物理和心理症状管理中的对话药物:随机对照试验的系统审查
Qingling Yang1, Kin Cheung1, Yan Zhang2
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
International journal of nursing studies
|January 12, 2025
概括
交谈代理在管理身体和心理症状方面表现有前途,改善用户体验和有效性. 然而,研究中偏差的高风险需要谨慎和改善研究质量,以期未来的证据.
科学领域:
- 数字健康数字健康
- 人与计算机的交互
- 行为科学 行为科学
背景情况:
- 有效的症状管理对于慢性病患者和健康人来说至关重要.
- 交谈代理商为症状管理提供交互式支持.
- 这些由人工智能驱动的工具正在成为医疗保健中的潜在帮助.
研究的目的:
- 系统地审查随机对照试验 (RCT) 谈话代理干预的身体和心理症状.
- 检查这些人工智能驱动干预措施的特点和有效性.
- 评估现有RCT证据的质量.
主要方法:
- 对从研究开始到2024年10月的研究进行了系统审查.
- 搜索包括主要的数据库 (PubMed,Scopus等). 和灰色的文学.
- 数据提取集中在研究特征,代理细节和偏差风险上,使用Cochrane 偏差风险 2.0.0.
主要成果:
- 包括29个RCT,主要来自发达国家 (2020-2024年).
- 干预主要集中在心理症状上,使用专有应用程序和消息通道等平台.
- 大多数研究报告了积极的用户体验和症状改善,但17个有偏差的高风险.
结论:
- 交谈剂在改善身体和心理症状管理方面显示出潜力.
- 当前研究中存在偏见的高风险需要谨慎地解释研究结果.
- 未来的研究必须优先考虑RCT的方法严格性,以建立更强大的证据基础.
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