Getting Ready for Adult Healthcare: Designing a Chatbot to Coach Adolescents with Special Health Needs Through the Transitions of Care
Getting Ready for Adult Healthcare: Designing a Chatbot to Coach Adolescents with Special Health Needs Through the Transitions of Care
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DOI：
10.1016/j.pedn.2019.09.004
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发表时间：
2019-11-01
影响因子：
2.4
通讯作者：
Robinson, Keith J.
中科院分区：
文献类型：
--
作者：
Beaudry, Jeremy;Consigli, Alyssa;Robinson, Keith J.
目的：AAP，AFP和ACP已经向临床医生撰写了关于从儿科向成人护理过渡的重要性的声明和建议。Got Transition计划根据AAP，AFP和ACP的建议提供了一个框架和资源，以促进自我护理技能的实现。事实证明，让青少年沿着过渡进程具有挑战性。青少年普遍使用智能手机、短信和社交媒体，这为青少年提供了一个独特的机会，让他们通过自己喜欢的渠道参与进来，提供工具和资源，帮助他们成功过渡到以成人为中心的护理。由临床医生、质量改进促进者组成的多学科团队，佛蒙特大学（UVM）儿童医院的以人为本的设计师为患有慢性疾病的青少年设计了支持Got Transition建议的工具。使用共同创造的设计过程，我们创建了一个新颖的工具，以提高青少年的参与度。我们对13名患有慢性疾病的青少年进行了一项试点研究，他们使用文本消息平台（聊天机器人）进行脚本交互，以增加参与度并根据Got Transition提供教育内容。结果：在研究期间，平均参与度为97%。研究参与者的定性反馈表明，我们的聊天机器人应该得到扩展，并显示出承诺，以帮助青少年获得自我护理技能的过渡journey.Conclusions：一个脚本化的短信平台是可行的，似乎是深受患者和照顾者。此外，我们的方法强调需要通过多个平台让青少年参与进来，以便在向成人护理过渡期间有效地充当“教练”。(c)2019爱思唯尔公司All rights reserved.
Objective: The AAP, AFP, and ACP have authored statements and recommendations to clinicians about the importance of the transition from pediatric to adult care. The Got Transition program provides a framework and resources based on AAP, AFP and ACP recommendations to promote skill attainment in self-care. Engaging adolescents along the transition journey has proven challenging. Use of smartphones, text messaging, and social media are prevalent among teenagers, offering a unique opportunity to engage teenagers in their preferred channel to provide tools and resources to help them successfully transition to adult focused care.Methods: A multidisciplinary team of clinicians, quality improvement facilitators, and human-centered designers at the University of Vermont (UVM) Children's Hospital designed tools for teens with chronic conditions that support the Got Transition recommendations. Using a co-creative design process, we created a novel tool to increase engagement among teenagers. We conducted a pilot study of 13 teenagers with a chronic medical condition using a text messaging platform (chatbot) with scripted interactions to increase engagement and deliver educational content according to Got Transition.Results: Mean engagement was 97% during the study period. Qualitative feedback from study participants suggests our chatbot should be extended and shows promise to help teenagers attain self-care skills on the transition journey.Conclusions: A scripted text messaging platform is feasible and appears to be well-received by patients and caregivers. Furthermore, our approach emphasizes the need to engage teenagers through multiple platforms to effectively serve as "coaches" during the transition to adult care. (c) 2019 Elsevier Inc. All rights reserved.