Smart-speaker technology and intellectual disabilities: agency and wellbeing
Smart-speaker technology and intellectual disabilities: agency and wellbeing
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DOI：
10.1080/17483107.2020.1864670
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发表时间：
2020-12-16
影响因子：
2.2
通讯作者：
Powell, Georgina
中科院分区：
文献类型：
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作者：
Smith, Elizabeth;Sumner, Petroc;Powell, Georgina
目的主流智能个人助理（IPA，例如 Amazon Echo 和 Google Home）为增强健康和社会护理领域弱势群体的能动性和福祉提供了前所未有的机会。然而，意想不到的后果和使用障碍是可能的。材料和方法我们在智力障碍 (ID) 个体中进行了一项混合方法半随机对照试验，向干预组 (N = 22) 提供 IPA，但不向对照组 (N = 22) 提供 IPA。对智障人士进行了有关设备使用和日常生活的半结构化访谈。还从支持人员那里收集了观察调查。通过主题分析确定了关键主题。我们还收集了定量代理和福祉数据。另外对已接受 IPA 的 40 名个人及其支持人员进行了额外评估。结果确定了四个主题：(1) 社会价值、(2) 娱乐、(3) 感知机构、(4) 挑战、毅力、培训/支持需求。关于 IPA 的意见绝大多数是积极的。大多数人定性地报告说，代理感有所改善，IPA 使许多人能够获得与幸福感相关的功能，但定量指标没有显着变化。有些人在发音和记忆国际音标短语方面遇到了挑战；结论这项研究加深了我们对智能扬声器如何用于提高智障人士生活质量以及所面临障碍本质的理解。总之，IPAs 是对弱势群体具有成本效益的补充支持，但需要额外的培训才能实现所有潜在的好处。
PurposeMainstream intelligent personal assistants (IPAs, e.g., Amazon Echo and Google Home) offer an unprecedented opportunity to enhance agency and wellbeing among vulnerable groups across health and social care. However, unintended consequences and barriers to use are possible.Materials and methodsWe conducted a mixed-methods semi-randomized controlled trial among individuals with intellectual disability (ID), providing IPAs to an intervention group (N = 22), but not a control group (N = 22). Semi-structured interviews on device use and daily life were conducted with individuals with ID. Observation surveys were also collected from support staff. Key themes were identified using thematic analysis. We also collected quantitative agency and wellbeing data. A separate group of 40 individuals who had already received IPAs were additionally assessed, as well as their support staff.ResultsFour themes were identified: (1) social value, (2) entertainment, (3) perceived agency, (4) challenges, perseverance, training/support needs. Opinions regarding IPAs were overwhelmingly positive. Most individuals qualitatively reported improved sense of agency and IPAs enabled many individuals to access features associated with wellbeing, but there was no significant change in the quantitative measure. Some individuals experienced challenges related to pronouncing and remembering IPA phrases; however, perseverance was common.ConclusionsThis study increases our understanding of the ways smart speakers can be used to enhance life quality among individuals with ID, and the nature of barriers faced. In conclusion, IPAs are cost-effective complementary support for vulnerable populations, but additional training is required to realize all potential benefits.