Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study

Objective: Conversational agents (CAs) are increasingly used for the delivery of healthy lifestyle behaviour interventions. This qualitative study aimed to explore the barriers and facilitators to participants’ usage of a healthy lifestyle change CA and collect their views on areas for its improveme...

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Main Authors: Dhinagaran, Dhakshenya Ardhithy, Car, Lorainne Tudor
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:https://hdl.handle.net/10356/165422
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author Dhinagaran, Dhakshenya Ardhithy
Car, Lorainne Tudor
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Dhinagaran, Dhakshenya Ardhithy
Car, Lorainne Tudor
author_sort Dhinagaran, Dhakshenya Ardhithy
collection NTU
description Objective: Conversational agents (CAs) are increasingly used for the delivery of healthy lifestyle behaviour interventions. This qualitative study aimed to explore the barriers and facilitators to participants’ usage of a healthy lifestyle change CA and collect their views on areas for its improvement. Methods: Twenty participants were recruited from a convenience sample of users interacting with a CA promoting healthy lifestyle changes to the general population in Singapore. This CA, Precilla, educated users on healthy living, specifically: diet, exercise, sleep and stress; for four weeks. The volunteers participated in semi-structured interviews where an interview guide was used, with questions on acceptability, satisfaction and critical appraisal of the CA. Interviews were transcribed and analysed in parallel by two researchers using thematic content analysis. Results: Four main themes were identified: (1) enjoyable and acceptable experiences, (2) suboptimal experience(s), (3) alterations to Precilla for enhanced interaction and (4) suggestions for the future. Enjoyable experiences referenced the CA's friendly personality and important content that motivated a positive change to their lifestyle. Some participants were less satisfied and found the content to be too simple or sometimes, the messages too lengthy. Conclusions: Participants suggested that in the future, CAs should provide regularly updated content on healthy living, specifically pre-diabetes. Multiple answer options should also be provided for more personalisation along with links to external resources to help improve users’ health literacy. Further recommendations include a necessity for a user-centered approach in CA development, employment of engagement strategies, use of a delivery platform most familiar to the target population and stratified message timings to suit the population and purpose of CA. Translating the health CAs to languages relevant to the target group could also enable wider reach and applicability.
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spelling ntu-10356/1654222023-04-02T15:41:28Z Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study Dhinagaran, Dhakshenya Ardhithy Car, Lorainne Tudor Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Conversational Agents Chatbots Objective: Conversational agents (CAs) are increasingly used for the delivery of healthy lifestyle behaviour interventions. This qualitative study aimed to explore the barriers and facilitators to participants’ usage of a healthy lifestyle change CA and collect their views on areas for its improvement. Methods: Twenty participants were recruited from a convenience sample of users interacting with a CA promoting healthy lifestyle changes to the general population in Singapore. This CA, Precilla, educated users on healthy living, specifically: diet, exercise, sleep and stress; for four weeks. The volunteers participated in semi-structured interviews where an interview guide was used, with questions on acceptability, satisfaction and critical appraisal of the CA. Interviews were transcribed and analysed in parallel by two researchers using thematic content analysis. Results: Four main themes were identified: (1) enjoyable and acceptable experiences, (2) suboptimal experience(s), (3) alterations to Precilla for enhanced interaction and (4) suggestions for the future. Enjoyable experiences referenced the CA's friendly personality and important content that motivated a positive change to their lifestyle. Some participants were less satisfied and found the content to be too simple or sometimes, the messages too lengthy. Conclusions: Participants suggested that in the future, CAs should provide regularly updated content on healthy living, specifically pre-diabetes. Multiple answer options should also be provided for more personalisation along with links to external resources to help improve users’ health literacy. Further recommendations include a necessity for a user-centered approach in CA development, employment of engagement strategies, use of a delivery platform most familiar to the target population and stratified message timings to suit the population and purpose of CA. Translating the health CAs to languages relevant to the target group could also enable wider reach and applicability. Published version 2023-03-27T04:52:48Z 2023-03-27T04:52:48Z 2022 Journal Article Dhinagaran, D. A. & Car, L. T. (2022). Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study. Digital Health, 8, 1-14. https://dx.doi.org/10.1177/20552076221131190 2055-2076 https://hdl.handle.net/10356/165422 10.1177/20552076221131190 36267545 2-s2.0-85140250019 8 1 14 en Digital Health © The Author(s) 2022. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/ open-access-at-sage). application/pdf
spellingShingle Science::Medicine
Conversational Agents
Chatbots
Dhinagaran, Dhakshenya Ardhithy
Car, Lorainne Tudor
Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title_full Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title_fullStr Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title_full_unstemmed Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title_short Public perceptions of a healthy lifestyle change conversational agent in Singapore: a qualitative study
title_sort public perceptions of a healthy lifestyle change conversational agent in singapore a qualitative study
topic Science::Medicine
Conversational Agents
Chatbots
url https://hdl.handle.net/10356/165422
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