A Scoping Review of Patient-Facing, Behavioral Health Interventions with Voice Assistant Technology Targeting Self-management and Healthy Lifestyle Behaviors

38 Pages Posted: 8 May 2019

See all articles by Emre Sezgin

Emre Sezgin

Nationwide Children's Hospital - The Research Institute

Lisa Militello

Ohio State University (OSU) - College of Nursing

Yungui Huang

Nationwide Children's Hospital - The Research Institute

Simon Lin

Nationwide Children's Hospital - The Research Institute

Date Written: April 1, 2019

Abstract

Background: Engaging in positive healthy lifestyle behaviors continues to be a public health challenge, requiring innovative solutions. As the market for voice assistants (Amazon Alexa, Google Assistant, Apple Siri) grows and people increasingly use them to assist their daily tasks, there is a pressing need to explore how voice assistant technology may be used in behavioral health interventions.

Purpose: A scoping review of literature was conducted to address a PICO (Population, Intervention, Comparison and Outcome) question: across populations, how does the use of voice assistants in behavioral health research/interventions influence healthy lifestyle behaviors versus control or comparison interventions? To inform the science, a secondary aim of this review was to explore characteristics of voice assistants used in behavioral health research.

Methods: The review was conducted following Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines with scoping review extension (PRISMA-ScR).
Results: Ten studies satisfied the inclusion criteria, representing research published through February 2019. Studies spanned pediatric to elderly populations, covering a vast array of self-management and healthy lifestyle behaviors. The majority of interventions were multicomponent, involving more than one of the following behavior change techniques grouped by cluster: shaping knowledge, self-belief, repetition and substitution, feedback and monitoring, goals and planning, antecedents, natural consequences, comparison of behavior, and identification. However, most studies were in early stages of development, with limited efficacy trials.

Conclusions: Voice assistant technology continues to evolve and support behavioral interventions using various platforms (e.g. Interactive Voice Response (IVR) systems, smartphones, smart speakers) which are used alone or in conjunction with other platforms. Feasibility, usability, preliminary efficacy, along with high user satisfaction of research adapted voice assistants, in contrast to standalone commercially available voice assistants, suggests a role for voice assistants in behavioral health intervention research.

Keywords: voice assistants, conversational agents, self-management, behavioral research, mobile phone, healthy lifestyle

Suggested Citation

Sezgin, Emre and Militello, Lisa and Huang, Yungui and Lin, Simon, A Scoping Review of Patient-Facing, Behavioral Health Interventions with Voice Assistant Technology Targeting Self-management and Healthy Lifestyle Behaviors (April 1, 2019). Available at SSRN: https://ssrn.com/abstract=3381183 or http://dx.doi.org/10.2139/ssrn.3381183

Emre Sezgin (Contact Author)

Nationwide Children's Hospital - The Research Institute ( email )

Columbus, OH
United States

Lisa Militello

Ohio State University (OSU) - College of Nursing ( email )

Columbus, OH
United States

Yungui Huang

Nationwide Children's Hospital - The Research Institute ( email )

Columbus, OH
United States

Simon Lin

Nationwide Children's Hospital - The Research Institute ( email )

Columbus, OH
United States

Register to save articles to
your library

Register

Paper statistics

Downloads
73
Abstract Views
559
rank
328,860
PlumX Metrics