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Published on: August 1, 2019
Development and Implementation of a Personal Virtual Assistant for Patient Engagement and Communication in
Miguel Bargas-Ochoa1, Alejandro Zulbaran-Rojas1, M G Finco2
1Digital Health Access Center (DiHAC), Michael E DeBakey Department of Surgery, Baylor College of Medicine, 7200 Cambridge st, Houston, TX, 77030, United States.
A Personal Virtual Assistant (PVA) showed potential acceptability for cancer patients post-surgery, with low dropout rates and good adherence to medication and exercise plans. Further research is needed to confirm these preliminary findings in larger patient groups.
Area of Science:
- Digital Health
- Oncology
- Surgical Care
Background:
- Cancer care complexity increases communication challenges between healthcare providers and patients, affecting treatment adherence, particularly after hospital discharge for surgical procedures.
- Digital health tools offer a promising avenue to improve communication in current discharge protocols.
- This study explores the usability and acceptability of an interactive health platform for patients discharged after oncology-related procedures.
Purpose of the Study:
- To explore the usability and acceptability of a Personal Virtual Assistant (PVA) system.
- To assess patient adherence to personalized care plans delivered via the PVA.
- To evaluate patient attitudes towards the PVA using the Technology Acceptance Model (TAM).
Main Methods:
- An exploratory cohort study over 4 weeks.
- Patients discharged after oncology procedures received a tablet with an integrated PVA.
- The PVA provided personalized care plans including medication, exercise, symptom surveys, and post-procedural tasks.
Main Results:
- A low dropout rate of 5.8% was observed, with 94.2% of patients completing the study.
- Adherence rates were 78% for medications, 81% for exercises, 61% for surveys, and 58% for specific tasks.
- 80% of patients endorsed the PVA positively across all TAM categories, indicating good ease of use and usefulness.
Conclusions:
- The Personal Virtual Assistant (PVA) shows potential acceptability among patients post-oncology surgery, evidenced by low dropout and fair-to-good adherence.
- Preliminary findings suggest the PVA can support post-discharge care, but larger studies are required for validation.
- Further research is needed to refine the system and confirm its effectiveness in diverse oncology patient populations.
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