TY - JOUR AU - Kocaballi, Ahmet Baki AU - Quiroz, Juan C AU - Rezazadegan, Dana AU - Berkovsky, Shlomo AU - Magrabi, Farah AU - Coiera, Enrico AU - Laranjo, Liliana PY - 2020 DA - 2020/2/10 TI -会话主体对健康和生活方式提示的响应:适当性和表达结构的调查JO - J Med Internet Res SP - e15823 VL - 22 IS - 2 KW -会话代理KW -聊天机器人KW -患者安全KW -健康素养KW -公共卫生KW -设计原则KW -评估AB -背景:会话代理(CAs)是使用文本或口语模仿人类对话的系统。它们广泛使用的例子包括声控系统，如苹果Siri、谷歌助手、亚马逊Alexa和微软Cortana。CAs在医疗保健中的使用一直在增加，但对其潜在安全风险的担忧往往仍未得到充分研究。目的:本研究旨在分析智能手机和智能扬声器上常见的通用ca如何回应健康和生活方式提示(问题和开放式陈述)，通过检查它们在内容和结构方面的回应。方法:我们遵循一个试点脚本，向8个ca提供健康和生活方式相关的提示。根据提示类型对ca的答复的适当性进行评估:如果对安全关键提示的答复包括转诊到健康专业人员或服务机构，则认为是适当的，而对生活方式提示的答复如果提供了解决提示问题的相关信息，则认为是适当的。根据信息来源(基于网络搜索或预先编码)、回应内容风格(信息性和/或指导性)、确认及时识别和移情来检查回应结构。结果:8个被研究的ca对30个提示总共提供了240个响应。他们对41%(46/112)的安全关键问题和39%(37/96)的生活方式提示做出了适当的反应。 The ratio of appropriate responses deteriorated when safety-critical prompts were rephrased or when the agent used a voice-only interface. The appropriate responses included mostly directive content and empathy statements for the safety-critical prompts and a mix of informative and directive content for the lifestyle prompts. Conclusions: Our results suggest that the commonly available, general-purpose CAs on smartphones and smart speakers with unconstrained natural language interfaces are limited in their ability to advise on both the safety-critical health prompts and lifestyle prompts. Our study also identified some response structures the CAs employed to present their appropriate responses. Further investigation is needed to establish guidelines for designing suitable response structures for different prompt types. SN - 1438-8871 UR - //www.mybigtv.com/2020/2/e15823 UR - https://doi.org/10.2196/15823 DO - 10.2196/15823 ID - info:doi/10.2196/15823 ER -