@文章{信息:doi/10.2196/38740，作者=“Dhinagaran, Dhakshenya Ardhithy和Martinengo, Laura和Ho, Moon-Ho Ringo和Joty, Shafiq和Kowatsch, Tobias和Atun, Rifat和Tudor Car, Lorainne”，标题=“设计，开发，评估和实现智能手机交付的，基于规则的对话代理(发现):，期刊="JMIR Mhealth Uhealth"，年="2022"，月="10月"，日="4"，卷="10"，数="10"，页数="e38740"，关键词="概念框架;会话剂;聊天机器人;移动健康;移动健康;数字健康;背景:会话代理(ca)，也称为聊天机器人，是一种通过使用预定的基于规则的响应或人工智能算法来模拟人类对话的计算机程序。它们越来越多地用于医疗保健，尤其是通过智能手机。目前还没有一个概念性框架来指导医疗保健领域基于智能手机、基于规则的ca的开发。 To fill this gap, we propose structured and tailored guidance for their design, development, evaluation, and implementation. Objective: The aim of this study was to develop a conceptual framework for the design, evaluation, and implementation of smartphone-delivered, rule-based, goal-oriented, and text-based CAs for health care. Methods: We followed the approach by Jabareen, which was based on the grounded theory method, to develop this conceptual framework. We performed 2 literature reviews focusing on health care CAs and conceptual frameworks for the development of mobile health interventions. We identified, named, categorized, integrated, and synthesized the information retrieved from the literature reviews to develop the conceptual framework. We then applied this framework by developing a CA and testing it in a feasibility study. Results: The Designing, Developing, Evaluating, and Implementing a Smartphone-Delivered, Rule-Based Conversational Agent (DISCOVER) conceptual framework includes 8 iterative steps grouped into 3 stages, as follows: design, comprising defining the goal, creating an identity, assembling the team, and selecting the delivery interface; development, including developing the content and building the conversation flow; and the evaluation and implementation of the CA. They were complemented by 2 cross-cutting considerations---user-centered design and privacy and security---that were relevant at all stages. This conceptual framework was successfully applied in the development of a CA to support lifestyle changes and prevent type 2 diabetes. Conclusions: Drawing on published evidence, the DISCOVER conceptual framework provides a step-by-step guide for developing rule-based, smartphone-delivered CAs. Further evaluation of this framework in diverse health care areas and settings and for a variety of users is needed to demonstrate its validity. Future research should aim to explore the use of CAs to deliver health care interventions, including behavior change and potential privacy and safety concerns. ", issn="2291-5222", doi="10.2196/38740", url="https://mhealth.www.mybigtv.com/2022/10/e38740", url="https://doi.org/10.2196/38740", url="http://www.ncbi.nlm.nih.gov/pubmed/36194462" }