Promotion of Preconception Care Among Adolescents and Young Adults by Conversational Agent
Promotion of Preconception Care Among Adolescents and Young Adults by Conversational Agent
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DOI：
10.1016/j.jadohealth.2019.09.006
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发表时间：
2020-08-01
影响因子：
7.6
通讯作者：
Jack, Brian
中科院分区：
文献类型：
--
作者：
Bickmore, Timothy;Zhang, Zhe;Jack, Brian
目的：孕前护理对所有妇女改善婴儿和产妇的健康结果很重要，对青少年和年轻人可能特别重要。这项研究评估了自动化干预的接受度、可用性和使用情况，该干预通过基于网络的虚拟动画健康顾问在一年的时间里筛查女性108个孕前护理风险并解决这些风险，并将18-25岁的青少年和年轻成年用户与26-34岁的用户的这些措施进行比较。我们假设年轻的队列将对在线干预有更多的使用和满意。方法：进行了一项涉及528名全国样本的随机对照试验。我们对被随机分配到干预组的79名18-25岁的女性和183名26-34岁的女性的系统使用、自我报告的可用性和满意度进行了二次数据分析。研究对象为女性、黑人或非裔美国人，年龄18-34岁，未怀孕，会说英语，通过各种广告和外展活动招募。结果：在18-25岁的青少年和青壮年参与者中，20.25%的参与者在一年中访问系统0次，29.11%，1-3次，50.63%，3次。年底时，几乎所有人(96.4%)表示，他们已经或计划按照代理商的建议采取行动。大多数人(75.0%)表示，他们会向自己认识的人推荐这一系统。两个年龄组在干预使用或满意度上没有显著差异。结论：基于网络的对话代理是一种向青少年和青壮年提供纵向孕前护理咨询的可行媒介。(C)2019年，爱思唯尔公司代表青少年健康与医学学会出版。这是CC BY-NC-ND License(http://creativecommons.org/licenses/by-nc-nd/4.0/).下的一篇开放获取文章
Purpose: Preconception care is important for all women to improve infant and maternal health outcomes and may be especially important for adolescents and young adults. This study assesses the acceptance, usability, and use of an automated intervention to screen women on 108 preconception care risks and address them over the course of a year via a Web-based virtual animated health counselor and compares these measures for the adolescent and young adult users aged 18-25 years with those of users aged 26-34 years. We hypothesize that the younger cohort will have significantly greater use of and satisfaction with the online intervention.Methods: A randomized controlled trial involving a national sample of 528 women was conducted. We present a secondary data analysis on the system use and self-reported usability and satisfaction of the 79 women aged 18-25 years randomized to the intervention group, compared with the 183 women aged 26-34 years in the intervention group. Participants were required to self-identify as female, black or African American, aged 18-34 years, not pregnant, and English-speaking and were recruited through a variety of advertisements and outreach activities.Results: Of the adolescent and young adult participants (aged 18-25 years) enrolled and randomized to the intervention, 20.25% of participants accessed the system 0 times; 29.11%, 1-3 times; and 50.63%, >3 times over the course of a year. At the end of the year, almost all (96.4%) indicated they had either acted on recommendations made by the agent or planned to. Most (75.0%) said they would recommend the system to someone they knew. There were no significant differences between the two age groups on intervention use or satisfaction.Conclusions: Web-based conversational agents are a viable medium for delivering longitudinal preconception care counseling to adolescents and young adults. (C) 2019 Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).