Abstract
Knowledge is only useful if the intended user is able to utilize the system. In early knowledge based systems, known as expert systems, the user interface provided the means through which knowledge was acquired and accessed. Today it is possible to interact with the knowledge of an expert through a humanlike interface, in the form of an embodied conversational agent (ECA). Through familiar conversational-style interaction, the ECA can obtain the state of the user and provide a recommendation overcoming health literacy barriers and, depending on the nature of the dialogue, build a working alliance with the human that will encourage adherence to the advice. In this paper we describe the eADVICE system in the domain of paediatric incontinence that aims to improve adherence through the use of an ECA as the interface to the domain knowledge. Results of an initial pilot are provided showing that those who used the ECA achieved improved health outcomes and found the experience positive.
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Buchanan, B.G., Shortliffe, E.H.: Rule-Based Expert Systems. Addison-Wesley, Reading (1984)
Langlotz, C.P., Shortliffe, E.H.: Adapting a consultation system to critique user plans. Int. J. Man Mach. Stud. 19, 479–496 (1983)
Fenerty, S.D., West, C., Davis, S.A., Kaplan, S.G., Feldman, S.R.: The effect of reminder systems on patients’ adherence to treatment. Patient Prefer Adherence 6, 127–135 (2012)
Barbosa, C.D., Balp, M.-M., Kulich, K., Germain, N., Rofail, D.: A literature review to explore the link between treatment satisfaction and adherence, compliance, and persistence. Patient Prefer Adherence 6, 39–48 (2012)
Vasbinder, E.C., Janssens, H.M., Rutten-van Mölken, M.P., van Dijik, L., de Winter, B.C., de Groot, R.C., Vulto, A.G., van den Bemt, P.M.: e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol. BMC Med. Inform. Decis. Mak. 13, 38 (2013)
Martin, D.J., Garske, J.P., Davis, M.K.: Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J. Consult. Clin. Psychol. 68, 438 (2000)
DeVault, D., Artstein, R., Benn, G., Dey, T., Fast, E., Gainer, A., Georgila, K., Gratch, J., Hartholt, A., Lhommet, M., Lucas, G., Marsella, S., Morbini, F., Nazarian, A., Scherer, S., Stratou, G., Suri, A., Traum, D., Wood, R., Xu, Y., Rizzo, A., Morency, L.-P.: SimSensei kiosk: a virtual human interviewer for healthcare decision support. In: Proceedings of the 2014 International Conference on Autonomous Agents and Multi-agent Systems, pp. 1061–1068. International Foundation for Autonomous Agents and Multiagent Systems, Paris, France (2014)
Gratch, J., Lucas, G.M., King, A.A., Morency, L.-P.: It’s only a computer: the impact of human-agent interaction in clinical interviews. In: Proceedings of the 2014 International Conference on Autonomous Agents and Multi-agent Systems, pp. 85–92. International Foundation for Autonomous Agents and Multiagent Systems (2015)
Lisetti, C.L.: 10 advantages of using avatars in patient-centered computer-based interventions for behavior change. SIGHIT Rec. 2, 28 (2012)
Fitzgerald, M.P., Thom, D.H., Wassel-Fyr, C., Subak, L., Brubaker, L., Van Den Eeden, S.K., Brown, J.S.: Childhood urinary symptoms predict adult overactive bladder symptoms. J. Urol. 175, 989–993 (2006)
Beun, R.J.: Persuasive strategies in mobile insomnia therapy: alignment, adaptation, and motivational support. Pers. Ubiquit. Comput. 17, 1187–1195 (2013)
Baker, S., Richards, D., Caldwell, P.: Relational agents to promote ehealth advice adherence. In: Pham, D.-N., Park, S.-B. (eds.) PRICAI 2014. LNCS, vol. 8862, pp. 1010–1015. Springer, Heidelberg (2014)
Bickmore, T., Gruber, A., Picard, R.: Establishing the computer–patient working alliance in automated health behavior change interventions. Patient Educ. Couns. 59, 21–30 (2005)
Greenley, R.N., Kunz, J.H., Walter, J., Hommel, K.A.: Practical strategies for enhancing adherence to treatment regimen in inflammatory bowel disease. Inflamm. Bowel Dis. 19, 1534 (2013)
Bickmore, T., Ring, L.: Making it personal: end-user authoring of health narratives delivered by virtual agents. In: Safonova, A. (ed.) IVA 2010. LNCS, vol. 6356, pp. 399–405. Springer, Heidelberg (2010)
Schmid Mast, M., Hall, J.A., Roter, D.L.: Disentangling physician sex and physician communication style: their effects on patient satisfaction in a virtual medical visit. Patient Educ. Couns. 68, 16–22 (2007)
Monkaresi, H., Calvo, R., Pardo, A., Chow, K., Mullan, B., Lam, M., Twigg, S., Cook, D.: Intelligent diabetes lifestyle coach. In: OzCHI Workshops Programme (2013)
Côté, J., Ramirez-Garcia, P., Rouleau, G., Saulnier, D., Gueheneuc, Y.-G., Hernandez, A., Godin, G.: A nursing virtual intervention: real-time support for managing antiretroviral therapy. Comput. Inf. Nurs. 29, 43–51 (2011)
Pignone, M., DeWalt, D.A., Sheridan, S., Berkman, N., Lohr, K.N.: Interventions to improve health outcomes for patients with low literacy. J. Gen. Intern. Med. 20, 185–192 (2005)
Zaragozá, I., Guixeres, J., Alcañiz, M., Cebolla, A., Saiz, J., Alvarez, J.: Ubiquitous monitoring and assessment of childhood obesity. Pers. Ubiquit. Comput. 17, 1147–1157 (2013)
Klein, M., Mogles, N., van Wissen, A.: An intelligent coaching system for therapy adherence. IEEE Pervasive Comput. 12, 22–30 (2013)
Dreyer, J.: Humanizing healthcare with technology. Streamlining the clinical documentation process augments doctor/patient interaction. Health Manage. Technol. 34, 14–15 (2013)
Norman, C.D., Skinner, H.A.: eHEALS: the eHealth literacy scale. J. Med. Internet Res. 8, e27 (2006)
Horvath, A.O., Greenberg, L.S.: Development and validation of the Working Alliance Inventory. J. Couns. Psychol. 36, 223 (1989)
Bickmore, T., Asadi, R., Ehyaei, A., Fell, H., Henault, L., Intille, S., Quintiliani, L., Shamekhi, A., Trinh, H., Waite, K., Shanahan, C., Paasche-Orlow, M.K.: Context-awareness in a persistent hospital companion agent. In: Brinkman, W.-P., Broekens, J., Heylen, D. (eds.) IVA 2015. LNCS, vol. 9238, pp. 332–342. Springer, Heidelberg (2015)
Carnell, S., Halan, S., Crary, M., Madhavan, A., Lok, B.: Adapting virtual patient interviews for interviewing skills training of novice healthcare students. In: Brinkman, W.-P., Broekens, J., Heylen, D. (eds.) IVA 2015. LNCS, vol. 9238, pp. 50–59. Springer, Heidelberg (2015)
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Richards, D., Caldwell, P. (2016). Building a Working Alliance with a Knowledge Based System Through an Embodied Conversational Agent. In: Ohwada, H., Yoshida, K. (eds) Knowledge Management and Acquisition for Intelligent Systems . PKAW 2016. Lecture Notes in Computer Science(), vol 9806. Springer, Cham. https://doi.org/10.1007/978-3-319-42706-5_16
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DOI: https://doi.org/10.1007/978-3-319-42706-5_16
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