慢性疾患患者の自己管理を支援する会話的エージェント:体系的レビュー
Tessa F Peerbolte1, Rozanne Ja van Diggelen1, Pieter van den Haak1
1Department of Neurology, Center of Expertise for Parkinson and Movement Disorders, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of medical Internet research
|August 26, 2025
まとめ
慢性疾患の自己管理には対話的薬剤 (CA) が有望ですが,現在の研究は詳細な報告と一貫した方法がありません. 将来の仕事には 透明な説明と AI 統合が必要です
科学分野:
- デジタル・ヘルス
- 行動心理学
- 生物医学工学
背景:
- 慢性疾患のスケーラブルでパーソナライズされた自己管理サポートを提供します.
- 生物医学,行動,技術的な側面を統合した学際的なアプローチは,CAの有効性にとって不可欠です.
- 組織化された評価は慢性疾患の自己管理においてCAにとって不可欠です.
研究 の 目的:
- 慢性疾患の自己管理のためのCAの設計と評価を検証する.
- 既存のCAの特徴,行動変化技術,評価方法を特定する.
- 将来の研究を導き,効果的なCA介入の設計に情報を提供するためです.
主な方法:
- PubMedとEmbaseで体系的な文献検索 (2018年1月から2024年4月まで)
- 成人の慢性疾患の自己管理のためのCAの有効性/有効性に関する全文の記事を含める.
- 行動介入技術モデルとCONSORT-EHEALTHチェックリストを用いたデータ抽出;バイアスのリスク評価.
主要な成果:
- 25件の研究が含まれており,主にテキストベースのルールベースのCAがモバイルアプリで提供されています.
- 主要な慢性疾患は 糖尿病と癌でした
- 一般的な行動変化のテクニックには '知識の形成', 'フィードバックとモニタリング', '自然な結果', '関連付け'が含まれていましたが,報告は限られていました.
結論:
- 透明な介入説明,厳格な方法論,標準化された報告が必要です.
- 人工知能によるパーソナライゼーションの統合とヘルスケアの実施に重点を置くことは将来のCA研究にとって重要です.
- 検証されたスケールと標準化された分類学の一貫した使用は,この分野を前進させるでしょう.
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