Older adults' experience with virtual conversational agents for health data collection

IntroductionVirtual conversational agents (i.e., chatbots) are an intuitive form of data collection. Understanding older adults' experiences with chatbots could help identify their usability needs. This quality improvement study evaluated older adults' experiences with a chatbot for health...

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Main Authors: Hattie Wilczewski, Hiral Soni, Julia Ivanova, Triton Ong, Janelle F. Barrera, Brian E. Bunnell, Brandon M. Welch
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Digital Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2023.1125926/full
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author Hattie Wilczewski
Hiral Soni
Julia Ivanova
Triton Ong
Janelle F. Barrera
Janelle F. Barrera
Brian E. Bunnell
Brian E. Bunnell
Brandon M. Welch
Brandon M. Welch
author_facet Hattie Wilczewski
Hiral Soni
Julia Ivanova
Triton Ong
Janelle F. Barrera
Janelle F. Barrera
Brian E. Bunnell
Brian E. Bunnell
Brandon M. Welch
Brandon M. Welch
author_sort Hattie Wilczewski
collection DOAJ
description IntroductionVirtual conversational agents (i.e., chatbots) are an intuitive form of data collection. Understanding older adults' experiences with chatbots could help identify their usability needs. This quality improvement study evaluated older adults' experiences with a chatbot for health data collection. A secondary goal was to understand how perceptions differed based on length of chatbot forms.MethodsAfter a demographic survey, participants (≥60 years) completed either a short (21 questions), moderate (30 questions), or long (66 questions) chatbot form. Perceived ease-of-use, usefulness, usability, likelihood to recommend, and cognitive load were measured post-test. Qualitative and quantitative analyses were used.ResultsA total of 260 participants reported on usability and satisfaction metrics including perceived ease-of-use (5.8/7), usefulness (4.7/7), usability (5.4/7), and likelihood to recommend (Net Promoter Score = 0). Cognitive load (12.3/100) was low. There was a statistically significant difference in perceived usefulness between groups, with a significantly higher mean perceived usefulness for Group 1 than Group 3. No other group differences were observed. The chatbot was perceived as quick, easy, and pleasant with concerns about technical issues, privacy, and security. Participants provided suggestions to enhance progress tracking, edit responses, improve readability, and have options to ask questions.DiscussionOlder adults found the chatbot to be easy, useful, and usable. The chatbot required low cognitive load demonstrating it could be an enjoyable health data collection tool for older adults. These results will inform the development of a health data collection chatbot technology.
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spelling doaj.art-a654deaef3de436593153449dc4bcf672023-03-15T05:19:19ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2023-03-01510.3389/fdgth.2023.11259261125926Older adults' experience with virtual conversational agents for health data collectionHattie Wilczewski0Hiral Soni1Julia Ivanova2Triton Ong3Janelle F. Barrera4Janelle F. Barrera5Brian E. Bunnell6Brian E. Bunnell7Brandon M. Welch8Brandon M. Welch9Doxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDepartment of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDepartment of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, United StatesDoxy.me Research, Doxy.me Inc., Rochester, NY, United StatesDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United StatesIntroductionVirtual conversational agents (i.e., chatbots) are an intuitive form of data collection. Understanding older adults' experiences with chatbots could help identify their usability needs. This quality improvement study evaluated older adults' experiences with a chatbot for health data collection. A secondary goal was to understand how perceptions differed based on length of chatbot forms.MethodsAfter a demographic survey, participants (≥60 years) completed either a short (21 questions), moderate (30 questions), or long (66 questions) chatbot form. Perceived ease-of-use, usefulness, usability, likelihood to recommend, and cognitive load were measured post-test. Qualitative and quantitative analyses were used.ResultsA total of 260 participants reported on usability and satisfaction metrics including perceived ease-of-use (5.8/7), usefulness (4.7/7), usability (5.4/7), and likelihood to recommend (Net Promoter Score = 0). Cognitive load (12.3/100) was low. There was a statistically significant difference in perceived usefulness between groups, with a significantly higher mean perceived usefulness for Group 1 than Group 3. No other group differences were observed. The chatbot was perceived as quick, easy, and pleasant with concerns about technical issues, privacy, and security. Participants provided suggestions to enhance progress tracking, edit responses, improve readability, and have options to ask questions.DiscussionOlder adults found the chatbot to be easy, useful, and usable. The chatbot required low cognitive load demonstrating it could be an enjoyable health data collection tool for older adults. These results will inform the development of a health data collection chatbot technology.https://www.frontiersin.org/articles/10.3389/fdgth.2023.1125926/fullhealth data collectionolder adultsvirtual conversational agentschatbotuser experienceusability
spellingShingle Hattie Wilczewski
Hiral Soni
Julia Ivanova
Triton Ong
Janelle F. Barrera
Janelle F. Barrera
Brian E. Bunnell
Brian E. Bunnell
Brandon M. Welch
Brandon M. Welch
Older adults' experience with virtual conversational agents for health data collection
Frontiers in Digital Health
health data collection
older adults
virtual conversational agents
chatbot
user experience
usability
title Older adults' experience with virtual conversational agents for health data collection
title_full Older adults' experience with virtual conversational agents for health data collection
title_fullStr Older adults' experience with virtual conversational agents for health data collection
title_full_unstemmed Older adults' experience with virtual conversational agents for health data collection
title_short Older adults' experience with virtual conversational agents for health data collection
title_sort older adults experience with virtual conversational agents for health data collection
topic health data collection
older adults
virtual conversational agents
chatbot
user experience
usability
url https://www.frontiersin.org/articles/10.3389/fdgth.2023.1125926/full
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