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Co-Designing a Conversational Agent in Health and Social Care – Perspectives of Professional Care Staff and Older Adults

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Design, Operation and Evaluation of Mobile Communications (HCII 2023)

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Abstract

Working conditions in health and elderly care are increasingly characterized by work intensification, high physical and psychological demands, and a shortage of skilled workers [1]. The reasons for the high workload in healthcare are manifold. Among them are an increasing demand because of demographic developments or growing documentation efforts, fueled by the rising adoption of electronic health records [2, 3]. To address these challenges, technical solutions are seen as a promising way that can support care workers as well as patients. Voice-based human-technology interaction is an increasingly important field promising many advantages: supporting staff via documentation tasks, enabling care recipients to communicate their needs via voice commands. Against this background, the project presented here, funded by the German Ministry for Research and Education, follows a co-design process of a smart speaker with care workers and patients. The main aim of the project is to define use cases with the target groups and to disclose the potential users’ assessments of the device within those. Therefore, the co-design process covers separate workshops with the two target groups, i.e., professional caregivers and potential patients.

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References

  1. Merkel, S., Holman, D., Ruokolainen, M., Hess, M.: Working longer in the professional HCS sector? In: Naegele, G., Hess, M. (eds.) Alte und neue soziale Ungleichheiten bei Berufsaufgabe und Rentenübergang: Ergebnisse des EXTEND-Projektes, pp. 177–186. Springer Fachmedien Wiesbaden, Wiesbaden (2020). https://doi.org/10.1007/978-3-658-31663-1_10

    Chapter  Google Scholar 

  2. Moy, A.J., et al.: Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review. J. Am. Med. Inform. Assoc. 28(5), 998–1008 (2021). https://doi.org/10.1093/jamia/ocaa325

    Article  Google Scholar 

  3. Pérez-Francisco, D.H., Duarte-Clíments, G., del Rosario-Melián, J.M., Gómez-Salgado, J., Romero-Martín, M., Sánchez-Gómez, M.B.: Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: integrative review. Healthcare 8(1), 12 (2020). https://doi.org/10.3390/healthcare8010012

    Article  Google Scholar 

  4. Laranjo, L., Dunn, A.G., Tong, H.L., et al.: Conversational agents in healthcare: a systematic review. J. Am. Med. Inform. Assoc. 25, 1248–1258 (2018). https://doi.org/10.1093/jamia/ocy072

    Article  Google Scholar 

  5. Tudor Car, L., Dhinagaran, D.A., Kyaw, B.M., et al.: Conversational agents in health care: scoping review and conceptual analysis. J. Med. Internet Res. 22, e17158 (2020). https://doi.org/10.2196/17158

    Article  Google Scholar 

  6. Ermolina, A., Tiberius, V.: Voice-controlled intelligent personal assistants in health care: international delphi study. J. Med. Internet Res. 23, e25312 (2021). https://doi.org/10.2196/25312

    Article  Google Scholar 

  7. Edwards, K.J., Jones, R.B., Shenton, D., et al.: The use of smart speakers in care home residents: implementation study. J. Med. Internet Res. 23, e26767 (2021). https://doi.org/10.2196/26767

    Article  Google Scholar 

  8. Davitt, J.K., Brown, J.: Using voice and touchscreen controlled smart speakers to protect vulnerable clients in long-term care facilities. Innov. Aging 6(4), igac024 (2022). https://doi.org/10.1093/geroni/igac024

    Article  Google Scholar 

  9. Kuckartz, U.: Qualitative Inhaltsanalyse. Methoden, Praxis, Computerunterstützung, 4. Auflage, Weinheim. Beltz Juventa, Basel (2018)

    Google Scholar 

  10. Kim, S.: Exploring how older adults use a smart speaker-based voice assistant in their first interactions: qualitative study. JMIR Mhealth Uhealth 9, e20427 (2021). https://doi.org/10.2196/20427

    Article  Google Scholar 

  11. Weizenbaum, J.: ELIZA–-a computer program for the study of natural language communication between man and machine. Commun. ACM 9(1), 36–45 (2012)

    Article  Google Scholar 

  12. Lopatovska, I., Rink, K., Knight, I., Raines, K., Cosenza, K., Williams, H., et al.: Talk to me: exploring user interactions with the Amazon Alexa. J. Librariansh. Inf. Sci. 51(4), 984–997 (2018)

    Article  Google Scholar 

  13. Bentley, F., Luvogt, C., Silverman, M., Wirasinghe, R., White, B., Lottridge, D.: Understanding the long-term use of smart speaker assistants. In: Proceedings of the ACM Interact. Mob. Wearable Ubiquitous Technol. 2018 Sep 18 Presented at: ACM on interactive, mobile, wearable ubiquitous technologies; September 18, 2018; New York p. 1–24 (2018)

    Google Scholar 

  14. Brause, S.R., Blank, G.: Externalized domestication: smart speaker assistants, networks and domestication theory. Inf. Commun. Soc. 23(5), 751–763 (2020). https://doi.org/10.1080/1369118X.2020.1713845

    Article  Google Scholar 

  15. Speakergy: Smart Speakers Statistics: Report 2022. https://speakergy.com/smart-speakers-statistics/#:~:text=The%20United%20States%20Smart%20Speaker,a%206%25%20increase%20from%202020 (2022). Accessed 9 Feb 2023

  16. Gupta, I., et al. (ed.): IEEE International Conference on Healthcare Informatics (ICHI). IEEE (2018)

    Google Scholar 

  17. Meier, P., Beinke, J.H., Fitte, C., Behne, A., Teuteberg, F.: Feelfit – Design and evaluation of a conversational agent to enhance health awareness. https://osnascholar.ub.uni-osnabrueck.de/handle/unios/17711 (2019). Accessed 9 Feb 2023

  18. Davis, C.R., Murphy, K.J., Curtis, R.G., et al.: A process evaluation examining the performance, adherence, and acceptability of a physical activity and diet artificial intelligence virtual health assistant. Int. J. Environ. Res. Public Health 17, 9137 (2020). https://doi.org/10.3390/ijerph17239137

    Article  Google Scholar 

  19. Clemente, C., Greco, E., Sciarretta, E., Altieri, L.: Alexa, How Do Feel Today? Smart Speakers for Healthcare and Wellbeing: an Analysis about Uses and Challenges (6th edn.). Sociology and Social Work Review (2022)

    Google Scholar 

  20. Choi, Y., Demiris, G., Thompson, H.: Feasibility of smart speaker use to support aging in place. Innov. Aging 2, 560 (2018). https://doi.org/10.1093/geroni/igy023.207

    Article  Google Scholar 

  21. Pradhan, A., Findlater, L., Lazar, A.: “Phantom Friend” or “Just a Box with Information”: Personification and Ontological Categorization of Smart Speaker-based Voice Assistants by Older Adults. Proc. ACM Hum.-Comput. Interact. 3(CSCW), 1–21 (2019). https://doi.org/10.1145/3359316

    Article  Google Scholar 

  22. Nimrod, G., Edan, Y.: Technology domestication in later life. Int. J. Hum.-Comput. Interact. 38, 339–350 (2021). https://doi.org/10.1080/10447318.2021.1938395

    Article  Google Scholar 

  23. Brewer, R.N.: “If Alexa knew the state I was in, it would cry”: Older Adults’ Perspectives of Voice Assistants for Health. In: Extended Abstracts of the 2022 CHI Conference on Human Factors in Computing Systems (CHI EA‘22). Association for Computing Machinery, Article 442, pp. 1–8. New York, NY, USA (2022). https://doi.org/10.1145/3491101.3519642

  24. Martin-Hammond, A., Vemireddy, S., Rao, S.: Exploring older adults’ beliefs about the use of intelligent assistants for consumer health information management: a participatory design study. JMIR aging 2(2), e15381 (2019). https://doi.org/10.2196/15381

    Article  Google Scholar 

  25. Chen, C., et al.: Understanding Barriers and Design Opportunities to Improve Healthcare and QOL for Older Adults through Voice Assistants (2021). https://doi.org/10.48550/arXiv.2111.03756

  26. Park, S., Kim, B.: The impact of everyday AI-based smart speaker use on the well-being of older adults living alone. Technol. Soc. 71, 102133 (2022). https://doi.org/10.1016/j.techsoc.2022.102133

    Article  Google Scholar 

  27. Wright, J.: The alexafication of adult social care: virtual assistants and the changing role of local government in England. Int. J. Environ. Res. Public Health 18, 812 (2021). https://doi.org/10.3390/ijerph18020812

    Article  Google Scholar 

  28. Merkel, S., Ruokolainen, M., Holman, D.: Challenges and practices in promoting (ageing) employees working career in the health care sector – case studies from Germany, Finland and the UK. BMC Health Serv. Res. 19, 918 (2019). https://doi.org/10.1186/s12913-019-4655-3

    Article  Google Scholar 

  29. Hergesell, J., Maibaum, A., Meister, M.: Genese und Folgen der Pflegerobotik – Die Konstitution eines interdisziplinären Forschungsfeldes. Beltz Juventa, Weinheim (2020). 9783779952435

    Google Scholar 

  30. Guarda, P.: (2019): “Ok Google, am I sick?”: artificial intelligence, e-health, and data protection regulation. BioLaw J. 15(1), 359–375 (2019)

    Google Scholar 

  31. Hoy, M.B.: Alexa, siri, cortana, and more: an introduction to voice assistants. Med. Ref. Serv. Q. 37, 81–88 (2018). https://doi.org/10.1080/02763869.2018.1404391

    Article  Google Scholar 

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Authors and Affiliations

  1. Ruhr-Universität Bochum, Universitätsstraße 150, 44801, Bochum, Germany

    Henrike Langer & Sebastian Merkel

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  1. Henrike Langer
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  2. Sebastian Merkel
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Correspondence to Henrike Langer .

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Editors and Affiliations

  1. University of Central Florida, Orlando, FL, USA

    Gavriel Salvendy

  2. University of West Florida, Pensacola, FL, USA

    June Wei

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Langer, H., Merkel, S. (2023). Co-Designing a Conversational Agent in Health and Social Care – Perspectives of Professional Care Staff and Older Adults. In: Salvendy, G., Wei, J. (eds) Design, Operation and Evaluation of Mobile Communications . HCII 2023. Lecture Notes in Computer Science, vol 14052. Springer, Cham. https://doi.org/10.1007/978-3-031-35921-7_13

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  • DOI: https://doi.org/10.1007/978-3-031-35921-7_13

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  • Online ISBN: 978-3-031-35921-7

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