Establishing the computer-patient working alliance in automated health behavior change interventions
Establishing the computer-patient working alliance in automated health behavior change interventions
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DOI：
10.1016/j.pec.2004.09.008
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发表时间：
2005-10-01
影响因子：
3.5
通讯作者：
Picard, R
中科院分区：
文献类型：
--
作者：
Bickmore, T;Gruber, A;Picard, R
当前用于自动化患者和消费者医疗保健系统的用户界面可以通过利用几十年来对有效的患者-提供者沟通技能的研究结果来改进。一个研究项目中，几个这样的“关系”的技能-包括同理心，社会对话，非语言的即时行为，和其他行为，以建立和保持良好的工作关系，在多个互动-明确设计成一个计算机界面的上下文中的纵向健康行为改变干预体力活动通过。33名受试者之间的比较结果进行了近日常的关系系统和27个互动近日常与一个相同的系统与消融的关系行为，每个30天表明，使用的关系行为的系统显着增加工作联盟和愿望，继续与系统合作。将上述组与另一组31名受试者进行比较，这些受试者在30天内几乎每天与控制系统进行交互，这也表明主动查看健康信息的显著增加。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Current user interfaces for automated patient and consumer health care,systems can be improved by leveraging the results of several decades of research into effective patient-provider communication skills. A research project is presented in which several such "relational" skills - including empathy, social dialogue, nonverbal immediacy behaviors, and other behaviors to build and maintain good working relationships over multiple interactions - are explicitly designed into a computer interface within the context of a longitudinal health behavior change intervention for physical activity adoption. Results of a comparison among 33 subjects interacting near-daily with the relational system and 27 interacting near-daily with an identical system with the relational behaviors ablated, each for 30 days indicate, that the use of relational behaviors by the system significantly increases working alliance and desire to continue working with the system. Comparison of the above groups to another group of 31 subjects interacting with a control system near-daily for 30 days also indicated a significant increase in proactive viewing of health information. (c) 2004 Elsevier Ireland Ltd. All rights reserved.