TY - JOUR AU - Scholten, Mark R AU - Kelders, Saskia M AU - Van Gemert-Pijnen, Julia EWC PY - 2017 DA - 2017/11/16 TI -自我引导基于web的干预:用户需求和隐含会话代理潜力的范围审查，以解决他们JO - J医学互联网Res SP - e383 VL - 19 IS - 11 KW - eHealth KW -审查KW -隐含会话代理KW -人机交互KW -临床心理学KW -健康行为KW -基于web的干预KW -坚持KW -智能辅导系统KW - ITS AB -背景:基于网络的精神卫生干预措施已从创新原型演变为抑郁症和焦虑症等精神疾病的循证和临床应用解决方案。这些解决方案的开放获取、自我引导类型有望以合理的成本覆盖和治疗大量人口。然而，目前阻碍这些基于网络的自我指导干预有效性的一个重要因素是高水平的不坚持。没有人类看护显然会对用户的依从性产生负面影响。目前尚不清楚这种人力支持在多大程度上可以移交给干预技术，以减轻这种负面影响。目的:本文的第一个目的是探讨文献中已知的关于用户需要什么支持来保持积极性并参与需要重复使用的电子健康(eHealth)干预。第二个目标是探索嵌入会话代理(ECAs)提供这种支持的当前潜力。方法:本研究回顾和解释了以下方面的现有文献:(1)需要重复使用的电子健康干预措施的支持，以及(2)通过范围审查eca的潜力。 The rationale for choosing a scoping review is that the subject is broad, diverse, and largely unexplored. Themes for (1) and (2) were proposed based on grounded theory and mapped on each other to find relationships. Results: The results of the first part of this study suggest the presence of user needs that largely remain implicit and unaddressed. These support needs can be categorized as task-related support and emotion-related support. The results of the second part of this study suggest that ECAs are capable of engaging and motivating users of information technology applications in the domains of learning and behavioral change. Longitudinal studies must be conducted to determine under what circumstances ECAs can create and maintain a productive user relationship. Mapping the user needs on the ECAs’ capabilities suggests that different kinds of ECAs may provide different solutions for improving the adherence levels. Conclusions: Autonomous ECAs that do not respond to a user’s expressed emotion in real time but take on empathic roles may be sufficient to motivate users to some extent. It is unclear whether those types of ECAs are competent enough and create sufficient believability among users to address the user’s deeper needs for support and empathy. Responsive ECAs may offer a better solution. However, at present, most of these ECAs have difficulties to assess a user’s emotional state in real time during an open dialogue. By conducting future research with relationship theory–based ECAs, the added value of ECAs toward user needs can be better understood. SN - 1438-8871 UR - //www.mybigtv.com/2017/11/e383/ UR - https://doi.org/10.2196/jmir.7351 UR - http://www.ncbi.nlm.nih.gov/pubmed/29146567 DO - 10.2196/jmir.7351 ID - info:doi/10.2196/jmir.7351 ER -