Development and Feasibility of a Family-Based Health Behavior Intervention Using Intelligent Personal Assistants: Randomized Controlled Trial.
Development and Feasibility of a Family-Based Health Behavior Intervention Using Intelligent Personal Assistants: Randomized Controlled Trial.
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DOI：
10.2196/17501
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发表时间：
2021-01-28
影响因子：
2.2
通讯作者：
Gallagher AM
中科院分区：
文献类型：
--
作者：
Carlin A;Logue C;Flynn J;Murphy MH;Gallagher AM
亚马逊Echo和谷歌Home等智能个人助理已经越来越多地融入家庭环境，因此，它们可能通过新颖的互动方式或作为传统干预措施的辅助手段，促进行为改变。然而，目前对它们在这方面的潜在作用知之甚少。本可行性研究旨在开发智能个人助理项目（IPAP），并评估该技术在促进和维持父母和儿童的身体活动和其他健康相关行为方面的可接受性和可行性。这项试点可行性研究分两个阶段进行。在第一阶段，邀请正在参加社区体重管理项目的家庭参加，而在第二阶段招募目前没有接受任何额外干预的家庭。家庭被随机分配到干预组（收到一个用于家庭使用的智能扬声器）或对照组。IPAP干预旨在通过利用智能扬声器及其相关智能个人助理的功能，在家庭环境中促进积极的健康行为。收集了招募、保留、结果测量、干预可接受性、设备相互作用和使用情况的数据。总共招募了26个至少有一名5至12岁儿童的家庭，并在随访中保留了23个家庭。在干预的第一阶段，家庭与智能个人助理共互动65次。尽管在干预的第二阶段设备交互要高得多（312次），但只有10.9%（34/312）的交互被编码为相关的（与饮食、身体活动或健康有关）。焦点小组强调，这些家庭认为这些设备可以接受，易于使用，并认为提示或提醒有助于促进更健康的行为。一些家庭建议对提示的时间进行进一步的干预改进，并将反馈与设备结合起来。使用智能个人助理在家中传递与健康相关的信息和信息是可行的，参与家庭报告的参与度很高。这项新颖的可行性研究强调了重要的方法学考虑，应该为未来的试验提供信息，测试智能个人助理在促进积极健康相关行为方面的有效性。注册表ISRCTN16792534；http://www.isrctn.com/ISRCTN16792534
Intelligent personal assistants such as Amazon Echo and Google Home have become increasingly integrated into the home setting and, therefore, may facilitate behavior change via novel interactions or as an adjunct to conventional interventions. However, little is currently known about their potential role in this context. This feasibility study aims to develop the Intelligent Personal Assistant Project (IPAP) and assess the acceptability and feasibility of this technology for promoting and maintaining physical activity and other health-related behaviors in both parents and children. This pilot feasibility study was conducted in 2 phases. For phase 1, families who were attending a community-based weight management project were invited to participate, whereas phase 2 recruited families not currently receiving any additional intervention. Families were randomly allocated to either the intervention group (received a smart speaker for use in the family home) or the control group. The IPAP intervention aimed to promote positive health behaviors in the family setting through utilization of the functions of a smart speaker and its linked intelligent personal assistant. Data were collected on recruitment, retention, outcome measures, intervention acceptability, device interactions, and usage. In total, 26 families with at least one child aged 5 to 12 years were recruited, with 23 families retained at follow-up. Across phase 1 of the intervention, families interacted with the intelligent personal assistant a total of 65 times. Although device interactions across phase 2 of the intervention were much higher (312 times), only 10.9% (34/312) of interactions were coded as relevant (related to diet, physical activity or well-being). Focus groups highlighted that the families found the devices acceptable and easy to use and felt that the prompts or reminders were useful in prompting healthier behaviors. Some further intervention refinements in relation to the timing of prompts and integrating feedback alongside the devices were suggested by families. Using intelligent personal assistants to deliver health-related messages and information within the home is feasible, with high levels of engagement reported by participating families. This novel feasibility study highlights important methodological considerations that should inform future trials testing the effectiveness of intelligent personal assistants in promoting positive health-related behaviors. ISRCTN Registry ISRCTN16792534; http://www.isrctn.com/ISRCTN16792534