Design of Interactive Cancer Education Technology for Latina Farmworkers.
Design of Interactive Cancer Education Technology for Latina Farmworkers.
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为拉丁裔农场工人设计互动癌症教育技术。
DOI：
10.1109/sieds.2014.6829908
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Barnes,LauraE
中科院分区：
文献类型：
--
作者：
Wu,Ying;Samant,Devan;Squibbs,Kristen;Chaet,Alexis;Morshedi,Bijan;Barnes,LauraE
美国拉丁裔的宫颈癌 (CC) 发病率和死亡率高于一般人群，而且许多人缺乏医疗保健服务或面临沟通、读写能力和知识障碍，无法进行适当的宫颈癌筛查。交互式技术干预措施，如具身会话代理 (ECA)/虚拟代理，目前已用于其他人群、环境和其他健康主题，但是，尚无已知的举措使用适合文化和识字能力的技术干预措施来提供西班牙语 CC 教育。本研究旨在创建一个根据文化定制的西班牙语虚拟患者教育者 (VPE) 应用程序，以增强患者导航器 (PN) 干预，从而提高农村农业社区西班牙裔妇女的 CC 筛查率。 VPE是一个计算机角色，可以模拟与真人面对面的对话，并体现PN的特征。通过对目标人群的反复访谈，确定了关键的文化设计因素，为 VPE 原型的设计和实施提供信息。本文讨论了与为低文化水平用户开发 VPE 相关的设计和可用性问题，以及开发类似工具的框架方法和设计因素的文化矩阵。 VPE 可能有助于缩小西班牙裔女性与普通人群在宫颈癌筛查方面的知识差距。将文化定制功能融入技术有助于提高对所提供的健康信息的整体理解和信任。让患者群体参与技术设计的迭代方法对于确定特定人群的患者偏好非常重要。
Latinas in the United States experience higher levels of cervical cancer (CC) incidence and mortality rates than the general population, and many lack access to healthcare or face communication, literacy, and knowledge barriers preventing proper CC screening. Interactive technological interventions, like embodied conversational agents (ECA)/virtual agents, are currently used in other populations, settings, and for other health topics, however, no known initiative has used culturally- and literacy-appropriate technological interventions to deliver Spanish-language CC education. This study aims to create a culturally tailored Spanish-language Virtual Patient Educator (VPE) application to augment a patient navigator (PN) intervention for increasing CC screening rates among Hispanic women in a rural agricultural community. The VPE is a computer character that can simulate face-to-face conversation with an actual person and will embody the characteristics of a PN. Through iterative interviews with the target population, key cultural design factors were identified to inform the design and implementation of a prototype VPE. This paper discusses design and usability issues associated with development of the VPE for low-literacy users in addition to a framework methodology for development of similar tools and a cultural matrix of design factors. A VPE might help close the knowledge gap between Hispanic women and the general population regarding cervical cancer screening. Incorporation of culturally tailored features in technology aids in increasing overall understanding and trust of health information presented. An iterative approach that engages the patient population in design of technology is important to identify population-specific patient preferences.