Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study

BackgroundProviding care in home environments is complex, and often the pressure is on caregivers to document information and ensure care continuity. Digital information management and communication technologies may support care coordination among caregivers. However, they ha...

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Main Authors: Ryan Tennant, Sana Allana, Kate Mercer, Catherine M Burns
Format: Article
Language:English
Published: JMIR Publications 2022-06-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2022/2/e37688
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author Ryan Tennant
Sana Allana
Kate Mercer
Catherine M Burns
author_facet Ryan Tennant
Sana Allana
Kate Mercer
Catherine M Burns
author_sort Ryan Tennant
collection DOAJ
description BackgroundProviding care in home environments is complex, and often the pressure is on caregivers to document information and ensure care continuity. Digital information management and communication technologies may support care coordination among caregivers. However, they have yet to be adopted in this context, partly because of issues with supporting long-term disease progression and caregiver anxiety. Voice assistant (VA) technology is a promising method for interfacing with digital health information that may aid in multiple aspects of being a caregiver, thereby influencing adoption. Understanding the expectations for VAs to support caregivers is fundamental to inform the practical development of this technology. ObjectiveThis study explored caregivers’ perspectives on using VA technology to support caregiving and inform the design of future digital technologies in complex home care. MethodsThis study was part of a larger study of caregivers across North America on the design of digital health technologies to support health communication and information management in complex home care. Caregivers included parents, guardians, and hired caregivers such as personal support workers and home care nurses. Video interviews were conducted with caregivers to capture their mental models on the potential application of VAs in complex home care and were theoretically analyzed using the technology acceptance model. Interviews were followed up with Likert-scale questions exploring perspectives on other VA applications beyond participants’ initial perceptions. ResultsData were collected from 22 caregivers, and 3 themes were identified: caregivers’ perceived usefulness of VAs in supporting documentation, care coordination, and person-centered care; caregivers’ perceived ease of use in navigating information efficiently (they also had usability concerns with this interaction method); and caregivers’ concerns, excitement, expected costs, and previous experience with VAs that influenced their attitudes toward use. From the Likert-scale questions, most participants (21/22, 95%) agreed that VAs should support prompted information recording and retrieval, and all participants (22/22, 100%) agreed that they should provide reminders. They also agreed that VAs should support them in an emergency (18/22, 82%)—but only for calling emergency services—and guide caregivers through tasks (21/22, 95%). However, participants were less agreeable on VAs expressing a personality (14/22, 64%)—concerned they would manipulate caregivers’ perceptions—and listening ambiently to remind caregivers about their documentation (16/22, 73%). They were much less agreeable about VAs providing unprompted assistance on caregiving tasks (9/22, 41%). ConclusionsThe interviews and Likert-scale results point toward the potential for VAs to support family caregivers and hired caregivers by easing their information management and health communication at home. However, beyond information interaction, the potential impact of VA personality traits on caregivers’ perceptions of the care situation and the passive collection of audio data to improve user experience through context-specific interactions are critical design considerations that should be further examined.
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spelling doaj.art-6388bf4fb5f7472d8511116ae7d667b02023-08-28T22:24:26ZengJMIR PublicationsJMIR Human Factors2292-94952022-06-0192e3768810.2196/37688Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods StudyRyan Tennanthttps://orcid.org/0000-0002-0932-9510Sana Allanahttps://orcid.org/0000-0002-4485-218XKate Mercerhttps://orcid.org/0000-0001-6958-3396Catherine M Burnshttps://orcid.org/0000-0002-6182-958X BackgroundProviding care in home environments is complex, and often the pressure is on caregivers to document information and ensure care continuity. Digital information management and communication technologies may support care coordination among caregivers. However, they have yet to be adopted in this context, partly because of issues with supporting long-term disease progression and caregiver anxiety. Voice assistant (VA) technology is a promising method for interfacing with digital health information that may aid in multiple aspects of being a caregiver, thereby influencing adoption. Understanding the expectations for VAs to support caregivers is fundamental to inform the practical development of this technology. ObjectiveThis study explored caregivers’ perspectives on using VA technology to support caregiving and inform the design of future digital technologies in complex home care. MethodsThis study was part of a larger study of caregivers across North America on the design of digital health technologies to support health communication and information management in complex home care. Caregivers included parents, guardians, and hired caregivers such as personal support workers and home care nurses. Video interviews were conducted with caregivers to capture their mental models on the potential application of VAs in complex home care and were theoretically analyzed using the technology acceptance model. Interviews were followed up with Likert-scale questions exploring perspectives on other VA applications beyond participants’ initial perceptions. ResultsData were collected from 22 caregivers, and 3 themes were identified: caregivers’ perceived usefulness of VAs in supporting documentation, care coordination, and person-centered care; caregivers’ perceived ease of use in navigating information efficiently (they also had usability concerns with this interaction method); and caregivers’ concerns, excitement, expected costs, and previous experience with VAs that influenced their attitudes toward use. From the Likert-scale questions, most participants (21/22, 95%) agreed that VAs should support prompted information recording and retrieval, and all participants (22/22, 100%) agreed that they should provide reminders. They also agreed that VAs should support them in an emergency (18/22, 82%)—but only for calling emergency services—and guide caregivers through tasks (21/22, 95%). However, participants were less agreeable on VAs expressing a personality (14/22, 64%)—concerned they would manipulate caregivers’ perceptions—and listening ambiently to remind caregivers about their documentation (16/22, 73%). They were much less agreeable about VAs providing unprompted assistance on caregiving tasks (9/22, 41%). ConclusionsThe interviews and Likert-scale results point toward the potential for VAs to support family caregivers and hired caregivers by easing their information management and health communication at home. However, beyond information interaction, the potential impact of VA personality traits on caregivers’ perceptions of the care situation and the passive collection of audio data to improve user experience through context-specific interactions are critical design considerations that should be further examined.https://humanfactors.jmir.org/2022/2/e37688
spellingShingle Ryan Tennant
Sana Allana
Kate Mercer
Catherine M Burns
Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
JMIR Human Factors
title Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
title_full Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
title_fullStr Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
title_full_unstemmed Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
title_short Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study
title_sort caregiver expectations of interfacing with voice assistants to support complex home care mixed methods study
url https://humanfactors.jmir.org/2022/2/e37688
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