scholarly journals Patient Interactions with an Automated Conversational Agent Delivering Pre-test Genetics Education: A Descriptive Study (Preprint)

10.2196/29447 ◽  
2021 ◽  
Author(s):  
Daniel Chavez-Yenter ◽  
Kadyn E. Kimball ◽  
Wendy Kohlmann ◽  
Rachelle Lorenz Chambers ◽  
Richard Bradshaw ◽  
...  
Keyword(s):  
Descriptive Study ◽  
Conversational Agent ◽  
Genetics Education ◽  
Patient Interactions

Community palliative care clinical nurse specialists: a descriptive study of nurse–patient interactions

2014 ◽  
Vol 20 (5) ◽  
pp. 246-253 ◽  
Author(s):  
Debra Howell ◽  
Beth Hardy ◽  
Caroline Boyd ◽  
Chris Ward ◽  
Eve Roman ◽  
...  
Keyword(s):  
Palliative Care ◽  
Descriptive Study ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Patient Interactions

Investigating Patient Interactions with an Automated Conversational Agent Delivering Pre-test Genetics Education: A Descriptive Study (Preprint)

2021 ◽  
Author(s):  
Daniel Chavez-Yenter ◽  
Kadyn E. Kimball ◽  
Wendy Kohlmann ◽  
Rachelle Lorenz Chambers ◽  
Richard Bradshaw ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Genetic Testing ◽  
Information Seeking ◽  
Information Needs ◽  
Conversational Agent ◽  
Genetics Education ◽  
Conversational Agents ◽  
Cancer Genetic ◽  
Mental Health Patient ◽  
Additional Support

BACKGROUND Cancer genetic testing has grown exponentially in the past decade in its use for quantifying hereditary cancer risk, while also its use for targeting treatment and care. With this continued growth and shortage of healthcare workforces, there is a need for automated strategies that provide high quality genetics services to patients in order to reduce clinical demand on genetics providers. Conversational agents have shown promise in managing mental health, patient pain management, and chronic conditions and are increasingly being used in cancer genetic services. However, research on how these agents are utilized by patients is limited. OBJECTIVE Therefore, our current study aim was to assess users’ interactions with a conversational agent for pre-test genetics education prior to genetic testing. METHODS The conversational agent provided scripted content similar to what is delivered in a pre-test genetic counseling visit for cancer genetic testing. Outside of a core set of information delivered to all patients, users were able to navigate within the chat to request additional content in areas of interest. An AI preprogrammed library was also established to allow users to ask open-ended questions of the conversational agent. Descriptives statistics were used for quantitative measures and thematic analysis was used for qualitative responses. RESULTS Of 93 National Comprehensive Cancer Network guidelines eligible patients offered access to the conversational agent, 36 started the chat (38.7%), with 30 completed the chat (32.3%). Once a participant completed a chat, a transcript of the interaction was developed for the research team, from which we extracted the following data and compiled results. The majority of users who completed the chat indicated that they wanted to continue with genetic testing (70%, n=21); 30% were unsure (n=9) and no patients declined moving forward with testing. Those who decided to test spent an average of 10 minutes on the chat (SD=2.57), selected an average of 1.2 additional pieces of information, and generally did not ask open-ended questions. Those who were unsure spent 4.0 more minutes on average (mean=14.1, SD=7.41, P=.03) with the chat, selected an average of 2.9 additional pieces of information, and asked at least 1 open-ended question. CONCLUSIONS Our results indicate that the chat met the information needs of the majority of patients considering cancer genetic testing. However, a subset of patients may need additional education or interpersonal support prior to making a testing decision. Such high-information seeking patients may need additional support from a clinical provider to make a testing decision. Genetic counseling team members should follow up with patients who have additional questions and concerns to alleviate any remaining concerns. Therefore, conversational agents have the potential to be a scalable alternative for pre-test genetics education, reducing clinical demand on genetics providers.

Disfluency Characteristics Observed in Young Children With Autism Spectrum Disorders: A Preliminary Report

2010 ◽  
Vol 20 (2) ◽  
pp. 42-50 ◽  
Author(s):  
Laura W. Plexico ◽  
Julie E. Cleary ◽  
Ashlynn McAlpine ◽  
Allison M. Plumb
Keyword(s):  
Autism Spectrum Disorders ◽  
Young Children ◽  
Children With Autism ◽  
Descriptive Study ◽  
Autism Spectrum ◽  
Typically Developing ◽  
Children With Asd ◽  
Young Children With Autism ◽  
Spectrum Disorders ◽  
Developmental Stuttering

This descriptive study evaluates the speech disfluencies of 8 verbal children between 3 and 5 years of age with autism spectrum disorders (ASD). Speech samples were collected for each child during standardized interactions. Percentage and types of disfluencies observed during speech samples are discussed. Although they did not have a clinical diagnosis of stuttering, all of the young children with ASD in this study produced disfluencies. In addition to stuttering-like disfluencies and other typical disfluencies, the children with ASD also produced atypical disfluencies, which usually are not observed in children with typically developing speech or developmental stuttering. (Yairi & Ambrose, 2005).

696 Hospital at home: descriptive study of patients with chronic heart failure (CrHF) attended at home

2006 ◽  
Vol 5 (1) ◽  
pp. 158-159
Author(s):  
J GUILLAMONT ◽  
A SOLE ◽  
S GONZALEZ ◽  
A PEREZITURRIAGA ◽  
C DAVILA ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Descriptive Study ◽  
Hospital At Home ◽  
At Home

A descriptive study of awareness and usage of imagery among elite track and field female athletes

2007 ◽  
Author(s):  
Mehdi Kasbparast Jui Ray ◽  
Masoumeh Shojaei ◽  
Foruzan Abdolali
Keyword(s):  
Female Athletes ◽  
Descriptive Study ◽  
Track And Field

Assault Injuries on the Hualapai Indian Reservation: A Descriptive Study

1997 ◽  
Author(s):  
Diana M. Kuklinski ◽  
Chris B. Buchanan
Keyword(s):  
Descriptive Study ◽  
Indian Reservation

A Descriptive Study of US Army Soldiers Referred to, Evaluated By And Enrolled In The Army Substance Abuse Program, 1988-2003

2006 ◽  
Author(s):  
Ilyssa E. Hollander ◽  
Nicole S. Bell ◽  
Margaret Phillips ◽  
Paul J. Amoroso ◽  
Les MacFarling
Keyword(s):  
Substance Abuse ◽  
Descriptive Study ◽  
Us Army ◽  
Substance Abuse Program ◽  
Army Soldiers
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