Capturing At-Home Health and Care Information for Children With Medical Complexity Using Voice Interactive Technologies: Multi-Stakeholder Viewpoint

Sezgın, Emre; Noritz, Garey; Elek, Alexander; Conkol, Kimberly; Rust, Steve; Bailey, Matthew; Strouse, Robert; Chandawarkar, Aarti; Sadovszky, Victoria von; Lin, Simon; Huang, Yungui

doi:10.2196/14202

Cited by 39 publications

(52 citation statements)

References 29 publications

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“…However, limitations and concerns still exist about VA use in practice. Some limitations are the need for persistent internet connection, deficiencies in speech recognition and comprehension, the need for IT infrastructure for health system integration [e.g., electronic health record (EHR)], and Health Insurance Portability and Accountability Act (HIPAA) compliance to exchange personal health information 7,29 . In 2019, Amazon initiated HIPAA compliant VA services ("Alexa skills") 30 , yet, the implementations were limited to only some services and organizations.…”

Section: Current State Of Voice Assistantsmentioning

confidence: 99%

Readiness for voice assistants to support healthcare delivery during a health crisis and pandemic

et al. 2020

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To prevent the spread of COVID-19 and to continue responding to healthcare needs, hospitals are rapidly adopting telehealth and other digital health tools to deliver care remotely. Intelligent conversational agents and virtual assistants, such as chatbots and voice assistants, have been utilized to augment health service capacity to screen symptoms, deliver healthcare information, and reduce exposure. In this commentary, we examined the state of voice assistants (e.g., Google Assistant, Apple Siri, Amazon Alexa) as an emerging tool for remote healthcare delivery service and discussed the readiness of the health system and technology providers to adapt voice assistants as an alternative healthcare delivery modality during a health crisis and pandemic.

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Section: Current State Of Voice Assistantsmentioning

confidence: 99%

Readiness for voice assistants to support healthcare delivery during a health crisis and pandemic

et al. 2020

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“…We plan to interview non–English-speaking caregivers to understand their needs in medical communications, their challenges in using a traditional patient portal, and how a translation app could be seamlessly integrated into the existing channels of communication with their child’s care team. Our previous user-centered research has been successfully implemented [ 15 ], funded (eg, Challenges of the Health Resources and Service Administration’s Maternal and Child Health Bureau), and supported in complex care [ 16 , 17 ]. We will follow a similar strategy to engage end users and community members with our multidisciplinary stakeholder team.…”

Section: Methodsmentioning

confidence: 99%

“…The usability and acceptance of the app will be measured using scientific methods. Our team has an extensive track record in acceptability and usability testing [ 17 , 20 , 21 ]. We will be employing a user-centered, participatory design and testing methodology, and widely adopted usability and acceptance scales, such as the system usability scale (SUS) and the technology acceptance model (TAM) [ 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

A Medical Translation Assistant for Non–English-Speaking Caregivers of Children With Special Health Care Needs: Proposal for a Scalable and Interoperable Mobile App

et al. 2020

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Background Communication and comprehension of medical information are known barriers in health communication and equity, especially for non–English-speaking caregivers of children with special health care needs. Objective The objective of this proposal was to develop an interoperable and scalable medical translation app for non–English-speaking caregivers to facilitate the conversation between provider and caregiver/patient. Methods We employed user-centered and participatory design methods to understand the problems and develop a solution by engaging the stakeholder team (including caregivers, physicians, researchers, clinical informaticists, nurses, developers, nutritionists, pharmacists, and interpreters) and non–English-speaking caregiver participants. Results Considering the lack of interpreter service accessibility and advancement in translation technology, our team will develop and test an integrated, multimodal (voice-interactive and text-based) patient portal communication and translation app to enable non–English-speaking caregivers to communicate with providers using their preferred languages. For this initial prototype, we will focus on the Spanish language and Spanish-speaking families to test technical feasibility and evaluate usability. Conclusions Our proposal brings a unique perspective to medical translation and communication between caregiver and provider by (1) enabling voice entry and transcription in health care communications, (2) integrating with patient portals to facilitate caregiver and provider communications, and (3) adopting a translation verification model to improve accuracy of artificial intelligence–facilitated translations. Expected outcomes include improved health communications, literacy, and health equity. In addition, data points will be collected to improve autotranslation services in medical communications. We believe our proposed solution is affordable, interoperable, and scalable for health systems.

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“…The latest advances in the field of artificial intelligence (AI) and natural language understanding have paved a way for the wide application of voice technology (VT) in health care through smart speakers and mobile apps. First real-world implementations have confirmed that AI conversational agents have the potential to support clinical care and optimize workflows [3,[11][12][13]. Nationwide Children's Hospital (in Columbus, Ohio) implemented voice technology for pediatric medicine [11], while Mayo Clinic developed Amazon's Alexa software to automatically answer COVID-19-related questions [12].…”

Section: Introductionmentioning

confidence: 99%

“…First real-world implementations have confirmed that AI conversational agents have the potential to support clinical care and optimize workflows [3,[11][12][13]. Nationwide Children's Hospital (in Columbus, Ohio) implemented voice technology for pediatric medicine [11], while Mayo Clinic developed Amazon's Alexa software to automatically answer COVID-19-related questions [12]. Furthermore, CardioCube software (CardioCube Corp.) deployed on Amazon Alexa was shown to be functional for paperless medical history collection from patients with CVD [3] as well as for long-term remote follow-up of individuals with HF at home [13].…”

Section: Introductionmentioning

confidence: 99%

Readiness for Voice Technology in Patients With Cardiovascular Diseases: Cross-Sectional Study

Kowalska¹,

Gładyś²,

Kalańska-Łukasik³

et al. 2020

J Med Internet Res

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Background The clinical application of voice technology provides novel opportunities in the field of telehealth. However, patients’ readiness for this solution has not been investigated among patients with cardiovascular diseases (CVD). Objective This paper aims to evaluate patients’ anticipated experiences regarding telemedicine, including voice conversational agents combined with provider-driven support delivered by phone. Methods A cross-sectional study enrolled patients with chronic CVD who were surveyed using a validated investigator-designed questionnaire combining 19 questions (eg, demographic data, medical history, preferences for using telehealth services). Prior to the survey, respondents were educated on the telemedicine services presented in the questionnaire while being assisted by a medical doctor. Responses were then collected and analyzed, and multivariate logistic regression was used to identify predictors of willingness to use voice technology. Results In total, 249 patients (mean age 65.3, SD 13.8 years; 158 [63.5%] men) completed the questionnaire, which showed good repeatability in the validation procedure. Of the 249 total participants, 209 (83.9%) reported high readiness to receive services allowing for remote contact with a cardiologist (176/249, 70.7%) and telemonitoring of vital signs (168/249, 67.5%). The voice conversational agents combined with provider-driven support delivered by phone were shown to be highly anticipated by patients with CVD. The readiness to use telehealth was statistically higher in people with previous difficulties accessing health care (OR 2.920, 95% CI 1.377-6.192) and was most frequent in city residents and individuals reporting a higher education level. The age and sex of the respondents did not impact the intention to use voice technology (P=.20 and P=.50, respectively). Conclusions Patients with cardiovascular diseases, including both younger and older individuals, declared high readiness for voice technology.

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Capturing At-Home Health and Care Information for Children With Medical Complexity Using Voice Interactive Technologies: Multi-Stakeholder Viewpoint

Cited by 39 publications

References 29 publications

Readiness for voice assistants to support healthcare delivery during a health crisis and pandemic

Readiness for voice assistants to support healthcare delivery during a health crisis and pandemic

A Medical Translation Assistant for Non–English-Speaking Caregivers of Children With Special Health Care Needs: Proposal for a Scalable and Interoperable Mobile App

Readiness for Voice Technology in Patients With Cardiovascular Diseases: Cross-Sectional Study

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