Developing the ASSIST Survey to Guide a Smart Speaker-Based Chronic Disease Management Intervention for Underserved...

To rapidly develop the Attitudes Toward Smart Speaker Integration for Self-Management of Chronic Conditions (ASSIST) survey to evaluate attitudes toward various smart speaker functions for guiding a chronic disease self-management intervention among low-income older adults with chronic conditions and cognitive impairment.

The development process included four phases: conceptualization and survey category determination, item development, content validation, and refinement. An expert panel of nurse researchers and health informatics researchers assisted in identifying self-management categories and developing survey items by providing iterative feedback.

Six major categories of chronic condition self-management were identified. The survey initially comprised 29 items within the six categories, later refined to a final set of 22 items, each reflecting relevant self-management tasks that could be supported by smart speakers.

The ASSIST survey offers a practical tool for assessing perceived usefulness of various smart speaker-based tasks in chronic disease management that can inform an individualized intervention design for underserved older adults with cognitive impairment, although further validation is necessary to broaden its application.