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谈话代理人身体体重管理:系统审查
Eunyoung Noh1, Jiyoon Won2, Sua Jo1
1Department of Medical Science of Meridian, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.
Journal of medical Internet research
|May 26, 2023
概括
谈话代理显示了体重管理咨询的潜力. 然而,目前的证据有限,研究质量不佳,减肥效果不佳,需要进一步研究.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 肥胖是一个重要的全球健康问题,需要创新的干预措施.
- 会话代理 (CA) 或聊天机器人,为体重管理提供可访问和个性化的生活方式咨询.
- 机器人模拟人类对话,为可持续的行为改变提供以患者为中心的支持.
研究的目的:
- 系统地审查和评估关于CA对体重管理的有效性和可行性的临床研究.
- 评估具有不受约束的自然语言输入的CA,以评估它们在体重管理干预中的作用.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,PsycINFO,ACM) 进行了全面的搜索,截至2022年12月.
- 包括使用CA进行体重管理的研究,具有自然语言能力,无论研究设计或语言如何.
- 通过使用Cochrane偏差风险工具或CASP检查清单来评估研究质量;由于预期的异质性,数据以叙述形式总结.
主要成果:
- 八项研究 (3项RCT,5项未经控制的前后试验) 符合标准.
- CA专注于通过教育,饮食建议或心理咨询来改变行为.
- 只有38%的研究报告显著减肥 (1.3-2.4公斤在12-15周);整体研究质量很低.
结论:
- 具有自然语言输入的CA对于体重管理是可行的,模拟卫生专业人员的互动.
- 目前的证据有限,强调需要更严格的研究.
- 未来的随机对照试验应以更大的样本和更长的随访时间关注CA的可接受性,有效性和安全性.
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