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Erschienen in: Journal of Medical Systems 5/2019

01.05.2019 | Mobile & Wireless Health

Using Health Chatbots for Behavior Change: A Mapping Study

verfasst von: Juanan Pereira, Óscar Díaz

Erschienen in: Journal of Medical Systems | Ausgabe 5/2019

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Abstract

This study conducts a mapping study to survey the landscape of health chatbots along three research questions: What illnesses are chatbots tackling? What patient competences are chatbots aimed at? Which chatbot technical enablers are of most interest in the health domain? We identify 30 articles related to health chatbots from 2014 to 2018. We analyze the selected articles qualitatively and extract a triplet <technicalEnablers, competence, illness> for each of them. This data serves to provide a first overview of chatbot-mediated behavior change on the health domain. Main insights include: nutritional disorders and neurological disorders as the main illness areas being tackled; “affect” as the human competence most pursued by chatbots to attain change behavior; and “personalization” and “consumability” as the most appreciated technical enablers. On the other hand, main limitations include lack of adherence to good practices to case-study reporting, and a deeper look at the broader sociological implications brought by this technology.
Literatur
3.
Zurück zum Zitat Atay, C., Ireland, D., Liddle, J., Wiles, J., Vogel, A., Angus, D., Bradford, D., Campbell, A., Rushin, O., and Chenery, H. J., Can a smartphone-based chatbot engage older community group members? The impact of specialised content. Alzheimer’s Dement.: J. Alzheimer’s Assoc. 12(7):P1005–P1006, 2016. https://doi.org/10.1016/j.jalz.2016.06.2070.CrossRef Atay, C., Ireland, D., Liddle, J., Wiles, J., Vogel, A., Angus, D., Bradford, D., Campbell, A., Rushin, O., and Chenery, H. J., Can a smartphone-based chatbot engage older community group members? The impact of specialised content. Alzheimer’s Dement.: J. Alzheimer’s Assoc. 12(7):P1005–P1006, 2016. https://​doi.​org/​10.​1016/​j.​jalz.​2016.​06.​2070.CrossRef
4.
Zurück zum Zitat Beun, R.J., Brinkman, W.-P., Fitrianie, S., Griffioen-Both, F., Horsch, C., Lancee, J., and Spruit, S.: Improving adherence in automated e-coaching. In: International conference on persuasive technology. pp. 276–287. Springer, 2016). Beun, R.J., Brinkman, W.-P., Fitrianie, S., Griffioen-Both, F., Horsch, C., Lancee, J., and Spruit, S.: Improving adherence in automated e-coaching. In: International conference on persuasive technology. pp. 276–287. Springer, 2016).
6.
Zurück zum Zitat Brinkman, P., Virtual health agents for behavior change: Research perspectives and directions. Proceedings of the workshop on graphical and robotic embodied agents for therapeutic systems (GREATS16) held during the international conference on intelligent virtual agents (IVA16), 2016. Brinkman, P., Virtual health agents for behavior change: Research perspectives and directions. Proceedings of the workshop on graphical and robotic embodied agents for therapeutic systems (GREATS16) held during the international conference on intelligent virtual agents (IVA16), 2016.
7.
Zurück zum Zitat Brixey, J., Hoegen, R., Lan, W., Rusow, J., Singla, K., Yin, X., Artstein, R., and Leuski, A., SHIHbot: A Facebook chatbot for sexual health information on HIV/AIDS. Proceedings of the 18th annual SIGdial meeting on discourse and dialogue. 370–373, 2017. Brixey, J., Hoegen, R., Lan, W., Rusow, J., Singla, K., Yin, X., Artstein, R., and Leuski, A., SHIHbot: A Facebook chatbot for sexual health information on HIV/AIDS. Proceedings of the 18th annual SIGdial meeting on discourse and dialogue. 370–373, 2017.
8.
Zurück zum Zitat Callejas, Z., Griol, D., McTear, M.F., López-Cózar, R.: A virtual coach for active ageing based on sentient computing and m-health. International workshop on ambient assisted living: 59–66. Springer, 2014. Callejas, Z., Griol, D., McTear, M.F., López-Cózar, R.: A virtual coach for active ageing based on sentient computing and m-health. International workshop on ambient assisted living: 59–66. Springer, 2014.
9.
Zurück zum Zitat Cameron, G., Cameron, D., Megaw, G., Bond, R., Mulvenna, M., O’Neill, S., Armour, C., and McTear, M., Towards a chatbot for digital counselling. J. Med. Internet Res. 4(1):e3, 2017. Cameron, G., Cameron, D., Megaw, G., Bond, R., Mulvenna, M., O’Neill, S., Armour, C., and McTear, M., Towards a chatbot for digital counselling. J. Med. Internet Res. 4(1):e3, 2017.
10.
Zurück zum Zitat Cheng, A., Raghavaraju, V., Kanugo, J., Handrianto, Y.P., and Shang, Y., Development and evaluation of a healthy coping voice interface application using the Google home for elderly patients with type 2 diabetes. Consumer Communications & Networking Conference (CCNC), 2018 15th IEEE annual. Pp. 1–5. IEEE, 2018. Cheng, A., Raghavaraju, V., Kanugo, J., Handrianto, Y.P., and Shang, Y., Development and evaluation of a healthy coping voice interface application using the Google home for elderly patients with type 2 diabetes. Consumer Communications & Networking Conference (CCNC), 2018 15th IEEE annual. Pp. 1–5. IEEE, 2018.
13.
Zurück zum Zitat Cruz-Sandoval, D., and Favela, J., Semi-autonomous conversational robot to Deal with problematic behaviors from people with dementia. International conference on ubiquitous computing and ambient intelligence. 677–688. Springer, 2017. Cruz-Sandoval, D., and Favela, J., Semi-autonomous conversational robot to Deal with problematic behaviors from people with dementia. International conference on ubiquitous computing and ambient intelligence. 677–688. Springer, 2017.
14.
Zurück zum Zitat Cruzes, D.S., and Dyba, T., Recommended steps for thematic synthesis in software engineering. In: 2011 international symposium on empirical software engineering and measurement. pp. 275–284. IEEE, 2011. Cruzes, D.S., and Dyba, T., Recommended steps for thematic synthesis in software engineering. In: 2011 international symposium on empirical software engineering and measurement. pp. 275–284. IEEE, 2011.
16.
Zurück zum Zitat Dubosson, F., Schaer, R., Savioz, R., and Schumacher, M., Going beyond the relapse peak on social network smoking cessation programmes: ChatBot opportunities. Swiss Med. Inform. 33, 2017. Dubosson, F., Schaer, R., Savioz, R., and Schumacher, M., Going beyond the relapse peak on social network smoking cessation programmes: ChatBot opportunities. Swiss Med. Inform. 33, 2017.
17.
Zurück zum Zitat Elmasri, D., and Maeder, A., A conversational agent for an online mental health intervention. International conference on brain and health informatics. 243–251. Springer, 2016. Elmasri, D., and Maeder, A., A conversational agent for an online mental health intervention. International conference on brain and health informatics. 243–251. Springer, 2016.
19.
Zurück zum Zitat Fadhil, A., A conversational Interface to improve medication adherence: Towards AI support in Patient’s treatment. arXiv preprint arXiv:1803.09844. 2018. Fadhil, A., A conversational Interface to improve medication adherence: Towards AI support in Patient’s treatment. arXiv preprint arXiv:1803.09844. 2018.
20.
Zurück zum Zitat Fadhil, A., and Gabrielli, S., Addressing challenges in promoting healthy lifestyles: The al-chatbot approach. Proceedings of the 11th EAI international conference on pervasive computing Technologies for Healthcare. 261–265. ACM, 2017. Fadhil, A., and Gabrielli, S., Addressing challenges in promoting healthy lifestyles: The al-chatbot approach. Proceedings of the 11th EAI international conference on pervasive computing Technologies for Healthcare. 261–265. ACM, 2017.
21.
Zurück zum Zitat Fadhil, A., Villafiorita, A.: An adaptive learning with gamification & conversational UIs: The rise of CiboPoliBot. Adjunct publication of the 25th conference on user modeling, adaptation and personalization: 408–412. ACM, 2017. Fadhil, A., Villafiorita, A.: An adaptive learning with gamification & conversational UIs: The rise of CiboPoliBot. Adjunct publication of the 25th conference on user modeling, adaptation and personalization: 408–412. ACM, 2017.
22.
Zurück zum Zitat Fernandez-Luque, L., Lattab, A., Hors, S., and Ahmedna, M., Implementation and feasibility study of a tailored health education bot in telegram for mothers of children with obesity and overweight. Qatar Foundation annual research conference proceedings. p. HBPD506. HBKU press Qatar, 2018. Fernandez-Luque, L., Lattab, A., Hors, S., and Ahmedna, M., Implementation and feasibility study of a tailored health education bot in telegram for mothers of children with obesity and overweight. Qatar Foundation annual research conference proceedings. p. HBPD506. HBKU press Qatar, 2018.
24.
Zurück zum Zitat Gabrielli, S., Marie, K., and Corte, C.D., SLOWBot (Chatbot) lifestyle assistant. In: Proceedings of the 12th EAI international conference on pervasive computing Technologies for Healthcare. 367–370. ACM, New York, NY, USA, 2018. Gabrielli, S., Marie, K., and Corte, C.D., SLOWBot (Chatbot) lifestyle assistant. In: Proceedings of the 12th EAI international conference on pervasive computing Technologies for Healthcare. 367–370. ACM, New York, NY, USA, 2018.
25.
Zurück zum Zitat Griol, D., and Molina, J.M., An ambient assisted living Mobile application for helping people with Alzheimer. International conference on practical applications of agents and multi-agent systems: 3–14. Springer, 2015. Griol, D., and Molina, J.M., An ambient assisted living Mobile application for helping people with Alzheimer. International conference on practical applications of agents and multi-agent systems: 3–14. Springer, 2015.
26.
Zurück zum Zitat Hsu, P., Zhao, J., Liao, K., Liu, T., Wang, C.: AllergyBot: A Chatbot technology intervention for young adults with food allergies dining out. In: Proceedings of the 2017 CHI conference extended abstracts on human factors in computing systems. pp. 74–79. ACM, 2017. Hsu, P., Zhao, J., Liao, K., Liu, T., Wang, C.: AllergyBot: A Chatbot technology intervention for young adults with food allergies dining out. In: Proceedings of the 2017 CHI conference extended abstracts on human factors in computing systems. pp. 74–79. ACM, 2017.
27.
Zurück zum Zitat Huang, C., Yang, M., Huang, C., Chen, Y., Wu, M., Chen, K.: A Chatbot-supported smart wireless interactive healthcare system for weight control and health promotion. 2018 IEEE international conference on industrial engineering and engineering management (IEEM): 1791–1795, 2018. Huang, C., Yang, M., Huang, C., Chen, Y., Wu, M., Chen, K.: A Chatbot-supported smart wireless interactive healthcare system for weight control and health promotion. 2018 IEEE international conference on industrial engineering and engineering management (IEEM): 1791–1795, 2018.
31.
Zurück zum Zitat Jeong, S., and Breazeal, C., Toward robotic companions that enhance psychological wellbeing with smartphone technology. Proceedings of the companion of the 2017 ACM/IEEE international conference on human-robot interaction. pp. 345–346. ACM, 2017. Jeong, S., and Breazeal, C., Toward robotic companions that enhance psychological wellbeing with smartphone technology. Proceedings of the companion of the 2017 ACM/IEEE international conference on human-robot interaction. pp. 345–346. ACM, 2017.
32.
Zurück zum Zitat Kimani, E., Bickmore, T., Trinh, H., Ring, L., Paasche-Orlow, M.K., and Magnani, J.W., A smartphone-based virtual agent for atrial fibrillation education and counseling. International conference on intelligent virtual agents. 120–127. Springer, 2016. Kimani, E., Bickmore, T., Trinh, H., Ring, L., Paasche-Orlow, M.K., and Magnani, J.W., A smartphone-based virtual agent for atrial fibrillation education and counseling. International conference on intelligent virtual agents. 120–127. Springer, 2016.
33.
Zurück zum Zitat Kitchenham, B.A., Budgen, D., and Brereton, P., Evidence-based software engineering and systematic reviews. CRC Press, 2015. Kitchenham, B.A., Budgen, D., and Brereton, P., Evidence-based software engineering and systematic reviews. CRC Press, 2015.
34.
Zurück zum Zitat Klopfenstein, L.C., Delpriori, S., Malatini, S., and Bogliolo, A., The rise of bots: A survey of conversational interfaces, patterns, and paradigms. Proceedings of the 2017 conference on designing interactive systems. 555–565. ACM, New York, NY, USA, 2017. Klopfenstein, L.C., Delpriori, S., Malatini, S., and Bogliolo, A., The rise of bots: A survey of conversational interfaces, patterns, and paradigms. Proceedings of the 2017 conference on designing interactive systems. 555–565. ACM, New York, NY, USA, 2017.
36.
Zurück zum Zitat Kowatsch, T., Ni’s sen, M., Shih, C.-H.I., Rüegger, D., Volland, D., Filler, A., Künzler, F., Barata, F., Hung, S., and Büchter, D., Text-based healthcare Chatbots supporting patient and health professional teams: Preliminary results of a randomized controlled trial on childhood obesity. Persuasive embodied agents for behavior change (PEACH2017). ETH Zurich, 2017. Kowatsch, T., Ni’s sen, M., Shih, C.-H.I., Rüegger, D., Volland, D., Filler, A., Künzler, F., Barata, F., Hung, S., and Büchter, D., Text-based healthcare Chatbots supporting patient and health professional teams: Preliminary results of a randomized controlled trial on childhood obesity. Persuasive embodied agents for behavior change (PEACH2017). ETH Zurich, 2017.
37.
Zurück zum Zitat Kowatsch, T., Volland, D., Shih, I., Rüegger, D., Künzler, F., Barata, F., Filler, A., Büchter, D., Brogle, B., and Heldt, K., Design and evaluation of a Mobile chat app for the open source behavioral health intervention platform MobileCoach. International conference on design science research in information systems: 485–489. Springer, 2017. Kowatsch, T., Volland, D., Shih, I., Rüegger, D., Künzler, F., Barata, F., Filler, A., Büchter, D., Brogle, B., and Heldt, K., Design and evaluation of a Mobile chat app for the open source behavioral health intervention platform MobileCoach. International conference on design science research in information systems: 485–489. Springer, 2017.
38.
Zurück zum Zitat Kozinakova, B., Analysis of chatbot systems focusing on the elderly as users. Master Thesis, Politecnico de Milano, 2017. Kozinakova, B., Analysis of chatbot systems focusing on the elderly as users. Master Thesis, Politecnico de Milano, 2017.
39.
Zurück zum Zitat Lambert, A.O.C., Montañez, C.H.T., Martinez, M.B., and Funes-Gallanzi, M., A conversational agent for use in the identification of rare diseases. In: Applications for future internet. 128–139. Springer, 2017. Lambert, A.O.C., Montañez, C.H.T., Martinez, M.B., and Funes-Gallanzi, M., A conversational agent for use in the identification of rare diseases. In: Applications for future internet. 128–139. Springer, 2017.
43.
Zurück zum Zitat Miner, A., Chow, A., Adler, S., Zaitsev, I., Tero, P., Darcy, A., and Paepcke, A., Conversational agents and mental health: Theory-informed assessment of language and affect. Proceedings of the fourth international conference on human agent interaction. 123–130. ACM, 2016. Miner, A., Chow, A., Adler, S., Zaitsev, I., Tero, P., Darcy, A., and Paepcke, A., Conversational agents and mental health: Theory-informed assessment of language and affect. Proceedings of the fourth international conference on human agent interaction. 123–130. ACM, 2016.
45.
Zurück zum Zitat Oh, K.-J., Lee, D., Ko, B., and Choi, H.-J., A Chatbot for psychiatric counseling in mental healthcare service based on emotional dialogue analysis and sentence generation. Mobile data management (MDM), 2017 18th IEEE international conference on. 371–375. IEEE, 2017. Oh, K.-J., Lee, D., Ko, B., and Choi, H.-J., A Chatbot for psychiatric counseling in mental healthcare service based on emotional dialogue analysis and sentence generation. Mobile data management (MDM), 2017 18th IEEE international conference on. 371–375. IEEE, 2017.
47.
Zurück zum Zitat Petersen, K., Feldt, R., Mujtaba, S., and Mattsson, M., Systematic mapping studies in software engineering. Proceedings of the 12th International Conference on Evaluation and Assessment in Software Engineering. pp. 68–77. BCS Learning & Development Ltd., Swindon, UK, 2008. Petersen, K., Feldt, R., Mujtaba, S., and Mattsson, M., Systematic mapping studies in software engineering. Proceedings of the 12th International Conference on Evaluation and Assessment in Software Engineering. pp. 68–77. BCS Learning & Development Ltd., Swindon, UK, 2008.
50.
Zurück zum Zitat Roniotis, A., and Tsiknakis, M., Detecting depression using voice signal extracted by Chatbots: A feasibility study. In: Interactivity, game creation, design, learning, and innovation. Springer, 2017, 386–392. Roniotis, A., and Tsiknakis, M., Detecting depression using voice signal extracted by Chatbots: A feasibility study. In: Interactivity, game creation, design, learning, and innovation. Springer, 2017, 386–392.
52.
Zurück zum Zitat Stratou, G., Morency, L.P., DeVault, D., Hartholt, A., Fast, E., Lhommet, M., Lucas, G., Morbini, F., Georgila, K., Scherer, S., Gratch, J., Marsella, S., Traum, D., and Rizzo, A., A demonstration of the perception system in SimSensei, a virtual human application for healthcare interviews. 2015 international conference on affective computing and intelligent interaction (ACII). pp. 787–789, 2015. Stratou, G., Morency, L.P., DeVault, D., Hartholt, A., Fast, E., Lhommet, M., Lucas, G., Morbini, F., Georgila, K., Scherer, S., Gratch, J., Marsella, S., Traum, D., and Rizzo, A., A demonstration of the perception system in SimSensei, a virtual human application for healthcare interviews. 2015 international conference on affective computing and intelligent interaction (ACII). pp. 787–789, 2015.
53.
Zurück zum Zitat van Heerden, A., Ntinga, X., and Vilakazi, K., The potential of conversational agents to provide a rapid HIV counseling and testing services. The Frontiers and advances in data science (FADS), 2017 international conference on. 80–85. IEEE, 2017. van Heerden, A., Ntinga, X., and Vilakazi, K., The potential of conversational agents to provide a rapid HIV counseling and testing services. The Frontiers and advances in data science (FADS), 2017 international conference on. 80–85. IEEE, 2017.
54.
Zurück zum Zitat Van Vuuren, S., and Cherney, L.R., A virtual therapist for speech and language therapy. International conference on intelligent virtual agents. 438–448. Springer, 2014. Van Vuuren, S., and Cherney, L.R., A virtual therapist for speech and language therapy. International conference on intelligent virtual agents. 438–448. Springer, 2014.
Metadaten
Titel
Using Health Chatbots for Behavior Change: A Mapping Study
verfasst von
Juanan Pereira
Óscar Díaz
Publikationsdatum
01.05.2019
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 5/2019
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-019-1237-1

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