会话代理在慢性疾病管理中的中介作用:包括医疗保健专业人员、患者和家庭成卡塔尔世界杯8强波胆分析员多点单兵可行性研究%A Kowatsch,Tobias %A Schachner,Theresa %A Harperink,Samira %A Barata,Filipe %A Dittler,Ullrich %A Xiao,Grace %A Stanger,Catherine %A v Wangenheim,Florian %A Fleisch,Elgar %A Oswald,Helmut %A Möller,Alexander %+数字健康干预中心，苏黎世联邦理工学院，Weinbergstrasse 56/58，苏黎世，8092，瑞士，41 71 224 72 44，tkowatsch@ethz.ch %K数字健康干预%K干预设计%K移动健康%K电子健康%K聊天机器人%K会话代理%K慢性疾病%K哮喘%K可行性研究%D 2021 %7 17.2.2021 %9原论文%J J医学互联网研究%G英语%X背景:慢性疾病的成功管理需要卫生保健专业人员、患者和家庭成员之间的信任合作。可扩展的会话代理旨在帮助医疗保健专业人员，通过接触患者及其家庭成员的日常生活，可以以可扩展的方式在支持这种协作方面发挥重要作用。然而，到目前为止，尚不清楚会话代理在这种作用下是否会被接受，以及它们是否能够支持这种多利益相关者协作。由于儿童哮喘是慢性病管理的一个相关目标，本研究有以下目标:(1)描述MAX的设计，这是一种会话代理交付的哮喘干预，支持卫生保健专业人员针对儿童-父母团队的日常生活;以及(2)评估(a) MAX的覆盖范围，(b)会话代理-患者工作联盟，(c)对MAX的接受程度，(d)干预完成率，(e)认知和行为结果，以及(f)初级和二级医疗机构中卫生保健专业人员的人力和反应。方法:MAX旨在提高10-15岁哮喘患者的认知技能(即哮喘知识)和行为技能(即吸入技术)，并能够得到卫生专业人员和家庭成员的支持。为此，有三个设计目标指导开发:(1)建立一个对话的agent-patient工作联盟;(2)提供混合(人工和会话代理支持)无处不在的指导; and (3) to provide an intervention with high experiential value. An interdisciplinary team of computer scientists, asthma experts, and young patients with their parents developed the intervention collaboratively. The conversational agent communicates with health care professionals via email, with patients via a mobile chat app, and with a family member via SMS text messaging. A single-arm feasibility study in primary and secondary care settings was performed to assess MAX. Results: Results indicated an overall positive evaluation of MAX with respect to its reach (49.5%, 49/99 of recruited and eligible patient-family member teams participated), a strong patient-conversational agent working alliance, and high acceptance by all relevant stakeholders. Moreover, MAX led to improved cognitive and behavioral skills and an intervention completion rate of 75.5%. Family members supported the patients in 269 out of 275 (97.8%) coaching sessions. Most of the conversational turns (99.5%) were conducted between patients and the conversational agent as opposed to between patients and health care professionals, thus indicating the scalability of MAX. In addition, it took health care professionals less than 4 minutes to assess the inhalation technique and 3 days to deliver related feedback to the patients. Several suggestions for improvement were made. Conclusions: This study provides the first evidence that conversational agents, designed as mediating social actors involving health care professionals, patients, and family members, are not only accepted in such a “team player” role but also show potential to improve health-relevant outcomes in chronic disease management. %M 33484114 %R 10.2196/25060 %U //www.mybigtv.com/2021/2/e25060/ %U https://doi.org/10.2196/25060 %U http://www.ncbi.nlm.nih.gov/pubmed/33484114