77 Qualitative Needs Assessment of Child and Caregiver Perspectives to Inform Design of an Artificial Intelligence-enhanced Social Robot to Improve Paediatric Emergency Care
77 Qualitative Needs Assessment of Child and Caregiver Perspectives to Inform Design of an Artificial Intelligence-enhanced Social Robot to Improve Paediatric Emergency Care
复制标题
77 对儿童和护理人员观点进行定性需求评估，为人工智能增强型社交机器人的设计提供信息，以改善儿科紧急护理
DOI：
10.1093/pch/pxad055.077
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发表时间：
2023
影响因子：
1.9
通讯作者：
Hudson S
中科院分区：
文献类型：
--
作者：
Hudson S
背景儿童经常经历与医疗程序相关的治疗不足的疼痛和痛苦，例如静脉内插入（IVI），这可能在短期内（例如，恐惧，无法完成手术）和长期（例如，针头恐惧症，避免医疗保健）。社会辅助机器人（SAR）是一种很有前途的工具，用于管理儿科医疗保健环境中的疼痛和痛苦。当我们致力于建设一个更适应发展和互动的特区时，我们必须首先了解儿童和家庭如何看待SAR，以创建一个安全和道德的工具。ObjectivesThe的目的是了解儿童和护理人员与人工智能（AI）增强的SAR互动的看法，作为儿科急诊科（艾德）的分心工具，以改善他们的IVI体验。我们在2021年4月至2022年1月期间对来自两个加拿大儿科急诊科的儿童及其照顾者进行了半结构化访谈和焦点小组，同时进行访谈转录和分析，直到达到主题饱和。独立进行定性内容分析的两个团队成员，谁定期开会讨论的编码方案和关键主题，并促进迭代调整的基础上出现的themes.ResultsNineteen儿童（平均年龄8.42岁[SD 2.21]）和12个照顾者的采访脚本。确定了三个主要主题：（1）总体艾德经验，（2）SAR的普遍接受程度，以及（3）支持儿童参与的建议SAR功能。大多数参与者在艾德中感到舒适，但发现等待时间长，缺乏技术支持（例如，iPad）作为积极体验的障碍。大多数与会者对机器人技术表示兴奋和满意。然而，有人对特别行政区拍摄照片/视频以及技术故障可能导致儿童失望或脱离表示关切。潜在的机器人功能的建议是独特的IVI阶段：IVI（发展适当的程序解释，创建一个共享的分心计划）之前;在IVI（品种和选择的分心，SAR能力停止或改变课程）;和IVI后（汇报和积极的reinforcement）.ConclusionOverall，AI增强SAR被认为是一个有前途的工具，以分散儿童和照顾者。收集的见解将用于为AI增强型SAR的道德和情感安全设计提供信息。接下来的步骤包括SAR的开发和可用性测试，随后通过随机对照试验在儿科艾德中进行评价，以及临床实施。
BackgroundChildren routinely experience under-treated pain and distress related to medical procedures, such as intravenous insertions (IVI), which can have negative consequences in both the short-term (e.g., fear, inability to complete procedure) and long-term (e.g., needle phobia, healthcare avoidance). Socially assistive robots (SARs) are a promising tool to manage pain and distress in paediatric healthcare settings. As we work towards building a more developmentally adaptive and interactive SAR, we must first understand how children and families perceive SAR to create a safe and ethical tool.ObjectivesThe aim of this study was to understand children’s and caregivers’ perceptions of interacting with an artificial intelligence (AI)-enhanced SAR as a distraction tool in the paediatric emergency department (ED) to improve their IVI experience.Design/MethodsWe conducted semi-structured interviews and focus groups with children and their caregivers from two Canadian paediatric EDs between April 2021 to January 2022, with interview transcription and analysis conducted concurrently until thematic saturation was achieved. Qualitative content analysis was performed independently by two team members, who met regularly to discuss the coding scheme and key themes, and facilitate iterative adjustments to the interview script based on emerging themes.ResultsNineteen children (mean age 8.42 years [SD 2.21]) and twelve caregivers were included. Three main themes were identified: (1) Overall ED experience, (2) General acceptance of a SAR, and (3) Suggested SAR features to support child engagement. Most participants were comfortable in the ED but identified long wait times and lack of technological supports (e.g., iPads) as an impediment to positive experience. Most participants expressed excitement and comfort surrounding robot technology. However, concerns were raised about photo/video capture by the SAR and the possibility of technical failure resulting in child disappointment or disengagement. Suggestions for potential robot features were unique to the phase of IVI: before IVI (developmentally appropriate procedure explanation, creation of a shared distraction plan); during IVI (variety and choice of distractions, SAR capability to stop or alter course); and after IVI (debriefing and positive reinforcement).ConclusionOverall, AI-enhanced SARs were perceived by children and caregivers as a promising tool to distract children. Insights collected will be used to inform the ethical and emotionally safe design of an AI-enhanced SAR. Next steps include development and usability testing of the SAR, subsequent evaluation in the paediatric ED via a randomized controlled trial, and clinical implementation.