述。总共有18个是对会话代理干预原型的定性或准实验评估。通过启用会话代理的干预，影响用户参与的五个设计特征领域出现了：沟通风格、功能、可访问性、视觉外观和个性。结论：在所有5个领域中，整合冗余和拟人化被认为是通过增加用户自主权和投资来提高用户粘性的有效策略。未来的研究应采用具有包容性和适应性的设计策略，以适应用户的不同需求，并与对话代理干预相关的独特考虑相一致。试验注册：PROSPERO CRD42023431579；https://tinyurl.com/3srmzw8f.International注册报表标识符（irrid）： RR2-10.2196/52973。
Engagement With Conversational Agent-Enabled Interventions in Cardiometabolic Disease Self-Management: Systematic Review.
Background: Well-designed conversational agents can improve health care capacity to meet the dynamic and complex needs of people self-managing cardiometabolic diseases (CMD). However, a lack of empirical evidence on conversational agent-enabled intervention design features and their impact on engagement make it challenging to comprehensively evaluate effectiveness. This review synthesizes evidence on conversational agent-enabled intervention design features and how they impact on engagement to inform the development of more engaging conversational agent-enabled interventions that effectively help people with CMD to self-manage their condition.
Objective: The aim of the study is to synthesize evidence pertaining to conversational agent-enabled intervention design features and their impact on engagement of people self-managing CMD.
Methods: Searches were conducted in Ovid (MEDLINE), Web of Science, and Scopus databases. Inclusion criteria were primary research studies reporting on conversational agent-enabled interventions that included measures of engagement and included adults with CMD. Data extraction captured perspectives of people with CMD on various design features of conversational agent-enabled interventions.
Results: Of 1366 studies identified for screening, 20 were included in the review. In total, 18 of these were qualitative or quasi-experimental evaluations of conversational agent-enabled intervention prototypes. Five domains of design features that impact user engagement with conversational agent-enabled interventions emerged: communication style, functionality, accessibility, visual appearance, and personality.
Conclusions: Across all 5 domains, integrating redundancy and anthropomorphism were identified as effective strategies for improving engagement by increasing user autonomy and investment. Future research should adopt design strategies that are inclusive and adaptive to the diverse needs of users and aligned with the unique considerations relevant to conversational agent-enabled interventions.
期刊介绍：
JMIR mHealth and uHealth (JMU, ISSN 2291-5222) is a spin-off journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR mHealth and uHealth is indexed in PubMed, PubMed Central, and Science Citation Index Expanded (SCIE), and in June 2017 received a stunning inaugural Impact Factor of 4.636.
The journal focusses on health and biomedical applications in mobile and tablet computing, pervasive and ubiquitous computing, wearable computing and domotics.
JMIR mHealth and uHealth publishes since 2013 and was the first mhealth journal in Pubmed. It publishes even faster and has a broader scope with including papers which are more technical or more formative/developmental than what would be published in the Journal of Medical Internet Research.
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